生物活性

• 描述Mirtazapine is a noradrenergic and specific serotonergic antidepressant (NaSSA) that acts by antagonizing the adrenergic alpha2-autoreceptors and alpha2-heteroreceptors as well as by blocking 5-HT2 and 5-HT3 receptors. It enhances the release of norepinephrine and 5-HT1A-mediated serotonergic transmission. In vitro studies suggest that mirtazapine is unlikely to cause clinically significant drug-drug interactions. Dry mouth, sedation, and increases in appetite and body weight are the most common adverse effects. Mirtazapine also appears to be useful in patients suffering from depression comorbid with anxiety symptoms and sleep disturbance. It seems to be safe and effective during long-term use^[3]. Mirtazapine seems to be safe in pregnancy, especially regarding incidence of congenital malformations^[4]. A large-scale controlled evaluation is warranted to substantiate clinical utility of off-label use of mirtazapine (7.5 mg) for patients with AAA (antipsychotic-associated akathisia) ^[5]. Mirtazapine significantly improved both nausea and vomiting in gastroparetics after 2 and 4 weeks of treatment. Side effects led to treatment self-cessation in a fifth of patients^[6].
• 临床研究

• NCT号	适应症或疾病	临床期	招募状态	预计完成时间	地点
  NCT01216371	Renal Cell Carcinoma ... more >> Pulmonary Metastases Collapse <<	Phase 2	Unknown	October 2015	Germany ... more >> Universitätsmedizin Charité Berlin Not yet recruiting Berlin, Germany, 10117 Contact: Steffen Weikert, Priv. Doz. Dr. med.    030/84 45-40 84       Principal Investigator: Steffen Weikert, Priv. Doz. Dr. med.          Sub-Investigator: Kempkensteffen Carsten, Dr. med.          Sub-Investigator: Jonas Busch, Dr. med.          Sub-Investigator: Jan Gregor, Dr. med.          Sub-Investigator: Jens Neudecker, Dr. med.          Sub-Investigator: Jens C. Rückert, Dr. med.          Sub-Investigator: Gertrud Feldmann          Franziskus Krankenhaus Not yet recruiting Berlin, Germany, 10787 Contact: Jörg Neymeyer, Dr. med.    030/26 38-38 01       Principal Investigator: Jörg Neymeyer, Dr. med.          Sub-Investigator: Thomas Wülfing, Dr. med.          Helios Klinikum Emil von Behring Not yet recruiting Berlin, Germany, 14165 Contact: Kollmeier Jens, Dr. med.    030/81 02-14 47       Sub-Investigator: Jens Kollmeier, Dr. med.          Sub-Investigator: Bettina Schlolaut, Dr. med.          university hospital of Düsseldorf Recruiting Düsseldorf, Germany, 40255 Contact: Peter Albers, Prof. Dr. med.    0211/811-81 10       Principal Investigator: Peter Albers, Prof. Dr. med.          Sub-Investigator: Jasper Decoene          Sub-Investigator: Zenginli Hakan          Sub-Investigator: Claus F. Eisenberger, Prof. Dr. med.          Sub-Investigator: Wolfram T. Knoefel, Prof. Dr. med.          Sub-Investigator: Almut Diem          university hospital of Essen Recruiting Essen, Germany, 45122 Contact: Herbert Rübben, Prof. Dr. med.    0201/723-32 10       Principal Investigator: Herbert Rübben, Prof. Dr. med.          Sub-Investigator: Marcus Schenk, Dr. med.          Sub-Investigator: Farnk vom Dorp, Dr. med.          Sub-Investigator: Min Ju, Dr. med.          Sub-Investigator: Stephan Tschirdewahn          Sub-Investigator: Michaela Löbert          Ruhrlandklinik Department of Thoracic Surgery Not yet recruiting Essen, Germany, 45239 Contact: Christiane Zimmermann    0201/433-43 24       Sub-Investigator: Georgios Stamatis, Prof. Dr. med.          Sub-Investigator: Stefan Welter, Dr. med.          Sub-Investigator: Silvia Fechner, Dipl. med.          university hospital of Freiburg Recruiting Freiburg, Germany, 79106 Contact: Ulrich Wetterauer, Prof. Dr. med.    0761/270-2891       Principal Investigator: Ulrich Wetterauer, Prof. Dr. med.          Sub-Investigator: Christian Leiber, Dr. med.          