Page last updated: 2024-10-31

mirtazapine and Pregnancy

mirtazapine has been researched along with Pregnancy in 27 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.

Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.

Research Excerpts

ExcerptRelevanceReference
" One hundred and eighty pregnant women referred to secondary care for hyperemesis gravidarum will be randomly allocated to 14-day treatment with either mirtazapine, ondansetron or placebo."9.34Validating the effect of Ondansetron and Mirtazapine In Treating hyperemesis gravidarum (VOMIT): protocol for a randomised placebo-controlled trial. ( Andersen, JT; Futtrup, TB; Jensen, AK; Løkkegaard, ECL; Ostenfeld, A; Pedersen, LH; Petersen, TS; Westergaard, HB, 2020)
"In this nationwide Danish register study, mirtazapine exposure in pregnancy was not associated with major congenital malformations, spontaneous abortion, stillbirth, or neonatal death."8.12Mirtazapine exposure in pregnancy and fetal safety: A nationwide cohort study. ( Andersen, JT; Løkkegaard, ECL; Ostenfeld, A; Pedersen, LH; Petersen, TS; Westergaard, HB, 2022)
"This multicenter, observational prospective cohort study addresses the risk associated with exposure to mirtazapine during pregnancy."7.81Pregnancy outcome following maternal exposure to mirtazapine: a multicenter, prospective study. ( Arnon, J; Buclin, T; Clementi, M; Eleftheriou, G; Kaplan, YC; Klinger, G; Malm, H; Maňáková, E; Merlob, P; Panchaud, A; Pistelli, A; Rothuizen, LE; Stephens, S; Te Winkel, B; Winterfeld, U, 2015)
" This report presents the beneficial effect of low-dose mirtazapine added onto selective serotonin reuptake inhibitors in the treatment of the symptoms of severe nausea, insomnia and loss of appetite accompanying psychiatric disorders during pregnancy, which is an important problem in clinical practice."7.79Low-dose mirtazapine added to selective serotonin reuptake inhibitors in pregnant women with major depression or panic disorder including symptoms of severe nausea, insomnia and decreased appetite: three cases. ( Uguz, F, 2013)
"We present a case of recurrent hypothermia in concordant monozygotic twins born to a mirtazapine treated mother."7.74Neonatal recurrent prolonged hypothermia associated with maternal mirtazapine treatment during pregnancy. ( Klinger, G; Merlob, P; Sokolover, N, 2008)
"Here we present the case of a 30-year-old woman with type I diabetes mellitus, preeclampsia and treatment resistant persistent hyperemesis gravidarum in her 25th week of gestation who was successfully treated with the antidepressant mirtazapine (Remergil)."7.74Treatment resistant hyperemesis gravidarum in a patient with type 1 diabetes mellitus: neonatal withdrawal symptoms after successful antiemetic therapy with mirtazapine. ( Gembruch, U; Heep, A; Rohde, A; Schwarzer, V, 2008)
"Mirtazapine seems to be an effective treatment modality in patients with severe hyperemesis gravidarum who do not respond to conventional anti-emesis treatment regimens."7.73Mirtazapine use in resistant hyperemesis gravidarum: report of three cases and review of the literature. ( Dogan, E; Gol, M; Guclu, S; Saygili, U, 2005)
" When the patient asked for termination of the pregnancy because of the unbearable symptoms, treatment with intravenous mirtazapine (Remergil) was started."7.72Mirtazapine (Remergil) for treatment resistant hyperemesis gravidarum: rescue of a twin pregnancy. ( Dembinski, J; Dorn, C; Rohde, A, 2003)
" One hundred and eighty pregnant women referred to secondary care for hyperemesis gravidarum will be randomly allocated to 14-day treatment with either mirtazapine, ondansetron or placebo."5.34Validating the effect of Ondansetron and Mirtazapine In Treating hyperemesis gravidarum (VOMIT): protocol for a randomised placebo-controlled trial. ( Andersen, JT; Futtrup, TB; Jensen, AK; Løkkegaard, ECL; Ostenfeld, A; Pedersen, LH; Petersen, TS; Westergaard, HB, 2020)
"Mirtazapine is a novel piperazinoazepine antidepressant, unrelated to any known class of antidepressants."5.33Exposure to mirtazapine during pregnancy: a prospective, comparative study of birth outcomes. ( De Santis, M; Diav-Citrin, O; Djulus, J; Einarson, A; Einarson, TR; Kennedy, D; Koren, G; Shakir, S; Voyer Lavigne, S; Wilton, L, 2006)
"In this nationwide Danish register study, mirtazapine exposure in pregnancy was not associated with major congenital malformations, spontaneous abortion, stillbirth, or neonatal death."4.12Mirtazapine exposure in pregnancy and fetal safety: A nationwide cohort study. ( Andersen, JT; Løkkegaard, ECL; Ostenfeld, A; Pedersen, LH; Petersen, TS; Westergaard, HB, 2022)
