Brand Names: Remeron, Remeron SolTab

Generic Name: mirtazapine (Pronunciation: mir TAZ a peen)

• 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 is mirtazapine (Remeron)?

Mirtazapine is an antidepressant. Mirtazapine affects chemicals in the brain that may become unbalanced and cause depression.

Mirtazapine is used to treat major depressive disorder.

Mirtazapine may also be used for other purposes not listed in this medication guide.

Mirtazapine 15 mg DT-BAR

round, blue, imprinted with b 241

Mirtazapine 15 mg ODT-TEV

round, white, citrus, imprinted with 7303, 93

Mirtazapine 15 mg-APO

oval, yellow, imprinted with APO, MI 15

Mirtazapine 15 mg-AUR

oblong, yellow, imprinted with A, 8 0

Mirtazapine 15 mg-EON

round, yellow, imprinted with E 20

Mirtazapine 15 mg-MYL

round, beige, imprinted with M 515

Mirtazapine 15 mg-WAT

oblong, white, imprinted with 11 17, WPI

Mirtazapine 30 mg DT-BAR

round, blue, imprinted with b 242

Mirtazapine 30 mg ODT-TEV

round, white, citrus, imprinted with 7304, 93

Mirtazapine 30 mg-APO

oval, pink, imprinted with APO, MI 30

Mirtazapine 30 mg-AUR

oblong, red, imprinted with A, 09

Mirtazapine 30 mg-MYL

round, beige, imprinted with M 530

Mirtazapine 30 mg-WAT

oval, yellow, imprinted with WPI 1118

Mirtazapine 45 mg-APO

oval, white, imprinted with APO, MI-45

Mirtazapine 45 mg-MYL

round, beige, imprinted with M 545

Mirtazapine 45 mg-TEV

round, white, imprinted with 7208, 93

Mirtazapine 45 mg-WAT

oval, white, imprinted with WPI 1119

Mirtazepine 15 mg-TEV

round, yellow, imprinted with 9 3, 7206

Mirtazepine 30 mg-EON

round, brown, imprinted with E 212

Mirtazepine 30 mg-TEV

round, brown, imprinted with 9 3, 7207

Mirtazepine 45 mg-EON

round, white, imprinted with E 222

Remeron 15 mg

elliptical, yellow, imprinted with Organon, TZ 3

Remeron 30 mg

elliptical, pink, imprinted with Organon, TZ 5

Remeron 45 mg

oval, white, imprinted with T Z 7, Organon

Remeron Soltab 15 mg

round, white, imprinted with T Z 1

Remeron Soltab 30 mg

round, white, imprinted with T Z 2

Remeron Soltab 45 mg

round, white, imprinted with T Z 4

What are the possible side effects of mirtazapine (Remeron)?

Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have a serious side effect such as:

• agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting;
• fever, chills, body aches, flu symptoms;
• white patches or sores inside your mouth or on your lips; or
• headache, trouble concentrating, memory problems, weakness, feeling unsteady, or confusion.

Less serious side effects include:

• drowsiness, dizziness;
• increased appetite; or
• weight gain.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Read the Remeron (mirtazapine) Side Effects Center for a complete guide to possible side effects »

What is the most important information I should know about mirtazapine (Remeron)?

You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

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 used an MAO inhibitor within the past 14 days. Serious, life-threatening side effects can occur if you take mirtazapine before the MAO inhibitor has cleared from your body.

Before taking mirtazapine, tell your doctor if you have bipolar disorder, liver or kidney disease, seizures, heart disease, a history of heart attack or stroke, or a history of drug abuse or suicidal thoughts.

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.

Drinking alcohol can increase certain side effects of mirtazapine.

Mirtazapine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.