Purging with Mirtazapine: A Clinical Experience

Mirtazapine is an antidepressant that can be used as monotherapy for depression. It is well known for its lower incidents of gastrointestinal side effects. It is the medication of choice for someone who suffers from gastrointestinal side effects due to other types of antidepressants. However, we are reporting a case of gastrointestinal side effects following the commencement of mirtazapine. The symptoms improved drastically after the cessation of mirtazapine. The exact mechanism is unknown but probably still related to serotonin and individual’s metabolism. This case report aims to increase awareness among clinicians with regard to the occurrence of gastrointestinal side effects post mirtazapine commencement.