"To assess whether the use of selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants, mirtazapine, venlafaxine or other antidepressants is associated with late elective termination of pregnancy."3.81Use of antidepressants and association with elective termination of pregnancy: population based case-control study. ( Artama, M; Engeland, A; Furu, K; Gissler, M; Haglund, B; Kieler, H; Malm, H; Nørgaard, M; Stephansson, O; Valdimarsdottir, U; Zoega, H, 2015)
"This multicenter, observational prospective cohort study addresses the risk associated with exposure to mirtazapine during pregnancy."3.81Pregnancy outcome following maternal exposure to mirtazapine: a multicenter, prospective study. ( Arnon, J; Buclin, T; Clementi, M; Eleftheriou, G; Kaplan, YC; Klinger, G; Malm, H; Maňáková, E; Merlob, P; Panchaud, A; Pistelli, A; Rothuizen, LE; Stephens, S; Te Winkel, B; Winterfeld, U, 2015)
" This report presents the beneficial effect of low-dose mirtazapine added onto selective serotonin reuptake inhibitors in the treatment of the symptoms of severe nausea, insomnia and loss of appetite accompanying psychiatric disorders during pregnancy, which is an important problem in clinical practice."3.79Low-dose mirtazapine added to selective serotonin reuptake inhibitors in pregnant women with major depression or panic disorder including symptoms of severe nausea, insomnia and decreased appetite: three cases. ( Uguz, F, 2013)
"Mirtazapine is a new antidepressant used in last years, however experience with it during pregnancy is unsatisfactory on the present."3.76Embryotoxicity of mirtazapine: a study using Chick Embryotoxicity Screening Test. ( Hubickova, L; Kostalova, J; Manakova, E; Zemanova, Z, 2010)
"We present a case of recurrent hypothermia in concordant monozygotic twins born to a mirtazapine treated mother."3.74Neonatal recurrent prolonged hypothermia associated with maternal mirtazapine treatment during pregnancy. ( Klinger, G; Merlob, P; Sokolover, N, 2008)
"Here we present the case of a 30-year-old woman with type I diabetes mellitus, preeclampsia and treatment resistant persistent hyperemesis gravidarum in her 25th week of gestation who was successfully treated with the antidepressant mirtazapine (Remergil)."3.74Treatment resistant hyperemesis gravidarum in a patient with type 1 diabetes mellitus: neonatal withdrawal symptoms after successful antiemetic therapy with mirtazapine. ( Gembruch, U; Heep, A; Rohde, A; Schwarzer, V, 2008)
"Mirtazapine seems to be an effective treatment modality in patients with severe hyperemesis gravidarum who do not respond to conventional anti-emesis treatment regimens."3.73Mirtazapine use in resistant hyperemesis gravidarum: report of three cases and review of the literature. ( Dogan, E; Gol, M; Guclu, S; Saygili, U, 2005)
" When the patient asked for termination of the pregnancy because of the unbearable symptoms, treatment with intravenous mirtazapine (Remergil) was started."3.72Mirtazapine (Remergil) for treatment resistant hyperemesis gravidarum: rescue of a twin pregnancy. ( Dembinski, J; Dorn, C; Rohde, A, 2003)
"Hyperemesis gravidarum is a diagnosis reserved for refractory cases of NVP and therefore by definition poses treatment challenges."2.66Management Considerations for Recalcitrant Hyperemesis. ( Dotters-Katz, S; Kuller, JA; Post, A; Spinosa, D, 2020)
"Mirtazapine-treated neuron-conditioned medium (Mir-NCM) induced astrocyte proliferation and upregulated MT expression via 5-HT1A receptors on astrocytes."1.56Mirtazapine exerts astrocyte-mediated dopaminergic neuroprotection. ( Asanuma, M; Kagawa, D; Kikuoka, R; Kitamura, Y; Kubota, N; Maeda, M; Miyazaki, I; Moriyama, M; Murakami, S; Sato, A; Sendo, T, 2020)
"Hyperemesis gravidarum is not uncommon."1.46Intractable hyperemesis gravidarum in a patient with type 1 diabetes. ( Arshad, MF; Bekhit, M; Javed, N, 2017)
"Mirtazapine was detected (1."1.34Transfer of the antidepressant mirtazapine into breast milk. ( Hackett, LP; Ilett, KF; Kohan, R; Kristensen, JH; Rampono, J, 2007)
"Mirtazapine is a novel piperazinoazepine antidepressant, unrelated to any known class of antidepressants."1.33Exposure to mirtazapine during pregnancy: a prospective, comparative study of birth outcomes. ( De Santis, M; Diav-Citrin, O; Djulus, J; Einarson, A; Einarson, TR; Kennedy, D; Koren, G; Shakir, S; Voyer Lavigne, S; Wilton, L, 2006)

