Page last updated: 2024-10-31

mianserin and Serotonin Syndrome

mianserin has been researched along with Serotonin Syndrome in 26 studies

Mianserin: A tetracyclic compound with antidepressant effects. It may cause drowsiness and hematological problems. Its mechanism of therapeutic action is not well understood, although it apparently blocks alpha-adrenergic, histamine H1, and some types of serotonin receptors.
mianserin : A dibenzoazepine (specifically 1,2,3,4,10,14b-hexahydrodibenzo[c,f]pyrazino[1,2-a]azepine) methyl-substituted on N-2. Closely related to (and now mostly superseded by) the tetracyclic antidepressant mirtazapinean, it is an atypical antidepressant used in the treatment of depression throughout Europe and elsewhere.

Serotonin Syndrome: An adverse drug interaction characterized by altered mental status, autonomic dysfunction, and neuromuscular abnormalities. It is most frequently caused by use of both serotonin reuptake inhibitors and monoamine oxidase inhibitors, leading to excess serotonin availability in the CNS at the serotonin 1A receptor.

Research Excerpts

ExcerptRelevanceReference
"A 40-year-old woman with bipolar disorder who was taking mirtazapine presented with mydriasis, abnormal diaphoresis, myoclonus and muscle rigidity after taking metocloplamide."7.85Metoclopramide-induced Serotonin Syndrome. ( Harada, T; Hirosawa, T; Morinaga, K; Shimizu, T, 2017)
" We suspected that these symptoms were related to side effects caused by the milnacipran she was taking for depression, prior to hospitalization."7.83Probable Serotonin Syndrome and Withdrawal Symptoms Caused by Milnacipran. ( Koshiishi, T; Okuyama, K, 2016)
"To report a case of serotonin syndrome (SS) resulting from the addition of tramadol to a medication regimen of venlafaxine and mirtazapine."7.72Serotonin syndrome resulting from coadministration of tramadol, venlafaxine, and mirtazapine. ( Houlihan, DJ, 2004)
"To document a case of serotonin syndrome associated with the combined use of fluvoxamine and mirtazapine, and to discuss the pharmacodynamic and pharmacokinetic interactions that were the likely causes of this potentially serious adverse drug reaction (ADR)."7.71Serotonin syndrome induced by fluvoxamine and mirtazapine. ( Demers, JC; Malone, M, 2001)
"To document a case of serotonin syndrome (SS) associated with mirtazapine monotherapy, review the previously reported cases of SS associated with this tetracyclic antidepressant, and discuss the possible pathogenic mechanisms leading to this serious adverse drug reaction."7.71Severe serotonin syndrome induced by mirtazapine monotherapy. ( González-Macías, J; Hernández, JL; Infante, J; Ramos, FJ; Rebollo, M, 2002)
"Serotonin syndrome is a potentially life-threatening complication of serotonergic agents."6.52Serotonin Syndrome Induced by Combined Use of Mirtazapine and Olanzapine Complicated with Rhabdomyolysis, Acute Renal Failure, and Acute Pulmonary Edema-A Case Report. ( Ong, CT; Sung, SF; Tong, SH; Wu, CS, 2015)
"Serotonin syndrome is a rare neuropsychiatric complication caused by serotonergic drugs."5.56[Serotonin syndrome shortly after the administration of low-dose mirtazapine]. ( Boesen, MS; Lindelof, M; Sagar, M, 2020)
"Mirtazapine is a novel antidepressant and a potent 5-HT(2) receptor antagonistic."5.36Mirtazapine abolishes hyperthermia in an animal model of serotonin syndrome. ( Kato, S; Nisijima, K; Shioda, K; Yoshino, T, 2010)
"A 40-year-old woman with bipolar disorder who was taking mirtazapine presented with mydriasis, abnormal diaphoresis, myoclonus and muscle rigidity after taking metocloplamide."3.85Metoclopramide-induced Serotonin Syndrome. ( Harada, T; Hirosawa, T; Morinaga, K; Shimizu, T, 2017)
" We suspected that these symptoms were related to side effects caused by the milnacipran she was taking for depression, prior to hospitalization."3.83Probable Serotonin Syndrome and Withdrawal Symptoms Caused by Milnacipran. ( Koshiishi, T; Okuyama, K, 2016)
"To report a case of serotonin syndrome (SS) resulting from the addition of tramadol to a medication regimen of venlafaxine and mirtazapine."3.72Serotonin syndrome resulting from coadministration of tramadol, venlafaxine, and mirtazapine. ( Houlihan, DJ, 2004)
"To document a case of serotonin syndrome associated with the combined use of fluvoxamine and mirtazapine, and to discuss the pharmacodynamic and pharmacokinetic interactions that were the likely causes of this potentially serious adverse drug reaction (ADR)."3.71Serotonin syndrome induced by fluvoxamine and mirtazapine. ( Demers, JC; Malone, M, 2001)
"To document a case of serotonin syndrome (SS) associated with mirtazapine monotherapy, review the previously reported cases of SS associated with this tetracyclic antidepressant, and discuss the possible pathogenic mechanisms leading to this serious adverse drug reaction."3.71Severe serotonin syndrome induced by mirtazapine monotherapy. ( González-Macías, J; Hernández, JL; Infante, J; Ramos, FJ; Rebollo, M, 2002)
"Serotonin syndrome is a potentially life-threatening complication of serotonergic agents."2.52Serotonin Syndrome Induced by Combined Use of Mirtazapine and Olanzapine Complicated with Rhabdomyolysis, Acute Renal Failure, and Acute Pulmonary Edema-A Case Report. ( Ong, CT; Sung, SF; Tong, SH; Wu, CS, 2015)
"Serotonin syndrome is a rare neuropsychiatric complication caused by serotonergic drugs."1.56[Serotonin syndrome shortly after the administration of low-dose mirtazapine]. ( Boesen, MS; Lindelof, M; Sagar, M, 2020)
"Serotonin syndrome is caused by excess serotonin in the central nervous system."1.37[Serotonin syndrome in the course of drug-poisoning--case presentation]. ( Kostek, H; Kujawa, A; Majewska, M; Pyra, E; Szponar, J, 2011)
"Mirtazapine is a novel antidepressant and a potent 5-HT(2) receptor antagonistic."1.36Mirtazapine abolishes hyperthermia in an animal model of serotonin syndrome. ( Kato, S; Nisijima, K; Shioda, K; Yoshino, T, 2010)
"Serotonin syndrome is a potentially life-threatening condition that results from excessive serotonin agonism of the central and peripheral nervous system."1.35A case study of delayed serotonin syndrome: lessons learned. ( Ahned, N; Pearce, S; Varas, GM, 2009)

