Generic Remeron, tablets

Chemical Name: MIRTAZAPINE

Common uses

This medicine is a tetracyclic antidepressant used to treat depression. It may also be used to treat other conditions as determined by your doctor.

Before using

Do not take this medicine if you are also taking furazolidone or a monoamine oxidase inhibitor (maoi) such as linezolid, moclobemide, tranylcypromine, phenelzine, procarbazine, or selegiline. Tell your doctor if you take any medicines that cause drowsiness such as medicine for sleep, tranquilizers, anti-anxiety medicines such as diazepam, narcotic pain relievers such as codeine, psychiatric medicines such as chlorpromazine or tricyclics such as amitriptyline, anti-seizure medicines such as carbamazepine, muscle relaxants, or certain antihistamines such as diphenhydramine. Check the label on all your medicines including cough-and-cold products because they may contain drowsiness-causing ingredients. Ask your pharmacist about the safe use of these products. Do not start or stop any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.

Directions

Follow the directions for using this medicine provided by your doctor. Unless your doctor tells you differently, this medicine should be taken in the evening before bedtime.

Store this medicine at room temperature, away from heat and light. Continue to take this medicine even if you feel better. Do not miss any doses. If you miss a dose of this medicine, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Cautions

Do not take this medicine if you have had an allergic reaction to it or are allergic to any ingredient in this product. It may take 1 to 4 weeks for this medicine to work. Do not stop using this medicine without checking with your doctor. Keep all doctor and laboratory appointments while you are taking this medicine. Additional monitoring of your condition is recommended at the start of treatment with this medicine and whenever a change to your dose is made. If you experience anxiety, agitation, panic attacks, difficulty sleeping, irritability, hostility, impulsive feelings, severe restlessness, or worsening of depression contact your doctor as soon as possible. These may be signs that your condition is worsening or that your treatment with this medicine should be evaluated. If you are a parent or caregiver of a patient that is taking this medicine, it is important for you to watch for these symptoms. Contact the doctor as soon as possible if any of these symptoms occur. Contact your doctor for more information.

This medicine may cause drowsiness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. This medicine will add to the effects of alcohol and other depressants. Ask your pharmacist if you have questions about which medicines are depressants. Contact your doctor immediately if you experience a sore throat, fever, or sore mouth or gums.

Before you begin taking any new medicine, either prescription or over-the-counter, check with your doctor or pharmacist. Caution is advised when using this medicine in children because they may be more sensitive to the effects of this medicine.

For women: if you plan on becoming pregnant, discuss with your doctor the benefits and risks of using this medicine during pregnancy. It is unknown if this medicine is excreted in breast milk. If you are or will be breast-feeding while you are using this medicine, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects

Side effects, that may go away during treatment, include drowsiness, weakness, dizziness, dry mouth, increased appetite, weight gain, or constipation. If they continue or are bothersome, check with your doctor. Contact your doctor immediately if you experience thoughts of hurting yourself, mental or mood changes, or worsening of depression. An allergic reaction to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, dizziness, or trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

If you take too much

If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include disorientation, sluggishness, drowsiness or deep sleep, and loss of consciousness.

Additional information

Do not share this medicine with others for whom it was not prescribed. Do not use this medicine for other health conditions. Keep this medicine out of the reach of children. If using this medicine for an extended period of time, obtain refills before your supply runs out.

Drug interactions

Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Some medicines or medical conditions may interact with this medicine. Inform your doctor or pharmacist of all prescription and over-the-counter medicine that you are taking.