Research

Studies (27)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's11 (40.74)29.6817
2010's12 (44.44)24.3611
2020's4 (14.81)2.80

Authors

AuthorsStudies
Ostenfeld, A2
Petersen, TS2
Pedersen, LH3
Westergaard, HB2
Løkkegaard, ECL2
Andersen, JT2
Spinosa, D1
Post, A1
Kuller, JA1
Dotters-Katz, S1
Futtrup, TB1
Jensen, AK1
Kikuoka, R1
Miyazaki, I1
Kubota, N1
Maeda, M1
Kagawa, D1
Moriyama, M1
Sato, A1
Murakami, S1
Kitamura, Y1
Sendo, T1
Asanuma, M1
Arshad, MF1
Javed, N1
Bekhit, M1
Kjaersgaard, MI1
Parner, ET1
Vestergaard, M1
Sørensen, MJ1
Olsen, J1
Christensen, J1
Bech, BH1
Kieler, H1
Malm, H2
Artama, M1
Engeland, A1
Furu, K1
Gissler, M1
Nørgaard, M1
Stephansson, O1
Valdimarsdottir, U1
Zoega, H1
Haglund, B1
Smit, M2
Wennink, H1
Heres, M1
Dolman, KM2
Honig, A2
Winterfeld, U1
Klinger, G2
Panchaud, A1
Stephens, S1
Arnon, J1
Te Winkel, B1
Clementi, M1
Pistelli, A1
Maňáková, E2
Eleftheriou, G1
Merlob, P2
Kaplan, YC1
Buclin, T1
Rothuizen, LE1
Gentile, S1
Abramowitz, A1
Miller, ES1
Wisner, KL1
Omay, O1
Einarson, A2
Sokolover, N1
Hubickova, L1
Kostalova, J1
Zemanova, Z1
Lieb, M1
Palm, U1
Jacoby, D1
Baghai, TC1
Severus, E1
Uguz, F1
Kesim, M2
Yaris, F2
Kadioglu, M2
Yaris, E2
Kalyoncu, NI2
Ulku, C2
Biswas, PN1
Wilton, LV1
Shakir, SA1
Rohde, A2
Dembinski, J1
Dorn, C1
Unsal, M1
Guclu, S1
Gol, M1
Dogan, E1
Saygili, U1
Djulus, J1
Koren, G1
Einarson, TR1
Wilton, L1
Shakir, S1
Diav-Citrin, O1
Kennedy, D1
Voyer Lavigne, S1
De Santis, M1
Kristensen, JH1
Ilett, KF1
Rampono, J1
Kohan, R1
Hackett, LP1
Klier, CM1
Mossaheb, N1
Lee, A1
Zernig, G1
Schwarzer, V1
Heep, A1
Gembruch, U1
Lennestål, R1
Källén, B1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Validating the Effect of Ondansetron and Mirtazapine in Treating Hyperemesis Gravidarum: A Double-Blind Randomised Placebo-Controlled Multicentre Trial[NCT03785691]Phase 258 participants (Actual)Interventional2019-03-01Terminated (stopped due to Recruiting difficulties)
Endeavor to Stop Nausea/Vomiting Associated With Pregnancy (E-SNAP)[NCT05452174]Phase 1/Phase 225 participants (Anticipated)Interventional2022-06-13Enrolling by invitation
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

