Page last updated: 2024-10-31

mirtazapine and Acute Post-Traumatic Stress Disorder

mirtazapine has been researched along with Acute Post-Traumatic Stress Disorder in 21 studies

Mirtazapine: A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders.

Research Excerpts

ExcerptRelevanceReference
"Mirtazapine was introduced and quetiapine increased."5.48Severe rhabdomyolysis induced by quetiapine and mirtazapine in a French military soldier. ( Delacour, H; Keou, S; Lahutte, B; Mennessier, C; Ratnam, C; Saguin, E, 2018)
" A re-evaluation of its pharmacological treatment with the introduction of mirtazapine (30 mg/day) was associated with a rhabdomyolysis (CK> 20,000 IU/L at day 3)."3.88[Antipsychotic induced rhabdomyolysis]. ( Delacour, H; Keou, S; Lahutte, B; Mennessier, C; Plantamura, J; Ratnam, C; Saguin, E, 2018)
"Posttraumatic stress disorder (PTSD) is a prevalent and disabling disorder."2.82Pharmacotherapy for post traumatic stress disorder (PTSD). ( Ipser, JC; Phillips, NJ; Stein, DJ; Williams, T, 2022)
"Thirty-six adults with PTSD were randomized to 24 weeks of double-blind treatment with sertraline plus mirtazapine or sertraline plus placebo."2.80COMBINED MIRTAZAPINE AND SSRI TREATMENT OF PTSD: A PLACEBO-CONTROLLED TRIAL. ( Campeas, R; Carcamo, J; Glass, A; Lewis-Fernandez, R; Neria, Y; Sanchez-Lacay, A; Schneier, FR; Vermes, D; Wall, MM, 2015)
"Mirtazapine was more effective than placebo on some measures in posttraumatic stress disorder and general anxiety symptoms."2.71Mirtazapine vs. placebo in posttraumatic stress disorder: a pilot trial. ( Barnett, S; Butterfield, MI; Casat, CD; Connor, KM; Davidson, JR; van Meter, S; Weisler, RH, 2003)
"Mirtazapine appeared to be an effective and well-tolerated treatment for PTSD in Korean veterans."2.71Efficacy and tolerability of mirtazapine and sertraline in Korean veterans with posttraumatic stress disorder: a randomized open label trial. ( Chung, MY; Jun, EM; Jun, YJ; Kim, SS; Kim, WC; Min, KH, 2004)
"Mirtazapine was administered for 8 weeks using a flexible-dose regime in 15 Korean patients with PTSD based on the DSM-IV criteria."2.70Effects of mirtazapine in patients with post-traumatic stress disorder in Korea: a pilot study. ( Bahk, WM; Chae, JH; Jun, TY; Kim, KS; Pae, CU; Tsoh, J, 2002)
"Mirtazapine was associated with clinical improvement in 50% of subjects with severe, chronic PTSD, suggesting a need for further investigation in double-blind, placebo-controlled trials."2.69A pilot study of mirtazapine in post-traumatic stress disorder. ( Ahearn, E; Connor, KM; Davidson, JR; Weisler, RH, 1999)
"Mirtazapine is an antidepressant with mode of action different from other currently available antidepressants."2.40Mirtazapine: other indications. ( Falkai, P, 1999)
"Mirtazapine was introduced and quetiapine increased."1.48Severe rhabdomyolysis induced by quetiapine and mirtazapine in a French military soldier. ( Delacour, H; Keou, S; Lahutte, B; Mennessier, C; Ratnam, C; Saguin, E, 2018)
"Posttraumatic stress disorder (PTSD) is common among war veterans."1.35An open-label study of mirtazapine as treatment for combat-related PTSD. ( Alderman, CP; Condon, JT; Gilbert, AL, 2009)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (9.52)18.2507
2000's8 (38.10)29.6817
2010's9 (42.86)24.3611
2020's2 (9.52)2.80

