Use the medicine exactly as directed. Do not stop using mirtazapine suddenly , or you could have unpleasant symptoms such as agitation, confusion, tingling or electric shock feelings. Ask your doctor how to safely stop using this medicine. Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.
Overdose symptoms may include confusion, memory problems, drowsiness, and fast heart rate. You may start to notice an improvement in symptoms after about a week of using mirtazapine, but it usually takes between four to six weeks to experience the full benefits. Your dosage of mirtazapine will depend on your medical condition, your response to the treatment, and other factors.
Your doctor might start you on a lower dose of this medicine and increase it, up to a maximum of 45 milligrams mg per day. Health Topics. Health Tools. Mirtazapine Remeron. Reviewed: January 18, Mirtazapine is a medicine used to treat depression. The U. Tell your doctor if you have ever had: low white blood cell counts; glaucoma; liver or kidney disease; low sodium levels in your blood; a seizure; depression, suicidal thoughts or actions; bipolar disorder manic depression in you or a family member; heart problems or stroke; high cholesterol or triglycerides; long QT syndrome in you or a family member ; or low blood pressure.
Tell your doctor if you are pregnant or breastfeeding. Not approved for use by anyone younger than 18 years old. Side Effects. Side Effects What are the side effects of Mirtazapine Remeron? How to tell if the drug is working: You should have decreased symptoms of depression and be in a better mood. Note that it may take 4 weeks before this drug works to treat your depression. A prescription for this medication is refillable.
You should not need a new prescription for this medication to be refilled. Your doctor will write the number of refills authorized on your prescription. You and your doctor should monitor certain health issues while you take this drug. This can help make sure you stay safe during your treatment.
These issues include:. Not every pharmacy stocks this drug. When filling your prescription, be sure to call ahead to make sure your pharmacy carries it.
Many insurance companies require a prior authorization for this drug. This means your doctor will need to get approval from your insurance company before your insurance company will pay for the prescription. There are other drugs available to treat your condition. Some may be better suited for you than others. Talk to your doctor about other drug options that may work for you. Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up-to-date.
However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or other healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.
Depression is a common mental health problem that involves a low mood and a loss of interest in activities. Learn more about the symptoms, different…. Doctors often prescribe medications and counseling, but diet can also make a difference. Mirtazapine is a tetracyclic antidepressant that is available under the brand name Remeron.
In this article, we provide an overview of mirtazapine…. Find out about the different types of antidepressants, how they work, any adverse effects, when you can take them, and the alternatives available. Some people experience anxiety and depression at the same time. In this article, learn about how they are linked, the differences between them, and…. Important warnings. What is mirtazapine? How it works. Mirtazapine side effects. Mirtazapine may interact with other medications.
Mirtazapine warnings. How to take mirtazapine. Take as directed. Important considerations for taking mirtazapine. Are there any alternatives? Depression Drugs. Latest news Adolescent depression: Could school screening help?
Exposure to air pollutants may amplify risk for depression in healthy individuals. Related Coverage. You may also ask a family member or friend to remind you or check in with you to be sure you are taking your medication.
If you miss a dose of mirtazapine, take it as soon as you remember, unless it is closer to the time of your next dose. Discuss this with your health care provider. Do not double your next dose or take more than what is prescribed.
Avoid drinking alcohol or using illegal drugs while you are taking antidepressant medications. They may decrease the benefits e. If an overdose occurs, call your doctor or You may need urgent medical care. You may also contact the poison control center at Angle closure glaucoma symptoms of angle closure glaucoma may include eye pain, changes in vision, swelling or redness in or around eye Agranulocytosis low white blood cell count can increase the risk of infection.
If you develop symptoms of infection, such as fever, chills, sore throat, swelling of the lining the mouth or other possible signs of infection, contact your prescriber. Serotonin syndrome symptoms may include shivering, diarrhea, confusion, severe muscle tightness, fever, seizures, and death , seizures.
To date, there are no known problems associated with long term use of mirtazapine. It is a safe and effective medication when used as directed. Mirtazapine should not be taken with or within 2 weeks of taking monoamine oxidase inhibitors MAOIs. Sleep, energy, or appetite may show some improvement within the first weeks. Improvement in these physical symptoms can be an important early signal that the medication is working. Depressed mood and lack of interest in activities may need up to weeks to fully improve.
Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. This risk may persist until significant remission occurs. In short-term studies, antidepressants increased the risk of suicidality in children, adolescents, and young adults when compared to placebo.
Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age Adults age 65 and older taking antidepressants have a decreased risk of suicidality. Patients, their families, and caregivers should be alert to the emergence of anxiety, restlessness, irritability, aggressiveness and insomnia. All patients being treated with antidepressants for any indication should watch for and notify their health care provider for worsening symptoms, suicidality and unusual changes in behavior, especially during the first few months of treatment.
Last Updated: January This information is being provided as a community outreach effort of the College of Psychiatric and Neurologic Pharmacists. This information is for educational and informational purposes only and is not medical advice. This information contains a summary of important points and is not an exhaustive review of information about the medication.
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