3 reviews available for mirtazapine and Pregnancy

ArticleYear
Management Considerations for Recalcitrant Hyperemesis.
    Obstetrical & gynecological survey, 2020, Volume: 75, Issue:1

    Topics: Adrenal Cortex Hormones; Diazepam; Disease Management; Enteral Nutrition; Female; Humans; Hyperemesi

2020
Mirtazapine in pregnancy and lactation - A systematic review.
    European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 2016, Volume: 26, Issue:1

    Topics: Antidepressive Agents, Tricyclic; Breast Feeding; Depressive Disorder; Female; Humans; Lactation; Mi

2016
Treatment options for hyperemesis gravidarum.
    Archives of women's mental health, 2017, Volume: 20, Issue:3

    Topics: Adrenergic alpha-Antagonists; Adult; Antiemetics; Dopamine Agonists; Female; Humans; Hyperemesis Gra

2017

Trials

1 trial available for mirtazapine and Pregnancy

ArticleYear
Validating the effect of Ondansetron and Mirtazapine In Treating hyperemesis gravidarum (VOMIT): protocol for a randomised placebo-controlled trial.
    BMJ open, 2020, 03-24, Volume: 10, Issue:3

    Topics: Antiemetics; Female; Humans; Hyperemesis Gravidarum; Mirtazapine; Multicenter Studies as Topic; Onda

2020

Other Studies

23 other studies available for mirtazapine and Pregnancy

ArticleYear
Mirtazapine exposure in pregnancy and fetal safety: A nationwide cohort study.
    Acta psychiatrica Scandinavica, 2022, Volume: 145, Issue:6

    Topics: Abortion, Spontaneous; Child; Cohort Studies; Female; Humans; Infant, Newborn; Mirtazapine; Perinata

2022
Mirtazapine exerts astrocyte-mediated dopaminergic neuroprotection.
    Scientific reports, 2020, 11-26, Volume: 10, Issue:1

    Topics: Animals; Antioxidants; Astrocytes; Cells, Cultured; Dopamine; Dopaminergic Neurons; Female; Male; Me

2020
Intractable hyperemesis gravidarum in a patient with type 1 diabetes.
    BMJ case reports, 2017, Dec-22, Volume: 2017

    Topics: Antiemetics; Cesarean Section; Diabetes Mellitus, Type 1; Female; Gestational Age; Humans; Hyperemes

2017
Prenatal antidepressant exposure and risk of spontaneous abortion - a population-based study.
    PloS one, 2013, Volume: 8, Issue:8

    Topics: Abortion, Spontaneous; Adult; Antidepressive Agents; Cyclohexanols; Depression; Duloxetine Hydrochlo

2013
Use of antidepressants and association with elective termination of pregnancy: population based case-control study.
    BJOG : an international journal of obstetrics and gynaecology, 2015, Volume: 122, Issue:12

    Topics: Abortion, Induced; Adult; Antidepressive Agents; Antidepressive Agents, Tricyclic; Case-Control Stud

2015
Mirtazapine in pregnancy and lactation: data from a case series.
    Journal of clinical psychopharmacology, 2015, Volume: 35, Issue:2

    Topics: Abnormalities, Drug-Induced; Adult; Antidepressive Agents, Tricyclic; Breast Feeding; Cohort Studies

2015
Pregnancy outcome following maternal exposure to mirtazapine: a multicenter, prospective study.
    Journal of clinical psychopharmacology, 2015, Volume: 35, Issue:3

    Topics: Abnormalities, Drug-Induced; Adult; Antidepressive Agents; Birth Weight; Case-Control Studies; Depre

2015
Pharmacological management of borderline personality disorder in a pregnant woman with a previous history of alcohol addiction: a case report.
    Clinical drug investigation, 2015, Volume: 35, Issue:11

    Topics: Adult; Alcoholism; Borderline Personality Disorder; Diagnosis, Dual (Psychiatry); Female; Humans; Mi

2015
Is Mirtazapine an Effective Treatment for Nausea and Vomiting of Pregnancy?: A Case Series.
    Journal of clinical psychopharmacology, 2017, Volume: 37, Issue:2

    Topics: Adult; Antidepressive Agents; Female; Humans; Mirtazapine; Nausea; Pregnancy; Pregnancy Complication

