" Antidepressants are designed to boost mood and relieve sadness, but for some patients, their side effects fuel another emotion: frustration. Just ask Maryland resident Jane Niziol. Her doctor prescribed Paxil after a difficult breakup "...
Remeron Patient Information including How Should I Take
In this Article
- What is mirtazapine (Remeron)?
- What are the possible side effects of mirtazapine (Remeron)?
- What is the most important information I should know about mirtazapine (Remeron)?
- What should I discuss with my healthcare provider before taking mirtazapine (Remeron)?
- How should I take mirtazapine (Remeron)?
- What happens if I miss a dose (Remeron)?
- What happens if I overdose (Remeron)?
- What should I avoid while taking mirtazapine (Remeron)?
- What other drugs will affect mirtazapine (Remeron)?
- Where can I get more information?
What should I discuss with my healthcare provider before taking mirtazapine (Remeron)?
You should not take this medication if you are allergic to mirtazapine or if you are also taking tryptophan (sometimes called L-tryptophan).
Do not use mirtazapine if you have taken an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) in the last 14 days. Serious, life threatening side effects can occur if you use mirtazapine before the MAO inhibitor has cleared from your body.
To make sure you can safely take mirtazapine, tell your doctor if you have any of these other conditions:
- liver or kidney disease;
- bipolar disorder (manic depression);
- seizures or epilepsy;
- low blood pressure or dizzy spells;
- high cholesterol or triglycerides;
- heart disease, including angina (chest pain);
- a history of heart attack or stroke; or
- a history of drug abuse or suicidal thoughts.
You may have thoughts about suicide while taking an antidepressant, especially if you are younger than 24 years old. Tell your doctor if you have worsening depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.
Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
FDA pregnancy category C. It is not known whether mirtazapine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.
It is not known whether mirtazapine passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
The orally disintegrating tablet may contain phenylalanine. Talk to your doctor before using this form of mirtazapine if you have phenylketonuria (PKU).
How should I take mirtazapine (Remeron)?
Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.
Take the regular tablet form of mirtazapine with water.
To take mirtazapine orally disintegrating tablets (Remeron SolTab):
- Keep the tablet in its blister pack until you are ready to take the medicine. Open the package and peel back the foil from the tablet blister. Do not push a tablet through the foil or you may break the tablet.
- Using dry hands, remove the tablet and place it in your mouth. It will begin to dissolve right away.
- Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing.
- Swallow several times as the tablet dissolves. No water is needed.
Mirtazapine is usually taken once a day at bedtime. Follow your doctor's instructions.
It may take up to several weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after 4 weeks of treatment.
Do not stop using mirtazapine suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using mirtazapine.
Store at room temperature, away from moisture and heat.
Additional Remeron Information
- Remeron Drug Interactions Center: mirtazapine oral
- Remeron Side Effects Center
- Remeron Overview including Precautions
- Remeron FDA Approved Prescribing Information including Dosage
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