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It is especially useful for treating combined poor appetite and nausea in cats and dogs.MIRTAZAPINE (brand name Remeron) is a tetra-cyclic antidepressant.
It recommended generic SSRIs as first line choices, as they are "equally effective as other antidepressants and have a favourable risk–benefit ratio." With respect to mirtazapine, it found: "There is no difference between mirtazapine and other antidepressants on any efficacy measure, although in terms of achieving remission mirtazapine appears to have a statistical though not clinical advantage.
Treatment for major depression with mirtazapine is recommended to continue for at least four months to gain maximum benefit.
Stopping the medicine too soon can cause a return to the depressive state.
(Those adverse effects include decreased appetite, weight loss, insomnia, nausea and vomiting, diarrhoea, urinary retention, increased body temperature, excessive sweating, pupil dilation and sexual dysfunction.
Despite its sedating action, mirtazapine is also believed to be capable of this, so in the United States and certain other countries, it carries a black box label warning of these potential effects, especially for people under the age of 25.