Research

Studies (26)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (7.69)18.2507
2000's12 (46.15)29.6817
2010's11 (42.31)24.3611
2020's1 (3.85)2.80

Authors

AuthorsStudies
Sagar, M1
Lindelof, M1
Boesen, MS1
Harada, T1
Hirosawa, T1
Morinaga, K1
Shimizu, T1
Ansermot, N1
Hodel, PF1
Eap, CB1
Wu, CS1
Tong, SH1
Ong, CT1
Sung, SF1
Schuch, LG1
Yip, A1
Nouri, KF1
Gregersen, M1
Cason, B1
Kukreja, J1
Wozniak, C1
Brzezinski, M1
Koshiishi, T1
Okuyama, K1
Pearce, S1
Ahned, N1
Varas, GM1
Freijo Guerrero, J1
Tardón Ruiz de Gauna, L1
Gómez, JJ1
Aguilera Celorrio, L1
Butler, MC1
Di Battista, M1
Warden, M1
Gillman, PK1
Shioda, K1
Nisijima, K1
Yoshino, T1
Kato, S1
Steele, D1
Keltner, NL1
McGuiness, TM1
Majewska, M1
Szponar, J1
Pyra, E1
Kostek, H1
Kujawa, A1
Decoutere, L1
De Winter, S1
Vander Weyden, L1
Spriet, I1
Schrooten, M1
Tournoy, J1
Fagard, K1
Dimellis, D1
Aga, VM1
Barklage, NE1
Jefferson, JW1
Houlihan, DJ1
Norman, TR1
Freeman, WD1
Chabolla, DR1
Izumi, T1
Iwamoto, N1
Kitaichi, Y1
Kato, A1
Inoue, T1
Koyama, T1
Benazzi, F1
Birkenhäger, TK1
Moleman, P1
Demers, JC1
Malone, M1
Isbister, GK1
Dawson, AH1
Whyte, IM1
Hernández, JL1
Ramos, FJ1
Infante, J1
Rebollo, M1
González-Macías, J1
Duggal, HS1
Fetchko, J1

