Sedatives & Hypnotics
Mirtazapine (Remeron)
Street names: Remeron, Mirtaz, Zispin
Overdose? Act now. Call emergency services — say "unresponsive, not breathing". Give naloxone for opioid-like signs. Hotlines
⚡What it does
- Sedation and appetite increase at low doses; antidepressant at 30–45 mg
- Popular off-label sleep aid
⚠Key risks
- Not euphoric but dependence-forming as a sleep crutch
- Weight gain, intense hunger (some abuse for appetite)
- Withdrawal: nausea, insomnia, anxiety, 'electric shocks'
- Serotonin syndrome risk combined with other serotonergic drugs
- Morning impairment: driving, falls
✚Overdose signs
- Severe sedation
- Confusion
- Heart rhythm changes (rare)
📋Quick facts
Also known asRemeron, Mirtaz, Zispin
CategorySedatives & Hypnotics
Schedule / classRx-only — not controlled
Appearance15–45 mg tablets (orodispersible 'sol-tabs' exist)
Street price~$0.30–$1 per tablet grey-market
Legal statusRx-only everywhere; widely prescribed, often loose follow-up
Last updated2026-09-18
Sources: FDA, EMA, NHS
Category comparison — Sedatives & Hypnotics
| Substance | Class | Top risks | Street price |
|---|---|---|---|
| Mirtazapine (Remeron) | Rx-only — not controlled | Not euphoric but dependence-forming as a sleep crutch; Weight gain, intense hunger (some abuse for appetite) | ~$0.30–$1 per tablet grey-market |
| Quetiapine (Seroquel) | Rx-only — not a controlled drug | The prison/street sleep drug: 'Suzie Q' trades as currency — it's numbing, not a high; Metabolic harm: weight gain, diabetes, dyslipidemia even at low doses | ~$0.50–$3 per tablet |
| Trazodone (Desyrel) | Rx-only — not controlled | PRIAPISM — the famous side effect: painful erections lasting hours; untreated = permanent damage. Emergency if >4 h; Orthostatic hypotension: falls, dizziness | ~$0.20–$1 per tablet |
Street prices are regional estimates. Potency and cuts vary constantly.
?Frequently asked questions
What does Mirtazapine (Remeron) look like?
15–45 mg tablets (orodispersible 'sol-tabs' exist)
What are the signs of a Mirtazapine (Remeron) overdose?
Severe sedation; Confusion; Heart rhythm changes (rare) Call emergency services immediately.
How addictive is it?
Not euphoric but dependence-forming as a sleep crutch Dependence can develop with regular use.