Page last updated: 2024-10-31

mirtazapine and Anxiety

mirtazapine has been researched along with Anxiety in 26 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.

Anxiety: Feelings or emotions of dread, apprehension, and impending disaster but not disabling as with ANXIETY DISORDERS.

Research Excerpts

ExcerptRelevanceReference
"This study was a 10-week double-blind, placebo-controlled pilot trial of mirtazapine for anxiety in youth with autism spectrum disorder (ASD)."9.51A randomized double-blind, placebo-controlled pilot trial of mirtazapine for anxiety in children and adolescents with autism spectrum disorder. ( Erickson, CA; Keary, CJ; Mathieu-Frasier, L; McDougle, CJ; Mullett, JE; Palumbo, ML; Politte, LC; Posey, DJ; Ravichandran, CT; Stigler, KA; Thom, RP, 2022)
"In a randomized, placebo-controlled trial, mirtazapine significantly improved early satiation, quality of life, gastrointestinal-specific anxiety, nutrient tolerance, and weight loss in patients with FD."9.22Efficacy of Mirtazapine in Patients With Functional Dyspepsia and Weight Loss. ( Arts, J; Boeckxstaens, G; Caenepeel, P; Carbone, F; Holvoet, L; Ly, HG; Tack, J; Van Oudenhove, L; Vanheel, H; Vanuytsel, T, 2016)
"The VAS anxiety scale was lower in group M + D after mirtazapine administration."9.13Premedication with mirtazapine reduces preoperative anxiety and postoperative nausea and vomiting. ( Chen, CC; Hsu, YW; Hung, YC; Ko, YP; Lao, HC; Lin, CS, 2008)
"This study sought to determine whether chronic dosing of mirtazapine during cocaine withdrawal reduced depression- and anxiety-like behaviors that characterize cocaine withdrawal in animals."7.91Mirtazapine attenuates anxiety- and depression-like behaviors in rats during cocaine withdrawal. ( Barbosa Méndez, S; Salazar-Juárez, A, 2019)
" In addition, a dose-response effect was seen with Org 3770, 15 mg seeming optimal."6.66A double-blind group comparative study using the new anti-depressant Org 3770, placebo and diazepam in patients with expected insomnia and anxiety before elective gynaecological surgery. ( Bettum, V; Dunbar, GC; Jørgensen, J; Steffensen, K; Sørensen, M; Viby-Mogensen, J, 1985)
"This study was a 10-week double-blind, placebo-controlled pilot trial of mirtazapine for anxiety in youth with autism spectrum disorder (ASD)."5.51A randomized double-blind, placebo-controlled pilot trial of mirtazapine for anxiety in children and adolescents with autism spectrum disorder. ( Erickson, CA; Keary, CJ; Mathieu-Frasier, L; McDougle, CJ; Mullett, JE; Palumbo, ML; Politte, LC; Posey, DJ; Ravichandran, CT; Stigler, KA; Thom, RP, 2022)
"In a randomized, placebo-controlled trial, mirtazapine significantly improved early satiation, quality of life, gastrointestinal-specific anxiety, nutrient tolerance, and weight loss in patients with FD."5.22Efficacy of Mirtazapine in Patients With Functional Dyspepsia and Weight Loss. ( Arts, J; Boeckxstaens, G; Caenepeel, P; Carbone, F; Holvoet, L; Ly, HG; Tack, J; Van Oudenhove, L; Vanheel, H; Vanuytsel, T, 2016)