Reviews

2 reviews available for mianserin and Serotonin Syndrome

ArticleYear
Serotonin Syndrome Induced by Combined Use of Mirtazapine and Olanzapine Complicated with Rhabdomyolysis, Acute Renal Failure, and Acute Pulmonary Edema-A Case Report.
    Acta neurologica Taiwanica, 2015, Volume: 24, Issue:4

    Topics: Acute Disease; Acute Kidney Injury; Adult; Benzodiazepines; Humans; Male; Mianserin; Mirtazapine; Ol

2015
[Two new antidepressants: mirtazapine and venlafaxine].
    Nederlands tijdschrift voor geneeskunde, 1999, May-01, Volume: 143, Issue:18

    Topics: Adrenergic alpha-Antagonists; Benzamides; Cyclohexanols; Depressive Disorder; Drug Interactions; Fem

1999

Other Studies

24 other studies available for mianserin and Serotonin Syndrome

ArticleYear
[Serotonin syndrome shortly after the administration of low-dose mirtazapine].
    Ugeskrift for laeger, 2020, 05-04, Volume: 182, Issue:19

    Topics: Aged; Female; Humans; Mianserin; Mirtazapine; Serotonin Syndrome

2020
Metoclopramide-induced Serotonin Syndrome.
    Internal medicine (Tokyo, Japan), 2017, Volume: 56, Issue:6

    Topics: Adult; Antiemetics; Bipolar Disorder; Drug Interactions; Female; Humans; Metoclopramide; Mianserin;

2017
Serotonin toxicity after addition of mirtazapine to escitalopram.
    Journal of clinical psychopharmacology, 2014, Volume: 34, Issue:4

    Topics: Adult; Antidepressive Agents; Citalopram; Drug Therapy, Combination; Female; Humans; Mianserin; Mirt

2014
Serotonin Syndrome Following an Uncomplicated Orthopedic Surgery in a Patient With Post-Traumatic Stress Disorder.
    Military medicine, 2016, Volume: 181, Issue:9

    Topics: Adult; Citalopram; Diskectomy; Drug-Related Side Effects and Adverse Reactions; Humans; Low Back Pai

2016
Probable Serotonin Syndrome and Withdrawal Symptoms Caused by Milnacipran.
    Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan, 2016, Volume: 136, Issue:12

    Topics: Aged; Antidepressive Agents; Cerebral Hemorrhage; Cyclopropanes; Depression; Drug Substitution; Fema

2016
A case study of delayed serotonin syndrome: lessons learned.
    The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists, 2009, Volume: 24, Issue:1

    Topics: Adrenergic alpha-Antagonists; Aged; Assisted Living Facilities; Drug Interactions; Female; Humans; M

2009
[Serotonin syndrome after administration of mirtazapine in a critical care unit].
    Revista espanola de anestesiologia y reanimacion, 2009, Volume: 56, Issue:8

    Topics: Aged; Antidepressive Agents, Tricyclic; Critical Care; Humans; Intensive Care Units; Male; Mianserin

2009
Sertraline-induced serotonin syndrome followed by mirtazapine reaction.
    Progress in neuro-psychopharmacology & biological psychiatry, 2010, Aug-16, Volume: 34, Issue:6

    Topics: Adult; Antidepressive Agents; Cyproheptadine; Depressive Disorder, Major; Humans; Male; Mianserin; M

2010
Bupropion, bayesian logic and serotonin toxicity.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2010, Volume: 6, Issue:2

    Topics: Animals; Bupropion; Dopamine Uptake Inhibitors; Humans; Mianserin; Mirtazapine; Serotonin; Serotonin

2010
Mirtazapine abolishes hyperthermia in an animal model of serotonin syndrome.
    Neuroscience letters, 2010, Oct-04, Volume: 482, Issue:3

    Topics: Animals; Body Temperature; Disease Models, Animal; Fever; Male; Mianserin; Mirtazapine; Rats; Rats,

