Page last updated: 2024-10-31

mianserin and Weight Gain

mianserin has been researched along with Weight Gain in 25 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 Closely related to (and now mostly superseded by) the tetracyclic antidepressant mirtazapinean, it is an atypical antidepressant used in the treatment of depression throughout Europe and elsewhere.

Weight Gain: Increase in BODY WEIGHT over existing weight.

Research Excerpts

ExcerptRelevanceReference
"In this open-label, 8-week study, the efficacy and safety of mirtazapine among 103 outpatients with DSM-IV major depressive disorder who had failed previous therapy with an SSRI (fluoxetine, paroxetine, or sertraline) were evaluated."9.09Efficacy and safety of mirtazapine in major depressive disorder patients after SSRI treatment failure: an open-label trial. ( Cohen, M; Dunner, DL; Fava, M; Greist, JH; Preskorn, SH; Trivedi, MH; Zajecka, J, 2001)
"To systematically assess the effects of mirtazapine as adjunct treatment for people with schizophrenia."8.98Mirtazapine adjunct for people with schizophrenia. ( Perry, LA; Ramson, D; Stricklin, S, 2018)
"Mirtazapine is a relatively new so-called noradrenergic and specific serotonergic antidepressant, which is more specific and therefore generally better tolerated."6.71Mirtazapine is effective in the prophylactic treatment of chronic tension-type headache. ( Bendtsen, L; Jensen, R, 2004)
"Nineteen patients (12 women and 7 men), with SSRI-induced sexual dysfunction who were in remission from major depressive disorder (total Hamilton Rating Scale for Depression [HAM-D] score < or = 10), were switched to open-label mirtazapine for up to 6 weeks."5.09Mirtazapine substitution in SSRI-induced sexual dysfunction. ( Delgado, P; Gelenberg, AJ; Laukes, C; McGahuey, C; Moreno, F; Okayli, G; Zentner, L, 2000)
"In this open-label, 8-week study, the efficacy and safety of mirtazapine among 103 outpatients with DSM-IV major depressive disorder who had failed previous therapy with an SSRI (fluoxetine, paroxetine, or sertraline) were evaluated."5.09Efficacy and safety of mirtazapine in major depressive disorder patients after SSRI treatment failure: an open-label trial. ( Cohen, M; Dunner, DL; Fava, M; Greist, JH; Preskorn, SH; Trivedi, MH; Zajecka, J, 2001)
"The aim of this study was to conduct a naturalistic, open-label examination of the efficacy and tolerability of mirtazapine (a medication with both serotonergic and noradrenergic properties) in the treatment of associated symptoms of autism and other pervasive developmental disorders (PDDs)."5.09A naturalistic open-label study of mirtazapine in autistic and other pervasive developmental disorders. ( Guenin, KD; Kohn, AE; McDougle, CJ; Posey, DJ; Swiezy, NB, 2001)
"To systematically assess the effects of mirtazapine as adjunct treatment for people with schizophrenia."4.98Mirtazapine adjunct for people with schizophrenia. ( Perry, LA; Ramson, D; Stricklin, S, 2018)
"Mirtazapine is a relatively new so-called noradrenergic and specific serotonergic antidepressant, which is more specific and therefore generally better tolerated."2.71Mirtazapine is effective in the prophylactic treatment of chronic tension-type headache. ( Bendtsen, L; Jensen, R, 2004)
"Mirtazapine is a novel antidepressant which has a mechanism that involves the enhancement of noradrenergic and serotonergic neurotransmission via blockade of alpha2-adrenergic autoreceptors and heteroreceptors without activity at the serotonin transporter."2.69Mirtazapine augmentation in the treatment of refractory depression. ( Carpenter, LL; Hall, JM; Jocic, Z; Price, LH; Rasmussen, SA, 1999)
"Anecdotal reports have suggested that the long-term use of selective serotonin reuptake inhibitors (SSRIs) may be associated with significant weight gain, sexual dysfunction, drug interactions, and discontinuation symptoms."2.41Long-term side effects of newer-generation antidepressants: SSRIS, venlafaxine, nefazodone, bupropion, and mirtazapine. ( Gupta, S; Masand, PS, 2002)
"Mirtazapine is a noradrenergic and specific serotonergic antidepressant, characterized by a unique pharmacologic profile, favorable pharmacokinetics, and proven efficacy and safety."2.40Mirtazapine: clinical advantages in the treatment of depression. ( Burrows, GD; Kremer, CM, 1997)