2017
Neonatal recurrent prolonged hypothermia associated with maternal mirtazapine treatment during pregnancy.
    The Canadian journal of clinical pharmacology = Journal canadien de pharmacologie clinique, 2008,Summer, Volume: 15, Issue:2

    Topics: Adult; Antidepressive Agents, Tricyclic; Anxiety Disorders; Body Temperature Regulation; Female; Fol

2008
Embryotoxicity of mirtazapine: a study using Chick Embryotoxicity Screening Test.
    Neuro endocrinology letters, 2010, Volume: 31 Suppl 2

    Topics: Abnormalities, Drug-Induced; Animals; Antidepressive Agents, Tricyclic; Chick Embryo; Depression; Do

2010
[Mirtazapine and hyperemesis gravidarum].
    Der Nervenarzt, 2012, Volume: 83, Issue:3

    Topics: Adult; Antidepressive Agents, Tricyclic; Female; Humans; Hyperemesis Gravidarum; Mianserin; Mirtazap

2012
Low-dose mirtazapine added to selective serotonin reuptake inhibitors in pregnant women with major depression or panic disorder including symptoms of severe nausea, insomnia and decreased appetite: three cases.
    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2013, Volume: 26, Issue:11

    Topics: Adult; Antidepressive Agents, Tricyclic; Depression; Dose-Response Relationship, Drug; Feeding and E

2013
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
The pharmacovigilance of mirtazapine: results of a prescription event monitoring study on 13554 patients in England.
    Journal of psychopharmacology (Oxford, England), 2003, Volume: 17, Issue:1

    Topics: Adolescent; Adrenergic alpha-Antagonists; Adult; Aged; Aged, 80 and over; Antidepressive Agents, Tri

2003
Mirtazapine (Remergil) for treatment resistant hyperemesis gravidarum: rescue of a twin pregnancy.
    Archives of gynecology and obstetrics, 2003, Volume: 268, Issue:3

    Topics: Abortion, Induced; Adult; Antidepressive Agents, Tricyclic; Cesarean Section; Female; Humans; Hypere

2003
Newer antidepressants in pregnancy: prospective outcome of a case series.
    Reproductive toxicology (Elmsford, N.Y.), 2004, Volume: 19, Issue:2

    Topics: Abnormalities, Drug-Induced; Adult; Antidepressive Agents, Second-Generation; Antidepressive Agents,

2004
Mirtazapine use in resistant hyperemesis gravidarum: report of three cases and review of the literature.
    Archives of gynecology and obstetrics, 2005, Volume: 272, Issue:4

    Topics: Adult; Antiemetics; Female; Humans; Hyperemesis Gravidarum; Infant, Newborn; Mianserin; Mirtazapine;

2005
Exposure to mirtazapine during pregnancy: a prospective, comparative study of birth outcomes.
    The Journal of clinical psychiatry, 2006, Volume: 67, Issue:8

    Topics: Abnormalities, Drug-Induced; Abortion, Spontaneous; Abortion, Therapeutic; Adult; Antidepressive Age

2006
Transfer of the antidepressant mirtazapine into breast milk.
    British journal of clinical pharmacology, 2007, Volume: 63, Issue:3

    Topics: Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricyclic; Breast Feeding; Depressi

2007
Mirtazapine and breastfeeding: maternal and infant plasma levels.
    The American journal of psychiatry, 2007, Volume: 164, Issue:2

    Topics: Adult; Antidepressive Agents, Tricyclic; Breast Feeding; Depressive Disorder; Female; Humans; Infant

2007
Treatment resistant hyperemesis gravidarum in a patient with type 1 diabetes mellitus: neonatal withdrawal symptoms after successful antiemetic therapy with mirtazapine.
    Archives of gynecology and obstetrics, 2008, Volume: 277, Issue:1

    Topics: Adult; Antidepressive Agents, Tricyclic; Diabetes Mellitus, Type 1; Drug Resistance; Female; Humans;

2008
Delivery outcome in relation to maternal use of some recently introduced antidepressants.
    Journal of clinical psychopharmacology, 2007, Volume: 27, Issue:6

    Topics: Abnormalities, Drug-Induced; Abortion, Spontaneous; Adrenergic Uptake Inhibitors; Antidepressive Age

2007