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mirtazapine

mirtazapine

Pronunciation: mir TAZ a peen

Brand: Remeron, Remeron SolTab

Mirtazapine 15 mg ODT-TEV

round, white, citrus, imprinted with 7303, 93

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Mirtazapine 15 mg-EON

round, yellow, imprinted with E 20

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Mirtazapine 15 mg-WAT

oblong, white, imprinted with 11 17, WPI

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Mirtazapine 30 mg DT-BAR

round, blue, imprinted with b 242

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Mirtazapine 30 mg-WAT

oval, yellow, imprinted with WPI 1118

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Mirtazapine 45 mg-MYL

round, beige, imprinted with M 545

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Mirtazepine 15 mg-TEV

round, yellow, imprinted with 9 3, 7206

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Mirtazepine 30 mg-TEV

round, brown, imprinted with 9 3, 7207

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Mirtazepine 45 mg-EON

round, white, imprinted with E 222

Image of Mirtazepine 45 mg-EON
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Remeron 30 mg

elliptical, pink, imprinted with Organon, TZ 5

Image of Remeron 30 mg
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Remeron Soltab 30 mg

round, white, imprinted with T Z 2

Image of Remeron Soltab 30 mg
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Mirtazapine 15 mg-APO

oval, yellow, imprinted with APO, MI 15

Image of Mirtazapine 15 mg-APO
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Mirtazapine 30 mg ODT-TEV

round, white, citrus, imprinted with 7304, 93

Image of Mirtazapine 30 mg ODT-TEV
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Mirtazapine 45 mg-WAT

oval, white, imprinted with WPI 1119

Image of Mirtazapine 45 mg-WAT
slide 14 of 27
    

Remeron Soltab 15 mg

round, white, imprinted with T Z 1

Image of Remeron Soltab 15 mg
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Mirtazapine 15 mg-AUR

oblong, yellow, imprinted with A, 8 0

Image of Mirtazapine 15 mg-AUR
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Remeron 15 mg

elliptical, yellow, imprinted with Organon, TZ 3

Image of Remeron 15 mg
slide 17 of 27
    

Remeron 45 mg

oval, white, imprinted with T Z 7, Organon

Image of Remeron 45 mg
slide 18 of 27
    

Mirtazapine 15 mg DT-BAR

round, blue, imprinted with b 241

Image of Mirtazapine 15 mg DT-BAR
slide 19 of 27
    

Mirtazapine 15 mg-MYL

round, beige, imprinted with M 515

Image of Mirtazapine 15 mg-MYL
slide 20 of 27
    

Mirtazapine 30 mg-APO

oval, pink, imprinted with APO, MI 30

Image of Mirtazapine 30 mg-APO
slide 21 of 27
    

Mirtazapine 30 mg-AUR

oblong, red, imprinted with A, 09

Image of Mirtazapine 30 mg-AUR
slide 22 of 27
    

Mirtazapine 30 mg-MYL

round, beige, imprinted with M 530

Image of Mirtazapine 30 mg-MYL
slide 23 of 27
    

Mirtazapine 45 mg-APO

oval, white, imprinted with APO, MI-45

Image of Mirtazapine 45 mg-APO
slide 24 of 27
    

Mirtazapine 45 mg-TEV

round, white, imprinted with 7208, 93

Image of Mirtazapine 45 mg-TEV
slide 25 of 27
    

Mirtazepine 30 mg-EON

round, brown, imprinted with E 212

Image of Mirtazepine 30 mg-EON
slide 26 of 27
    

Remeron Soltab 45 mg

round, white, imprinted with T Z 4

Image of Remeron Soltab 45 mg
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What is the most important information I should know about mirtazapine?

You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Multum emt

Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Multum donot

You should not take this medication if you are allergic to mirtazapine or if you are also taking tryptophan (sometimes called L-tryptophan).

Multum donot

Do not use mirtazapine if you have used an MAO inhibitor within the past 14 days. Serious, life-threatening side effects can occur if you take mirtazapine before the MAO inhibitor has cleared from your body.

Before taking mirtazapine, tell your doctor if you have bipolar disorder, liver or kidney disease, seizures, heart disease, a history of heart attack or stroke, or a history of drug abuse or suicidal thoughts.

Multum finish

It may take up to several weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after 4 weeks of treatment.

Multum noalcohol

Drinking alcohol can increase certain side effects of mirtazapine.

Multum dizzy

Mirtazapine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

What is mirtazapine?

Mirtazapine is an antidepressant. Mirtazapine affects chemicals in the brain that may become unbalanced and cause depression.

Mirtazapine is used to treat major depressive disorder.

Mirtazapine may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking mirtazapine?

Multum donot

You should not take this medication if you are allergic to mirtazapine or if you are also taking tryptophan (sometimes called L-tryptophan).

