Page last updated: 2024-10-31

mirtazapine and Bipolar Disorder

mirtazapine has been researched along with Bipolar Disorder in 25 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.

Bipolar Disorder: A major affective disorder marked by severe mood swings (manic or major depressive episodes) and a tendency to remission and recurrence.

Research Excerpts

ExcerptRelevanceReference
"The authors report a case involving a 79-year-old woman with bipolar disorder, in whom Pisa syndrome occurred after introduction of mirtazapine, and completely disappeared 3 days after suspension of the drug."7.88Pisa syndrome associated with mirtazapine: a case report. ( Hirabayashi, N; Nakagome, K; Okazaki, M; Satake, N; Takano, H; Yamada, M; Yamada, Y, 2018)
"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)
" Based on the case report of a patient who developed mania with higher than recommended dosage of mirtazapine, we review the literature on the atypical nature of manic symptoms with mirtazapine."5.31Dysphoric mania induced by high-dose mirtazapine: a case for 'norepinephrine syndrome'? ( Bhanji, NH; Chouinard, G; Margolese, HC; Saint-Laurent, M, 2002)
"The authors report a case involving a 79-year-old woman with bipolar disorder, in whom Pisa syndrome occurred after introduction of mirtazapine, and completely disappeared 3 days after suspension of the drug."3.88Pisa syndrome associated with mirtazapine: a case report. ( Hirabayashi, N; Nakagome, K; Okazaki, M; Satake, N; Takano, H; Yamada, M; Yamada, Y, 2018)
"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 report a case with no previous history of bipolar disorder, whereas developed full-blown psychotic manic symptoms soon after switch from fluoxetine to mirtazapine."3.75Antidepressant-associated mania: soon after switch from fluoxetine to mirtazapine in an elderly woman with mixed depressive features. ( Liang, KY; Liao, SC; Liu, CC, 2009)
"The pharmacologic treatment of schizophrenia and bipolar disorder leaves much to be desired."2.48Adjunct treatments for schizophrenia and bipolar disorder: what to try when you are out of ideas. ( Davis, JM; Torrey, EF, 2012)
"Unipolar depression is also strongly influenced by nongenetic environmental factors (e."2.42[Genetics of depression. Current knowledge and perspectives]. ( Maier, W, 2004)
"Mirtazapine has a specific pharmacodynamics, blocking not only post-synaptic serotonergic receptors but also α2-presynaptic adrenergic receptors."1.51[Mirtazapine-Induced Mania: A Case Report]. ( Abreu, T; Barranha, R; Freitas, C; Von Doellinger, O, 2019)
" Based on the case report of a patient who developed mania with higher than recommended dosage of mirtazapine, we review the literature on the atypical nature of manic symptoms with mirtazapine."1.31Dysphoric mania induced by high-dose mirtazapine: a case for 'norepinephrine syndrome'? ( Bhanji, NH; Chouinard, G; Margolese, HC; Saint-Laurent, M, 2002)
"Mirtazapine is a new antidepressant with a specific pharmacological profile which is different from all other currently available antidepressants."1.30[Mirtazapine in inpatient treatment of depressed patients]. ( Bailer, U; Kasper, S; Pezawas, L; Praschak-Rieder, N, 1998)

Research

Studies (25)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's4 (16.00)18.2507
2000's12 (48.00)29.6817
2010's8 (32.00)24.3611
2020's1 (4.00)2.80

