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Remeron
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Remeron is used for the treatment of depression. The usual starting dose for Remeron (Mirtazapine) is 15 mg once daily, usually at bed time. Remeron may be taken with or without food.
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Take Remeron with food or milk if stomach upset occurs. It is important to take Remeron exactly as prescribed. Do not increase your dose or take more often than prescribed. Symptoms will begin to improve within 7 to 10 days of starting Remeron. However, it may take 3 to 4 weeks for the full benefit of Remeron to be apparent.
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Side effects of Remeron can include dry mouth, day time sleepiness, which usually subsides rapidly after the first week and possibly increased appetite and weight gain. Remeron (Mirtazapine) may increase blood levels of cholesterol and triglycerides.
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Do not take Remeron if you are currently taking, or have taken monoamine oxidase inhibitors (MOAIs) within the past 14 days. Consult with your doctor before you begin treatment with Remeron. You may not be able to take Remeron if you have liver disease, kidney disease, manic-depressive disorder, blood problems, high or low blood pressure, heart disease, or suffer from seizures. Bone marrow depression, usually presenting as granulocytopenia or agranulocytosis, has been reported during treatment. The symptoms mostly appear after 2 - 6 weeks of treatment.The bone marrow depression is generally reversible on termination of treatment. Reversible agranulocytosis has been reported as a rare occurence in cinical trials.One should therefore be alert for symptoms such as fever, sore throat, stomatitis, and other signs of infection.If such symptoms occur treatment should be stopped and blood counts taken.
It is not known if Remeron (mirtazapine) is secreted in breast milk.
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If Remeron overdose is suspected, contact your local poison control center or emergency room immediately.
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Remeron makes some people drowsy or less alert, and may affect judgment and thinking. Don't drive or participate in any hazardous activity that requires full mental alertness until you know whether Remeron has this effect on you. It may be several weeks before you start to feel better. Even when you start to feel better, do not stop taking Remeron without first talking to your doctor. Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall. Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately. Symptoms of Remeron overdose may include drowsiness, impaired memory, mental confusion, and rapid heartbeat.
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Take the forgotten Remeron dose if you remember within a few hours. Otherwise, skip the dose. Never try to "catch up" by doubling the dose.
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Remeron should be stored at room temperature, 15-30°C (59-86°F).
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