Mirtazapine is used to treat depression. It improves mood and feelings of well-being. Mirtazapine is an antidepressant that works by restoring the total amount of natural chemicals (neurotransmitters) in mental performance.
Read the drugs 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 data, check with your medical practitioner or pharmacist.
Just take this medication by mouth, with or without food, often 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 obtain the benefit that is most from it. Remember to use it at the same time each 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 critical to continue taking this medicine even if you feel well. Usually do not stop taking this medication without consulting your medical professional. Some conditions may be worse if the medication is suddenly stopped. Your dosage may need to be gradually reduced.
Inform your doctor if your problem persists or worsens.
See additionally the Warning section.
Dizziness, drowsiness, lightheadedness, increased appetite, fat gain, dry lips, or constipation may occur. If any of these results persist or worsen, tell your pharmacist or doctor promptly.
To ease dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, take in water or make use of 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 side effects.
Tell your doctor straight away when you have any severe adverse impacts, including: inflammation of this hands/feet, shaking (tremor), confusion, signs of infection (e.g., fever, persistent sore throat).
Get medical help right away when you yourself have any very serious side effects, including: fast/irregular heartbeat, serious dizziness, fainting, attention pain/swelling/redness, vision changes (such as seeing rainbows around lights through the night, blurred vision).
This medication may increase serotonin and seldom cause an extremely 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 a few of the following symptoms: fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, uncommon agitation/restlessness.
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any signs and symptoms of a serious 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 doctor or pharmacist.
In 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 side-effects. You'll report adverse effects to Health Canada at 1-866-234-2345.
Before taking this medication, tell your medical professional or pharmacist if you are allergic to it, or if you have any other allergies. This product may contain inactive ingredients, which causes allergic reactions or other problems. Talk to your pharmacist to get more details.
Before using this medication, inform your physician or pharmacist your medical history, especially of: history or genealogy and family history of psychiatric disorders (e.g., bipolar/manic-depressive disorder), history or family history of committing suicide attempts, liver condition, kidney disease, seizures, high blood cholesterol or triglyceride amounts, heart problems (e.g., recent heart attack, angina), stroke, severe loss of body liquids (dehydration), low blood circulation pressure, personal or genealogy and family history of glaucoma (angle-closure kind).
Mirtazapine may cause a condition which affects the center rhythm (QT prolongation). QT prolongation can rarely cause serious (seldom fatal) fast/irregular heartbeat and other signs (such as severe dizziness, fainting) that require medical help immediately.
The possibility of QT prolongation may be increased for those who have certain conditions that are medical are taking other drugs that will cause QT prolongation. Before using mirtazapine, tell your physician or pharmacist of all of the the drugs you take of course you have of the next conditions: certain heart related illnesses (heart failure, slow heartbeat, QT prolongation within the EKG), family members history of certain heart problems (QT prolongation into the EKG, sudden cardiac death).
Minimal levels of potassium or magnesium into the blood may increase your risk also 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. Speak with your doctor about using mirtazapine safely.
This medication might 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 whenever rising from a seated or lying position.
Older adults may be more responsive to the relative side ramifications of this drug, especially drowsiness and QT prolongation (see above).
This medication should be used only when demonstrably needed during pregnancy. If this medication is employed over the last three months of pregnancy, 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 physician promptly. However, since untreated mental/mood problems (such as for instance depression) may 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 just isn't known whether this drug passes into breast milk. Consult your physician 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.