Mirtazapine is used to treat depression. It improves mood and emotions of well-being. Mirtazapine is an antidepressant that works by restoring the total amount of natural chemicals (neurotransmitters) in the mind.
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 information, consult your physician or pharmacist.
Take this medicine by lips, with or without food, frequently as soon as daily at bedtime or as directed by your doctor. The dosage is according to your medical condition and response to therapy, but should not surpass 45 milligrams per day.
Use this medicine frequently so that you can have the benefit that is most from it. Remember to use it at the time that is same day. It may 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 is important to continue using this medicine even if you feel well. Do not stop taking this medication without consulting your physician. Some conditions may be worse whenever drug is abruptly stopped. Your dosage may gradually need to be reduced.
Inform your doctor if your condition 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 impacts persist or aggravate, tell your doctor or pharmacist promptly.
To relieve mouth that is dry suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water or utilize a saliva substitute.
Remember that your medical professional has prescribed this medicine because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious adverse effects.
Tell your physician straight away when you yourself have any serious side results, including: inflammation of the hands/feet, shaking (tremor), confusion, indications of illness (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, eye pain/swelling/redness, vision changes (such as seeing rainbows around lights at night, blurred vision).
This medication may increase serotonin and rarely 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 immediately 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, uncommon agitation/restlessness.
A tremendously serious reaction that is allergic this drug is rare. However, get help that is medical away if you observe any outward indications of a significant allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This isn't a list that is complete of adverse effects. If you notice other effects not listed above, contact your pharmacist or doctor.
Within the US -
Call your doctor for medical advice about adverse effects. You may report effects that are side FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your physician for medical advice about unwanted effects. You could report effects that are side Health Canada at 1-866-234-2345.
Before taking this medication, tell your physician or pharmacist if you are allergic to it, or if you have any other allergies. This product may contain inactive ingredients, which can cause allergy symptoms or other problems. Speak to your pharmacist for more details.
Before applying this medication, tell your physician or pharmacist your medical history, especially of: history or genealogy of psychiatric disorders (e.g., bipolar/manic-depressive disorder), history or genealogy and family history of committing suicide attempts, liver illness, kidney disease, seizures, high blood cholesterol or triglyceride levels, cardiovascular disease (age.g., present heart attack, angina), stroke, severe loss of body fluids (dehydration), low blood pressure, personal or family history of glaucoma (angle-closure kind).
Mirtazapine might cause a state of being which affects the center rhythm (QT prolongation). QT prolongation can rarely cause serious (hardly ever fatal) fast/irregular heartbeat and other signs (such as severe dizziness, fainting) that need medical help immediately.
The risk of QT prolongation could be increased when you yourself have particular conditions that are medical are taking other drugs which will cause QT prolongation. Before using mirtazapine, tell your physician or pharmacist of most the medications you take of course you have of the following conditions: certain heart related illnesses (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).
Minimal quantities of potassium or magnesium within the blood may also increase your risk of QT prolongation. This risk may increase if you have conditions such as severe sweating, diarrhea, or vomiting if you use certain drugs (such as diuretics/"water pills") or. Talk 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 beverages that are alcoholic.
To reduce dizziness and lightheadedness, get up slowly whenever increasing from a seated or lying position.
Older adults may become more responsive to the relative part ramifications of this drug, especially drowsiness and QT prolongation (see above).
This medication should be used only when obviously needed during maternity. If this medication is used over the past a few months of pregnancy, infrequently your newborn may develop symptoms including feeding or breathing difficulties, seizures, muscle stiffness, jitteriness or constant crying. Report any symptoms that are such your physician quickly. However, since untreated mental/mood disorders (such as for example despair) are a serious condition, 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 isn't known whether this drug passes into breast milk. Consult your physician before breast-feeding.
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Airmail: 2-3 business weeks, EMS: 3-8 business days.