Remeron (mirtazapine) is a prescription antidepressant medication. It affects chemicals in the brain that may contribute to or cause depression.
It is thought to increase the activity of norepinephrine and serotonin which help enhance and balance mood.
It is available in tablet form, and a common starting dose is 15 mg daily, taken once per day usually prior to bedtime. A common dosage range is between 15 mg and 45 mg per day.
Depending on the patient's individual response, the dosage may be changed in intervals of every one to two weeks as necessary in order to find the most beneficial therapeutic level.
All medications have side effects, and this one is no different. Side effects can include constipation, sleep disturbances, unusual dreams, dry mouth, nausea, muscle aches, dizziness and drowsiness.
In addition, antidepressants may cause weight change in a small percentage of folks who take them. For more information, see this article about antidepressants and weight changes.
More rare but severe reactions can include mouth sores, anxiety, panic attack, aggression, restlessness, mania, seizures, fever, insomnia, severe headaches, confusion, shaking, suicidal thoughts or behaviors, or signs of a possible allergic reaction such as rash, hives, itching, difficulty breathing, difficulty swallowing, or swelling of the mouth, lips or tongue.
Report any side effects to your prescribing doctor. Seek emergency medical attention if you experience any severe or unusual reactions, then follow up with your doctor.
There are a few concerns when taking antidepressants such as this one, including the increased risk of suicide when antidpressants are used in children and young adults. See this warning about antidepressants and suicide.
According to some studies, there is an increased risk of birth defects when taking antidepressants during pregnancy. See this important warning about antidepressants and pregnancy.
It is not recommended to mix any antidepressant medication with alcohol. In addition to the numerous health risks, alcohol is a depressant and should not be used by folks who already suffer from depression as alcohol worsens symptoms of depression.
Furthermore, caution should be heeded when taking antidepressants and driving automobiles or operating heavy machinery. See this warning about mixing antidepressants and alcohol.
It may several weeks before you experience the full effects of your medication. Remember to attend your medication monitoring sessions with your psychiatrist in order to communicate your questions and concerns.