Mirtazapine

Why this medication may be prescribed

Often prescribed to support appetite or reduce nausea, especially in cats. It may also be an adjunct in selected behavioural cases.

How it works

It changes several serotonin and noradrenaline signals. Its receptor effects can reduce nausea and increase appetite.

When should I expect an effect?

The time to behavioural benefit varies between dogs, cats and individuals. Effects on the body may appear before meaningful behavioural change. Follow the review interval in your treatment plan.

What improvement might look like

Depending on the treatment goal, improvement may mean less intense reactions, faster recovery, less avoidance, better rest or greater ability to respond to familiar cues. Complete disappearance of behaviour is not required to see progress.

Medication can reduce fear, anxiety, arousal, impulsivity, or other factors that interfere with learning. Behaviour modification and environmental management remain important parts of treatment.

Common side effects

Increased appetite; sleepiness; increased vocalization or hyperactivity.

Mild effects may be temporary. Persistent or pronounced changes should be discussed with the clinic; do not assume they are harmless.

When should I contact the clinic?

Contact the clinic for persistent vomiting or diarrhea, marked appetite loss, pronounced sedation, stumbling, weakness, unexpected worsening or significant new behaviour. Report difficulty passing urine promptly; inability to pass urine needs urgent veterinary assessment.

When is it an emergency?

What if I miss a dose?

Follow any missed-dose instructions supplied with your prescription. If none were provided, contact the clinic or your veterinarian for advice about the next dose. Do not double, repeat or make up a dose on your own.

What if I administered an extra dose?

Contact your veterinarian or an emergency veterinary hospital immediately for case-specific advice, even if no signs are visible. Have the packaging and the amount and time given available for the veterinarian. Do not induce vomiting unless instructed. This website cannot determine a safe extra amount.

Can I stop this medication suddenly?

Whether tapering is needed depends on the schedule, duration and reason for treatment. Ask the clinic before stopping.

Do not reduce or discontinue this medication without discussing it with your veterinarian.

Medication and supplement interactions

Other serotonin-affecting and sedating medicines need review. Liver or kidney problems may affect the prescribed plan.

Inform the clinic before adding a prescription, over-the-counter medicine, supplement, herbal product or calming product. This is not a complete interaction list.

What should I monitor?

• Food intake
• Vocalization and activity
• Restlessness
• Vomiting and general comfort

Bring your observations to follow-up.