Remeron (mirtazapine)

Рет қаралды 7,089

Жыл бұрын

Dr. Pagnani of Rittenhouse Psychiatric Associates discusses Remeron (mirtazepine) an antidepressant that works slightly different than your SSRI's or SNRI's: it antagonizes alpha-2 adrenergic and serotonin 5-HT2 receptors and is rather anti-histaminic. This medication can cause several side effects, but some of these side effects can actually work to address some of the symptoms of depression (for some individuals), by combatting difficulty with sleep and poor appetite or weight loss.
Dr. Pagnani is the founder and medical director of Rittenhouse Psychiatric Associates, an Instructor at The Johns Hopkins Hospital for the Department of Psychiatry, he supervises psychiatric residents at Jefferson Hospital, he serves on the Young Professional Board of Uplift, the Center for Grieving Children and he maintains a private practice of Psychiatry in Philadelphia where he sees patients for one-time psychiatric evaluations and second opinions. He is a licensed physician and surgeon in NJ, PA, NY, MD, DE, FL and CA and can provide consultations to individuals via HIPAA compliant Telehealth visits living in these locations.
Rittenhouse Psychiatric Associates is a private practice of psychiatry consisting of about 25 psychiatrists, psychiatric nurse practitioners and psychotherapists with physical locations in Philadelphia and Paoli, PA and serving all of PA, NJ, NY and FL virtually via HIPAA compliant tele-psychiatry. Individuals seeking not only evaluations but long-term psychiatric care, can contact Rittenhouse Psychiatric Associates directly.
These videos aim to increase awareness and discussion of mental health topics and to encourage struggling individuals to schedule an appointment directly with a mental health provider. Mental health needs to be normalized, and simply speaking about mental health topics openly, is an important first step.
Dr. Pagnani and Rittenhouse Psychiatric Associates are NOT advocating for or against the use of any mentioned psychiatric medications for any specific individual. Additionally, any side effects mentioned are not a complete list of potential side effects or contraindications to taking any mentioned medications, and all risks and benefits of a medication should be discussed with an individual’s provider at an appointment, before starting, stopping or making changes to a medication regimen.
This video is INFORMATIVE ONLY - NOT MEDICAL ADVICE.
If you are researching a specific topic, please view our KZfaq channel, click all videos and use the search function. Please also visit and follow us on instagram and FB: @RittenhousePsych.
www.RittenhousePA.com
www.ChrisPagnaniMD.com

Пікірлер: 24

@toddcarter1148 8 ай бұрын

Tried all the SSRI's etc over last 20 Yrs and they done absolutely nothing other than mess my gut and make me a little dizzy, from Zoloft to prozac. This medication should have been offered much earlier on. I got no major side effects other than increased appetite a little morning drowsiness a few head pains early on first wk or 2 , but My body after 20yrs of painkillers and Ani depressants +Anti Anxiety meds must be more tolerant. Otherwise It appears a bit like a wonder drug for me. My head is much clearer far less Apathy. I'm getting back into the things I used to love doing. It's really underrated IMO. And after 20+ yrs on the merry go round and feeling nothing from all the others, this is the only one that appears to actually do something! Thanks for the vid.

@jenniferlee9029 5 ай бұрын

What mg are u on?

@irenes6627 8 ай бұрын

Hello i hsve C PTSD and take 100mg Sertraline, i also have Fibromyalgia and chronic pain which causes insomnia and for years i have sleep anxiety. Can i request Mirtazapine for sleep from my GP whilst taking Sertraline in the morning? Thank you x

@GeorgeCy332 Жыл бұрын

Thanks for the video. Do the side effects of feeling groggy the next day go away after a certain time ? thanks

@RittenhousePsych 10 ай бұрын

They often do, but not always. If a patient is otherwise tolerating it, and the tiredness in the morning is mild to moderate, I'll often recommend that they wait a couple of weeks or so, to see if it does wear off (especially if it is helpful for mood/ anxiety etc). With that said, you'll want to discuss this with your provider directly, as excessive sedation can also be dangerous, and these medications need to be monitored closely by one's provider. Best, - Dr. Pagnani

@entertainmenteducavlogs9717 Жыл бұрын

Sir Can i Combine mirtazapine 15mg+ desvenlafaxine 25mg+ Cariprazine 3 mg to treat psychosis, ocd, schizophrenia, neuropathic pain? Kindly reply sir. You are getting huge respect from India ❤ There are lot of followers from india Can mirtazapine exacerbate psychosis?