"The VAS anxiety scale was lower in group M + D after mirtazapine administration."5.13Premedication with mirtazapine reduces preoperative anxiety and postoperative nausea and vomiting. ( Chen, CC; Hsu, YW; Hung, YC; Ko, YP; Lao, HC; Lin, CS, 2008)
"This study sought to determine whether chronic dosing of mirtazapine during cocaine withdrawal reduced depression- and anxiety-like behaviors that characterize cocaine withdrawal in animals."3.91Mirtazapine attenuates anxiety- and depression-like behaviors in rats during cocaine withdrawal. ( Barbosa Méndez, S; Salazar-Juárez, A, 2019)
" In the present study, female rats were treated long term with clinically used antidepressants (fluoxetine, nortriptyline or mirtazapine) and subjected to the plus-maze discriminative avoidance task to evaluate learning, memory, extinction and anxiety-related behaviors as well as behavioral despair in the forced swimming test."3.78Antidepressants differentially modify the extinction of an aversive memory task in female rats. ( Cabral, A; Ferreira, LS; Izídio, GS; Macedo, PT; Melo, TG; Ribeiro, AM; Silva, RH; Sousa, DS, 2012)
"Mirtazapine safety was assessed by interview during each follow-up period on days 3 and 14 after treatment."2.71Mirtazapine in amphetamine detoxification: a placebo-controlled pilot study. ( Kongsakon, R; Papadopoulos, KI; Saguansiritham, R, 2005)
"Imipramine was more effective against the clusters related to core symptoms of depression: "depression and guilt", "retardation", and "melancholia", respectively."2.69Depressed in-patients respond differently to imipramine and mirtazapine. ( Bruijn, JA; Moleman, P; Mulder, PG; van den Broek, WW, 1999)
" In addition, a dose-response effect was seen with Org 3770, 15 mg seeming optimal."2.66A double-blind group comparative study using the new anti-depressant Org 3770, placebo and diazepam in patients with expected insomnia and anxiety before elective gynaecological surgery. ( Bettum, V; Dunbar, GC; Jørgensen, J; Steffensen, K; Sørensen, M; Viby-Mogensen, J, 1985)
"Buspirone has an indication for generalized anxiety disorder though studies show only a minimal benefit."2.53Empirically Supported Use of Psychiatric Medications in Adolescents and Adults with IBD. ( Bielefeldt, K; Szigethy, E; Thorkelson, G, 2016)
" The sexual symptoms resolved gradually after a few days and reappeared upon every dosage increase."1.35A case of mirtazapine-induced spontaneous orgasms in a female patient. ( Ben-Zion, I; Shalev, H; Shiber, A, 2009)
" Long-term administration with imipramine or mirtazapine (10 mg/kg, i."1.31Chronic treatment with imipramine or mirtazapine antagonizes stress- and FG7142-induced increase in cortical norepinephrine output in freely moving rats. ( Biggio, G; Dazzi, L; Ladu, S; Pira, L; Rivano, A; Spiga, F; Vacca, G, 2002)

