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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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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How prescribing works

  • 1

    Find a provider who meets your needs

    Browse our providers online or call our scheduling team for matching assistance — find a provider who accepts your insurance and meets your needs, whether that’s a clinical specialty or a shared life experience. Choose a date and time that works for you and how you’d prefer to pay (using insurance or self-pay).

  • 2

    Meet 1:1 to begin treatment

    Meet online with your provider to begin treatment. At your first session, share any symptoms or struggles you’re experiencing along with your goals. Together, you and your provider will discuss if medication may be a good next step. Your provider may write you a prescription to be filled at your local pharmacy.

  • 3

    Attend sessions and start feeling better

    Once your treatment plan is created, your provider will regularly check in and encourage feedback to ensure any medication you may be prescribed is effective for you.

FAQs

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 online with a licensed provider at Thriveworks — if it’s clinically appropriate, they may prescribe you medication for the treatment of a diagnosed mental health condition. Your Thriveworks provider will send your prescription to a local pharmacy to be filled.

Can I use my health insurance for online prescriptions and refills?

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

How do I get a prescription at Thriveworks?

Schedule an online appointment with a licensed psychiatric provider at Thriveworks. After meeting with you and discussing your symptoms and treatment plan, your provider may recommend a prescription medication and/or additional services to help you reach your goals.

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

We offer psychiatry in these select states

Our psychiatry services are done completely online, so you can schedule with any psychiatric provider in your state.

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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