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Miratzapine vs atypicals in neurotic disorders

Posted by jono_in_adelaide on October 3, 2012, at 18:00:54

Given some of the recent talk about the off label use of atypicals fior insomnia, anxiety, panic disorder and OCD, it occured to me that Mirtazapine might be a much better option for many of these patients.

It posesses many of the same properties (Blocking the 5HT2 receptors to releive anxiety and depression, sedation though the H1 receptor, as well as its Alpha 2 effect on noradrenalin. And no metabolic syndrome or tarvide dyskensia (although this seems to be rare with low dose atypicals)

Seems it would be sensible to try most of these patients on mirtazapine before moving to an atypical. As a nice side benifit, it is far cheaper for society/the health system


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