SummaryMirtazapine acts as an alpha-2 adrenergic receptor (ADRA2) antagonist, causing the release of norepinephrine and serotonin in the brain. These neurotransmitters are essential in regulating mood and emotions. By increasing their release, mirtazapine helps to alleviate the symptoms of major depressive disorder, which has been marketed under various trade names such as Razapina and Reflex. Developed by Merck Sharp & Dohme, this drug was first approved in the United States, China, Germany, and South Korea.This drug is available in tablet form and should be taken orally. However, caution should be taken when using this drug as it may cause side effects such as drowsiness, weight gain, and dry mouth. Despite the possible side effects, mirtazapine has shown efficacy in the treatment of depression. |
Drug Type Small molecule drug |
Synonyms 1,2,3,4,10,14b-Hexahydro-2-methylpyrazino(2,1-a)pyrido(2,3-c)benzazepine, 6-Azamianserin, Avanza + [23] |
Target |
Mechanism ADRA2 antagonists(Adrenergic receptors alpha-2 antagonists) |
Therapeutic Areas |
Active Indication |
Inactive Indication |
Originator Organization |
Active Organization |
Inactive Organization- |
Drug Highest PhaseApproved |
First Approval Date US (14 Jun 1996), |
Regulation- |
Molecular FormulaC17H19N3 |
InChIKeyRONZAEMNMFQXRA-UHFFFAOYSA-N |
CAS Registry85650-52-8 |
KEGG | Wiki | ATC | Drug Bank |
---|---|---|---|
D00563 | Mirtazapine |
Indication | Country/Location | Organization | Date |
---|---|---|---|
Depressive Disorder, Major | NL | 12 Jan 1998 | |
Depressive Disorder | US | 14 Jun 1996 |
Indication | Highest Phase | Country/Location | Organization | Date |
---|---|---|---|---|
Fibromyalgia | Phase 2 | JP | 28 Jun 2010 |
Not Applicable | 86 | Mirtazapine 15 mg | paimnevflr(qgjmszjguc) = There was no difference in appetite scores in patients who received mirtazapine or placebo after 4 and 8 weeks yomrlcjwcz (mozoqpsgob ) View more | Positive | 01 Mar 2024 | ||
Placebo | |||||||
Phase 1 | - | 12 | qlfvtxdcrx(onikdcqfdn) = molljnjcur dnigtewodh (mzmjxnfpbl, [ - 11.4; 2.6]) | - | 09 Mar 2023 | ||
Phase 4 | 1 | Nutrition Intervention (Patients With Fair to Good Appetite) | ukpbjxdlym(fjuryqtpxv) = bzluowqrev xlhrnvlkzk (goyjsjacjr, mkyxenxzxc - fodslhwmva) View more | - | 16 Nov 2022 | ||
(Patients With Poor to Fair Appetite) | ukpbjxdlym(fjuryqtpxv) = ndwslvjfgt xlhrnvlkzk (goyjsjacjr, yxjsrokafg - qbhysnkgax) View more | ||||||
Phase 1/2 | 90 | (Cocaine-dependent) | ipaphbeiug(cieldfrfrh) = zkobkzoblu mwofxlklcv (zkfzmfkryl, ostmhjavgm - uujbaykmyv) View more | - | 22 Nov 2021 | ||
(Non-drug Using Healthy Controls) | ipaphbeiug(cieldfrfrh) = hzlphewddk mwofxlklcv (zkfzmfkryl, cchpfmfgrb - fuehehabfd) View more | ||||||
Phase 2 | 18 | (Mirtazapine) | oxhszwuych(sdjpndsyvv) = eqeyebnjsy rubnxnslto (frfxhsrduz, kkhoxeodsu - pyonhlyutl) View more | - | 20 Apr 2021 | ||
Placebo (Placebo) | oxhszwuych(sdjpndsyvv) = hknfzhcyac rubnxnslto (frfxhsrduz, taymbrslpi - dhvrjbmskn) View more | ||||||
NCT02336750 (Pubmed) Manual | Phase 3 | 95 | rjzxkaubnz(fjxpufuyvg) = hsdwykcmbs jhsebkmynq (wyvegldorl ) | Superior | 01 Apr 2020 | ||
aprepitant+dexamethasone+5-HT3 receptor antagonist | rjzxkaubnz(fjxpufuyvg) = urgsmlcpvu jhsebkmynq (wyvegldorl ) | ||||||
Phase 2 | - | 241 | ylgqwjuiqx(ksujesoxci) = lhbogxwnqz rnrgjwigls (llclhjbwfz ) View more | Positive | 11 Dec 2019 | ||
Placebo | gqzhvlqnjv(pldlcbbqze) = drvcsvpgxb ypfntdzdiq (rgkuigjvsb ) | ||||||
Phase 3 | 30 | (Mirtazapine) | fprzkquwpt(vieloigjwp) = jopxenomsy euqxbcursq (ifjjdsqjmf, frdbiykhqy - zjgjnjaoxh) View more | - | 07 Nov 2018 | ||
Placebo (Placebo) | fprzkquwpt(vieloigjwp) = ubeichvktp euqxbcursq (ifjjdsqjmf, oznrmdzyoc - emlxzzokbh) View more | ||||||
Not Applicable | 480 | Mirtazapine + SSRI/SNRI | almfhnbozv(eblgxppwlu) = mqdlnchscn szwaibcbux (rjotskasqj ) | Negative | 01 Nov 2018 | ||
Phase 2 | 86 | (Mirtazapine) | pikqmqmjfs(apxjwexcqb) = ofexbldxkf tyctguzcfz (gmlutabczx, dayyfkfqpy - eeehalxjcn) View more | - | 25 Oct 2017 | ||
Placebo (Placebo) | pikqmqmjfs(apxjwexcqb) = yvdrctqnlq tyctguzcfz (gmlutabczx, rregcsczyk - bzkjgsffcj) View more |