Mirtazapine Tablet – Uses, Side Effects, and More
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A common medication for treating depression is called mirtazapine. It lifts one’s spirits and generally makes one feel better. Antidepressants like mirtazapine operate by bringing the brain’s naturally occurring chemicals, known as neurotransmitters, back into a state of equilibrium.
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How to use mirtazapine oral
Before beginning treatment with mirtazapine and whenever you get a refill on your prescription, make sure you carefully read the Medication Guide issued by your pharmacist. If you have any questions, you should consult with either your physician or your pharmacist.
Take this drug by mouth as advised by your physician, usually just once daily before night. You may take it with or without food. Your current health status and how well you respond to treatment will determine the appropriate dosage.
It is important to take this medication on a consistent basis in order to derive the maximum advantage from it. Take it at the same time every day so that you don’t forget when you’re supposed to. It could take anywhere from one to four weeks before you start to see an improvement in your symptoms. You should not raise your dose, nor should you take it more frequently than directed.
Continue taking this medication even if you don’t feel like you need it. It is important that you speak with your healthcare provider before discontinuing the use of this medicine. When you suddenly stop taking this medication, certain conditions could grow worse. It’s possible that your current dose needs to be gradually lowered.
If your situation does not improve or if it worsens, you should consult your physician as soon as possible.
It’s possible that you’ll experience symptoms including dizziness, sleepiness, lightheadedness, increased appetite, weight gain, dry mouth, or constipation. Notify your doctor or pharmacist as soon as possible if any of these side effects continue or become worse.
If you suffer from dry mouth, you can alleviate the discomfort by sucking on sugar-free hard candies or ice chips, chewing sugar-free gum, drinking water, or using a saliva substitute.
Keep in mind that the reason your doctor has recommended that you take this medication is that he or she believes that the potential benefits to you outweigh the potential risks of doing so. The majority of persons who take this medicine do not report experiencing any severe adverse effects.
Notify your healthcare provider as soon as possible if you experience any major adverse effects, such as swelling in the hands or feet, shaking (tremor), or confusion.
If you have any very significant side effects, such as a heartbeat that is too rapid or too irregular, severe dizziness, fainting, eye pain, swelling, or redness, enlarged pupils, or vision problems, get immediate medical attention (such as seeing rainbows around lights at night, blurred vision).
This medicine has the potential to raise serotonin levels, as well as the risk of a potentially fatal disease known as serotonin syndrome or poisoning. The danger is increased if you are also taking other medications that boost serotonin levels; thus, you should inform your physician or pharmacist of all the medications you now take (see Drug Interactions section). You should seek immediate medical attention if you have any of the following symptoms: a rapid heartbeat, hallucinations, lack of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation, or restlessness.
It is quite unusual for this medicine to cause an extremely severe allergic reaction. However, you should seek immediate medical attention if you experience any signs of severe allergic response, such as a high temperature, swollen lymph nodes, rash, itching, and swelling (particularly of the face, tongue, and neck), or severe dizziness, or difficulty breathing.
This list of potential adverse effects is not exhaustive in any way. Please consult your physician or pharmacist if you have any side effects that are not listed above.
In the United States, if you are experiencing any adverse effects, please consult your primary care physician. You can call the FDA at 1-800-FDA-1088 or visit their website at www.fda.gov/medwatch to report any adverse effects.
In Canada, if you are experiencing any adverse effects, please consult your primary care physician. You can call Health Canada at 1-866-234-2345 to report any adverse effects you experience.
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Tell your doctor or pharmacist if you have any allergies, including those to medications, foods, preservatives, chemicals, or other substances, before you use this prescription. There is a possibility that this product contains inactive substances, which, if present, could result in allergic responses or other complications. Discuss the matter further with your pharmacist for further information.
Before beginning treatment with this medication, it is important to discuss your medical history with your doctor or pharmacist, particularly if you have a history of or a family history of psychiatric disorders (such as bipolar/manic-depressive disorder), a history of or family history of suicide attempts, liver disease, kidney disease, seizures, high blood cholesterol or triglyceride levels, heart disease (such as a recent heart attack, angina), stroke, severe loss of body fluids (dehydr (angle-closure type).
A disorder that alters the normal beat of the heart could be brought on by mirtazapine (QT prolongation). Rarely, a QT prolongation can produce a dangerous (and in extremely rare cases, fatal) fast or irregular heartbeat, in addition to other symptoms (such as severe dizziness and fainting) that require immediate medical attention.
If you have certain medical conditions or are taking other drugs that can cause QT prolongation, your risk of developing the condition may be enhanced. Before beginning treatment with mirtazapine, it is important to inform your physician or pharmacist of all the medications you are currently taking, as well as if you have any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), a family history of certain heart problems, or any of the other conditions listed above (QT prolongation in the EKG, sudden cardiac death).
