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What the FDA labels say about taking them together

Mirtazapine and morphine

Morphine's FDA label of July 13, 2026 names mirtazapine in its drug interactions section; the mirtazapine label PlainMeds reads does not name morphine. The morphine label: “The concomitant use of opioids with other drugs that affect the serotonergic neurotransmitter system has resulted in serotonin syndrome.”

Check it at the source: the mirtazapine FDA label on DailyMed (effective August 6, 2025, Organon LLC); the morphine FDA label on DailyMed (effective July 13, 2026, Bryant Ranch Prepack).

What does the mirtazapine label say about morphine?

Mirtazapine's label (effective August 6, 2025) does not name morphine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (REMERON), Organon LLC, effective August 6, 2025 (SPL set 98ad1917-a094-44f5-a28f-a64a8cfcd887), via openFDA; the full label on DailyMed

What does the morphine label say about mirtazapine?

Morphine label, drug interactions

Serotonergic Drugs Clinical Impact: The concomitant use of opioids with other drugs that affect the serotonergic neurotransmitter system has resulted in serotonin syndrome. … (TCAs), triptans, 5-HT3 receptor antagonists, drugs that effect the serotonin neurotransmitter system (e.g., mirtazapine, trazodone, tramadol), certain muscle relaxants (i.e., cyclobenzaprine, metaxalone), monoamine oxidase (MAO) inhibitors (those intended to treat psychiatric disorders and also others, such …

Source: FDA drug label (Ms Contin, NDA019516), Rhodes Pharmaceuticals LLC, effective August 14, 2026 (SPL set c354b3bf-86c0-4bb8-8b1f-be2164942698), via openFDA

Source: FDA drug label (Morphine sulfate), ANDA078761 (Sun Pharm Inds Ltd), as published by Bryant Ranch Prepack, effective July 13, 2026 (SPL set 595243fe-a4b1-479a-99d6-a084a4181891), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

36Mirtazapine generic labelers
22Morphine generic labelers
MirtazapineMorphine
Labeled forDepressionPain
Boxed warningYesYes
Pharmacy cost (NADAC)$0.063 per tablet 15 mg tablet$0.226 per tablet 15 mg tablet
Shortage nowNo current entryIn shortage

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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