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Tachyphylaxis to the Sedative Action of Mirtazapine.

TitleTachyphylaxis to the Sedative Action of Mirtazapine.
Publication TypeJournal Article
Year of Publication2018
AuthorsPapazisis, G., Siafis S., & Tzachanis D.
JournalAm J Case Rep
Volume19
Pagination410-412
Date Published2018 Apr 07
ISSN1941-5923
KeywordsAdult, Antidepressive Agents, Tricyclic, Conscious Sedation, Depression, Dose-Response Relationship, Drug, Female, Humans, Mianserin, Mirtazapine, Tachyphylaxis
Abstract

BACKGROUND The pharmacological term tachyphylaxis is used to describe rapidly occurring response desensitization, a situation where the biological response to a given drug dose diminishes when it is given continuously. This pharmacological phenomenon is well observed in some drug categories such as ephedrine, nitrates, beta blockers and H2 antagonists. Mirtazapine is a widely-used antidepressant with a multimodal mechanism of action. CASE REPORT In the present case, we report rapid onset and consistent tachyphylaxis regarding the sedative action of mirtazapine in a 30-year-old female. CONCLUSIONS To our knowledge this is the first reported case of rapid onset and consistent tachyphylaxis to the sedative effect of mirtazapine confirming the complexity of the pharmacological profile of the drug.

DOI10.12659/ajcr.908412
Alternate JournalAm J Case Rep
PubMed ID29626184
PubMed Central IDPMC5907691

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