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Limited evidence

Trazodone and mirtazapine

Both trazodone and mirtazapine are sedating antidepressants with serotonergic activity; combining them adds both sedation and serotonin syndrome considerations.

Editorially reviewed
Key points
  • Both are sedating antidepressants
  • Additive drowsiness is the main practical concern
  • General serotonergic interaction caution still applies

Mirtazapine, like trazodone, is a sedating antidepressant, and the two are occasionally discussed together in psychiatric treatment planning, though rarely combined directly. If ever used together, expect additive drowsiness alongside the general serotonergic interaction considerations that apply to any two serotonin-active antidepressants.

Not medical advice. Always tell your prescriber and pharmacist about every medication, supplement, and substance you use so they can check for interactions specific to your situation.

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