Research

Studies (25)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (12.00)18.2507
2000's16 (64.00)29.6817
2010's6 (24.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Perry, LA1
Ramson, D1
Stricklin, S1
Song, HR1
Kwon, YJ1
Woo, YS2
Bahk, WM2
Seo, HJ1
Jung, YE1
Jun, TY1
Chae, JH1
Lee, HY1
Kang, RH1
Paik, JW1
Jeong, YJ1
Chang, HS1
Han, SW1
Lee, MS1
Laika, B1
Leucht, S1
Heres, S1
Schneider, H1
Steimer, W1
Risselada, AJ1
Mulder, H1
Heerdink, ER1
Grube, AM1
Wilmink, FW1
Egberts, TC1
Chiu, HW1
Li, TC1
Schilling, C1
Gilles, M1
Blum, WF1
Daseking, E1
Colla, M1
Weber-Hamann, B1
Lederbogen, F1
Krumm, B1
Heuser, I1
Wudy, SA1
Kopf, D1
Deuschle, M1
Goldberg, RJ1
Abraham, G1
Masand, PS1
Gupta, S1
Gupta, RK1
Tiller, JW1
Burrows, GD2
Fisfalen, ME1
Hsiung, RC1
Bendtsen, L1
Jensen, R1
Pallanti, S1
Quercioli, L1
Bruscoli, M1
Silva, AL1
Cabral, AM1
Abreu, GR1
Pires, JG1
Bissoli, NS1
Ramage, AG1
Gambi, F1
De Berardis, D1
Campanella, D1
Carano, A1
Sepede, G1
Salini, G1
Mezzano, D1
Cicconetti, A1
Penna, L1
Salerno, RM1
Ferro, FM1
Himmerich, H1
Fulda, S1
Schaaf, L1
Beitinger, PA1
Schuld, A1
Pollmächer, T1
Hannan, N1
Hamzah, Z1
Akinpeloye, HO1
Meagher, D1
Kremer, CM1
Carpenter, LL2
Jocic, Z1
Hall, JM1
Rasmussen, SA1
Price, LH2
Leon, Z1
Yasmin, S1
Gelenberg, AJ1
McGahuey, C1
Laukes, C1
Okayli, G1
Moreno, F1
Zentner, L1
Delgado, P1
Fava, M1
Dunner, DL1
Greist, JH1
Preskorn, SH1
Trivedi, MH1
Zajecka, J1
Cohen, M1
Posey, DJ1
Guenin, KD1
Kohn, AE1
Swiezy, NB1
McDougle, CJ1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Hypothalamus-pituitary-adrenal System: Role of the Mineralocorticoid Receptor and Longitudinal Study in Depressed Patients[NCT01049347]Phase 3127 participants (Actual)Interventional1997-10-31Completed
The Effects of a High Eicosapentaenoic Acid Multinutrient Supplement on Measures of Stress, Anxiety and Depression in Young Adults: a Randomised, Double-blind, Placebo-controlled Trial.[NCT04844034]94 participants (Anticipated)Interventional2022-04-19Recruiting
Effects of a Tissue Selective Estrogen Complex (TESC) on Depression and the Neural Reward System in the Perimenopause[NCT03740009]Phase 420 participants (Actual)Interventional2019-01-02Completed
Efficacy and Safety Analyses of Mirtazapine in the Treatment of Malignant Tumor Related Depression: A Phase II, Placebo-controlled, Randomized, Double-blinded Clinical Trial in Advanced Non-small Cell Lung Cancer Patients[NCT02650544]Phase 2236 participants (Anticipated)Interventional2015-12-31Active, not recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Frontostriatal Reactivity to Reward During MID fMRI Task

"The primary outcome measure is functional magnetic resonance imaging (fMRI) data collected during a Monetary Incentive Delay (MID) Task. All participants will complete the fMRI Monetary Incentive Delay (MID) task at baseline and at 3 weeks. During the task, participants need to select the correct response during win and lose conditions by pressing a button on a button box in the MRI. Participant's blood-oxygen-level dependent (BOLD) activation response (A measurement of oxygen level that is released to neurons since areas of the brain that are thought to be more active or involved in certain tasks require more oxygen to perform the tasks.) is measured while they performed the task in MRI scanner." (NCT03740009)
Timeframe: Baseline to 3 weeks

Interventionpercent signal change (Mean)
Caudate BaselineCaudate PosttreatmentNucleus Accumbens BaselineNucleus Accumbens PosttreatmentPutamen BaselinePutamen Posttreatment
Perimenopausal Women, Depressed.0704.0475.0623.0280.0399.0408

Depressive Symptoms as Measured by the MASQ-AD

The second primary outcome measure uses the Mood and Anxiety Symptoms Questionnaire - Anhedonic Depression Scale (MASQ-AD) to examine symptom change. All participants will complete the MASQ-AD at each study visit, which measures their current symptoms of depression and anxiety. Scores range from 22 to 110 with lower scores reflecting a better outcome. (NCT03740009)
Timeframe: Baseline, week 2, week 3, week 4 (post treatment)

