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Remeron for Depression.
The following information is intended to supplement, not
substitute, the expertise and judgment of your physician,
pharmacist or other healthcare professional. It should not be
construed to indicate that using Remeron is safe or appropriate
for you.
People seeking depression relief should carefully evaluate Remeron
information and side effects before deciding to take Remeron.
Consult your healthcare professional before using mirtazapine.
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What is Remeron used for? Remeron is in a class of
antidepressant drugs used to relieve symptoms of depression.
General Remeron Precautions:
_ Remeron may cause dizziness. If you experience dizziness, avoid
driving, operating machinery, or performing other hazardous
activities.
_ Rise slowly when rising from a sitting or lying position to
prevent dizziness or possible falls.
_ Do not take Remeron if you have taken a monoamine oxidase
inhibitor (MAOI) within the last 14 days. A dangerous drug
interaction can occur if combined with MAO inhibitors.
_ It is not known whether Remeron will harm an unborn baby or a
nursing baby.
_ Mirtazapine may impair judgment, thinking, or motor skills.
Patients using Remeron should exercise caution until they have
adapted to therapy.
_ If you skip the missed dose and take only the next one as
directed. Do not take a double dose of mirtazapine. Overdose is
possible.
FDA Warnings for Remeron: The FDA issued a public health
alert for Remeron in March 2004 warning that this antidepressant
can lead to deeper depression and suicide. The FDA recommends that
health care providers warn patients, their families and their
caregivers to be alert for agitation, irritability, suicide and
worsening depression while using Remeron. The FDA also recommends
that health care providers closely monitor adult and children
treated with mirtazapine for worsening of depression or suicidal
tendencies, especially at the beginning of therapy or when the
dose either increases or decreases.
The FDA issued a Public Health Advisory in October 2003 about
increased reports of suicidal thinking, suicide attempts,
hostility and self-harm in children using Remeron. The FDA urges
that Remeron be used with caution in children. Parents of children
using Remeron should consult the prescribing physician immediately
to discuss the suicide risks involved in taking Remeron.
It should be noted that the safety and effectiveness of Remeron in
pediatric patients has not been established. In clinical trials,
only Prozac (fluoxetine) has been found effective for children.
Remeron can cause serious side
effects. Only you can decide if Remeron is the best means of
treating depression symptoms. It is important for people currently
taking Remeron to discuss side effect concerns with their
physician. You are more likely to experience side effects such as
drowsiness, dizziness, unsteadiness, feeling uncoordinated, and
low blood pressure if over the age of 60.
Remeron Side Effects:
_ Flu-like symptoms.
_ Sores in mouth or nose.
_ Dizziness.
_ Tremors.
_ Increase in appetite or weight.
_ Weakness.
_ Chills or fever.
_ Nausea.
_ Dry mouth.
_ Constipation.
Contact your doctor immediately if you experience: An
allergic reaction (difficulty breathing; closing of the throat;
swelling of the lips, face, or tongue; or hives). Stop taking
Remeron and contact your doctor immediately or seek emergency
medical treatment if you also experience a fast or irregular
heartbeat, high blood pressure (blurred vision, headache), low
blood pressure (dizziness, weakness), chills or fever. Contact
your doctor if you experience yellowing of the skin or eyes,
fever, chills, flu-like symptoms, a sore throat or sores in the
mouth or nose.
Before taking Remeron, tell your doctor if you have or have
had:
_ Seizures.
_ Liver disease.
_ Kidney disease.
_ Heart disease.
_ High or low blood pressure.
_ A heart attack in the last six weeks.
_ A manic-depressive disorder.
_ Blood problems.
_ Suicidal thoughts.
What should I avoid while taking Remeron?
_ Use alcohol cautiously while taking Remeron. Alcohol may
increase drowsiness and dizziness.
Symptoms of overdose may include: Symptoms of a Remeron
overdose include confusion, drowsiness, poor memory and a fast
heartbeat.
What other drugs will affect Remeron? Remeron can increase
the effects of other drugs that cause drowsiness, including
alcohol, other antidepressants, antihistamines, anxiety medicines,
muscle relaxants, pain relievers and sedatives. If taking Remeron,
talk to your doctor and pharmacist before taking any prescription
or over-the-counter medicines. Do not take mirtazapine with other
prescription, over-the-counter medicines or natural supplements
without your doctor’s approval.
*This antidepressant drug
information does not endorse Remeron, diagnose patients or
recommend therapy. The information contained herein is not
intended to cover all possible warnings, uses, precautions, drug
interactions, allergic reactions, or adverse side effects of
Remeron. If you have questions about the drugs you are taking,
check with your health care provider or pharmacist. The
information provided should not be construed to indicate that
Remeron is safe, effective or appropriate.
Do not stop taking Remeron without first talking to your doctor.
Your doctor may need to gradually reduce the dose before stopping
Remeron completely. Suddenly stopping mirtazapine may cause
unpleasant and potentially serious side effects.
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