Which is more effective, Xitaile or fluoxetine?

Remeron is generally referred to as mirtazapine. There is no absolute superiority between mirtazapine and fluoxetine, as both are commonly used antidepressants whose effectiveness varies from person to person, and the choice should be based on individual conditions and physical constitution. Mirtazapine is particularly effective in improving sleep and relieving anxiety, while fluoxetine has a broader antidepressant spectrum but takes longer to take effect. Both medications should be used strictly under medical guidance. If symptoms do not improve or severe discomfort occurs after taking the medication, prompt medical attention is recommended.

Mirtazapine works by modulating norepinephrine and 5-hydroxytryptamine (serotonin) receptors. It has a strong sedative effect, making it suitable for patients with depression accompanied by severe insomnia and anxiety. It can rapidly improve sleep disturbances and has minimal impact on appetite, with relatively good tolerability.

Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) that primarily increases neurotransmitter concentration by inhibiting the reuptake of serotonin. It is effective for various types of depression and also beneficial for obsessive-compulsive disorder and panic disorder. However, it typically takes 2–4 weeks to become effective, and some patients may experience gastrointestinal side effects.

During medication, it is important to maintain regular作息 (daily routines), avoid staying up late, eat a light diet, refrain from alcohol and stimulative foods, strictly adhere to the prescribed dosage, and never discontinue or switch medications without medical advice, all to support stable recovery.