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Remeron (Mirtazapine)
| Mirtazapine (Generic) Mirtazapine | ||||||
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Shipped from Canada | ||||||
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| Mirtazapine OD (Generic) Mirtazapine | ||||||
|
Shipped from Canada | ||||||
| | ||||||
| Select product strength & quantity:
Who is the product for? YouOtherAdd Family Member/PetYou must be logged in to add additional members to the order. Don't have an account? or Add Family Member/PetSign inTo continue, please enter your email address and password that you use for your account. | ||||||
| Select product strength & quantity:
Who is the product for? YouOtherAdd Family Member/PetYou must be logged in to add additional members to the order. Don't have an account? or Add Family Member/PetSign inTo continue, please enter your email address and password that you use for your account. | ||||||
| Select product strength & quantity:
Who is the product for? YouOtherAdd Family Member/PetYou must be logged in to add additional members to the order. Don't have an account? or Add Family Member/PetSign inTo continue, please enter your email address and password that you use for your account. | ||||||
General Medication Fact Sheet for Remeron
| Field | Information |
|---|---|
| Medication Name | Remeron |
| Generic Name | Mirtazapine |
| Boxed/Label Warning | May increase suicidal thoughts and behaviors in children, teenagers, and young adults, especially within the first few months of treatment or when the dose is changed. |
| Purpose | Antidepressant used to treat major depressive disorder. |
| Mechanism of Action | Enhances norepinephrine and serotonin neurotransmission by blocking alpha-2 adrenergic receptors, serotonin 5-HT2 and 5-HT3 receptors, and histamine H1 receptors. |
| Dosage Forms | Oral tablets, Orally Disintegrating Tablets (ODT) |
| Available Strengths | 15 mg, 30 mg, 45 mg |
| Dosage Frequency | Typically once daily, usually in the evening. |
| Common Side Effects | Drowsiness, increased appetite, weight gain, dizziness, dry mouth, constipation. |
| Serious Side Effects | Suicidal thoughts/behavior, changes in mood or behavior, mania/hypomania, seizures, low sodium levels (hyponatremia), severe allergic reactions. |
| Drug Interactions | Monoamine oxidase inhibitors (MAOIs), other antidepressants (SSRIs, SNRIs, tricyclics), benzodiazepines, alcohol, CYP enzyme inhibitors/inducers. |
| Important Notes | Avoid alcohol while taking this medication; may cause significant drowsiness; monitor for changes in mood or behavior, especially at the start of treatment or dose changes. |
| Storage | Store at room temperature away from moisture and light. |
| Missed Dose | Take as soon as you remember unless it is almost time for your next dose. Do not double the dose. |
| Alternatives | Sertraline, Fluoxetine, Citalopram, Venlafaxine. |
Remeron Alternatives
| Medication | Mechanism of Action | Notes |
|---|---|---|
| Sertraline (Zoloft) | Selective serotonin reuptake inhibitor (SSRI) | Commonly prescribed antidepressant; fewer sedating effects compared to mirtazapine. |
| Fluoxetine (Prozac) | Selective serotonin reuptake inhibitor (SSRI) | Longer half-life compared to other SSRIs. |
| Citalopram (Celexa) | Selective serotonin reuptake inhibitor (SSRI) | Generally well-tolerated. |
| Venlafaxine (Effexor) | Serotonin-norepinephrine reuptake inhibitor (SNRI) | Affects both serotonin and norepinephrine neurotransmitters. |
Remeron Side Effects
| Common Side Effects | Serious Side Effects |
|---|---|
| Drowsiness | Suicidal thoughts/behavior |
| Increased appetite | Changes in mood or behavior |
| Weight gain | Mania/hypomania |
| Dizziness | Seizures |
| Dry mouth | Low sodium levels (hyponatremia) |
| Constipation | Severe allergic reactions (rash, itching, swelling, difficulty breathing) |
Remeron Dosage Guide
| Condition | Starting Dose | Maintenance Dose | Administration Notes |
|---|---|---|---|
| Major Depressive Disorder | 15 mg | 15-45 mg once daily | Usually taken in the evening due to sedative effects. |
