Remeron 30mg Mirtazapine for depression | ThuocLP Vietnamese Health

 

Basic Information Drug Remeron 30mg Mirtazapine

  • Brand Name: Remeron
  • Active ingredient: Mirtazapine
  • Group: Drugs for depression, epilepsy, parkinson
  • Manufacturer: MSD (USA)
  • Made in the Netherlands
  • Content: 30mg
  • Form: Film-coated tablets
  • Packing: Box of 2 blisters, blister of 14 tablets
  • Remeron Prices: COMMENTS below for pricing

What is Remeron and what is it used for?

Remeron is an antidepressant. It is used to treat depression and sometimes obsessive-compulsive disorders and anxiety disorders.

Remeron 30mg Mirtazapine for Depression (2)
Remeron 30mg Mirtazapine for Depression (2)

How does the drug work?

  • Remeron belongs to a group of drugs known as antidepressants. A class of drugs is a group of drugs that work in a similar way. These drugs are often used to treat similar conditions.
  • It is not known exactly how the drug works to treat depression. It can increase the amount of norepinephrine and serotonin in your brain. These are the chemical messengers that affect your mood.

Important notes before use

You should not take it if you are allergic to mirtazapine or any of its ingredients

Do not use Remeron if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction may occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.

For your safety, tell your doctor if you have ever:

  • Low white blood cell count;
  • Glaucoma;
  • Liver or kidney disease;
  • Low sodium levels in your blood;
  • A seizure;
  • Depression, suicidal thoughts or actions;
  • Bipolar disorder (manic depression) in you or a family member;
  • Heart problem or stroke;
  • High cholesterol or triglycerides;
  • Long qt syndrome (in you or a family member);
  • Low blood pressure.

Make sure your doctor knows if you also take stimulants, opioids, herbal products or medications for depression, mental illness, Parkinson's disease, migraines, serious infections, or prevention. nausea and vomiting. These drugs can interact with Remeron and cause a serious condition called serotonin syndrome.

Some young people have thoughts about suicide when first taking an antidepressant. Your doctor should check your progress with regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.

Tell your doctor if you are pregnant or breast-feeding.

Oral decomposition tablets may contain phenylalanine. Tell your doctor if you have phenylketonuria (PKU).

It is not approved for use by anyone younger than 18 years old.

Who should be cautious about when using Remeron?

  • Patients over 65 years old
  • Pregnant or nursing women
  • People with kidney failure
  • Subjects with poor liver function
  • Are allergic to any ingredients in the drug
  • Patients with depression aged under 18 years
  • Are taking medications with Monoamine oxidase inhibitors (MAOIs)
  • The patient's body has hereditary galactose intolerance or glucose-galactose malabsorption
  • Have heart problems such as arrhythmia, heart failure, heart attack
  • Family history of someone dying of heart disease before age 50
  • People with low blood pressure
  • Patients with an unhealthy prostate gland
  • People with seizure disorder or a history of seizures
  • The target subject is bipolar disorder
Remeron 30mg Mirtazapine for Depression (3)
Remeron 30mg Mirtazapine for Depression (3)

Remeron dosage 30mg like?

Adult dosage (18–64 years)

  • Typical starting dose: 15 mg orally once daily, usually in the evening at bedtime.
  • Dosage increases: Your doctor will slowly increase your dosage every 1-2 weeks. They will change your dosage based on your depression symptoms.
  • Maximum daily dose: 45 mg orally once daily.

Child dosage (ages 0–17 years)

  • It has not been confirmed that this medicine is safe and effective for use in people younger than 18 years old.

Dosage for the elderly (65 years and older)

  • Elderly kidneys may not be working as well as they once were. This can cause your body to process the medicine more slowly. As a result, higher amounts of the drug stay in your body for a longer time. This increases your risk of side effects.
  • Your doctor may start you on a lower dose or on a different dosing schedule. This can help keep this from accumulating too much in your body.

What to do when overdose?

  • In overdose cases, appropriate supportive and symptomatic treatment for vital functions is required. Need to perform ECG monitoring. Also consider using activated charcoal or gastric lavage.

What to do if you miss 1 dose?

  • If you miss a dose, take it as soon as possible. However, if it is close to the next dose, skip the missed dose and take the next dose at the time as planned.
  • Note that the dose should not be doubled.

Instructions for use of the drug Remeron

  • Use exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may sometimes change your dosage.
  • Take the pill at the same time every day, usually before bed.
  • Take Remeron tablets regularly with water.
  • You can take this medicine with or without food.
  • It may take a few weeks for your symptoms to improve. Keep using the medicine as directed and let your doctor know if your symptoms do not improve after 4 weeks of treatment.
  • Do not stop using the medicine suddenly, otherwise you may have unpleasant symptoms (such as dizziness, vomiting, agitation, sweating, confusion, numbness, tingling or feeling of electric shock). Ask your doctor how to safely stop using this medicine.
Remeron 30mg Mirtazapine for Depression (4)
Remeron 30mg Mirtazapine for Depression (4)

What are the side effects of Remeron?