Interventionscore on a scale (Mean)
Baseline Week 1Week 2Week 3Post Treatment Week 4
Perimenopausal Women, Depressed72.162.457.254.5

Reviews

4 reviews available for mianserin and Weight Gain

ArticleYear
Mirtazapine adjunct for people with schizophrenia.
    The Cochrane database of systematic reviews, 2018, 05-26, Volume: 5

    Topics: Antidepressive Agents, Tricyclic; Antipsychotic Agents; Chemotherapy, Adjuvant; Humans; Mianserin; M

2018
Long-term side effects of newer-generation antidepressants: SSRIS, venlafaxine, nefazodone, bupropion, and mirtazapine.
    Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists, 2002, Volume: 14, Issue:3

    Topics: Antidepressive Agents, Second-Generation; Bupropion; Cyclohexanols; Drug Interactions; Humans; Mians

2002
Long-term side effects of newer-generation antidepressants: SSRIS, venlafaxine, nefazodone, bupropion, and mirtazapine.
    Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists, 2002, Volume: 14, Issue:3

    Topics: Antidepressive Agents, Second-Generation; Bupropion; Cyclohexanols; Drug Interactions; Humans; Mians

2002
Long-term side effects of newer-generation antidepressants: SSRIS, venlafaxine, nefazodone, bupropion, and mirtazapine.
    Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists, 2002, Volume: 14, Issue:3

    Topics: Antidepressive Agents, Second-Generation; Bupropion; Cyclohexanols; Drug Interactions; Humans; Mians

2002
Long-term side effects of newer-generation antidepressants: SSRIS, venlafaxine, nefazodone, bupropion, and mirtazapine.
    Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists, 2002, Volume: 14, Issue:3

    Topics: Antidepressive Agents, Second-Generation; Bupropion; Cyclohexanols; Drug Interactions; Humans; Mians

2002
Dual action antidepressants and some important considerations.
    The Australian and New Zealand journal of psychiatry, 2003, Volume: 37, Issue:2

    Topics: Adrenergic alpha-Antagonists; Antidepressive Agents, Second-Generation; Cyclohexanols; Cyclopropanes

2003
Mirtazapine: clinical advantages in the treatment of depression.
    Journal of clinical psychopharmacology, 1997, Volume: 17 Suppl 1

    Topics: Adult; Aged; Amitriptyline; Antidepressive Agents, Tricyclic; Clinical Trials as Topic; Clomipramine

1997

Trials

10 trials available for mianserin and Weight Gain

ArticleYear
Effect of augmented atypical antipsychotics on weight change in patients with major depressive disorder in a naturalistic setting.
    Human psychopharmacology, 2009, Volume: 24, Issue:2

    Topics: Adult; Aged; Antidepressive Agents; Antipsychotic Agents; Benzodiazepines; Cyclohexanols; Depressive

2009
Leptin plasma concentrations increase during antidepressant treatment with amitriptyline and mirtazapine, but not paroxetine and venlafaxine: leptin resistance mediated by antihistaminergic activity?
    Journal of clinical psychopharmacology, 2013, Volume: 33, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Amitriptyline; Analysis of Variance; Antidepressive Agents; Biomarke

2013
Mirtazapine is effective in the prophylactic treatment of chronic tension-type headache.
    Neurology, 2004, May-25, Volume: 62, Issue:10

    Topics: Adrenergic alpha-2 Receptor Antagonists; Adrenergic alpha-Antagonists; Adult; Area Under Curve; Chro

2004
Response acceleration with mirtazapine augmentation of citalopram in obsessive-compulsive disorder patients without comorbid depression: a pilot study.
    The Journal of clinical psychiatry, 2004, Volume: 65, Issue:10

    Topics: Adult; Age of Onset; Antidepressive Agents, Tricyclic; Citalopram; Comorbidity; Depressive Disorder;

2004
Mirtazapine treatment of generalized anxiety disorder: a fixed dose, open label study.
    Journal of psychopharmacology (Oxford, England), 2005, Volume: 19, Issue:5

    Topics: Adult; Antidepressive Agents, Tricyclic; Anxiety Disorders; Appetite; Constipation; Female; Humans;

2005
Mirtazapine augmentation in the treatment of refractory depression.
    The Journal of clinical psychiatry, 1999, Volume: 60, Issue:1

    Topics: Adrenergic alpha-Antagonists; Adult; Antidepressive Agents; Antidepressive Agents, Tricyclic; Depres

1999
Clinical experience with mirtazapine in the treatment of panic disorder.
    Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists, 1999, Volume: 11, Issue:2