Authors

AuthorsStudies
Williams, T1
Phillips, NJ1
Stein, DJ1
Ipser, JC1
Davis, LL1
Pilkinton, P1
Lin, C1
Parker, P1
Estes, S1
Bartolucci, A1
Saguin, E2
Keou, S2
Ratnam, C2
Mennessier, C2
Delacour, H2
Lahutte, B2
Plantamura, J1
Waltereit, R1
Eifler, S1
Schirmbeck, F1
Zink, M1
Schneier, FR1
Campeas, R1
Carcamo, J1
Glass, A1
Lewis-Fernandez, R1
Neria, Y1
Sanchez-Lacay, A1
Vermes, D1
Wall, MM1
Schuch, LG1
Yip, A1
Nouri, KF1
Gregersen, M1
Cason, B1
Kukreja, J1
Wozniak, C1
Brzezinski, M1
Alderman, CP1
Condon, JT1
Gilbert, AL1
Dholakia, R1
Schleifer, SJ1
Ahmad, YJ1
Narang, IS1
Udo, I1
Gash, A1
Counsell, H1
Johnson, S1
Reed, RV1
Fazel, M1
Goldring, L1
Lewis, JD1
Bahk, WM2
Pae, CU2
Tsoh, J1
Chae, JH2
Jun, TY2
Kim, KS1
Davidson, JR3
Weisler, RH2
Butterfield, MI1
Casat, CD1
Connor, KM2
Barnett, S1
van Meter, S1
Chung, MY1
Min, KH1
Jun, YJ1
Kim, SS1
Kim, WC1
Jun, EM1
Kim, W1
Vaishnavi, S1
Connor, K1
Ahearn, E1
Falkai, P1
Good, C1
Petersen, C1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Placebo-Controlled Study of Mirtazapine for PTSD in OIF/OEF Veterans[NCT00302107]Phase 478 participants (Actual)Interventional2006-04-30Completed
Combined Mirtazapine and Selective Serotonin Reuptake Inhibitor (SSRI) Treatment of Post-traumatic Stress Disorder (PTSD)[NCT01178671]Phase 438 participants (Actual)Interventional2010-07-31Completed
Evaluation of Blended Stepped-care Mental Well-being Intervention for Adults: A Randomized Controlled Trial[NCT05395312]402 participants (Anticipated)Interventional2022-07-30Active, not recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Structured Interview of Posttraumatic Stress Disorder (SIP)

Structured Interview of Posttraumatic Stress Disorder (SIP) is a 17-item clinician-administered scale for PTSD based on Diagnostic Statistical Manual-IV criteria. The SIP has excellent test-retest reliability (0.89; p=.00001), and internal consistency (Conbach α of 0.80). The SIP showed significant correlations with the DTS (r=0.67, p=.0001) and the Impact of Event Scale (r=0.49 p=.0001). Relative to the SCID diagnosis of PTSD, sensitivity, specificity, positive predictive value, negative predictive value, and efficiency values were 100% for all indices using a score of 20 on the SIP. Items are scored on a scale from 0-4 which are summed to yield a total score ranging from 0 to 68 (higher score means more symptomatic or worse outcome). A symptom is counted as positive if it is at least a 2 (moderate). (NCT00302107)
Timeframe: Primary outcome is measured at baseline and week 8 (primary endpoint) with primary outcome change scores calculated as week 8 minus baseline score.

Interventionunits on a scale (Mean)
Mirtazapine-7.61
Placebo-5.83

Adverse Effects

as assessed by Side Effect Checklist (NCT01178671)
Timeframe: up to 24 weeks

Interventionpercentage of subject dropped due to AEs (Number)
Sertraline and Mirtazapine22.2
Sertraline and Sugar Pill33.3

Alternative Measure of PTSD Severity

as measured by the Short Posttraumatic Stress Disorder Rating Interview, which rates severity of PTSD from 0 (least severe) to 32 (most severe) (NCT01178671)
Timeframe: up to 24 weeks

Interventionunits on a scale (Mean)
Sertraline and Mirtazapine3.4
Sertraline and Sugar Pill6.7

Depression Severity

as measured by the 17-item Hamilton Rating Scale for Depression, which rates severity of depression on a scale from 0 (least depression) to 50 (greatest depression). (NCT01178671)
Timeframe: up to 24 weeks

Interventionunits on a scale (Mean)
Sertraline and Mirtazapine6.4
Sertraline and Sugar Pill11.6

PTSD Self-rated Severity

as measured by the PTSD Checklist which rates severity of PTSD from 17 (least severe) to 85 (most severe). (NCT01178671)
Timeframe: up to 24 weeks

