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Mirtazapine is an effective antidepressant used in Major Depressive Disorder, anxiety-related depression, insomnia-related depression and conditions with low appetite. In this video, Dr. Mayank Agrawal (Psychiatrist, Surat) explains its mechanism, clinical uses, advantages, side effects, dosing. 1. What is Mirtazapine Mirtazapine is an atypical antidepressant (NaSSA class). Works by blocking alpha-2 receptors → increases norepinephrine and serotonin. Blocks 5-HT2 and 5-HT3 → less anxiety, less nausea, improved mood. Blocks H1 receptors → strong sedation and increased appetite. 2. FDA and Clinical Indications Major Depressive Disorder (FDA approved) Depression with insomnia Depression with low appetite or weight loss Anxiety disorders (off-label): GAD, Social Anxiety, PTSD, Panic Disorder SSRI-induced sexual dysfunction Depression in elderly or frail patients 3. Advantages of Mirtazapine Very good for sleep Improves appetite and weight Very low sexual side effects Faster onset than SSRIs Useful in depression with anxiety and insomnia Good tolerability in elderly Helpful in underweight or malnourished patients 4. Side Effects Common: Sedation Weight gain Increased appetite Dry mouth Constipation Dizziness Less common: Raised cholesterol and triglycerides Rare neutropenia Sedation is stronger at lower doses. 5. Tablet Strengths Available tablet strengths: 7.5 mg 15 mg 30 mg 45 mg 6. Indian Brands of Mirtazapine Common brands in India include: Mirtaz 7.5 / 15 / 30 (Sun Pharma) Mirtazep 15 / 30 (Healing Pharma) Remeron (Original brand, Organon/MSD – limited availability in India) Miro 15 / 30 (Intas) Mitraz 7.5 / 15 / 30 / 45 (Sun Pharma) Mirtazap 15 / 30 (Cipla) Mirtab 15 / 30 (Torrent) Merintaz 15 / 30 (Micro Labs) Brands may vary regionally. 7. Dosing Start: 7.5 mg or 15 mg at bedtime Usual therapeutic range: 15 to 45 mg per day Lower doses are more sedating Increase dose every 1–2 weeks if needed Elderly: start low and go slow #Mirtazapine #DepressionTreatment #AnxietyTreatment #SleepMedicine #Psychiatry #DrMayankAgrawal #PsychiatristSurat #Antidepressant #mentalhealth Dr Mayank has covered the following topics. mirtazapine 7.5 mg mirtazapine 15 mg hindi mirtaz 7.5 tablet mirtazapine 15 mg mirtaz 15 mg tablet mirtaz 7.5 tablet uses mirtaz 15 mg tablet uses in hindi mirtazapine 30 mg mirtazapine 7.5 mg mirtazapine mechanism of action mirtazapine uses mirtazapine side effects mirtazapine india mirtazapine 7.5 mirtazapine for sleep Remeron 30 mg tablet remeron remeron 15 mg remeron side effects remeron 7.5 remeron for sleep remeron withdrawal remeron addiction mirtazapine for depression mirtazapine for sleep mirtazapine advantages mirtazapine side effects mirtazapine dosage india mirtazapine brands india best antidepressant for sleep dr mayank agrawal psychiatrist mirtazapine 15 mg mirtazapine weight gain Check out our video playlist- 👉 Depression se bahar kaise nikale. Ketamine for depression in hindi.    • Depression se bahar kaise nikale. Ketamine...   👉 Serotonin kaise badhaye in hindi. How to increase serotonin levels naturally.    • Serotonin kaise badhaye in hindi. How to i...   👉Depression ki best medicine. डिप्रेशन के इलाज की सबसे अच्छी दवा- Psychiatrist in surat    • Depression ki best medicine. डिप्रेशन के इ...   👉 Visit us on https://www.drmayankagrawal.com 👉 Visit us on https://www.ketaminetherapyindia.com 👉 Check out Dr.Mayank Agrawal on Google! --- https://g.page/dr-mayank-agrawal?gm 👉 Follow us on facebook ---  / drmayankagrawalsurat   👉 Follow us on Instagram -----  / dr.mayank.agrawal   Dr Mayank Agrawal has done MD Neuropsychiatry from Sir JJ group of hospitals Mumbai. He has been trained in Deaddiction under Ministry of health and family welfare. He worked as a Nodal officer under District mental health program. He is renowned child psychiatrist and counselor. He is famous sexologist also. He has extensive experience in the assessment , diagnosis and treatment of psychiatric disorders across different age group. He has good skills in the use of therapeutic communication technique to establish rapport and deliver care to mentally ill patients. Address-- 408 western vesu point near s d jain school next to reliance market green leaf hospital VESU SURAT 395007 Mobile : 08153889000, 08320554230 WORKING DAYS MONDAY TO SATURDAY MORNING 10 AM TO 2 PM EVENING 5 PM TO 9 PM Disclaimer-The content on this video is offered only as information and it does not constitute solicitation or provision of Medical advice. The content here should not be used as a substitute for obtaining Medical advice from a licensed health care practitioner authorized to practice in your jurisdiction. You should always consult a qualified health care practitioner regarding any specific medical problem or issue.