Mirtazapine tablets
What do mirtazapine tablets do?
MIRTAZAPINE (Remeron(R), Remeron(R) SolTab(TM)) is an antidepressant, a medicine that helps to lift mental depression and relieve anxiety. Mirtazapine is not like other antidepressants. Mirtazapine may be used for treating some types of tremors.
What should my health care professional know before I take mirtazapine?
They need to know if you have any of these conditions:
• diabetes
• heart disease, or irregular heart beats
• high blood cholesterol or triglycerides
• kidney disease
• liver disease
• low blood pressure
• mania
• phenylketonuria
• receiving electroconvulsive therapy
• seizures (convulsions)
• stroke
• suicidal thoughts
• an unusual or allergic reaction to mirtazapine, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding
How should I take this medicine?
Take mirtazapine tablets by mouth. Follow the directions on the prescription label and for the type of product you are taking (see below). Because mirtazapine can cause drowsiness and improve sleep, it is often taken before bed. Do not take your medicine more often than directed. Do not stop taking the tablets except on your prescriber's advice.
Remeron(R) tablets: Take these tablets by mouth, do not chew. Swallow the tablets with a drink of water.
Remeron(R) SolTab(TM) tablets: These tablets are made to dissolve in the mouth without having to take them with water. Place the tablet in the mouth and allow it to dissolve, then swallow. While you may take these tablets with water, it is not necessary to do so.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What other medicines can interact with mirtazapine?
Do not take mirtazapine with any of the following medications:
• medicines called MAO inhibitors - phenelzine (Nardil(R)), tranylcypromine (Parnate(R)), isocarboxazid (Marplan(R)), selegiline (Eldepryl(R))
Mirtazapine may also interact with the following medications:
• alcohol
• amphetamines
• clonidine
• cocaine
• furazolidone
• herbal therapies, like St. John's wort, kava kava, tryptophan, or valerian
• linezolid
• medicines for sleep
• medicines for mental depression, anxiety, or other mood problems
• medicines for high blood pressure
• medicines for pain
• muscle relaxants
• procarbazine
• some medicines for allergies, colds, flu, or sinus trouble
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
What side effects may I notice from taking mirtazapine?
Side effects that you should report to your prescriber or health care professional as soon as possible:
• confusion
• difficulty breathing
• difficulty passing urine
• dizziness or lightheadedness
• emotional changes or unusual thoughts
• fever, easy-bruising, sore throat, or mouth ulcers or blisters
• flu-like symptoms (fever, chills, cough, muscle or joint aches and pains)
• irregular heartbeat (palpitations)
• swelling of the hands or feet
• unusual tiredness or weakness
• vomiting
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
• back pain
• dry mouth
• constipation
• drowsiness
• increased appetite
• nausea
• weight gain