2010
Are neuroleptic malignant syndrome and serotonin syndrome the same syndrome?
    Perspectives in psychiatric care, 2011, Volume: 47, Issue:1

    Topics: Antidepressive Agents, Tricyclic; Antipsychotic Agents; Dibenzothiazepines; Drug Therapy, Combinatio

2011
[Serotonin syndrome in the course of drug-poisoning--case presentation].
    Przeglad lekarski, 2011, Volume: 68, Issue:8

    Topics: Alcoholic Intoxication; Alkaloids; Azocines; Bradycardia; Cyclohexanols; Depressive Disorder; Electr

2011
A venlafaxine and mirtazapine-induced serotonin syndrome confirmed by de- and re-challenge.
    International journal of clinical pharmacy, 2012, Volume: 34, Issue:5

    Topics: Aged, 80 and over; Cyclohexanols; Drug Therapy, Combination; Female; Humans; Mianserin; Mirtazapine;

2012
Serotonin syndrome produced by a combination of venlafaxine and mirtazapine.
    The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry, 2002, Volume: 3, Issue:3

    Topics: Adrenergic beta-Antagonists; Adult; Antidepressive Agents, Tricyclic; Cyclohexanols; Drug Therapy, C

2002
Linezolid, a monoamine oxidase inhibiting antibiotic, and antidepressants.
    The Journal of clinical psychiatry, 2003, Volume: 64, Issue:5

    Topics: Acetamides; Aged; Anti-Infective Agents; Comorbidity; Depressive Disorder; Drug Interactions; Humans

2003
Serotonin syndrome resulting from coadministration of tramadol, venlafaxine, and mirtazapine.
    The Annals of pharmacotherapy, 2004, Volume: 38, Issue:3

    Topics: Analgesics, Opioid; Antidepressive Agents; Cyclohexanols; Depressive Disorder; Humans; Male; Mianser

2004
Mechanism of action of mirtazapine: dual action or dual effect?
    The Australian and New Zealand journal of psychiatry, 2004, Volume: 38, Issue:4

    Topics: Antidepressive Agents, Tricyclic; Depression; Humans; Mianserin; Mirtazapine; Serotonin; Serotonin S

2004
36-Year-old woman with loss of consciousness, fever, and tachycardia.
    Mayo Clinic proceedings, 2005, Volume: 80, Issue:5

    Topics: Adult; Analgesics, Opioid; Antidepressive Agents, Tricyclic; Back Pain; Depression; Diagnosis, Diffe

2005
Effects of co-administration of antidepressants and monoamine oxidase inhibitors on 5-HT-related behavior in rats.
    European journal of pharmacology, 2007, Jun-22, Volume: 565, Issue:1-3

    Topics: 5-Hydroxytryptophan; Animals; Antidepressive Agents; Cyclopropanes; Drug Interactions; Imipramine; M

2007
Serotonin syndrome with mirtazapine-fluoxetine combination.
    International journal of geriatric psychiatry, 1998, Volume: 13, Issue:7

    Topics: Adrenergic alpha-Antagonists; Aged; Antidepressive Agents, Tricyclic; Depression; Drug Interactions;

1998
Serotonin syndrome induced by fluvoxamine and mirtazapine.
    The Annals of pharmacotherapy, 2001, Volume: 35, Issue:10

    Topics: Adrenergic alpha-Antagonists; Adult; Adverse Drug Reaction Reporting Systems; Anorexia Nervosa; Drug

2001
Comment: serotonin syndrome induced by fluvoxamine and mirtazapine.
    The Annals of pharmacotherapy, 2001, Volume: 35, Issue:12

    Topics: Drug Interactions; Fluvoxamine; Histamine H1 Antagonists; Humans; Mianserin; Mirtazapine; Selective

2001
Severe serotonin syndrome induced by mirtazapine monotherapy.
    The Annals of pharmacotherapy, 2002, Volume: 36, Issue:4

    Topics: Aged; Antidepressive Agents, Tricyclic; Depression; Humans; Male; Mianserin; Mirtazapine; Serotonin

2002
Serotonin syndrome and atypical antipsychotics.
    The American journal of psychiatry, 2002, Volume: 159, Issue:4

    Topics: Antidepressive Agents, Tricyclic; Antipsychotic Agents; Benzodiazepines; Depressive Disorder, Major;

2002