Your chance of having your QT interval becomes prolonged may also be increased if your blood potassium or magnesium levels are low. This risk may be increased if you use certain medications (such as diuretics or “water pills”) or if you have conditions like as intense sweating, diarrhea, or vomiting. Likewise, this risk may be increased if you use certain drugs. Discuss the safe use of mirtazapine with your attending physician.
This medication could cause you to feel lightheaded or sleepy. Drinking alcohol or smoking marijuana (also known as cannabis) can make you feel more lightheaded and sleepy. Do not get behind the wheel of a vehicle, operate any machinery, or engage in any activity that requires attentiveness until you are able to do it safely. Reduce your intake of alcoholic beverages. If you are a marijuana user, you should consult your primary care physician (cannabis).
When rising from a seated or sleeping position, do so slowly to reduce the likelihood of experiencing symptoms of lightheadedness and dizziness.
The adverse effects of this medication, including sleepiness and QT prolongation, may be felt more acutely by individuals of advanced age (see above).
During pregnancy, it is important to only use this drug when it is absolutely necessary. If you use this drug during the last three months of your pregnancy, there is a small chance that your infant may have symptoms such as trouble feeding or breathing, seizures, muscle stiffness, jitteriness, or frequent crying. Notify your doctor as soon as possible if you experience any of these symptoms. Do not, under any circumstances, discontinue taking this medication unless specifically instructed to do so by your physician. This is because untreated mental and mood problems, such as depression, can be serious illnesses. Discuss the advantages and dangers of using this medicine during pregnancy with your attending physician as soon as possible if you are intending on becoming pregnant, if you already are pregnant, or if you suspect that you may be pregnant.
This medication can be found in breast milk. Before starting to breastfeed, you should talk to your healthcare provider.
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Drug interactions can alter the way in which your prescriptions work or raise the likelihood that you will have major adverse effects. This document does not contain all possible medication interactions. Maintain a list of all the goods you use, including prescription and over-the-counter medications, as well as herbal remedies, and give it to both your primary care physician and your pharmacist. Without first consulting your physician, you should never alter the dosage of any medication, stop taking any medication, or start taking any new medication.
Taking MAO inhibitors in conjunction with this medication may result in a severe drug interaction, which could even be fatal. During your course of treatment with this drug, you should refrain from using any MAO inhibitors, including isocarboxazid, linezolid, metaxalone, methylene blue, and moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, and tranylcypromine. In addition, it is not recommended to use any MAO inhibitors for a period of two weeks before and after therapy with this medicine. Inquire with your physician regarding the appropriate timing to begin or stop using this medicine.
If you are also taking other drugs that enhance serotonin, you put yourself at a greater risk of developing serotonin syndrome or serotonin poisoning. Street drugs like MDMA or “ecstasy,” the herb St. John’s wort, certain antidepressants (including SSRIs like fluoxetine/paroxetine and SNRIs like duloxetine/venlafaxine), and tryptophan are some examples. There are many others. When you first begin taking these medications or raise your dosage, you may be putting yourself at a greater risk of developing serotonin syndrome or serotonin poisoning.
Tell your doctor or pharmacist if you are taking any other products that cause drowsiness, such as alcohol, marijuana (cannabis), antihistamines (such as cetirizine, diphenhydramine), drugs for sleep or anxiety (such as alprazolam, diazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or opioid pain relievers. These products include but are not limited to alcohol (such as codeine, and hydrocodone).
You should read the labels on all of your medications (such as those meant to treat allergies or coughs and colds) since some of them may contain substances that make you feel sleepy. Talk to your local pharmacist about the proper way to use those products.
Dial 911 if you suspect that someone has overdosed and they are exhibiting serious symptoms such as passing out or having problems breathing. In any other case, you should immediately contact a poison control center. To reach the poison control center for your area in the United States, dial 1-800-222-1222. Canadian residents can call a provincial poison control center. Some of the symptoms of an overdose include a heartbeat that is extremely rapid or erratic, severe dizziness, and fainting.
Checkups with a psychiatrist or a physician, as well as any necessary laboratory tests, must be performed on a regular basis in order to track your improvement and identify any potential complications. Consult your doctor for additional details.
It is imperative that you do not provide this medication to anyone else.
If you forget to take a dose, take it as soon as you realize you forgot it. If it is getting close to the time of the next dose, you should forgo the dose that you missed. Apply the following dose at the typical interval. It is not necessary to double the dose in order to catch up.
Keep at room temperature and away from light and moisture. Store at room temperature. Keep away from the bathroom at all costs. Always make sure that children and animals are kept well away from any medications.
Unless you have been specifically told to do so, you should not flush drugs down the toilet or pour them down a drain. When it is no longer needed or has passed its expiration date, dispose of this product in the appropriate manner. Talk to your neighborhood pharmacy or the firm that handles garbage disposal in your area.