Information on Tablets A-Z
Brand Names:Remeron®; Remeron® SolTab®
IMPORTANT WARNING:Studies have shown that children and teenagers who take antidepressants ('mood elevators') such as mirtazapine are more likely to think about harming or killing themselves or to plan or try to do so than children who do not take antidepressants. Children younger than 18 years of age should not normally take mirtazapine.If your child’s doctor has prescribed mirtazapine for your child, you should watch his or her behavior very carefully, especially at the beginning of treatment and any time his or her dose is increased or decreased. Your child may develop serious symptoms very suddenly, so it is important to pay attention to his or her behavior every day. Call your child’s doctor right away if he or she experiences any of these symptoms: new or worsening depression; thinking about harming or killing him- or herself or planning or trying to do so; extreme worry; agitation; panic attacks; difficulty falling or staying asleep; irritability; aggressive behavior; acting without thinking; severe restlessness; frenzied, abnormal excitement; or any other sudden or unusual changes in behavior.Your child’s doctor will want to see your child often while he or she is taking mirtazapine, especially at the beginning of his or her treatment .Your child’s doctor may also want to speak with you or your child by telephone from time to time. Be sure that your child keeps all appointments for office visits or telephone conversations with his or her doctor.Talk to your child’s doctor about the risks of giving mirtazapine to your child.
Medication prescribed:Mirtazapine, an antidepressant or mood elevator, is used to treat depression. Mirtazapine is in a class of medications called antidepressants It works by increasing certain types of activity in the brain.
How should this medicine be used:Mirtazapine comes as a tablet and as a disintegrating tablet to take by mouth. It usually is taken once a day at bedtime. It may be taken with or without food. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take mirtazapine exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor. To take a mirtazapine disintegrating tablet, open the blister pack with dry hands and place the tablet on your tongue. The tablet will disintegrate on the tongue and can be swallowed with saliva. No water is needed to swallow disintegrating tablets. Once the tablet is removed from the blister pack, it cannot be stored. Do not split mirtazapine disintegrating tablets. Continue to take mirtazapine even if you feel well. Do not stop taking mirtazapine without talking to your doctor, especially if you have taken large doses for a long time. Your doctor probably will decrease your dose gradually. This drug must be taken regularly for a few weeks before its full effect is felt. Your doctor or pharmacist will give you the manufacturer’s patient information sheet when you begin treatment with mirtazapine. Read the information carefully and ask your doctor or pharmacist if you have any questions.
Other uses for this medicine:This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.
Special precautions:Before taking mirtazapine, tell your doctor and pharmacist if you are allergic to mirtazapine or any other drugs. tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially diazepam (Valium) and vitamins. Do not take mirtazapine if you are taking an MAO inhibitor [phenelzine (Nardil) or tranylcypromine (Parnate)]; these drugs need to be stopped 14 days before starting mirtazapine. tell your doctor if you have or have ever had, or anyone in your family has or has ever had, depression, bipolar disorder (mood that changes from depressed to abnormally excited), or mania (frenzied, abnormally excited mood), or if you have or anyone in your family has thought about or attempted suicide. Also tell your doctor if you have or have ever had a heart attack, low blood pressure, heart or liver disease, phenylketonuria, or high cholesterol. tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking mirtazapine, call your doctor. if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking mirtazapine. you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you. remember that alcohol can add to the drowsiness caused by this drug. you should know that your mental health may change in unexpected ways, especially at the beginning of your treatment and at any time your dose is increased or decreased. These changes may occur at any time if you have depression or other mental illness, whether or not you are taking mirtazapine or any other medication. You, your family, or your caregiver should call your doctor right away if you experience any of the following symptoms: new or worsening depression; thinking about harming or killing yourself or planning or trying to do so; extreme worry; agitation; panic attacks; difficulty falling or staying asleep; irritability; aggressive behavior; acting without thinking; severe restlessness; and frenzied, abnormal excitement. Be sure that your family or caregiver knows which symptoms may be serious so they can call the doctor when you are unable to seek treatment on your own.
If I forget a dose:Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
What side effects:Although side effects from mirtazapine are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away: drowsiness dizziness anxiousness confusion increased weight and appetite dry mouth constipation upset stomach vomiting If you experience any of the following symptoms or those listed in the IMPORTANT WARNING section, call your doctor immediately: flu-like symptoms, fever, chills, sore throat, mouth sores, or other signs of infection chest pain fast heartbeat seizures
What storage conditions:Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.
In case of overdose:In case of overdose, call your local poison control center. If the victim has collapsed or is not breathing, call local emergency services at 911.
Other information:Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to check your response to mirtazapine. Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
More information: Mirtazapine