Remeron Fluoxetine is used to treat depression, bulimia (an eating disorder), obsessive compulsive disorders (OCD), and severe symptoms of premenstrual syndrome (premenstrual dysphoric disorder-PMDD). This medication works by helping to restore the balance of certain natural chemicals in the brain.

REMERON DRUG INFO

Mirtazapine, an antidepressant or mood elevator, is used to treat depression.

This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

Remeron comes as a tablet and as a disintegrating tablet to take by mouth. It usually is taken once a day at bedtime. It may be taken with or without food. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take mirtazapine exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

To take a mirtazapine disintegrating tablet, open the blister pack with dry hands and place the tablet on your tongue. The tablet will disintegrate on the tongue and can be swallowed with saliva. No water is needed to swallow disintegrating tablets. Once the tablet is removed from the blister pack, it cannot be stored. Do not split mirtazapine disintegrating tablets.
 
What is the most important information I should know about Remeron?
 
While you are taking Remeron you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking mirtazapine. In patients younger than 18 years, the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsivity, severe restlessness, and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with mirtazapine. Do not stop taking mirtazapine.
 
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.
 
Contact your doctor if you experience fever, chills, a sore throat, flu-like symptoms, or sores in the mouth or nose.
 
Use caution when driving, operating machinery, or performing other hazardous activities. Mirtazapine may cause drowsiness and dizziness. If you experience drowsiness or dizziness, avoid these activities.
 
Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
 
Avoid the use of alcohol while taking Remeron. Alcohol may increase drowsiness and dizziness.
 
Remeron is available in a regular tablet formulation (Remeron) that should be swallowed with water. Mirtazapine is also available in a rapidly-disintegrating formulation (Remeron SolTab) that will disintegrate rapidly when placed on the tongue and can be swallowed with or without water.
 
What should I do if I forget a dose of Remeron?

Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Although side effects from mirtazapine are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:

• drowsiness
• dizziness
• anxiousness
• confusion
• increased weight and appetite
• dry mouth
• constipation
• upset stomach
• vomiting

If you experience any of the following symptoms, call your doctor immediately:

• flu-like symptoms, fever, chills, sore throat, mouth sores, or other signs of infection
• chest pain
• fast heartbeat
• seizures

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to check your response to mirtazapine.

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.