
Remeron (Mirtazapine)
is a tetracyclic antidepressant used to treat depression. It may
also be used to treat other conditions as determined by your doctor.
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About Remeron (Mirtazapine):
Product Type: Anti Depressants
Brand name: Remeron Generic
name: Mirtazapine What is the most important information I should
know about Remeron? • While you are taking Remeron you may need
to be monitored for worsening symptoms of depression and/ or suicidal
thoughts at the start of therapy or when doses are changed. This
concern about the increased risk of suicidal thoughts or behaviors
may be greater if you are 18 years of age or younger and are taking
Remeron. In patients younger than 18 years the period of risk may
extend beyond start of therapy or when doses are changed. Your doctor
may want you to monitor for the following symptoms: anxiety panic
attacks difficulty sleeping irritability hostility impulsivity severe
restlessness and mania (mental and/ or physical hyperactivity).
These symptoms may be associated with the development of worsening
symptoms of depression and/ or suicidal thoughts or actions. Contact
your healthcare provider if you develop any new or worsening mental
health symptoms during treatment with Remeron. Do not stop taking
Remeron. • It may be several weeks before you start to feel better.
Even when you start to feel better do not stop taking Remeron without
first talking to your doctor. • Contact your doctor if you experience
fever chills a sore throat flu-like symptoms or sores in the mouth
or nose. • Use caution when driving operating machinery or performing
other hazardous activities. Remeron may cause drowsiness and dizziness.
If you experience drowsiness or dizziness avoid these activities.
• Dizziness is likely to occur when you rise from a sitting or lying
position. Rise slowly to prevent dizziness and a possible fall.
• Avoid the use of alcohol while taking Remeron. Alcohol may increase
drowsiness and dizziness. • Remeron is available in a regular tablet
formulation (Remeron) that should be swallowed with water. Remeron
is also available in a rapidly-disintegrating formulation (Remeron
SolTab) that will disintegrate rapidly when placed on the tongue
and can be swallowed with or without water. What is Remeron? • Remeron
is in a class of drugs called antidepressants. Remeron affects chemicals
in your brain that may become unbalanced and cause depression. •
Remeron is used to relieve symptoms of depression such as feelings
of sadness worthlessness or guilt; loss of interest in daily activities;
changes in appetite; tiredness; sleeping too much; insomnia; and
thoughts of death or suicide. • Remeron may also be used for purposes
other than those listed in this medication guide. What should I
discuss with my healthcare provider before taking Remeron? • While
you are taking Remeron you may need to be monitored for worsening
symptoms of depression and/ or suicidal thoughts at the start of
therapy or when doses are changed. This concern about the increased
risk of suicidal thoughts or behaviors may be greater if you are
18 years of age or younger and are taking Remeron. In patients younger
than 18 years the period of risk may extend beyond start of therapy
or when doses are changed. Your doctor may want you to monitor for
the following symptoms: anxiety panic attacks difficulty sleeping
irritability hostility impulsivity severe restlessness and mania
(mental and/ or physical hyperactivity). These symptoms may be associated
with the development of worsening symptoms of depression and/ or
suicidal thoughts or actions. Contact your healthcare provider if
you develop any new or worsening mental health symptoms during treatment
with Remeron. Do not stop taking Remeron. • Do not take Remeron
if you are currently taking or have taken within the last 14 days
a monoamine oxidase inhibitor such as isocarboxazid (Marplan) phenelzine
(Nardil) or tranylcypromine (Parnate). • Before taking Remeron tell
your doctor if you have liver disease; have kidney disease; have
a manic-depressive disorder; have blood problems; have high or low
blood pressure or heart disease; have had a heart attack in the
last 6 weeks; or have epilepsy or seizures. • You may not be able
to take Remeron or you may require a dosage adjustment or special
monitoring during treatment if you have any of the conditions listed
above. • The rapidly-disintegrating formulation of Remeron tablets
(Remeron SolTab) contains phenylalanine. People with the disease
phenylketonuria (PKU) need to monitor their intake of this additive.
• Remeron is in the FDA pregnancy category C. This means that it
is not known whether Remeron will harm an unborn baby. Do not take
Remeron without first talking to your doctor if you are pregnant
or could become pregnant during treatment. • It is not known whether
Remeron passes into breast milk. Do not take Remeron without first
talking to your doctor if you are breast-feeding a baby. • If you
are over 60 years of age you may be more likely to experience side
effects such as drowsiness dizziness unsteadiness feeling uncoordinated
and low blood pressure. You may require a lower dose of this medication.
How should I take Remeron? • Take Remeron exactly as directed by
your doctor. If you do not understand these directions ask your
pharmacist nurse or doctor to explain them to you. • Remeron is
available in a regular tablet formulation (Remeron) that should
be swallowed with water. Remeron is also available in a rapidly-disintegrating
formulation (Remeron SolTab) that will disintegrate rapidly when
placed on the tongue and can be swallowed with or without water.
• If you are taking the Remeron rapidly-disintegrating tablets (Remeron
SolTab) open the blister pack with dry hands and use the tablet
immediately after removal from the blister pack. Do not attempt
to split the rapidly-disintegrating tablets. • Remeron is usually
taken once a day preferably at bedtime. Follow your doctor's instructions.
• It may be several weeks before you start to feel better. Even
when you start to feel better do not stop taking Remeron without
first talking to your doctor. • Store Remeron at room temperature
away from moisture and heat. What happens if I miss a dose? • Take
the missed dose as soon as you remember. However if it is almost
time for the next dose skip the missed dose and take only the next
regularly scheduled dose. Do not take a double dose of this medication
unless otherwise directed by your doctor. What happens if I overdose?
• Seek emergency medical attention if an overdose is suspected.
• Symptoms of a Remeron overdose include confusion drowsiness poor
memory and a fast heartbeat. What should I avoid while taking Remeron?
• Use caution when driving operating machinery or performing other
hazardous activities. Remeron may cause drowsiness and dizziness.
If you experience drowsiness or dizziness avoid these activities.
• Dizziness is likely to occur when you rise from a sitting or lying
position. Rise slowly to prevent dizziness and a possible fall.
• Avoid the use of alcohol while taking Remeron. Alcohol may increase
drowsiness and dizziness. What are the possible side effects of
Remeron? • If you experience any of the following serious side effects
stop taking Remeron and call your doctor immediately or seek emergency
medical treatment: an allergic reaction (swelling of the lips face
or tongue; difficulty breathing); seizures; a fast or irregular
heartbeat; or fever chills a sore throat flu-like symptoms or sores
in your mouth or nose. • Other less serious side effects may be
more likely to occur. Continue to take Remeron and talk to your
doctor if you experience drowsiness; nausea; increase in weight
or appetite; dizziness; dry mouth; constipation; or mild tremor.
• Side effects other than those listed here may also occur. Talk
to your doctor about any side effect that seems unusual or that
is especially bothersome. What other drugs will affect Remeron?
• Do not take Remeron if you are currently taking or have taken
within the last 14 days a monoamine oxidase inhibitor such as isocarboxazid
(Marplan) phenelzine (Nardil) or tranylcypromine (Parnate). • Remeron
may increase the effects of other drugs that cause drowsiness including
other antidepressants alcohol antihistamines sedatives (used to
treat insomnia) pain relievers anxiety medicines and muscle relaxants.
Tell your doctor about all medicines that you are taking and do
not take any medicine unless your doctor approves. • Drugs other
than those listed here may also interact with Remeron. Talk to your
doctor and pharmacist before taking any prescription or over-the-counter
medicines including vitamins minerals and herbal products
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