@giacomograndi5527 8 ай бұрын

J am starting with 3.75 mg (half of 7.5 mg) of mirtazapine for insomnia, can be this very low dosage of mirtazapine (3.75 mg) potentially sufficient for insomnia?

@stibbardp Ай бұрын

I am finding that higher doses help me sleep more. 7.5mg does nothing

@vwvqr 5 күн бұрын

Funnily enough, the smaller the dose, the better for sleep. As you increase the dose, it is more effective for depression, but it actually becomes more stimulating, and therefore, worse for sleep. Off-label, some psychiatrists are dosing up to 90mg per day, and I can confirm, higher dosing becomes extremely stimulating.

@dawoodbhayat9509 Жыл бұрын

Hello sir I visited two psychiatric for My sleep disturbance I fall in Sleep and wake up After 4 hours and After that can't see sleep .this problem I m having from last 3 years.1st Dr prescribe me ( olanzipine + flouxotine 3/25) and 2nd Dr prescribe me ( mirtazipine 7.5 mg) which one should I use which is better plz help me for better choice thanks

@RittenhousePsych Жыл бұрын

Thank you for your question, and I apologize for the delay! Olanzapine + Fluoxetine is a combination that tends to be used for bipolar disorder (and very treatment resistant major depressive disorder). A side effect of olanzapine (in the combination) is tiredness and it may therefore, help with sleep quite a bit. Mirtazepine (Remeron) is used for anxiety and depression (so, not for bipolar disorder) and also has sedation as a side effect (so it can help with sleep as well for some individuals). It's very important that your provider takes into consideration the specific difficulties and diagnosis that you have. Based on your evaluation, history and diagnosis, there may be a clear best option (but I unfortunately wouldn't know, without evaluating you). Thank you again for your question, and I hope hat you get the treatment that you need. Sincerely, - Dr. Pagnani

@mo87m 7 ай бұрын

Can Mirtazapine cause emotional blunting, i.e the inability to cry despite feeling overwhelming feelings of sadness and depression?

@user-zu1wm1cr4c 5 ай бұрын

It makes me a " normal" person with less insomnia and specially not getting anxious for everything and nothing.

@alisonalibongo3177 Жыл бұрын

i wish i could put on weight. i just don’t want to eat. i am 1.60 & don’t dare to weigh myself because i know i have lost weight

@RittenhousePsych Жыл бұрын

Thank you for your comment. I'm sorry to hear that you've been having difficulty with this. It's very important to discuss your specific circumstance with a mental health provider (and general practitioner as well) as many conditions could affect someone's ability to gain weight. Sincerely, - Dr. Pagnani

@vedatzorro Жыл бұрын

30 mg mirtazapine or 15 mirtazapine increase appetite more?

@RittenhousePsych Жыл бұрын

There is going to be variation between individuals, but for some, the lower doses actually cause higher degrees of sedation and increased appetite. Thank you for watching and your question! - Dr. Pagnani

@deniseverpeut Жыл бұрын

What can a person do to avoid weight gain?

@zil7618 Жыл бұрын

foods not to eat on mirtazapine, keeping check of what you are eating and what you aren't

@RittenhousePsych Жыл бұрын

Beyond trying to keep a healthy diet, I do not generally have dietary restrictions that I recommend for patients on remeron (mirtazepine). Remeron can increase appetite, so I do discuss monitoring overall food consumption and will assess any weight fluctuations at patient visits. It can also cause dry mouth, so if patients drink more soda etc. to combat that, it will certainly cause problems. Best, - Dr. Pagnani

@deniseverpeut Жыл бұрын

@@RittenhousePsych thank you 🙏 very much❣️ that was very helpful and I appreciate your time, and consideration