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Mirtazapine

An antidepressant used to treat depression and sometimes OCD and anxiety.

Clinical information

Common uses

  • depression
  • obsessive compulsive disorder (OCD)
  • anxiety

Common side effects

  • dry mouth
  • increased appetite and weight gain
  • headaches
  • feeling sleepy
  • feeling or being sick

Cautions

  • do not stop suddenly — dose is reduced gradually
  • can cause sleepiness — avoid driving until you know its effect
  • can make blood sugar harder to control in diabetes
  • get urgent help for thoughts of self-harm

Interactions

  • other antidepressants (risk of very high blood pressure)
  • sedating medicines like morphine or diazepam
  • warfarin (blood thinner)
  • carbamazepine or phenytoin (reduce its effect)
  • rifampicin (reduces its effect)
  • St John's wort (avoid)

Pregnancy: generally continued if needed — discuss with your doctor

Reference information, not medical advice — always follow your doctor or pharmacist. Source: NHS Medicines A–Z, nhs.uk/medicines/mirtazapine (accessed 2026-08-16)

Approved brands & formulations3

Brand nameDosage formStrengthImporterCategory
MirtazTablet15 mgauthorized medicine importersPOM
MirtazapineTablet30 mgPOM
MirtazapineTablet15 mgPOM
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