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Remeron

What is Remeron?

Mirtazapine, sold under the brand name Remeron, 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.

What special precautions should I follow?

Before taking mirtazapine you should:
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.
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 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 or anyone in your family has thought about or attempted suicide
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
Tell the doctor or dentist that you are taking mirtazapine, if you are having surgery, including dental surgery
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

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.

Mirtazapine (Remeron) 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

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