Mirtazapine is used to treat depression. It improves mood and emotions of well-being. Mirtazapine is an antidepressant that actually works by restoring the balance of natural chemicals (neurotransmitters) in the brain.
Read the Medication Guide provided by your pharmacist before you start using mirtazapine and each time you get a refill because new information may be available. If you have any relevant questions regarding the details, consult with your doctor or pharmacist.
Take this medication by lips, with or without food, often as soon as daily at bedtime or as directed by your doctor. The dosage is considering your condition that is medical and to therapy, but should maybe not exceed 45 milligrams per day.
Use this medication regularly so that you can obtain the most benefit from it. Remember to use it at the time that is same day. It might take between 1-4 weeks to notice improvement in your symptoms. Therefore, do not increase your dose or take it more often than prescribed.
It's important to continue taking this medication even if you feel well. Don't stop using this medication without consulting your medical professional. Some conditions may become worse once the drug is abruptly stopped. Your dose may gradually need to be decreased.
Inform your doctor if your problem persists or worsens.
See additionally the Warning section.
Dizziness, drowsiness, lightheadedness, increased appetite, fat gain, dry mouth, or constipation may occur. If any of these results persist or worsen, tell your doctor or pharmacist promptly.
To relieve mouth that is dry suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, take in water or make use of a saliva substitute.
Keep in mind that your physician has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of adverse effects. Many people using this medication do not have serious adverse effects.
Tell your physician right away when you have any serious adverse impacts, including: swelling for the hands/feet, shaking (tremor), confusion, signs of disease (e.g., fever, persistent sore throat).
Get medical help right away when you have any very serious part effects, including: fast/irregular heartbeat, severe dizziness, fainting, attention pain/swelling/redness, vision modifications (such as seeing rainbows around lights at night, blurred vision).
This medication may increase serotonin and seldom cause an extremely serious condition called serotonin syndrome/toxicity. The risk increases you take (see Drug Interactions section) if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs. Get medical help right away if you develop a number of the following symptoms: fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.
A very serious allergic reaction to this drug is rare. However, get help that is medical away if you notice any signs and symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is simply not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
Within the US -
Call your doctor for medical advice about adverse effects. You may report adverse effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your physician for medical advice about side-effects. You may report side effects to Health Canada at 1-866-234-2345.
Before taking this medication, tell your doctor or pharmacist if you are allergic to it, or if you have any other allergies. This product may contain ingredients that are inactive which can cause allergy symptoms or other problems. Talk to your pharmacist to get more details.
Before applying this medication, inform your doctor or pharmacist your medical history, especially of: history or genealogy and family history of psychiatric disorders (e.g., bipolar/manic-depressive disorder), history or genealogy and family history of suicide attempts, liver infection, kidney disease, seizures, high bloodstream cholesterol or triglyceride levels, heart problems (e.g., recent heart attack, angina), stroke, severe loss of body fluids (dehydration), low blood pressure levels, personal or genealogy and family history of glaucoma (angle-closure kind).
Mirtazapine may cause a condition which affects the center rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other signs (such as severe dizziness, fainting) that require medical attention right away.
The risk of QT prolongation can be increased when you yourself have particular medical conditions or are taking other drugs that may cause QT prolongation. Before using mirtazapine, inform your medical practitioner or pharmacist of most the medications you take and if you have of the following conditions: certain heart related illnesses (heart failure, slow heartbeat, QT prolongation within the EKG), household history of certain heart problems (QT prolongation into the EKG, sudden cardiac death).
Low levels of potassium or magnesium in the bloodstream may increase your risk also of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. Speak to your doctor about using mirtazapine safely.
This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness you can perform such activities safely until you are sure. Limit alcoholic beverages.
To minimize dizziness and lightheadedness, get fully up slowly when rising from a seated or position that is lying.
Older adults may be much more responsive to the relative side ramifications of this drug, especially drowsiness and QT prolongation (see above).
This medication should be utilized only when plainly needed during maternity. If this medication is used over the last a couple of months of maternity, infrequently your newborn may develop signs feeding that is including breathing difficulties, seizures, muscle stiffness, jitteriness or constant crying. Report any such symptoms to your medical professional promptly. However, since untreated mental/mood disorders (such as for instance depression) may be a condition that is serious do not stop taking this medication unless your doctor directs you to do so. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss with your doctor the benefits and risks of using this medication during pregnancy.
It is not known whether this drug passes into breast milk. Consult your doctor before breast-feeding.
Airmail: 2-3 weeks, EMS: 3-8 business days.