Abstract

Mirtazapine (Remeron) is the newest antidepressant medication available for clinical use in this country. Pharmacologically, mirtazapine results in enhanced noradrenergic neurotransmission, selective enhancement of 5HT1 mediated neurotransmission, and histaminergic blockade (Golden et al, in press). Mirtazaine's side effect profile is unique among the currently available anitdepressants: absence of anticholinergic effects and anxiolytic and sedative properties. The absense of anticholinergic effects and effects on EKG and cardiac function makes this medication potentially useful with patients with co-existent cardiovascular disease, However, mirtazapine has been linked to elevated plasma total cholesterol levels, with an average 3-4% increase in random cholesterol levels in one study (Davis and Wilde, 1996). It is difficult to interpret the meaning of random (non-fasting) cholesterol levels which would be expected to increase in relation to improved appetite and increased caloric intake as depression remits. Therefore, the purpose of this study is to more carefully evaluate the effect of mirtazapine on plasma cholesterol and triglyceride levels.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Center for Research Resources (NCRR)
Type
General Clinical Research Centers Program (M01)
Project #
3M01RR000046-39S2
Application #
6218111
Study Section
Project Start
1998-12-01
Project End
1999-11-30
Budget Start
1998-10-01
Budget End
1999-09-30
Support Year
39
Fiscal Year
1999
Total Cost
Indirect Cost

  Institution

Name
University of North Carolina Chapel Hill
Department
Type
DUNS #
078861598
City
Chapel Hill
State
NC
Country
United States
Zip Code
27599

  Publications

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Barber, Megan R W; Hanly, John G; Su, Li et al. (2018) Economic Evaluation of Lupus Nephritis in the Systemic Lupus International Collaborating Clinics Inception Cohort Using a Multistate Model Approach. Arthritis Care Res (Hoboken) 70:1294-1302
Rini, Christine; Vu, Maihan B; Lerner, Hannah et al. (2018) A qualitative study of patient and provider perspectives on using web-based pain coping skills training to treat persistent cancer pain. Palliat Support Care 16:155-169
Little, Jayne; Parker, Ben; Lunt, Mark et al. (2018) Glucocorticoid use and factors associated with variability in this use in the Systemic Lupus International Collaborating Clinics Inception Cohort. Rheumatology (Oxford) 57:677-687
Abdullah, Lubna H; Coakley, Raymond; Webster, Megan J et al. (2018) Mucin Production and Hydration Responses to Mucopurulent Materials in Normal versus Cystic Fibrosis Airway Epithelia. Am J Respir Crit Care Med 197:481-491
Martin, Maureen P; Naranbhai, Vivek; Shea, Patrick R et al. (2018) Killer cell immunoglobulin-like receptor 3DL1 variation modifies HLA-B*57 protection against HIV-1. J Clin Invest 128:1903-1912
Haas, David W; Bradford, Yuki; Verma, Anurag et al. (2018) Brain neurotransmitter transporter/receptor genomics and efavirenz central nervous system adverse events. Pharmacogenet Genomics 28:179-187

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