Table 2: Case reports involving mirtazapine induced serotonin syndrome.

Author (s) Medications Key symptoms Treatment Clinical outcome (s)
Demers, et al. [11] Mirtazapine and fluoxetine Tremor, restlessness, flushing and diaphoresis Discontinuation of medication Complete recovery
Hernandez, et al. [12] Mirtazapine alone Hypertension, altered mental state, myoclonus and hyperreflexia Discontinuation of medication Recovery with mild persistent rigidity
Duggal, et al. [13] Mirtazapine, olanzapine and tramadol Confusion, tachycardia, tremors, ataxia, hyperreflexia and myoclonus Discontinuation of medication Complete recovery
Houlihan, et al. [14] Mirtazapine, tramadol and venlafaxine Tachycardia, altered mental state, myoclonus and hyperreflexia Discontinuation of medication Complete recovery