Remeron when planning pregnancy
For couples trying to conceive, every chronic medication deserves a careful pre-pregnancy review. Remeron (Mirtazapine) at 7.5mg, 15mg, 30mg, 45mg may need to be continued, switched, or stopped before conception, depending on the active ingredient Mirtazapine and the indication. The right answer is rarely the same for everyone and rarely "just stop the medication."
Pre-conception review of Remeron
According to the prescribing information for Mirtazapine, the pre-conception decision balances the risk of the medication during pregnancy against the consequences of leaving the underlying condition untreated. Some Anti-Depressants medications are continued safely through pregnancy; others are switched to safer alternatives before conception or in early pregnancy. Mirtazapine antagonises presynaptic α2-adrenergic receptors, increasing noradrenaline and serotonin release.
Effect on fertility itself
Some medications affect fertility directly — by altering ovulation, sperm parameters, hormonal balance or libido. Whether Remeron has any documented effect on fertility depends on Mirtazapine; the prescribing information notes any data. Anyone trying to conceive should discuss Remeron with the prescriber and a fertility specialist if conception is taking longer than expected.
Frequently asked questions
Should I stop Remeron before trying to conceive? ▾
It depends on Mirtazapine and the indication. For some medications the answer is yes — switch to a safer alternative weeks before conception. For others, continuation is safe and preferable. The prescriber decides based on the full clinical picture.
Does Remeron affect male fertility? ▾
Effects on male fertility depend on the active ingredient. Some medications in Anti-Depressants affect sperm parameters or libido; others have no documented effect. The prescribing information for Mirtazapine states what is known. If conception is delayed, a semen analysis can clarify whether Remeron is contributing.
More on Remeron
- With alcoholRemeron and alcohol — is it safe to drink?
- With foodShould Remeron be taken with food?
- Side effectsRemeron side effects: common, rare and warning signs
- Dosage guideRemeron dosage guide: how much to take and when
- OnsetHow fast does Remeron start working?
- DurationHow long does Remeron last?
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.