2021
DOI: 10.3390/ph14090930
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Antidepressants in Alzheimer’s Disease: A Focus on the Role of Mirtazapine

Abstract: Mirtazapine belongs to the category of antidepressants clinically used mainly in major depressive disorder but also used in obsessive-compulsive disorders, generalized anxiety, and sleep disturbances. This drug acts mainly by antagonizing the adrenergic α2, and the serotonergic 5-HT2 and 5-HT3 receptors. Neuropsychiatric symptoms, such as depression and agitation, are strongly associated with Alzheimer’s disease, reducing the life quality of these patients. Thus, it is crucial to control depression in Alzheime… Show more

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Cited by 22 publications
(18 citation statements)
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“…The three drugs that interact with 5-HT3 receptor (mirtazapine, scopolamine, and lamotrigine), in all the tested concentrations, did not lead to cell damage/toxicity, revealing to be good stress reversers in these concentrations. These observations are in concordance with some of the literature, which reports the potential of these drugs to be used in the therapy of depression [ 26 , 34 , 35 ], as described in the Introduction section. Additionally, HPLC results for these drugs demonstrated that they do not substantially affect 5-HT levels on the extracellular medium, compared to the vehicle, for both cell lines.…”
Section: Discussionsupporting
confidence: 91%
“…The three drugs that interact with 5-HT3 receptor (mirtazapine, scopolamine, and lamotrigine), in all the tested concentrations, did not lead to cell damage/toxicity, revealing to be good stress reversers in these concentrations. These observations are in concordance with some of the literature, which reports the potential of these drugs to be used in the therapy of depression [ 26 , 34 , 35 ], as described in the Introduction section. Additionally, HPLC results for these drugs demonstrated that they do not substantially affect 5-HT levels on the extracellular medium, compared to the vehicle, for both cell lines.…”
Section: Discussionsupporting
confidence: 91%
“…Different groups are currently studying antidepressants in AD (Lozupone et al, 2018). Second-generation antidepressants have been associated with a reduced risk of developing AD, but there are still no clear findings demonstrating the ability of these drugs to counteract the progression of this disease (Correia and Vale, 2021). Positive outcomes have been observed by using selective serotonin reuptake inhibitors (SSRIs) (Dafsari and Jessen, 2020).…”
Section: Introductionmentioning
confidence: 99%
“…It is prescribed for the treatment of depression symptoms. Depression is also prevalent among AD patients [ 183 ]. According to the literature, mirtazapine improved depression and anxiety, as well as insomnia and weight loss in AD patients [ 184 ].…”
Section: Clinical Trials For Alzheimer’s Disease Based On the Locus C...mentioning
confidence: 99%