Interventionunits on a scale (Mean)
Sertraline and Mirtazapine33.2
Sertraline and Sugar Pill39.2

PTSD Severity

PTSD severity will be measured by the Clinician-Administered Posttraumatic Stress Disorder Scale, from 0 (least severe) to 136 (most severe). (NCT01178671)
Timeframe: up to 24 weeks

Interventionunits on a scale (Mean)
Sertraline and Mirtazapine23.8
Sertraline and Sugar Pill34.6

Remission Status

Remitter as defined by Clinician Administered Posttraumatic Stress Disorders Scale total score <20 at endpoint (NCT01178671)
Timeframe: up to 24 weeks

Interventionpercentage of subjects (Number)
Sertraline and Mirtazapine39
Sertraline and Sugar Pill11

Response Status

Responders defined by Clinician Administered Posttraumatic Stress Disorder Scale total score decreased by at least 30% compared with baseline and Clinical Global Impression improvement score of =1 or 2 at endpoint (NCT01178671)
Timeframe: up to 24 weeks

Interventionpercentage of subjects (Number)
Sertraline and Mirtazapine56
Sertraline and Sugar Pill22

Sexual Functioning

as measured by Arizona Sexual Experiences Scale, which rates impairment in sexual functioning from 5 (least impaired) to 30 (most impaired). (NCT01178671)
Timeframe: up to 24 weeks

Interventionunits on a scale (Mean)
Sertraline and Mirtazapine16.3
Sertraline and Sugar Pill17.4

Sleep Quality

as measured by Pittsburgh Sleep Quality Index, which rates severity of impairment in sleep quality from 0 (least impaired) to 21 (most impaired). (NCT01178671)
Timeframe: up to 24 weeks

Interventionunits on a scale (Mean)
Sertraline and Mirtazapine4.4
Sertraline and Sugar Pill9.1

Time to Discontinuation of Study Treatment

(NCT01178671)
Timeframe: up to 24 weeks

Interventiondays (Mean)
Sertraline and Mirtazapine95.2
Sertraline and Sugar Pill90.0

Reviews

3 reviews available for mirtazapine and Acute Post-Traumatic Stress Disorder

ArticleYear
Pharmacotherapy for post traumatic stress disorder (PTSD).
    The Cochrane database of systematic reviews, 2022, 03-02, Volume: 3

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Amitriptyline; Antidepressive Agents; Antidepressive Age

2022
[Posttraumatic stress disorder].
    Praxis, 2013, Jan-02, Volume: 102, Issue:1

    Topics: Adolescent; Adult; Antidepressive Agents; Child; Cognitive Behavioral Therapy; Combined Modality The

2013
Mirtazapine: other indications.
    The Journal of clinical psychiatry, 1999, Volume: 60 Suppl 17

    Topics: Adult; Antidepressive Agents, Tricyclic; Anxiety Disorders; Clinical Trials as Topic; Depressive Dis

1999

Trials

7 trials available for mirtazapine and Acute Post-Traumatic Stress Disorder

ArticleYear
A Randomized, Placebo-Controlled Trial of Mirtazapine for the Treatment of Posttraumatic Stress Disorder in Veterans.
    The Journal of clinical psychiatry, 2020, 10-20, Volume: 81, Issue:6

    Topics: Adult; Antidepressive Agents; Double-Blind Method; Female; Humans; Male; Middle Aged; Mirtazapine; O

2020
COMBINED MIRTAZAPINE AND SSRI TREATMENT OF PTSD: A PLACEBO-CONTROLLED TRIAL.
    Depression and anxiety, 2015, Volume: 32, Issue:8

    Topics: Adult; Antidepressive Agents, Tricyclic; Double-Blind Method; Drug Therapy, Combination; Female; Hum

2015
Effects of mirtazapine in patients with post-traumatic stress disorder in Korea: a pilot study.
    Human psychopharmacology, 2002, Volume: 17, Issue:7

    Topics: Adult; Antidepressive Agents, Second-Generation; Female; Humans; Korea; Male; Mianserin; Mirtazapine

2002
Mirtazapine vs. placebo in posttraumatic stress disorder: a pilot trial.
    Biological psychiatry, 2003, Jan-15, Volume: 53, Issue:2

