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Remeron vs. Seroquel

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Mirtazapine (Remeron) and quetiapine (Seroquel) are both prescription medications, but they are used for different conditions and belong to different drug classes. Mirtazapine is an atypical antidepressant, specifically a tetracyclic antidepressant, used to treat major depressive disorder (MDD) in adults. It works by increasing serotonin and norepinephrine levels in the brain. Quetiapine, on the other hand, is an atypical antipsychotic used to treat schizophrenia and bipolar disorder in both adults and children, and it can also be used as an add-on treatment for depression in adults. Quetiapine affects dopamine and serotonin levels to help control mood, thoughts, and behaviors. Mirtazapine is typically taken once daily at bedtime, while quetiapine can be taken multiple times a day depending on the form and condition being treated. Both medications can cause sleepiness and weight gain, but quetiapine has additional risks like raising blood sugar and cholesterol levels and should not be used in older adults with dementia-related psychosis. Mirtazapine is available in both oral and dissolvable tablet forms, while quetiapine is available in immediate-release and extended-release tablets.

Mirtazapine

(Remeron)

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Quetiapine

(Seroquel)

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Summary for Remeron

Prescription only

Mirtazapine (Remeron) is an atypical antidepressant (or more specifically, tetracyclic antidepressant). It's used to treat major depressive disorder (MDD) in adults. Mirtazapine (Remeron) is available as an oral tablet and orally disintegrating tablet (ODT) that's taken once daily, typically at night. Some common side effects of this medication include sleepiness and dry mouth. Mirtazapine (Remeron) can also raise your appetite and put you at risk for weight gain.

Indications for Remeron

Pros and Cons for Remeron

Pros

  • Taken by mouth once daily
  • Available as a dissolvable tablet for those who can't swallow pills
  • Less likely to cause sexual side effects compared SSRIs
  • Available as a lower-cost generic

Cons

  • Can take up to 2 months before you feel the the full benefits
  • More likely than other antidepressants to cause weight gain
  • Can cause sleepiness
  • Risk of withdrawal symptoms if you suddenly stop taking it

Common Side Effects for Remeron

  • Sleepiness (54%)
  • Dry mouth (25%)
  • Feeling more hungry (17%)
  • Constipation (13%)
  • Weight gain (12%)
  • Weakness (8%)
  • Dizziness (7%)

Warnings for Remeron

  • Worsening depression, suicidal thoughts, and unusual behavior
  • Higher risk of infection (from low white blood cell count)
  • Serotonin syndrome
  • Withdrawal
  • Not for bipolar disorder
  • Glaucoma
  • Life-threatening abnormal heart rhythm (QT prolongation)
  • Severe allergic and skin reactions
  • Difficulty concentrating and extreme sleepiness
  • Seizures
  • Low blood sodium levels
  • Caution use in people with phenylketonuria (PKU) - orally disintegrating tablets only

Summary for Seroquel

Prescription only

Quetiapine (Seroquel) is an atypical antipsychotic. It's used to treat mental health problems like schizophrenia and bipolar disorder. This medication comes as an immediate-release tablet (Seroquel) that's taken by mouth usually twice a day. There's also an extended-release tablet (Seroquel XR) that's taken once a day. The specific dosage depends on how well it's helping your mood, thoughts, and behaviors. Side effects can include sleepiness, headache, and possible weight gain. There are brand-name and generic versions of this medication.

Indications for Seroquel

Pros and Cons for Seroquel

Pros

  • Taken by mouth
  • Might notice an improvement in your symptoms in as early as a week of starting the medication
  • Available in both short-acting and long-acting tablets

Cons

  • Might cause weight gain
  • Can raise your blood sugar and cholesterol levels
  • Not recommended for older adults who have dementia-related psychosis

Common Side Effects for Seroquel

Immediate-release tablets:

  • Headache (21%)
  • Agitation (20%)
  • Sleepiness (18%)
  • Dizziness (11%)
  • Dry mouth (9%)
  • Constipation (8%)
  • Pain (7%)
  • Fast heart rate (6%)
  • Vomiting (6%)

Extended-release tablets:

Warnings for Seroquel

  • Higher risk of death and stroke in older people with dementia-related psychosis
  • Risk of suicidal thoughts and behavior
  • Neuroleptic malignant syndrome
  • High blood sugar, high cholesterol, and weight gain
  • Trouble controlling muscle movements (tardive dyskinesia)
  • Changes in blood pressure
  • Risk of falls
  • Risk of infection (due to low white blood cell counts)
  • Possible changes in heart rhythm
  • Seizures
  • Hypothyroidism (low thyroid hormone)
  • High prolactin levels
  • Feeling very sleepy and having trouble concentrating

Prices with our coupons for Remeron vs. Seroquel

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Mirtazapine30 tablets / 15mg
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Quetiapine30 tablets / 25mg
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