    Topics: Adult; Ambulatory Care; Antidepressive Agents, Tricyclic; Antipsychotic Agents; Drug Administration

1999
Mirtazapine substitution in SSRI-induced sexual dysfunction.
    The Journal of clinical psychiatry, 2000, Volume: 61, Issue:5

    Topics: Adrenergic alpha-Antagonists; Adult; Aged; Depressive Disorder; Female; Humans; Irritable Mood; Male

2000
Efficacy and safety of mirtazapine in major depressive disorder patients after SSRI treatment failure: an open-label trial.
    The Journal of clinical psychiatry, 2001, Volume: 62, Issue:6

    Topics: Adult; Ambulatory Care; Antidepressive Agents, Tricyclic; Depressive Disorder; Double-Blind Method;

2001
A naturalistic open-label study of mirtazapine in autistic and other pervasive developmental disorders.
    Journal of child and adolescent psychopharmacology, 2001,Fall, Volume: 11, Issue:3

    Topics: Adolescent; Adult; Aggression; Antidepressive Agents, Tricyclic; Anxiety Disorders; Appetite; Autist

2001

Other Studies

11 other studies available for mianserin and Weight Gain

ArticleYear
Effects of Mirtazapine on Patients Undergoing Naturalistic Diabetes Treatment: A Follow-Up Study Extended From 6 to 12 Months.
    Journal of clinical psychopharmacology, 2015, Volume: 35, Issue:6

    Topics: Adult; Antidepressive Agents, Tricyclic; Diabetes Mellitus; Follow-Up Studies; Humans; Mianserin; Mi

2015
Association of the adrenergic alpha 2a receptor--1291C/G polymorphism with weight change and treatment response to mirtazapine in patients with major depressive disorder.
    Brain research, 2009, Mar-25, Volume: 1262

    Topics: Adrenergic alpha-Antagonists; Adult; Depressive Disorder, Major; Female; Genetic Predisposition to D

2009
Pharmacogenetics and olanzapine treatment: CYP1A2*1F and serotonergic polymorphisms influence therapeutic outcome.
    The pharmacogenomics journal, 2010, Volume: 10, Issue:1

    Topics: Adult; Aged; Benzodiazepines; Cytochrome P-450 CYP1A2; Depressive Disorder; Female; Genotype; Humans

2010
The association between serotonin 2C receptor polymorphisms and weight gain and eating behavior in patients using mirtazapine: a prospective follow-up study.
    Journal of clinical psychopharmacology, 2010, Volume: 30, Issue:2

    Topics: Adult; Aged; Feeding Behavior; Female; Follow-Up Studies; Haplotypes; Humans; Male; Mianserin; Middl

2010
Rapid weight gain during mirtazapine treatment.
    The Journal of neuropsychiatry and clinical neurosciences, 2011,Winter, Volume: 23, Issue:1

    Topics: Humans; Male; Mianserin; Mirtazapine; Time Factors; Treatment Outcome; Weight Gain; Young Adult

2011
Weight change in depressed nursing home patients on mirtazapine.
    Journal of the American Geriatrics Society, 2002, Volume: 50, Issue:8

    Topics: Aged; Antidepressive Agents, Tricyclic; Depression; Female; Homes for the Aged; Humans; Male; Mianse

2002
Massive weight gain and hostility force mirtazapine stoppage.
    Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2002, Volume: 47, Issue:6

    Topics: Adult; Affect; Antidepressive Agents, Tricyclic; Depressive Disorder; Female; Hostility; Humans; Mia

2002
Glucose dysregulation and mirtazapine-induced weight gain.
    The American journal of psychiatry, 2003, Volume: 160, Issue:4

    Topics: Adult; Antidepressive Agents, Tricyclic; Blood Glucose; Body Mass Index; Cocaine-Related Disorders;

2003
Chronic treatment with mianserin prevents DOCA-salt hypertension in rats--evidence for the involvement of central 5-HT2 receptors.
    European journal of pharmacology, 2005, Aug-22, Volume: 518, Issue:2-3

    Topics: Animals; Blood Pressure; Desoxycorticosterone; Dose-Response Relationship, Drug; Drinking; Heart Rat

2005
Changes in weight and glucose tolerance during treatment with mirtazapine.
    Diabetes care, 2006, Volume: 29, Issue:1

    Topics: Antidepressive Agents, Tricyclic; Blood Glucose; Body Weight; Depressive Disorder; Female; Glucose T

2006
Venlafaxine-mirtazapine combination in the treatment of persistent depressive illness.
    Journal of psychopharmacology (Oxford, England), 2007, Volume: 21, Issue:2

    Topics: Adult; Aged; Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricyclic; Cyclohexano

2007