mirtazapine (Remeron)

Meet with a licensed provider online to explore if an antidepressant medication like mirtazapine (Remeron) may be right for you.

Treatment for:
depression

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How prescribing works

  • 1

    Find the right provider

    Browse providers online or call us and we’ll help you find someone who accepts your insurance and fits your needs. Pick a time that works for you and choose how you’d like to pay.

  • 2

    Get started with treatment

    At your first session, share what you’re experiencing and what you’re hoping to get out of treatment. Together, you’ll discuss your options—including whether medication might be a good fit. If so, your provider can send a prescription directly to your local pharmacy.

  • 3

    Track your progress

    Your provider will check in regularly to make sure your treatment plan is working for you and adjust as needed.

What is a SPARI?

A selective partial agonist and reuptake inhibitor (SPARI) is a class of medication used to treat mental health conditions like depression.

How does a SPARI work?

SPARIs both increase the availability of serotonin and act like serotonin in the brain. By working in these two different ways, SPARIs can be useful to reduce symptoms of major depressive disorder and other mental health conditions.

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FAQs about mirtazapine (Remeron)

What is mirtazapine (Remeron) used to treat?

Mirtazapine is an antidepressant that is used to treat depression.

Is mirtazapine (Remeron) a controlled substance?

No, mirtazapine is not a federally controlled substance, since it is not habit-forming. If you have questions about how mirtazapine works, you can talk with your provider or pharmacist.

Does mirtazapine (Remeron) cause weight gain or loss?

Yes, studies have shown that taking mirtazapine can cause weight gain. The medication can also cause an increase in appetite. If you're concerned about possible weight gain with mirtazapine, you can work with your provider to discuss healthy ways to manage your weight.

How long does it take for mirtazapine (Remeron) to work?

Mirtazapine starts to work immediately after you take a dose. However, it may take several weeks to months of taking it regularly before you notice an improvement in symptoms. Your provider will likely start you on a low dose to see how you respond to the medication, then gradually increase your dose until the right dose is achieved to manage your symptoms. Talk to your provider if you feel mirtazapine isn't working for you or your condition. They can discuss your symptoms and recommend other options for you to consider.

Does mirtazapine (Remeron) help with anxiety?

Some studies show that mirtazapine is effective for types of anxiety, and it may sometimes be used off-label to treat it, though that is not an officially approved usage of the medication. An “off-label” use is when a medication is used for a condition outside of its approved uses. If you're interested in learning about whether mirtazapine can help with your anxiety, contact your provider.

How long does mirtazapine (Remeron) stay in your system?

Mirtazapine has a half-life of 20 to 40 hours. This means it takes that much time for half the medication to leave your body, though it may take a few weeks for the medication to fully leave the body. If you have other questions about how long mirtazapine stays in your system, talk with your pharmacist or provider.

Is mirtazapine (Remeron) an antipsychotic?

Mirtazapine is considered a tetracyclic antidepressant, not an antipsychotic. The exact way that mirtazapine works within the body is not known, but scientists believe it works by improving levels of serotonin and norepinephrine in the brain to treat depression symptoms.

Can I get a prescription online?

You can meet with a licensed provider at Thriveworks, in person or online depending on your state. If it’s clinically appropriate, they may prescribe medication for a diagnosed mental health condition. Your provider will send your prescription to a local pharmacy to be filled.

Can I use my health insurance for prescriptions and refills?

Thriveworks accepts most major insurance plans for psychiatry and therapy services. Your insurance may also cover the cost of any medication your provider prescribes, which can be filled at a local pharmacy. Check with your plan to confirm your medical and prescription coverage.

How do I get a prescription at Thriveworks?

Schedule a session with a licensed psychiatric provider at Thriveworks. After discussing your symptoms and treatment goals, your provider may recommend medication and/or additional services to help you get where you want to be.

Is Thriveworks LegitScript certified?

Yes. Thriveworks is LegitScript-certified, meaning we’ve been reviewed and verified by one of the most trusted compliance organizations in healthcare. This certification confirms that our services meet high standards for legality, safety, and transparency.

This information has been reviewed for accuracy and approved by our licensed psychiatric team. Published October 3, 2024
Dr. Scott Gordon

Accepting medication as part of your mental health care plan is an individual and often deeply personal decision. At Thriveworks, we’re here to help you understand your care options and support you on the path toward wellness. We prioritize treating the whole patient, whether through medication, therapy, or a combination of both — guided by clinical best practices and rigorously developed treatment strategies to help clients safely and efficiently resolve their symptoms.

Dr. Scott Gordon Chief Medical Officer

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