Like all medicines, it can cause side effects in some people, but many people have no side effects.

Call your doctor at once if you have:

  • Aggressive thoughts, decreased need for sleep, unusual risky behavior, feelings of extreme happiness or sadness, more talk than usual
  • Blurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights
  • A light feeling like you might pass out
  • Severe rash, blisters, or swelling in the palms of your hands or the soles of your feet
  • A seizure
  • Low white blood cell count - fever, chills, sore throat, cough, sores in the mouth or nose, flu-like symptoms, difficulty breathing
  • Low sodium levels - headache, confusion, slurred speech, severe weakness, vomiting, loss of coordination, feeling unsteady.

Seek immediate medical attention if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, tremor, tachycardia, muscle stiffness, seizures, loss of coordination, nausea, vomiting, or diarrhea.

Common side effects include:

  • Drowsiness, dizziness
  • Increased taste
  • Weight gain.

This is not a complete list of side effects and possible other side effects. Call your doctor for medical advice about side effects.

Be cautious with other drugs

Certain drugs and Remeron can interfere with each other and increase your chance of having a side effect.

Below are some medicines that patients should not take at the same time as Remeron.

  • Anticoagulants: Coumadin (Warfarin).
  • Antidepressants: Anafranil (clomipramine), Asendin (amoxapine), Aventy (nortriptyline), Elavil (amitriptyline), Norpramin (desipramine), Surmontil (trimipramine), Tofililine.
  • Antifungal medicine: Nizoral (ketoconazole).
  • Antiepileptic drugs: Dilantin (phenytoin), Tegretol (carbamazepine).
  • Drugs with narcotic substances: Fentanyl, Ultram (tramadol).
  • Antibiotics to treat some bacterial infections: Erythromycin.
  • Migraine medications: Axert (almotriptan), Relpax (eletriptan), Frova (frovatriptan), Amerge (naratriptan), Maxalt (rizatriptan), Imitrex (sumatriptan), and Zomig (zolig).
  • Medicines to treat tuberculosis in HIV-infected people: Rifampin.
  • Selective serotonin reuptake inhibitors (SSRIs): Celexa (citalopram), Lexapro (escitalopram), Luvox (fluvoxamine), Prozac (fluoxetine), Paxil (paroxetine), and Zoloft (sox).
  • Serotonin and norepinephrine reuptake inhibitors (SNRIs): Cymbalta (duloxetine), Effexor (venlafaxine) and Pristiq (desvenlafaxine).
  • Medicines to treat stomach and intestinal ulcers: Tagamet (cimetidine).
  • Monoamine oxidase inhibitors (MAOIs): isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine.
  • Drugs that cause drowsiness: Cetirizine, diphenhydramine, alprazolam, diazepam, zolpidem, carisoprodol, cyclobenzaprine codeine, hydrocodone.
Remeron 30mg Mirtazapine for Depression (5)
Remeron 30mg Mirtazapine for Depression (5)

Be cautious when using Remeron

Use for pregnant and lactating women

  • It is important for you and your baby to stay in good health throughout pregnancy.
  • If you become pregnant while taking Remeron, talk to your doctor. Do not stop taking the medication unless your doctor tells you to.
  • Medications are associated with a very small increase in your risk of problems for your unborn baby.
  • But if your depression is left untreated during pregnancy, it may also increase your risk of problems.
  • You can take Remeron during pregnancy if necessary to maintain a healthy state. Your doctor can explain the risks and benefits and will help you decide which treatment is best for you and your baby.
  • If your doctor or healthcare provider says your baby is healthy, Remeron can be used during breastfeeding. It has been used by many nursing mothers often without any problems.
  • Remeron passes into breast milk in small amounts. It has been associated with adverse effects in very few breastfed infants.
  • It is important to continue taking Remeron to keep you healthy. Breastfeeding benefits both you and your baby as well.
  • If you notice your baby is not feeding as well as usual, or seems unusually sleepy, or if you have any other concerns about your baby, talk to your doctor or health visitor. as soon as possible.

Use for motorists and machine operators

  • Remeron has mild or moderate effects on the ability to drive and use machines.
  • Remeron can impair concentration and alertness (especially in the early stages of treatment. Patients should avoid potentially dangerous tasks that require good alertness and concentration such as driving a car. mechanically or operate machinery at any time it is affected.

How to preserve the drug Remeron

  • Store the drug at room temperature, from 20 to 30 degrees C
  • Do not keep out of reach of small children
  • Avoid leaving the medicine in wet locations such as bathrooms
  • Absolutely do not let direct sunlight on the drug
  • Each pill after being removed from the package should be used immediately

Note: Information on the drug Remeron 30mg Mirtazapine is intended to share knowledge for reference purposes, patients are not allowed to arbitrarily use drugs, all information on drug use must be specified by a specialist doctor.

Author Dr. Tran Ngoc Anh

 Articles are quoted from sources: https://thuoclp.com/san-pham/thuoc-remeron-30mg-mirtazapine/

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