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How it works is not clear, but it may involve blocking certain adrenergic and serotonin receptors. [11] [12] Chemically, it is a tetracyclic antidepressant, [12] and is closely related to mianserin. It also has strong antihistaminergic effects. [11] [12] Mirtazapine came into medical use in the United States in 1996. [12]
Escitalopram. Escitalopram, sold under the name Lexapro, is most commonly used to treat depression and generalized anxiety disorder (GAD). According to a 2018 review, escitalopram is one of the ...
Chemical structure of the prototypical NaSSA mirtazapine (original brand name Remeron). Noradrenergic and specific serotonergic antidepressants (NaSSAs) are a class of psychiatric drugs used primarily as antidepressants. [1]
Paroxetine was the first drug to be approved for social anxiety disorder and it is considered effective for this disorder; sertraline and fluvoxamine were later approved for it as well. Escitalopram and citalopram are used off-label with acceptable efficacy, while fluoxetine is not considered to be effective for this disorder. [ 22 ]
Mental health experts explain the causes and symptoms of travel anxiety, and share 6 tips on how to manage travel anxiety so you can enjoy new experiences more.
Besides mirtazapine, they also block the α 1-adrenergic receptor [citation needed]. Conversely, whereas TCAs have relatively low affinity for the α 2 -adrenergic receptor , mianserin and mirtazapine potently antagonize this receptor, and this action is thought to be involved in their antidepressant effects [ citation needed ] .
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