The Effects of Newer Antidepressants on Low-Density Lipoprotein Cholesterol Levels

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Sir: Nicholas et al.1 must be commended for investigating atopic of major clinical importance, i.e., the effects of the newer antidepressants, such as mirtazapine, on serum levels of lowdensity lipoprotein cholesterol (LDL-C). Indeed, LDL-C levels are considered as an important predictor of cardiovascular events.2 The authors showed a statistically nonsignificant increase of 3% in LDL-C in healthy controls after 4 weeks of mirtazapine treatment compared with placebo treatment and concluded that mirtazapine did not increase LDL-C levels.


J Clin Psychiatry 2004;65(7):1017-1018