Mirtazapine is used to treat depression. It improves mood and feelings of wellbeing. Mirtazapine is an antidepressant that works by restoring the balance of natural chemicals (neurotransmitters) in the brain.
Read the drugs Guide provided by your pharmacist you get a refill because new information may be available before you start using mirtazapine and each time. If you have any relevant questions regarding the data, consult your physician or pharmacist.
Just take this medicine by lips, with or without food, usually once daily at bedtime or as directed by your doctor. The dosage is based on your condition that is medical and to therapy, but should maybe not exceed 45 milligrams a day.
Use this medication regularly so that you can have the benefit that is most from it. Remember to use it at the same time each 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 is important to continue using this medicine even if you feel well. Do not stop using this medication without consulting your physician. Some conditions may be worse as soon as the medication is suddenly stopped. Your dosage may need to be gradually reduced.
Inform your doctor if your trouble persists or worsens.
See also the Warning part.
Dizziness, drowsiness, lightheadedness, increased appetite, weight gain, dry lips, or constipation may occur. If any of these effects persist or worsen, tell your pharmacist or doctor promptly.
To alleviate dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, take in water or use a saliva substitute.
Remember that your physician has prescribed this medication she has judged that the benefit to you is greater than the risk of adverse effects because he or. Many people using this medication do not have side that is serious.
Tell your doctor right away if you have any serious side effects, including: swelling of the hands/feet, shaking (tremor), confusion, signs of infection (age.g., fever, persistent sore neck).
Get medical help right away if you have any very serious part effects, including: fast/irregular heartbeat, serious dizziness, fainting, attention pain/swelling/redness, vision modifications (such as seeing rainbows around lights during the night, blurred vision).
This medication may increase serotonin and hardly ever cause a very condition that is serious 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 some of the following symptoms: fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, uncommon agitation/restlessness.
A really serious reaction that is allergic this drug is rare. However, get help that is medical away if you observe any signs and symptoms of a serious allergic response, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
It is not a list that is complete of 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 medical professional for medical advice about adverse effects. You may report effects that are side 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 inactive ingredients, which trigger allergic reactions or other problems. Confer with your pharmacist for more details.
Before by using this medication, inform your medical practitioner 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 of committing suicide attempts, liver infection, kidney disease, seizures, high blood cholesterol or triglyceride amounts, heart problems (e.g., present heart attack, angina), stroke, severe loss of body liquids (dehydration), low blood circulation pressure, personal or family history of glaucoma (angle-closure kind).
Mirtazapine might cause a condition which affects one's heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention straight away.
The possibility of QT prolongation may be increased when you yourself have particular medical conditions or are taking other drugs that could cause QT prolongation. Before using mirtazapine, tell your medical practitioner or pharmacist of most the medications you are taking of course you have any of the following conditions: certain heart disease (heart failure, slow heartbeat, QT prolongation in the EKG), household history of certain heart problems (QT prolongation into the EKG, sudden cardiac death).
Minimal degrees of potassium or magnesium into 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. 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 alcoholic beverages.
To attenuate dizziness and lightheadedness, get fully up slowly when increasing from a seated or lying position.
Older adults may become more sensitive to the relative part ramifications of this drug, especially drowsiness and QT prolongation (see above).
This medication should be used just when clearly needed during maternity. If this medication is used over the last a few months of maternity, infrequently your newborn may develop symptoms 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 (particularly despair) can be 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 understood whether this drug passes into breast milk. Consult your doctor before breast-feeding.
Airmail: 2-3 business weeks, EMS: 3-8 business days.
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Airmail: 2-3 business weeks, EMS: 3-8 business days.