Dr. Sidawi is an Orlando based, UF trained physician who is happy to be serving the community he grew up in by offering a combination of psychiatric medication management and psychodynamic psychotherapy.
Remeron is classified as an anti-depressant and an alpha-2 antagonist that primarily is used to treat major depressive disorder (MDD), though it may be prescribed for other conditions such as insomnia and post-traumatic stress disorder (PTSD). It is sometimes prescribed when a patient is nonresponsive to selective serotonin reuptake inhibitors (SSRIs), to boost mood. Remeron can also be used when treating sexual dysfunction, as it does not commonly cause sexual side effects.
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Remeron is generally considered a second-line treatment and is used in the treatment of major depressive disorder (MDD) and is prescribed when first-line medications are ineffective, or when patients experience depression or anxiety related tension headaches. It is often beneficial for individuals with specific needs like appetite loss, due to mirtazapine’s appetite-stimulating properties. It may be used off-label to address sexual dysfunction and PTSD.
Remeron can be highly effective in managing depression, especially when accompanied by headaches, by improving mood, reducing anxiety, and promoting better sleep. In cases of PTSD, Remeron can alleviate symptoms by improving sleep quality, reducing anxiety and hyperarousal, enhancing mood, and addressing appetite loss commonly associated with the disorder. When treating sexual dysfunction Remeron can increase libido, improve overall sexual function, and improve sexual desire and function when taken alongside an SSRI.
Remeron’s most common side effects include increased cholesterol, weight gain, gastrointestinal issues such as constipation, increased appetite, and xerostomia (dry mouth) as well as drowsiness. Some side effects may resolve as you get adjusted to the medication. It is one of the medications that should be used with caution in the elderly according to Beers Criteria.
Mirtazapine is a tetracyclic antidepressant that functions by blocking central presynaptic alpha2-adrenergic receptors, leading to an increased release of norepinephrine and serotonin. It also strongly blocks 5-HT2 and 5-HT3 serotonin receptors, as well as H1 histamine receptors. It acts as a moderate antagonist of peripheral alpha1-adrenergic and muscarinic receptors. It does not inhibit the reuptake of norepinephrine or serotonin.
Common dosing of Remeron ranges from 7.5mg to 45mg, though 60mg doses are occasionally used It is commonly taken at bedtime once a day. Dosing depends on the patient’s specific situation and should always be discussed with their physician.
Other common names for the brand name Remeron include the generic name, mirtazapine.
Dr. Sidawi is happy to be a part of your journey towards mental health, or at least point you in the right direction. Please either fill out the contact form below, call or email and we will get back to you as soon as possible. We are now scheduling adults age 18 and up residing in Florida for initial appointments. Unfortunately, due to laws around cash pay we cannot see patients who have Medicare or Medicaid.
Email: Info@AnalyzePsych.com
Phone: 407-900-9656
Dr. Sidawi is happy to be a part of your journey towards mental health, or at least point you in the right direction. Please either fill out the contact form below, call or email and we will get back to you as soon as possible. We are now scheduling adults age 18 to 64 residing in Florida for initial appointments. Unfortunately, due to laws around cash pay we cannot see patients who have Medicare or Medicaid.
Email: Info@AnalyzePsych.com
Phone: 407-900-9656
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