Mirtazapine Dosage Guide

Overdose Mirtazapine is considered to be relatively safe in the event of an overdose, although it is considered slightly more toxic in overdose than most of the SSRIs (except citalopram). Unlike the TCAs, mirtazapine showed no significant cardiovascular adverse effects at 7 to 22 times the maximum recommended dose. Case reports of overdose with as much as 30 to 50 times the standard dose described the drug as relatively nontoxic, compared to TCAs. Twelve reported fatalities have been attributed to mirtazapine overdose. The fatal toxicity index (deaths per million prescriptions) for mirtazapine is 3.1 (95% CI: 0.1 to 17.2). This is similar to that observed with SSRIs. It is strongly recommended that one use harm reduction practices when using this substance. -Antidepressants** - Different types of antidepressants can cause adverse effects as well as possible serotonin syndrome when mixed. Mirtazapine is legally approved for medical purposes worldwide. However, it is illegal to sell and possess in most countries without a prescription. - **Switzerland:** Mirtazapine is listed as a "Abgabekategorie B" pharmaceutical, which generally requires a prescription. - **Turkey:** Mirtazapine is classed as anti-depressant so it is prescription only drug but the law is often unenforced. - United Kingdom:** Mirtazapine is a licensed prescription-only medicine (POM) in the United Kingdom. It is not a criminal offence to possess this medicine without a valid prescription. This medicine can legally be obtained with a valid prescription or through legal import of the medicine for personal use as outlined in Section 13 of the Medicines Act 1968. - United States:** Mirtazapine is not a controlled substance in the United States; however, it is classified as RX only and requires a prescription. - Responsible use - Hallucinogen - Psychedelic - Deliriant - Mirtazapine (Wikipedia) - Mirtazapine (Erowi