Mirtazapine and Buspirone Interaction

Drug interaction information between Mirtazapine and Buspirone.

Mirtazapine and Buspirone have a documented minor interaction in FDA labeling.

FDA drug labeling documents a minor-severity interaction between Mirtazapine and Buspirone. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Mirtazapine

Noradrenergic and Specific Serotonergic Antidepressant (NaSSA)

Drug B

Buspirone

Azapirone Anxiolytic

How They Interact

Using these drugs together can cause the body to clear mirtazapine faster, which lowers the amount of medicine in your blood.

FDA Label Information

John’s Wort, tramadol, tryptophan, buspirone Strong CYP3A Inducers Clinical Impact The concomitant use of strong CYP3A inducers with mirtazapine decreases the plasma concentration of mirtazapine [see Clinical Pharmacology (12.3) ].

Mirtazapine Also Interacts With

View all Mirtazapine interactions →

Frequently Asked Questions

What SPL severity band is on file for Mirtazapine + Buspirone?

Compiled FDA labeling labels this pair minor. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Mirtazapine has 29 labeled pairs on file vs Buspirone's 17. In the minor band specifically: Mirtazapine has 23 (also Warfarin, Carbamazepine, Lithium, Rifampin); Buspirone has 15 (also Citalopram, Darunavir, Desvenlafaxine, Diltiazem).

What mechanism field is on file for Mirtazapine and Buspirone?

Using these drugs together can cause the body to clear mirtazapine faster, which lowers the amount of medicine in your blood.

Mirtazapine carries more major-labeled pairs than Buspirone

SPL source-record counts only. This page's band is minor · classes on file: Mirtazapine (Noradrenergic and Specific Serotonergic Antidepressant (NaSSA)); Buspirone (Azapirone Anxiolytic).

Mirtazapine has 1 major-labeled pair vs Buspirone's 0. This page itself is in the minor band, not the major band.

Mirtazapine

1 major · 5 moderate · 23 minor · 29 total

Buspirone

0 major · 2 moderate · 15 minor · 17 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.