Research

Studies (26)

TimeframeStudies, this research(%)All Research%
pre-19901 (3.85)18.7374
1990's3 (11.54)18.2507
2000's9 (34.62)29.6817
2010's10 (38.46)24.3611
2020's3 (11.54)2.80

Authors

AuthorsStudies
McDougle, CJ1
Thom, RP1
Ravichandran, CT1
Palumbo, ML1
Politte, LC1
Mullett, JE1
Keary, CJ1
Erickson, CA1
Stigler, KA1
Mathieu-Frasier, L1
Posey, DJ1
Surowka, P1
Noworyta, K1
Cieslik, A1
Rygula, R1
Lim, LJH1
Fong, LM1
Hariram, J1
Lee, YW1
Tor, PC1
Akama, F1
Mikami, K1
Watanabe, N1
Kimoto, K1
Yamamoto, K1
Matsumoto, H1
Barbosa Méndez, S1
Salazar-Juárez, A1
Tanidir, C1
Tanidir, IC1
Tuzcu, V1
An, Y1
Inoue, T1
Kitaichi, Y1
Nakagawa, S1
Wang, C1
Chen, C1
Song, N1
Kusumi, I1
Tack, J1
Ly, HG1
Carbone, F1
Vanheel, H1
Vanuytsel, T1
Holvoet, L1
Boeckxstaens, G1
Caenepeel, P1
Arts, J1
Van Oudenhove, L1
Arora, S1
Vohora, D1
Huang, WL1
Liao, SC1
Kuo, TB1
Chang, LR1
Chen, TT1
Chen, IM1
Yang, CC1
Thorkelson, G1
Bielefeldt, K1
Szigethy, E1
Melo, TG1
Izídio, GS1
Ferreira, LS1
Sousa, DS1
Macedo, PT1
Cabral, A1
Ribeiro, AM1
Silva, RH1
Udo, I1
Gash, A1
Kesim, M1
Yaris, F1
Kadioglu, M1
Yaris, E1
Kalyoncu, NI1
Ulku, C1
Liappas, J1
Paparrigopoulos, T1
Tzavellas, E1
Rabavilas, A1
Kongsakon, R1
Papadopoulos, KI1
Saguansiritham, R1
Chen, CC1
Lin, CS1
Ko, YP1
Hung, YC1
Lao, HC1
Hsu, YW1
Shalev, H1
Ben-Zion, I1
Shiber, A1
Shchukina, EP1
Kinkul'kina, MA1
Gerritsen, AW1
Bruijn, JA1
Moleman, P1
Mulder, PG1
van den Broek, WW1
Davis, J1
Barkin, RL1
Dazzi, L2
Spiga, F2
Pira, L2
Ladu, S2
Vacca, G2
Rivano, A2
Jentsch, JD1
Biggio, G2
Spierings, EL1
Sørensen, M1
Jørgensen, J1
Viby-Mogensen, J1
Bettum, V1
Dunbar, GC1
Steffensen, K1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Mirtazapine Treatment of Anxiety in Children and Adolescents With Pervasive Developmental Disorders[NCT01302964]Phase 330 participants (Actual)Interventional2010-08-31Completed
Phase 4 Study of Mirtazapine in Functional Dyspepsia Patients With Weight Loss[NCT01240096]Phase 435 participants (Anticipated)Interventional2006-09-30Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Mean 10-Week Change in Pediatric Anxiety Rating Scale 5-Item Total Score, Double-blind Phase

The Pediatric Anxiety Rating Scale (PARS) is a clinician-rated instrument that assesses anxiety symptoms that are commonly associated with social anxiety, separation anxiety, and generalized anxiety disorders. Scaled score ranges form 0-25 with higher scores indicating more severe anxiety symptoms. Means were estimated using a repeated measures linear regression model with treatment group, study week (in categories), and their interaction as covariates, and assuming a common mean between treatment groups at baseline. Confidence intervals reflect a Bonferroni multiple testing correction accounting for the selection of two primary outcomes. (NCT01302964)
Timeframe: Weeks Baseline, 2, 4, 6, and 10

Interventionscore on a scale (Mean)
Mirtazapine-4.9
Placebo-3.2

Proportion of Participants Who Responded to Treatment at 10 Weeks According to the Improvement Item of the Clinical Global Impression-Scale (Response Defined as CGI-I=1 or CGI-I=2)

The Clinical Global Impressions Global Improvement (CGI-I) is designed to take into account all factors to arrive at an assessment of response to treatment. The CGI-I scale ranges from 1 to 7 (1=very much improved; 2= much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse), with lower scores indicating improvement (1=very much improved and 2=much improved). In this study the CGI was focused on the target symptom of anxiety. Participants with a CGI-I score of 1 or 2 were classified as responders. The CGI-I was administered biweekly for 6 weeks and again at 10 weeks during the study. The participant who withdrew from the study before 10 weeks was not included in the calculations. (NCT01302964)
Timeframe: Screen (Visit 1) Baseline (Visit 2) and Endpoint (Week 10)

InterventionProportion of participants (Number)
Mirtazapine0.47
Placebo0.20

Reviews

1 review available for mirtazapine and Anxiety

ArticleYear
Empirically Supported Use of Psychiatric Medications in Adolescents and Adults with IBD.
    Inflammatory bowel diseases, 2016, Volume: 22, Issue:6

    Topics: Adolescent; Adult; Affect; Anti-Anxiety Agents; Antidepressive Agents, Tricyclic; Anxiety; Bupropion

