Tofranil vs. Remeron

Head-to-head comparisons of medication uses, side effects, ratings, and more.

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(Imipramine Hydrochloride)


Coming soon.Improves mood. Remeron (Mirtazapine) is okay for treating depression and good for sleep. More likely to cause weight gain than any other antidepressant.
How it works
Coming soon.Remeron (Mirtazapine) is an atypical antidepressant. It stimulates your body to make certain chemicals in the brain, such as serotonin and norepinephrine, which regulate mood.
Type of medication
Coming soon.
Noradrenergic and specific serotonergic antidepressant
Prescription only
Available as
  • Pill
  • Pill
  • Dissolving tablet
Used for (click to learn more)
  • Depression Nocturnal enuresis
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How well it works for depression
The free Iodine Start program helps people track how well they are improving, and find the right antidepressant faster.
The free Iodine Start program (personal reports and coaching) is currently only for antidepressants. For now, you can read our pharmacist info about this medication.Learn more about Tofranil (Imipramine Hydrochloride)

After 4 weeks using Start and Remeron (Mirtazapine), here’s how much better people feel.

Reviews & ratings
Button Group. All currently active
Button Group. All currently active
Reviews for Remeron (Mirtazapine)
+47% vs. Tofranil (Imipramine Hydrochloride)
+42% vs. Tofranil (Imipramine Hydrochloride)
-26% vs. Tofranil (Imipramine Hydrochloride)
Side effects

We haven’t found good data for Tofranil side effects.

FDA side effect reports for Tofranil »
  • Drowsiness 36%
  • Increased appetite 15%
  • Dry mouth 10%
  • Weight gain 10%
  • Constipation 6%
  • Dizziness 4%
  • Muscle weakness 3%
  • Abnormal dreams 3%
  • Flu syndrome 2%
  • Thinking abnormal 2%
More Remeron side effects »
Risk factors for serious side effects
Coming soon.
  • Age 24 years or younger
  • Using other medications that affect serotonin
  • History of heart problems
  • History of liver problems
  • Higher dose
  • Alcohol
  • Taking other medicines that make you less alert
      Detailed Remeron (Mirtazapine) risks & warnings »
      Pregnancy category
      NFDA pregnancy category (Unknown)

      The FDA hasn’t classified this medicine’s effects on unborn babies. Talk with your doctor about this medicine if you’re pregnant or planning on it.

      See the FDA package insert
      CFDA pregnancy category (Weigh risks vs. benefits)

      Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

      See the FDA package insert
      No specific alcohol-related info.No specific alcohol-related info.
      No specific food-related info.No specific food-related info.
      Kidneys and liver
      No specific kidneys and liver-related info.No specific kidneys and liver-related info.
      No specific sex-related info.No specific sex-related info.
      No specific sleep-related info.No specific sleep-related info.
      No specific weight-related info.
      • More likely to cause minor weight gain (1 to 5 pounds) and raise cholesterol than any other antidepressant.
      • Good option for people who are underweight or frail, because it can help you gain weight.
      • Can increase appetite and weight.
      • Remeron (Mirtazapine) can increase appetite and cause you to gain weight.
      Upsides and benefits
      Coming soon.
      • Effective at relieving some depression symptoms.
      • Starts to work more quickly than most antidepressants.
      • Might be a good option for people who have insomnia with their depression, because it can make you very sleepy.
      • Good option for people who are underweight or frail, because it can help you gain weight.
      • Six out of ten people who use an antidepressant for the first time find that it works for them.
      Downsides and risks
      Coming soon.
      • Not as effective as other medications for depression.
      • More sedating than other antidepressants.
      • More likely to cause minor weight gain (1 to 5 pounds) and raise cholesterol than any other antidepressant.
      • Like most antidepressants, can cause higher risk of suicidal thoughts and behavior for people age 24 and younger.
      • The first antidepressant you try doesn't always work or it can cause side effects you really don't like. You might need to try a few different medications until you find one that works for you.
      Tips from our pharmacists for people taking the medication
      Coming soon.
      • Makes you sleepy. Take at bedtime.
      • Can increase appetite and weight.
      • Takes 8 to 12 weeks to see full effects on mood.
      • Stop taking slowly to avoid withdrawal symptoms.
      • Tell your doctor if you notice sudden mood changes or unusual thoughts.
      Learn more
      More about TofranilSide effectsFDA package insert
      More about RemeronSide effectsReviews & ratingsAlternativesFDA package insert