Mirtazapine Oral : Uses, Side Effects, Interactions
COMMON BRAND(S): Remeron
GENERIC NAME(S): Mirtazapine
Mirtazapine, sold under the brand name Remeron among others. Mirtazapine is used to treat depression. It improves feelings of mood and well-being. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain.
How To Use Mirtazapine Tablet
Before starting the use of Mirtazapine, read the medication guide given by your pharmacist and every time you get one again, new information may be available. If you have any questions about the information, consult your doctor or pharmacist.
Take this medication according to your mouth, without food, usually during a daily routine or by your doctor’s instructions. Dosage is based on your medical condition and response to therapy, but should not be more than 45 milligrams per day.
Use Mirtazapine regularly so that it can get the most benefit. Remember to use it at the same time each day. It may take 1-4 weeks for notice to improve your symptoms. Therefore, do not increase your dose or take it more than it has been determined.
It is important to continue taking this medicine even if you feel OK. Do not stop taking this medicine without consultation with your doctor. Some conditions may get worse when the drug is stopped suddenly. Your dose may need to be gradually decreased.
Inform your doctor if your condition persists or worsens.
See also the warning section.
Dizziness, drowsiness, apathy, increased appetite, weight gain, mouth drying or constipation can occur. If any of these effects persists or worsens, tell your doctor or pharmacist immediately.
To relieve dry mouth, suck hard candy or ice chips (sugar-free), chew gum (sugar-free), drink water or use the option of saliva.
Remember that your doctor has prescribed this drug because he or she has decided that the benefit is higher than the risk of side effects. Many people using this drug do not have serious side effects.
Tell your doctor immediately if you have a serious side effect, including: Swelling of hands / feet, shaking (shiver), confusion, signs of infection (e.g, fever, constant sore throat)
If you have a very serious side effect, get medical help immediately, including: fast / irregular heartbeat, severe dizziness, unconsciousness, eye pain / swelling / redness, widened pupils, changes in vision (e.g night See the rainbow around the lights, see the blurring).
Mirtazapine can increase serotonin and rarely cause a very serious condition, which is called serotonin syndrome / toxicity. The risk increases if you are taking other medicines that increase the serotonin, so tell your doctor or pharmacist about all the medicines that you take (see the drug interaction section). Get medical help immediately when some of the following symptoms develop: Fast heartbeats, hallucinations, loss of coordination, severe dizziness, severe nausea / vomiting / diarrhea, muscle shaking, unexplained fever, abnormal movement or restlessness
A very serious allergic reaction to this drug is rare. However, if you see symptoms of a serious allergic reaction, get medical help immediately, including: granular, itching / swelling (especially the face / tongue / throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you do not list other effects above, contact your doctor or pharmacist.
In America – Call your doctor for medical advice about side effects. You can notify the FDA of side effects on 1-800-FDA-1088 or www.fda.gov/medwatch.
In Canada – Call your doctor for medical advice about side effects. You can report the health effects of Canada on 1-866-234-2345.
Before taking Mirtazapine, tell your doctor or pharmacist whether you are allergic to it, or if you have any other allergens. This product can have passive elements, which can cause allergic or other problems. Talk to your pharmacist for more details.
Before using this drug, tell your doctor or pharmacist your medical history, especially: history of mental disorders or family history (e.g, bipolar / manic-depressive disorder), history of suicide efforts or family history, liver Diseases, kidney disease, seizures, high blood cholesterol or triglyceride levels, heart disease (e.g., recent heart attack, angina), stroke, severe loss of body fluid (dehydration), low blood pressure, personal or family history of glaucoma (angle-off type).
Mirtazapine may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention right away.
The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation. Before using mirtazapine, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).
Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/”water pills”) or if you have conditions such as severe sweating, diarrhea, or vomiting. Talk to your doctor about using mirtazapine safely.
This drug may make you dizzy or lightheadedness. Alcohol or marijuana (cannabis) can make you more dizzy or dry. Unless you can safely do it, do not drive, use machinery, or do anything that requires caution. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).
To diminish dizziness and lighthouse, slowly rise while sitting or lying down from the position of lying.
Older adults may be more susceptible to the side effects of this drug, especially the drowsiness and QT prolongation (see above).
Mirtazapine should be used only when explicitly required during pregnancy. If this medicine is used during the last 3 months of pregnancy, symptoms can usually be developed, including feeding your infant or breathing difficulties, visits, muscle stiffness, irritability or constant crying. Report any such symptoms to your doctor. However, since untreated mental / mood disorders (such as depression) can be a serious condition, do not stop taking this medicine until your doctor prescribes you to do so. If you are planning a pregnancy, become pregnant, or think that you may be pregnant, discuss the benefits and risks of using your medicine immediately during your pregnancy.
It is not known whether or not this drug passes in breast milk. Consult your doctor before breastfeeding.
If someone is treated and has serious symptoms like having trouble going out or breathing, call 911. Otherwise, call the Poison Control Center immediately. US residents can call their local venom control center at 1-800-222-1222. Canadians can call a provincial poison control center. Symptoms of overdose may include: very fast / irregular heartbeat, severe dizziness, unconsciousness
Psychiatric / medical investigations (and possibly laboratory tests) should be done periodically to monitor your progress and check for side effects. Consult your doctor for more details.
Do not share this medication with others.
If you miss a dose, then use it as you remember. If it is near the next dose time, then leave the missed dose. Use your next dose at regular times. Do not double the dose to catch up.
Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.
Until instructed not to do so, do not flush the medicines in the toilet and do not drain in the drain. When this period expires or does not need it, then properly release this product. Consult your pharmacist or local waste disposal company.
Disclaimer: DrLinex has made every effort to ensure that all information is factually accurate, comprehensive and up-to-date. However, this article should not be used as a licensed health care professional’s choice of knowledge and expertise. You should always consult your doctor or other health care professional before taking any medication. The information given here is subject to change and it has not been used to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions or adverse effects. The lack of warning or other information for any drug does not indicate that the combination of medicine or medication is safe, effective or appropriate for all patients or all specific uses.