Mirtazapine for Methamphetamine Use Disorder: A Randomized Clinical Trial - Takeaways - MDSpire

Mirtazapine for Methamphetamine Use Disorder: A Randomized Clinical Trial

  • By

  • Rebecca McKetin

  • Steven Shoptaw

  • Lucy Saunders

  • Long Nguyen

  • Philip J. Clare

  • Gregory J. Dore

  • Alyna Turner

  • Olivia M. Dean

  • Peter J. Kelly

  • Shalini Arunogiri

  • Juanita Koeijers

  • Tayla J. Degan

  • Louisa Degenhardt

  • Michael Farrell

  • David Goodman-Meza

  • Barbara Sinclair

  • David Reid

  • Frank Cordaro

  • Harry Hill

  • Robert Lundin

  • Jeremy Hayllar

  • Michael Christmass

  • Willy Liaw

  • Danica Liu

  • Amelia Woods

  • Blaire Brewerton

  • Ellie Holyoak

  • Brian Tid-Fung Wu

  • Hayley Maher

  • Noni O’Dea

  • Joel Keygan

  • Ava Kontogiannis

  • Lily Palmer

  • Caity Morrison

  • Anna Wrobel

  • Bec Hyland

  • Gift Kiden

  • Vanessa Romeo

  • Khine Wut Yee Kyaw

  • Marianne Byrne

  • Samantha Colledge-Frisby

  • Emma Zahra

  • Michael Berk

  • June 1, 2026

  • 0 min

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  • 1

    Methamphetamine use disorder affects approximately 7.4 million people globally, leading to significant health risks and drug-related deaths.

  • 2

    Mirtazapine, a tetracyclic antidepressant, shows promise in reducing methamphetamine's effects and addressing associated dysregulation.

  • 3

    Two phase 2 trials indicated a 14% difference in methamphetamine-positive urine tests between mirtazapine and placebo after 12 weeks.

  • 4

    A phase 3 randomized clinical trial was conducted in Australia to evaluate mirtazapine's effectiveness and safety in a diverse population.

  • 5

    The primary outcome of the trial was the change in self-reported days of methamphetamine use over 28 days, assessed at multiple time points.

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