2016

Trials

7 trials available for mirtazapine and Anxiety

ArticleYear
A randomized double-blind, placebo-controlled pilot trial of mirtazapine for anxiety in children and adolescents with autism spectrum disorder.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2022, Volume: 47, Issue:6

    Topics: Adolescent; Anxiety; Anxiety Disorders; Autism Spectrum Disorder; Child; Child, Preschool; Double-Bl

2022
Efficacy of Mirtazapine in Patients With Functional Dyspepsia and Weight Loss.
    Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2016, Volume: 14, Issue:3

    Topics: Adrenergic alpha-Antagonists; Adult; Aged; Anxiety; Double-Blind Method; Dyspepsia; Female; Humans;

2016
Mirtazapine and venlafaxine in the management of collateral psychopathology during alcohol detoxification.
    Progress in neuro-psychopharmacology & biological psychiatry, 2005, Volume: 29, Issue:1

    Topics: Adult; Aged; Antidepressive Agents, Second-Generation; Anxiety; Central Nervous System Depressants;

2005
Mirtazapine in amphetamine detoxification: a placebo-controlled pilot study.
    International clinical psychopharmacology, 2005, Volume: 20, Issue:5

    Topics: Adolescent; Adult; Amphetamine-Related Disorders; Antidepressive Agents, Tricyclic; Anxiety; Arousal

2005
Premedication with mirtazapine reduces preoperative anxiety and postoperative nausea and vomiting.
    Anesthesia and analgesia, 2008, Volume: 106, Issue:1

    Topics: Adult; Analgesics, Opioid; Anti-Anxiety Agents; Antiemetics; Anxiety; Double-Blind Method; Female; G

2008
Depressed in-patients respond differently to imipramine and mirtazapine.
    Pharmacopsychiatry, 1999, Volume: 32, Issue:3

    Topics: Adrenergic alpha-Antagonists; Adult; Analysis of Variance; Antidepressive Agents, Tricyclic; Anxiety

1999
A double-blind group comparative study using the new anti-depressant Org 3770, placebo and diazepam in patients with expected insomnia and anxiety before elective gynaecological surgery.
    Acta psychiatrica Scandinavica, 1985, Volume: 71, Issue:4

    Topics: Adult; Anxiety; Blood Pressure; Diazepam; Dibenzazepines; Dose-Response Relationship, Drug; Double-B

1985

Other Studies

18 other studies available for mirtazapine and Anxiety

ArticleYear
Trait sensitivity to negative feedback determines the effects of chronic stress and chronic mirtazapine treatment on anxiety and stress-coping strategies in rats.
    Psychopharmacology, 2022, Volume: 239, Issue:12

    Topics: Adaptation, Psychological; Animals; Antidepressive Agents; Anxiety; Disease Models, Animal; Feedback

2022
COVID-19, a pandemic that affects more than just physical health: Two case reports.
    Asian journal of psychiatry, 2020, Volume: 53

    Topics: Adjustment Disorders; Anti-Anxiety Agents; Antipsychotic Agents; Anxiety; COVID-19; Fear; Female; Hu

2020
Efficacy of Mirtazapine on Irritable Bowel Syndrome with Anxiety and Depression: A Case Study.
    Journal of Nippon Medical School = Nippon Ika Daigaku zasshi, 2018, Volume: 85, Issue:6

    Topics: Antidepressive Agents; Anxiety; Depression; Female; Humans; Irritable Bowel Syndrome; Middle Aged; M

2018
Mirtazapine attenuates anxiety- and depression-like behaviors in rats during cocaine withdrawal.
    Journal of psychopharmacology (Oxford, England), 2019, Volume: 33, Issue:5

    Topics: Animals; Antidepressive Agents; Anxiety; Behavior, Animal; Cocaine; Depression; Disease Models, Anim

2019
Treatment of depression in an adolescent with cardiomyopathy and arrhythmia.
    Cardiology in the young, 2015, Volume: 25, Issue:7

    Topics: Adolescent; Antidepressive Agents, Tricyclic; Anxiety; Cardiomyopathy, Hypertrophic; Depression; Ele

