Antidepressants · Atypical Antidepressants
Mirtazapine
Brand: Remeron, Remeron SolTab
Noradrenergic and specific serotonergic antidepressant (NaSSA); tetracyclic antidepressant
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1.Patient on mirtazapine 15mg complains of excessive daytime sedation. She asks to lower the dose. Why is that the wrong move?
2.Mirtazapine mechanism: how is it fundamentally different from SSRIs/SNRIs?
3.Describe the ideal mirtazapine patient (the clinical trifecta).
4.Why does mirtazapine 15mg cause MORE sedation than 30mg? (Explain the pharmacology.)
5.Mirtazapine dose range and therapeutic targets.
6.Why does mirtazapine cause less sexual dysfunction than SSRIs?
7.What is 'California rocket fuel' and what is its pharmacological rationale?
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