Remeron
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Remeron®

(mirtazapine) Tablets

 

 

Also see:  Celexa  Elavil  Effexor  Fluoxetine  Lexapro  Paxil  Paxil CR  Prozac  Zoloft   Cymbalta

 

Drug Uses
Remeron Tablets are indicated for the treatment of major depressive disorder. Remeron is used to relieve symptoms of depression such as feelings of sadness, worthlessness, or guilt; loss of interest in daily activities; changes in appetite; tiredness; sleeping too much; insomnia; and thoughts of death or suicide.

How Taken
Remeron is available in a regular tablet formulation (Remeron) that should be swallowed with water. The recommended starting dose for Remeron Tablets is 15 mg/day, administered in a single dose, preferably in the evening prior to sleep.

Warnings/Precautions
Do not take Remeron if you are currently taking, or have taken within the last 14 days, a monoamine oxidase inhibitor. Before taking Remeron, tell your doctor if you have liver disease; have kidney disease; have a manic-depressive disorder; have blood problems; have high or low blood pressure or heart disease; have had a heart attack in the last 6 weeks; or have epilepsy or seizures. You may not be able to take Remeron, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Remeron is in the FDA pregnancy category C. This means that it is not known whether Remeron will harm an unborn baby. Do not take Remeron without first talking to your doctor if you are pregnant. It is not known whether Remeron passes into breast milk. Do not take Remeron without first talking to your doctor if you are breast-feeding a baby. If you are over 60 years of age, you may be more likely to experience side effects such as drowsiness, dizziness, unsteadiness, feeling uncoordinated and low blood pressure. You may require a lower dose of this medication.

Missed Dose
Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take only your next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed by your doctor.

Possible Side Effects
If you experience any of the following serious side effects, stop taking Remeron and call your doctor immediately or seek emergency medical treatment: an allergic reaction (swelling of the lips, face, or tongue; difficulty breathing); seizures; a fast or irregular heartbeat; or fever, chills, a sore throat, flu-like symptoms, or sores in your mouth or nose. Other, less serious side effects may be more likely to occur. Continue to take Remeron If you experience any of the following serious side effects, stop taking Remeron and call your doctor immediately or seek emergency medical treatment: drowsiness; nausea; increase in weight or appetite; dizziness; dry mouth; constipation; or mild tremor. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

Storage
Store at controlled room temperature 20°- 25° C(68°- 77° F). Dispense in a tight, light resistant container.

Overdose
Signs and symptoms reported in association with overdose included disorientation, drowsiness, impaired memory, and tachycardia. There were no reports of ECG abnormalities, coma or convulsions following overdose with Remeron alone. Seek emergency medical attention.

More Information
Use caution when driving, operating machinery, or performing other hazardous activities. Remeron may cause drowsiness and dizziness. If you experience drowsiness or dizziness, avoid these activities. Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall. Avoid the use of alcohol while taking Remeron. Alcohol may increase drowsiness and dizziness.

 


REMERON® (mirtazapine) Tablets are an orally administered drug. Mirtazapine has a tetracyclic chemical structure and belongs to the piperazino-azepine group of compounds. It is designated

1,2,3,4,10,14b-hexahydro-2-methylpyrazino [2,1-a] pyrido [2,3-c] benzazepine

and has the empirical formula of C17H19N3. Its molecular weight is 265.36.

 

Mirtazapine is a white to creamy white crystalline powder which is slightly soluble in water.

 

REMERON® is supplied for oral administration as scored film-coated tablets containing 15 or 30 mg of mirtazapine, and unscored film-coated tablets containing 45 mg of mirtazapine. Each tablet also contains corn starch, hydroxypropyl cellulose, magnesium stearate, colloidal silicon dioxide, lactose, and other inactive ingredients.

 

 

Suicidality and Antidepressant Drugs

Antidepressants increased the risk compared to placebo of suicidal thinking and behavior (suicidality) in children, adolescents, and young adults in short-term studies of major depressive disorder (MDD) and other psychiatric disorders. Anyone considering the use of REMERON® (mirtazapine) Tablets or any other antidepressant in a child, adolescent, or young adult must balance this risk with the clinical need. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age 24; there was a reduction in risk with antidepressants compared to placebo in adults aged 65 and older. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. Patients of all ages who are started on antidepressant therapy should be monitored appropriately and observed closely for clinical worsening, suicidality, or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. REMERON® is not approved for use in pediatric patients. (See WARNINGS: Clinical worsening and suicide risk, PRECAUTIONS: Information for patients and precautions: Pediatric Use)

 

 

 

 

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