2015
Subchronic lithium treatment increases the anxiolytic-like effect of mirtazapine on the expression of contextual conditioned fear.
    European journal of pharmacology, 2015, Jan-15, Volume: 747

    Topics: Animals; Anti-Anxiety Agents; Anxiety; Behavior, Animal; Conditioning, Psychological; Dose-Response

2015
Comparative Evaluation of Partial α2 -Adrenoceptor Agonist and Pure α2 -Adrenoceptor Antagonist on the Behavioural Symptoms of Withdrawal after Chronic Alcohol Administration in Mice.
    Basic & clinical pharmacology & toxicology, 2016, Volume: 119, Issue:2

    Topics: Adrenergic alpha-2 Receptor Agonists; Adrenergic alpha-Antagonists; Alcoholism; Animals; Anxiety; Be

2016
The Effects of Antidepressants and Quetiapine on Heart Rate Variability.
    Pharmacopsychiatry, 2016, Volume: 49, Issue:5

    Topics: Adult; Aged; Antidepressive Agents; Anxiety; Depression; Female; Heart Rate; Humans; Linear Models;

2016
Antidepressants differentially modify the extinction of an aversive memory task in female rats.
    Progress in neuro-psychopharmacology & biological psychiatry, 2012, Apr-27, Volume: 37, Issue:1

    Topics: Animals; Antidepressive Agents; Anxiety; Avoidance Learning; Extinction, Psychological; Female; Fluo

2012
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
Mirtazapine use in two pregnant women: is it safe?
    Teratology, 2002, Volume: 66, Issue:5

    Topics: Adult; Antidepressive Agents, Tricyclic; Anxiety; Depression; Drug Therapy, Combination; Female; Fol

2002
A case of mirtazapine-induced spontaneous orgasms in a female patient.
    Journal of psychopharmacology (Oxford, England), 2009, Volume: 23, Issue:1

    Topics: Antidepressive Agents, Tricyclic; Anxiety; Depressive Disorder; Female; Hospitals, Psychiatric; Huma

2009
[Differentiated approach to the therapy of endogenous anxious depression].
    Vestnik Rossiiskoi akademii meditsinskikh nauk, 2007, Issue:12

    Topics: Adult; Antidepressive Agents, Tricyclic; Anxiety; Carbon Radioisotopes; Depression; Female; Follow-U

2007
Safety in overdose of mirtazapine: a case report.
    The Journal of clinical psychiatry, 1997, Volume: 58, Issue:6

    Topics: Adult; Antidepressive Agents, Tricyclic; Anxiety; Confusion; Depressive Disorder; Dothiepin; Drug Ov

1997
Clinical pharmacology of mirtazapine: revisited.
    American family physician, 1999, Sep-15, Volume: 60, Issue:4

    Topics: Agranulocytosis; Antidepressive Agents, Tricyclic; Anxiety; Depression; Humans; Mianserin; Mirtazapi

1999
Inhibition of stress- or anxiogenic-drug-induced increases in dopamine release in the rat prefrontal cortex by long-term treatment with antidepressant drugs.
    Journal of neurochemistry, 2001, Volume: 76, Issue:4

    Topics: Animals; Antidepressive Agents; Anxiety; Carbolines; Dopamine; Dose-Response Relationship, Drug; Dru

2001
Chronic treatment with imipramine or mirtazapine antagonizes stress- and FG7142-induced increase in cortical norepinephrine output in freely moving rats.
    Synapse (New York, N.Y.), 2002, Volume: 43, Issue:1

    Topics: Animals; Anti-Anxiety Agents; Antidepressive Agents, Tricyclic; Anxiety; Carbolines; Cerebral Cortex

2002
Acute and chronic hypertensive headache and hypertensive encephalopathy.
    Cephalalgia : an international journal of headache, 2002, Volume: 22, Issue:4

    Topics: Acute Disease; Antidepressive Agents; Antihypertensive Agents; Anxiety; Arterioles; Cerebral Arterie

2002