REMERON (Mirtazapine) is prescribed for the treatment of major-depressive disorders. According to neurologists, depression may cause by the deficiency of serotonin, epinephrine, noradrenaline and acetylcholine. REMERON (Mirtazapine) maintains the physiological levels of these neurotransmitters and thereby acts as a mood-stabilizer. REMERON (Mirtazapine) is also prescribed for the treatment of behavioural disorders such as social-phobia, sleep disorders, panic disorders, obsessive-compulsive disorders, anxiety, somnolence, stress, seasonal and cluster headache and psychological pain disorders. As an off-label use, REMERON (Mirtazapine) is prescribed for the treatment of nausea and vomiting, weight loss, psychological anorexia and allergic reactions that are unresponsive to conventional anti-histamines. However, these potential therapeutic benefits are not approved by Food and Drug Administration. REMERON (Mirtazapine) is a tetracyclic anti-depressant drug that is chemically unrelated with other anti-depressant drugs and REMERON (Mirtazapine) is pharmacologically better than all other SSRI and SNRIs.
Who should not take REMERON (Mirtazapine)?
REMERON (Mirtazapine) is contraindicated in patients with abnormal suicidal thoughts, kidney or liver disease, sleeping disorders, decreased blood counts with high serum lipid profile values, behavioural problems, changes in vision with miosis, neurological problems including restless leg syndrome and neuro-irritability, agitation, serious myelodyscrasias, urinary distension, profuse sweating, edema and fainting, sexual dysfunction with nocturnal emissions, abnormal peripheral smear study results and fever with chills. You should not take REMERON (Mirtazapine), if you are taking medication such as propranolol, tramadol and other opioid analgesics, diphenhydramine, oxy or hydrocodone, MAO inhibitors, Valproic acid, imipramine, diazepam, lithium, alprazolam, codeine, amitriptyline, hydroxyzine and St.Johns Wort. No adverse events are reported with REMERON (Mirtazapine) use in pregnancy and breastfeeding. However, you should consult your Physician, if you are pregnant or nursing mother.
REMERON (Mirtazapine) Side Effects:
REMERON (Mirtazapine) can cause abnormal suicidal thoughts, nausea, headache, dizziness, abnormal heart beats, postural hypotension, decreased blood pressure, serum lipid profile alterations, drowsiness, dry mouth, confusion, blood dyscrasias, incomplete defecation and abdominal distension and weight gain. Most of these side effects may vary from one person to another.
How should I take REMERON (Mirtazapine)?
The daily recommended dose of REMERON (Mirtazapine) is 15 to 45 mg and in some of the patients REMERON (Mirtazapine) is well-tolerated for a high dose of 120 mg. However, higher doses should be prescribed under close medical supervision and adverse events monitoring. The following instruction should be followed to take the REMERON (Mirtazapine) – 15 to 45 mg (Daily): (1) You can take REMERON (Mirtazapine) anytime disregard of food intake. 2) Take REMERON (Mirtazapine) while you are sitting or standing up. 3) Take REMERON (Mirtazapine) with 6 to 8 ounces (about 1 cup) of plain water. Do not take REMERON (Mirtazapine) with any other drink besides plain water. Do not take REMERON (Mirtazapine) with coffee, tea, juice, milk or other dairy drinks. 4) Swallow REMERON (Mirtazapine) on a whole. Do not chew the tablet or keep REMERON (Mirtazapine) in your mouth to melt or dissolve. After taking REMERON (Mirtazapine) you must wait at least 30 minutes BEFORE: 1) lying down. You may sit, stand, or do normal activities like read the newspaper or take a walk. 2) Eating or drinking anything except plain water.
Keep taking REMERON (Mirtazapine) for as long as your health care provider tells you. To treat your medical problems or to keep you away from these problems, you have to take REMERON (Mirtazapine) as often and in the way REMERON (Mirtazapine) as prescribed.
What should I know before I take REMERON (Mirtazapine)?
- Take REMERON (Mirtazapine) 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 (Mirtazapine) can be taken with or without food.
- For REMERON (Mirtazapine) dosage one must follow his doctor's instructions.
- It may take one month or more feel the therapeutic benefits of REMERON (Mirtazapine).
- Do not take Over-the-Counter medicines including NSAID and vitamin supplements.
- Do not stop taking REMERON (Mirtazapine) abruptly that may results in withdrawal symptoms.
- If you experience abnormal suicidal behaviour, stop taking REMERON (Mirtazapine) and inform your Physician right away.
- It is important to take REMERON (Mirtazapine) regularly to get the most benefit, as directed by the Physician.
- If you experience any abnormal behavioural problems or it is complained by your friends or relatives, consult your Physician immediately and inform this problem.
- Do not take alcohol or tobacco while taking REMERON (Mirtazapine).
- Do not stop taking REMERON (Mirtazapine) without first talking to your doctor, even if you are feeling well. Even after your symptoms improve, you may require continuous treatment for quite some time, as directed by the Physician.
- Store REMERON (Mirtazapine) as per the instructions on the label and keep away from children and pets.
What happens if I miss a dose of REMERON (Mirtazapine)?
Take the missed dose of REMERON (Mirtazapine) as soon as you remember, during the same day. If you do not remember until the next day, skip the missed dose and take REMERON (Mirtazapine) next day as routine dose. Do not take a double dose of the medication.
What happens if I overdose of REMERON (Mirtazapine)?
If you experience abnormally low blood pressure with low paced heart beats or suicidal thoughts, it may be a symptom of REMERON (Mirtazapine) overdose. In case of REMERON (Mirtazapine) overdose, try to seek emergency medical attention immediately.
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