Multum donot

Do not use mirtazapine if you have taken an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) in the last 14 days. Serious, life threatening side effects can occur if you use mirtazapine before the MAO inhibitor has cleared from your body.

To make sure you can safely take mirtazapine, tell your doctor if you have any of these other conditions:

  • liver or kidney disease;
  • bipolar disorder (manic depression);
  • seizures or epilepsy;
  • low blood pressure or dizzy spells;
  • high cholesterol or triglycerides;
  • heart disease, including angina (chest pain);
  • a history of heart attack or stroke; or
  • a history of drug abuse or suicidal thoughts.

You may have thoughts about suicide while taking an antidepressant, especially if you are younger than 24 years old. Tell your doctor if you have worsening depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.

Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Multum nopreg

FDA pregnancy category C. It is not known whether mirtazapine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

Multum nobrfeed

It is not known whether mirtazapine passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

The orally disintegrating tablet may contain phenylalanine. Talk to your doctor before using this form of mirtazapine if you have phenylketonuria (PKU).

How should I take mirtazapine?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Multum water

Take the regular tablet form of mirtazapine with water.

To take mirtazapine orally disintegrating tablets (Remeron SolTab):

  • Keep the tablet in its blister pack until you are ready to take the medicine. Open the package and peel back the foil from the tablet blister. Do not push a tablet through the foil or you may break the tablet.
  • Using dry hands, remove the tablet and place it in your mouth. It will begin to dissolve right away.
  • Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing.
  • Swallow several times as the tablet dissolves. No water is needed.

Mirtazapine is usually taken once a day at bedtime. Follow your doctor's instructions.

Multum finish

It may take up to several weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after 4 weeks of treatment.

Multum donot

Do not stop using mirtazapine suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using mirtazapine.

Multum rt

Store at room temperature, away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Multum emt

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include confusion, memory problems, drowsiness, and fast heart rate.

What should I avoid while taking mirtazapine?

Multum noalcohol

Drinking alcohol can increase certain side effects of mirtazapine.

Multum dizzy

Mirtazapine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

What are the possible side effects of mirtazapine?

Multum emt

Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Multum emt

Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Multum donot

Call your doctor at once if you have a serious side effect such as:

  • agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination;
  • very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors;
  • feeling like you might pass out;
  • fever, chills, body aches, flu symptoms;
  • white patches or sores inside your mouth or on your lips; or
  • headache, trouble concentrating, memory problems, weakness, or feeling unsteady.

Less serious side effects include:

  • drowsiness, dizziness;
  • increased appetite; or
  • weight gain.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect mirtazapine?

Multum dizzy

Cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures or anxiety can add to sleepiness caused by mirtazapine. Tell your doctor if you regularly use any of these medicines

Many drugs can interact with mirtazapine. Below is just a partial list. Tell your doctor if you are using:

  • cimetidine (Tagamet);
  • conivaptan (Vaprisol);
  • imatinib (Gleevec);
  • isoniazid (for treating tuberculosis);
  • lithium (Eskalith, LithoBid);
  • St. John's wort;
  • tramadol (Ultram, Ultracet);
  • a blood thinner such as warfarin (Coumadin, Jantoven);
  • an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), rifampin (Rifadin, Rifater, Rifamate), or telithromycin (Ketek);
  • an antidepressant such as amitriptyline (Elavil, Vanatrip, Limbitrol), citalopram (Celexa), doxepin (Sinequan), desipramine (Norpramin), desvenlafaxine (Pristiq), fluoxetine (Prozac, Rapiflux, Sarafem, Selfemra, Symbyax), imipramine (Janimine, Tofranil), nefazodone, nortriptyline (Pamelor), paroxetine (Paxil), sertraline (Zoloft), venlafaxine (Effexor), and others;
  • antifungal medication such as itraconazole (Sporanox), ketoconazole (Nizoral), or miconazole (Oravig);
  • heart or blood pressure medication such as nicardipine (Cardene) or quinidine (Quin-G);
  • HIV/AIDS medicine such as atazanavir (Reyataz), delavirdine (Rescriptor), indinavir (Crixivan), nelfinavir (Viracept), saquinavir (Invirase), or ritonavir (Norvir, Kaletra);
  • migraine headache medicine such as almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), or zolmitriptan (Zomig);
  • seizure medication such as carbamazepine (Carbatrol, Equetro, Tegretol) or phenytoin (Dilantin);

This list is not complete and other drugs may interact with mirtazapine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about mirtazapine.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2014 Cerner Multum, Inc. Version: 7.01. Revision date: 1/16/2012.

Your use of the content provided in this service indicates that you have read, understood and agree to the End-User License Agreement, which can be accessed by clicking on this link.

This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.

Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.

Last modified on: 21 November 2014


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