Authors

AuthorsStudies
Freitas, C1
Barranha, R1
Abreu, T1
Von Doellinger, O1
Teodoro, T1
Harada, T1
Hirosawa, T1
Morinaga, K1
Shimizu, T1
Yamada, Y1
Takano, H1
Yamada, M1
Satake, N1
Hirabayashi, N1
Okazaki, M1
Nakagome, K1
Lackner, N1
Birner, A1
Bengesser, SA1
Reininghaus, B1
Kapfhammer, HP1
Reininghaus, E1
Liu, CC1
Liang, KY1
Liao, SC1
Benedetti, F1
Barbini, B1
Bernasconi, A1
Fulgosi, MC1
Colombo, C1
Dallaspezia, S1
Gavinelli, C1
Marino, E1
Pirovano, A1
Radaelli, D1
Smeraldi, E1
Horstmann, S1
Dose, T1
Lucae, S1
Kloiber, S1
Menke, A1
Hennings, J1
Spieler, D1
Uhr, M1
Holsboer, F1
Ising, M1
Goyal, N1
Sinha, VK1
Grønli, O1
Stensland, GØ1
Wynn, R1
Olstad, R1
Habermeyer, B1
Bayer, U1
Müller-Spahn, F1
Basavraj, V1
Nanjundappa, GB1
Chandra, PS1
Torrey, EF1
Davis, JM1
Estabrook, KR1
Pheister, M1
Bhanji, NH1
Margolese, HC1
Saint-Laurent, M1
Chouinard, G1
Maier, W1
Wilson, MS1
Apikoglu Rabus, S1
Izzettin, F1
Rabus, M1
Bilici, M1
Schüle, C1
Baghai, TC1
Eser, D1
Hecht, S1
Hermisson, I1
Born, C1
Häfner, S1
Nothdurfter, C1
Rupprecht, R1
Soutullo, CA1
McElroy, SL1
Keck, PE1
Bailer, U1
Praschak-Rieder, N1
Pezawas, L1
Kasper, S1
De León, OA1
Furmaga, KM1
Kaltsounis, J1
MacCall, C1
Callender, J1
Ng, B1
Raja, M1
Azzoni, A1

Reviews

2 reviews available for mirtazapine and Bipolar Disorder

ArticleYear
Adjunct treatments for schizophrenia and bipolar disorder: what to try when you are out of ideas.
    Clinical schizophrenia & related psychoses, 2012, Volume: 5, Issue:4

    Topics: Anti-Bacterial Agents; Anti-Inflammatory Agents, Non-Steroidal; Antidepressive Agents, Tricyclic; An

2012
[Genetics of depression. Current knowledge and perspectives].
    Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 2004, Volume: 47, Issue:5

    Topics: Adolescent; Adult; Age Factors; Aged; Antidepressive Agents, Tricyclic; Bipolar Disorder; Depressive

2004

Trials

2 trials available for mirtazapine and Bipolar Disorder

ArticleYear
Suppressive effect of mirtazapine on the HPA system in acutely depressed women seems to be transient and not related to antidepressant action.
    Psychoneuroendocrinology, 2009, Volume: 34, Issue:2

    Topics: Adolescent; Adrenocorticotropic Hormone; Adult; Antidepressive Agents, Tricyclic; Bipolar Disorder;

2009
Mirtazapine monotherapy versus combination therapy with mirtazapine and aripiprazole in depressed patients without psychotic features: a 4-week open-label parallel-group study.
    The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry, 2007, Volume: 8, Issue:2

    Topics: Adult; Aged; Antidepressive Agents, Tricyclic; Antipsychotic Agents; Aripiprazole; Bipolar Disorder;

2007

Other Studies

21 other studies available for mirtazapine and Bipolar Disorder

ArticleYear
[Mirtazapine-Induced Mania: A Case Report].
    Acta medica portuguesa, 2019, Oct-01, Volume: 32, Issue:10

    Topics: Antidepressive Agents; Antipsychotic Agents; Bipolar Disorder; Humans; Male; Middle Aged; Mirtazapin

2019
Antidepressant Use and the Risk of Mood Instability.
    Acta medica portuguesa, 2020, 01-03, Volume: 33, Issue:1

    Topics: Antidepressive Agents; Bipolar Disorder; Humans; Mirtazapine

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
Pisa syndrome associated with mirtazapine: a case report.
    BMC pharmacology & toxicology, 2018, Dec-06, Volume: 19, Issue:1

    Topics: Aged; Antidepressive Agents; Bipolar Disorder; Dystonia; Female; Humans; Mirtazapine; Syndrome

2018
[Pediatric bipolar disorder - case report of a bipolar patient with disease onset in childhood and adolescence: implications for diagnosis and therapy].
    Fortschritte der Neurologie-Psychiatrie, 2014, Volume: 82, Issue:11

    Topics: Adolescent; Age of Onset; Antipsychotic Agents; Bipolar Disorder; Child; Diagnosis, Differential; Di

2014
Antidepressant-associated mania: soon after switch from fluoxetine to mirtazapine in an elderly woman with mixed depressive features.
    Journal of psychopharmacology (Oxford, England), 2009, Volume: 23, Issue:2

    Topics: Adrenergic alpha-Antagonists; Aged; Bipolar Disorder; Depressive Disorder, Major; Dose-Response Rela

2009
Serotonin 5-HT2A receptor gene variants influence antidepressant response to repeated total sleep deprivation in bipolar depression.
    Progress in neuro-psychopharmacology & biological psychiatry, 2008, Dec-12, Volume: 32, Issue:8

