Drug information Remeron 30mg Mirtazapine treatment of depression
|Pack||Box of 2 blisters, blisters of 14 tablets|
What is Remeron 30mg Mirtazapine?
Remeron medicine is an antidepressant drug. It is used to treat depression and sometimes obsessive-compulsive disorder and anxiety disorders.
What is Mirtazapine’s mechanism of action?
The active ingredient Mirtazapine belongs to a group of drugs known as antidepressants. A drug class 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 chemical messengers that influence your mood.
Indications and contraindications for treatment
Indications for treatment: Severe depressive episode
Contraindications: Hypersensitivity to mirtazapine or any of the excipients.
Important notes before using Remeron
You should not take this medicine 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. Dangerous drug interactions can 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:
- 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 problems or stroke;
- High cholesterol or triglycerides;
- Low blood pressure.
- Inform your doctor if you are pregnant or breast-feeding.
- Oral disintegrating tablets may contain phenylalanine. Tell your doctor if you have phenylketonuria (PKU).
- The drug is not approved for use by anyone under the age of 18.
Dosage and how to use Remeron?
Dosage of Remeron 30mg
Dosage for adults (18–64 years)
- Typical starting dose: 15mg orally once daily, usually in the evening at bedtime.
- Increase dosage: Your doctor will slowly increase your dosage every 1-2 weeks. They will change your dosage based on your symptoms of depression.
- Maximum daily dose: 45mg orally once daily.
Dosage for children (ages 0–17 years)
- It has not been confirmed that this drug is safe and effective for use in people younger than 18 years of age.
Dosage for the elderly (65 years and older)
- Older adults’ kidneys may not work as well as they used to. This can cause your body to process the medicine more slowly. As a result, a higher amount of the drug stays in your body for a longer time. This increases the risk of side effects.
- Your doctor may start you on a lower dose or a different dosing schedule. This can help keep this drug from building up too much in your body.
How to use Remeron?
- Use exactly as prescribed by your doctor.
- Take the medicine at the same time each day, usually before going to bed. Take Remeron tablets with water.
- You may or may not take this medicine with or without food.
- It may take a few weeks for your symptoms to improve. Continue using the medicine as directed and let your doctor know if your symptoms do not improve after 4 weeks of treatment.
- Do not stop taking the medicine suddenly, or you may have unpleasant symptoms (such as dizziness, vomiting, agitation, sweating, confusion, numbness, tingling, or electric shock sensation). Ask your doctor how to safely stop using this medicine.
What to do in case of overdose?
- Cases of overdose should be treated with supportive and symptomatic treatment appropriate for vital functions. Electrocardiogram monitoring is required. Also consider activated charcoal or gastric lavage.
What to do if you miss a dose?
- If you forget a dose, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your next dose at the scheduled time.
- Note that double the prescribed dose should not be taken.
Side effects of Remeron 30mg pills
Call your doctor right away if you have:
- Insomnia, extreme feelings of happiness or sadness, talking more than usual.
- Blurred vision, eye pain or swelling.
- Severe rash, blisters or swelling on the palms or soles.
- May have a seizure.
- Low white blood cell count: fever, chills, sore throat, cough, sores in the mouth or nose, flu-like symptoms, trouble breathing
- Low sodium levels: headache, confusion, slurred speech, severe weakness, vomiting, loss of coordination, feeling unsteady.
Common side effects include: drowsiness, dizziness, increased appetite, weight gain.
This is not a complete list of side effects and other possible side effects. Call your doctor for medical advice about side effects.
What other drugs may interact with Remeron?
Some medicines and Mirtazapine can interfere with each other and increase your chance of side effects.
Here are some drugs that patients should not take at the same time as Remeron:
- Anticoagulants: coumadin (Warfarin).
- Thuốc chống trầm cảm: anafranil (clomipramine), asendin (amoxapine), aventy (nortriptyline), elavil (amitriptyline), norpramin (desipramine), surmontil (trimipramine), tofililine.
- Antifungal: nizoral (ketoconazole).
- Antiepileptic drugs: dilantin (phenytoin), Tegretol (carbamazepine).
- Narcotic pain relievers: 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).
- Drugs to treat tuberculosis in people with HIV: 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).
- Medicine for stomach and intestinal ulcers: Tagamet (cimetidine).
- Thuốc ức chế enzyme Monoamine oxidase (MAOIs): isocarboxazid, linezolid, xanh methylen, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine.
- Drugs that cause drowsiness: Cetirizine, diphenhydramine, alprazolam, diazepam , zolpidem, carisoprodol, cyclobenzaprine codeine, hydrocodone.
For pregnant and lactating women
- It is important for you and your unborn baby that you stay healthy throughout your pregnancy.
- If you become pregnant while taking Remeron, talk to your doctor. Do not stop taking your medicine unless your doctor tells you to.
- The drug is associated with a very small increased risk of problems for your unborn baby.
- But if your depression goes untreated during pregnancy, this can also increase your risk of problems.
- You can take Remeron during pregnancy if needed to stay healthy. Your doctor can explain the risks and benefits and will help you decide which treatment is best for you and your baby.
- Remeron passes into breast milk in small amounts. It is associated with adverse events in very few breastfed infants.
- It is important to continue taking Remeron to keep you healthy. Breastfeeding will also benefit both you and your baby.
How to store Remeron?
- Store the medicine at room temperature, between 20 and 30 degrees Celsius
- Keep out of reach of small children
- Avoid leaving the medicine in humid locations such as the bathroom
- Absolutely do not expose the medicine to direct sunlight
- Each tablet must be used immediately after taking it out of the package
How much does Remeron cost? Where to buy medicine?
How much is the price of Remeron 30mg? Please COMMENT below or Contact 0933049874 (Zalo/ Facebook/ Viber/ Whatsapp) to buy and sell brand-name drugs in Ho Chi Minh City, Hanoi, Da Nang City, Can Tho City,… nationwide.
The above article is for reference only and is not a substitute for medical diagnosis or treatment. Readers should only follow the instructions of the doctor who is treating you, Index-China disclaims responsibility if problems occur.
Reputable source ThuocLP Vietnamese: Remeron medicine 30mg Mirtazapine to treat depression
Assoc.Prof.Dr. Tran Ngoc Anh is currently Hanoi Medical University Hospital, Associate Professor, Department of Internal Medicine, Gastroenterology and Head of Department of General-Uematology of Hanoi Medical University. Consulting doctor at ThuocLP Pharmacy.
Professional qualifications, Academic degrees – Education:
Graduated from General Practitioner System, Hanoi Medical University
Graduated with a Master degree in Internal Medicine, Hanoi Medical University
Graduated from the training program specialized in Gastrointestinal, Henri Mondor Institute Center, University of Paris 6, French Republic 1996-1997; 1999
Graduated from the training program specialized in Gastrointestinal, North Royal Sydney Hospital, Australia; 2002
Graduated from a training program specialized in chronic liver diseases, Pizza, Italy 2009
Graduated with a PhD in Gastrointestinal, Hanoi Medical University
Associate Professor, Gastroenterology, Hanoi Medical University
Training and Scientific Research:
Published more than 200 articles in domestic and international specialized journals
Editor of many monographs and participates in compiling 2 textbooks.
Guide many students and graduate students of Hanoi Medical University
Manager of many grassroots research projects
Certificate of Good Clinical Practice (GCP: 2012, 2015), Ministry of Health
Specialized certificates: General gastrointestinal endoscopy, Interventional gastrointestinal endoscopy, General gastrointestinal ultrasound, Interventional gastrointestinal ultrasound (Bach Mai BV), Chronic liver disease.