    Topics: Adult; Analysis of Variance; Antidepressive Agents, Tricyclic; Double-Blind Method; Female; Humans;

2003
Efficacy and tolerability of mirtazapine and sertraline in Korean veterans with posttraumatic stress disorder: a randomized open label trial.
    Human psychopharmacology, 2004, Volume: 19, Issue:7

    Topics: Adult; Aged; Humans; Korea; Male; Mianserin; Middle Aged; Mirtazapine; Sertraline; Stress Disorders,

2004
The effectiveness of mirtazapine in the treatment of post-traumatic stress disorder: a 24-week continuation therapy.
    Psychiatry and clinical neurosciences, 2005, Volume: 59, Issue:6

    Topics: Adult; Antidepressive Agents; Female; Humans; Long-Term Care; Male; Mianserin; Mirtazapine; Psychiat

2005
A pilot study of mirtazapine in post-traumatic stress disorder.
    International clinical psychopharmacology, 1999, Volume: 14, Issue:1

    Topics: Adolescent; Adult; Antidepressive Agents, Tricyclic; Female; Humans; Male; Mianserin; Middle Aged; M

1999

Other Studies

11 other studies available for mirtazapine and Acute Post-Traumatic Stress Disorder

ArticleYear
Severe rhabdomyolysis induced by quetiapine and mirtazapine in a French military soldier.
    Journal of the Royal Army Medical Corps, 2018, Volume: 164, Issue:2

    Topics: Adult; Antidepressive Agents, Tricyclic; Antipsychotic Agents; France; Humans; Male; Mianserin; Mili

2018
[Antipsychotic induced rhabdomyolysis].
    Annales de biologie clinique, 2018, 06-01, Volume: 76, Issue:3

    Topics: Adult; Antipsychotic Agents; Humans; Male; Mianserin; Mirtazapine; Rhabdomyolysis; Stress Disorders,

2018
Visual and auditory hallucinations associated with citalopram treatment.
    Journal of clinical psychopharmacology, 2013, Volume: 33, Issue:4

    Topics: Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricyclic; Citalopram; Depressive D

2013
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
An open-label study of mirtazapine as treatment for combat-related PTSD.
    The Annals of pharmacotherapy, 2009, Volume: 43, Issue:7

    Topics: Antidepressive Agents, Tricyclic; Australia; Combat Disorders; Dose-Response Relationship, Drug; Hum

2009
Delayed-onset mirtazapine-related leukopenia and rechallenge.
    Journal of clinical psychopharmacology, 2010, Volume: 30, Issue:6

    Topics: Adult; Antidepressive Agents, Tricyclic; Dose-Response Relationship, Drug; Dysthymic Disorder; Femal

2010
Challenges in management of complex panic disorder in a palliative care setting.
    BMJ case reports, 2012, Oct-09, Volume: 2012

    Topics: Anti-Anxiety Agents; Anxiety; Breathing Exercises; Comorbidity; Death; Dibenzothiazepines; Eye Movem

2012
Road traffic accidents: more than just whiplash?
    BMJ case reports, 2013, Jan-22, Volume: 2013

    Topics: Accidents, Traffic; Antidepressive Agents; Drug Therapy, Combination; Female; Humans; Mianserin; Mid

2013
Mirtazapine for PTSD nightmares.
    The American journal of psychiatry, 2002, Volume: 159, Issue:11

    Topics: Antidepressive Agents; Dreams; Humans; Mianserin; Mirtazapine; Refugees; Sleep Initiation and Mainte

2002
An abbreviated version of the Connor-Davidson Resilience Scale (CD-RISC), the CD-RISC2: psychometric properties and applications in psychopharmacological trials.
    Psychiatry research, 2007, Aug-30, Volume: 152, Issue:2-3

    Topics: Antidepressive Agents; Anxiety Disorders; Clinical Trials as Topic; Cyclohexanols; Depressive Disord

2007
SSRI and mirtazapine in PTSD.
    Journal of the American Academy of Child and Adolescent Psychiatry, 2001, Volume: 40, Issue:3

    Topics: Adrenergic alpha-Antagonists; Child; Child Abuse, Sexual; Drug Therapy, Combination; Female; Humans;

2001