    Topics: Adult; Analysis of Variance; Antidepressive Agents, Tricyclic; Bipolar Disorder; Female; Humans; Mal

2008
Mirtazapine-induced manic switch in adolescent unipolar depression.
    The Australian and New Zealand journal of psychiatry, 2008, Volume: 42, Issue:12

    Topics: Adolescent; Antidepressive Agents, Tricyclic; Antimanic Agents; Bipolar Disorder; Depressive Disorde

2008
Neurotrophic factors in serum following ECT: a pilot study.
    The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry, 2009, Volume: 10, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Bipolar Disorder; Combined Modality Therapy; Cyclohexanols; Depressi

2009
Mania associated with mirtazepine treatment and mixed depression.
    Pharmacopsychiatry, 2010, Volume: 43, Issue:1

    Topics: Antidepressive Agents, Tricyclic; Bipolar Disorder; Depression; Humans; Male; Mianserin; Middle Aged

2010
Mirtazapine induced mania in a woman with major depression in the absence of features of bipolarity.
    The Australian and New Zealand journal of psychiatry, 2011, Volume: 45, Issue:10

    Topics: Adult; Antidepressive Agents, Tricyclic; Bipolar Disorder; Depressive Disorder, Major; Female; Human

2011
A case of quetiapine XR and divalproex-associated neutropenia followed by successful use of ziprasidone.
    Journal of clinical psychopharmacology, 2012, Volume: 32, Issue:3

    Topics: Adult; Anti-Anxiety Agents; Antimanic Agents; Antipsychotic Agents; Anxiety Disorders; Bipolar Disor

2012
Dysphoric mania induced by high-dose mirtazapine: a case for 'norepinephrine syndrome'?
    International clinical psychopharmacology, 2002, Volume: 17, Issue:6

    Topics: Adult; Antidepressive Agents, Second-Generation; Bipolar Disorder; Depressive Disorder; Dose-Respons

2002
Mirtazapine for akathisia in bipolar disorder.
    Journal of clinical psychopharmacology, 2005, Volume: 25, Issue:4

    Topics: Adult; Akathisia, Drug-Induced; Antipsychotic Agents; Bipolar Disorder; Female; Humans; Male; Mianse

2005
Severe creatine kinase increase during quetiapine and mirtazapine treatment.
    Psychopharmacology, 2006, Volume: 185, Issue:2

    Topics: Adult; Antipsychotic Agents; Bipolar Disorder; Creatine Kinase; Dibenzothiazepines; Drug Therapy, Co

2006
Hypomania associated with mirtazapine augmentation of sertraline.
    The Journal of clinical psychiatry, 1998, Volume: 59, Issue:6

    Topics: 1-Naphthylamine; Ambulatory Care; Antipsychotic Agents; Bipolar Disorder; Depressive Disorder; Drug

1998
[Mirtazapine in inpatient treatment of depressed patients].
    Wiener klinische Wochenschrift, 1998, Oct-02, Volume: 110, Issue:18

    Topics: Adult; Aged; Aged, 80 and over; Antidepressive Agents, Tricyclic; Bipolar Disorder; Contraindication

1998
Mirtazapine-induced mania in a case of poststroke depression.
    The Journal of neuropsychiatry and clinical neurosciences, 1999,Winter, Volume: 11, Issue:1

    Topics: Aged; Antidepressive Agents, Tricyclic; Bipolar Disorder; Cerebrovascular Disorders; Depression; Hum

1999
Mirtazapine withdrawal causing hypomania.
    The British journal of psychiatry : the journal of mental science, 1999, Volume: 175

    Topics: Aged; Antidepressive Agents, Tricyclic; Bipolar Disorder; Female; Humans; Mianserin; Mirtazapine; Su

1999
Mania associated with mirtazapine augmentation of fluoxetine.
    Depression and anxiety, 2002, Volume: 15, Issue:1

    Topics: Adrenergic alpha-Antagonists; Bipolar Disorder; Dose-Response Relationship, Drug; Drug Administratio

2002
Mirtazapine overdose with benign outcome.
    European psychiatry : the journal of the Association of European Psychiatrists, 2002, Volume: 17, Issue:2

    Topics: Antidepressive Agents, Tricyclic; Bipolar Disorder; Drug Overdose; Female; Humans; Mianserin; Middle

2002