Sub-Investigator: Christian Stremmel, Prof. Dr. med.          Sub-Investigator: Jutta Günter, Dr. med.          university Hospital of Heidelberg Recruiting Heidelberg, Germany, 69119 Contact: Markus Hohenfellner, Prof. Dr. med.    06221/56-63 21       Principal Investigator: Markus Hohenfellner, Prof. Dr. med.          Sub-Investigator: Pahernick Sascha, Priv. Doz. Dr. med.          Sub-Investigator: Gencay Hatiboglu, Dr. med.          Sub-Investigator: Johannes Huber, Dr. Dr. med.          Sub-Investigator: Joachim Pfannschmidt, Priv. Doz. Dr. med.          Sub-Investigator: Hendrik Dienemann, Prof. Dr. med.          urological hospital of Maria Hilf Krankenhaus Krefeld Recruiting Krefeld, Germany, 47805 Contact: Susanne Krege, Priv. Doz. Dr. med.    02151/334-52 74       Principal Investigator: Susanne Krege, Priv. Doz. Dr. med.          Sub-Investigator: Florian Hartmann, Dr. med.          Hospital of Großhadern Not yet recruiting München, Germany, 81377 Contact: Michael Staehler, Dr. med.    089/70 95-0       Principal Investigator: Michael Staehler, Dr. med.          Sub-Investigator: Cordula Nordhaus, Dr. med.          Sub-Investigator: Philipp Nuhn, Dr. med.          Sub-Investigator: Hauke Winter, Priv. Doz. Dr. med.          Sub-Investigator: Rudolf Hatz, Prof. Dr. med.          Sub-Investigator: Sylvia Dondl          Dr.-Horst-Schmidt-Kliniken GmbH Recruiting Wiesbaden, Germany, 65199 Contact: Norbert Frickhofen, Prof. Dr. med.    0611/43-30 09       Principal Investigator: Norbert Frickhofen, Prof. Dr. med.          Sub-Investigator: Bernd Jung, Dr. med.          Sub-Investigator: Heinz G. Fuhr, Dr. med.          Sub-Investigator: Joachim Schirren, Prof. Dr. med.          Sub-Investigator: Servet Bölükbas, Dr. med.          Sub-Investigator: Sabine Labenz          Sub-Investigator: Birgit Wilde          Sub-Investigator: Klaudia Fischbach Collapse <<
  NCT00021528	Depression	Phase 4	Completed	-	-
  NCT00080158	Depression Su... more >>icide, Attempted Collapse <<	Phase 2 Phase 3	Completed	-	United States, Maryland ... more >> Johns Hopkins University Baltimore, Maryland, United States, 21287 United States, New York New York University Child Study Center New York, New York, United States, 10016 Columbia University at the New York State Psychiatric Institute New York, New York, United States, 10032 United States, North Carolina Duke University Medical Center Durham, North Carolina, United States, 27705 United States, Pennsylvania University of Pittsburgh - Western Psychiatric Institute and Clinic Pittsburgh, Pennsylvania, United States, 15213 United States, Texas University of Texas, Southwestern Medical Center Dallas, Texas, United States, 75235 Collapse <<

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• 参考文献

• [1] Garcia-Effron G, Gomez-Lopez A, et al. In vitro activity of terbinafine against medically important non-dermatophyte species of filamentous fungi. J Antimicrob Chemother. 2004 Jun;53(6):1086-9. Epub 2004 Apr 21.

  [2] Anttila SA, Leinonen EV. A review of the pharmacological and clinical profile of mirtazapine. CNS Drug Rev. 2001 Fall;7(3):249-64.

  [3] Anttila SA, Leinonen EV. A review of the pharmacological and clinical profile of mirtazapine. CNS Drug Rev. 2001;7(3):249‐264

  [4] Smit M, Dolman KM, Honig A. Mirtazapine in pregnancy and lactation - A systematic review. Eur Neuropsychopharmacol. 2016;26(1):126‐135

  [5] Poyurovsky M, Weizman A. Very Low-Dose Mirtazapine (7.5 mg) in Treatment of Acute Antipsychotic-Associated Akathisia. J Clin Psychopharmacol. 2018;38(6):609‐611

  [6] Malamood M, Roberts A, Kataria R, Parkman HP, Schey R. Mirtazapine for symptom control in refractory gastroparesis. Drug Des Devel Ther. 2017;11:1035‐1041.

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