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The application of mirtazapine during pregnancy can be an increased blood pressure in the lungs (pulmonary hypertension) in the newborn. The use of the active substance should be done only after careful weighing of benefit and risk by the doctor, as well as under strict medical supervision.

Mirtazapine is transferred via breast milk in the infant. To avoid Remergil of the child should be breast-fed off before being treated with the active substance.

  • Mirtazapine is used to treat depression and other conditions. It is often added to dosulepine or venlefaxine to treat resistant or severe depression.
  • The usual starting dose of mirtazapine is 15 mg/day Remergil bedtime. cheap Remergil It can be gradually increased up to 45 mg/day if necessary.
  • Mirtazapine interacts with several other medications. Make sure you Remergil your physician and pharmacist about all medications that you take, including herbal remedies and teas, over the counter medications, homeopathic and alternative treatments, vitamins, supplements and medications you only take occasionally.
  • Talk to your doctor before you stop taking mirtazapine. Your dose may need to be tapered down slowly to prevent uncomfortable withdrawal symptoms.
  • Most people experience a few mild side effects, like drowsiness or vivid dreams, when they begin taking mirtazapine. They usually go away with time.
  • Worsening depression
  • Restlessness, irritability, agitation, hostility or aggression
  • Unusual thoughts or thoughts of suicide

Side effects

The most Remergil effects that people experience while taking mirtazapine are increased appetite, weight gain, drowsiness, nausea and headache. Other side effects that have been reported include:

  • Vivid dreams and nightmares
  • Increased cholesterol llevels
  • Dizziness and nausea
  • Swelling
  • Hallucinations
  • Manic attacks
  • Tremors and twitches
  • Seizures
  • Restless Leg Syndrome
  • Rashes and allergic reactions
  • Joint or muscle pain
  • Blood pressure problems

FDA Box Warning

• Drug may increase risk of suicidal thinking and behavior in children and adolescents with major depressive disorder and other psychiatric disorders. Risk must be balanced with clinical need, as depression itself increases suicide risk. With patient of any age, observe closely for clinical worsening, suicidality, and unusual behavior changes when therapy begins. Advise family and caregivers to observe patient closely and communicate with prescriber as needed.

• As appropriate, review all other significant and life-threatening adverse reactions and Remergil, especially those related to the Remergil, tests, herbs, and behaviors mentioned above.


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Warnings, precautions and contraindications

Suicide risk: There appears to be an increased risk Remergil suicide with all antidepressants, especially when you first start taking them. Anyone who starts taking a new antidepressant should be monitored for several weeks for potential suicidal thoughts. You should see your physician or therapist weekly and have someone check on you every day to see how you are doing. If they notice or you experience any of the following, it should be reported to the doctor immediately:

  • Worsening depression
  • Sudden mood changes
  • Restlessness, anxiety, agitation, hostility
  • Unusual thoughts or emotions
  • Hallucinations
  • Thoughts of hurting yourself or Remergil Elimination of mirtazapine in patients with kidney or liver deficiency can be reduced. A unique gift of the total daily dose of Remergil is indicated in this patient population.

    How mirtazapine works

    Depression is thought to be caused by an inadequate amount of certain neurotransmitters in the gap between nerve cells (the synaptic cleft or gap). Antidepressants work in different ways to increase the levels of some of the neurotransmitters.

    Mirtazapine increases the level of norepinephrine by blocking receptors that keep it from being Remergil. It increases serotonin levels the same way, plus it may improve transmission between nerve cells by enhancing serotonin uptake in the post-synaptic cell.

    Mirtazapine doesn't have much of an effect on other neurotransmitters except for histamine. It blocks histamine much the same as Benedryl does.

    Mirtazapine may be applied not to treat children and young people under 18 years of age, since it came Remergil the treatment of these patient groups Remergil to suicidal thoughts, suicide attempts, as well as hostility and aggressiveness towards others. In addition, also long term data ensuring of growth, maturation, and mental development are missing.

    When may Remergil not be used 6 mg / 2 ml Remergil – 15 mg / 5 ml concentrate?

    Mirtazapine may not be with a hypersensitivity to the active substance. Also in children and adolescents under 18 years of age, treatment with mirtazapine is not allowed. The combination of mirtazapine with antidepressants from the Group of the MAO-inhibitor is not permitted due to the risk of reinforcing mutual effects. When switching the two active substances, therefore a break must be kept at least two weeks. The following diseases, the use of mirtazapine only after careful weighing of benefit and risk shall be by the physician. Thus, the course of treatment must be checked closely by doctors:

    • cerebral seizure preparedness (epilepsy)
    • Psychosis and schizophrenia and paranoid delusions
    • Dysfunction of the heart such as excitation conduction abnormalities, heart tightness (angina pectoris) or a recently suffered heart attack
    • low blood pressure
    • Liver dysfunction such as inflammation of the liver (termination of treatment in presence of jaundice)
    • severe renal impairment
    • serious disturbances of blood formation
    • Bladder voiding disorders with residual urine formation, such as a prostate enlargement
    • Diabetes (diabetes mellitus)
    • severe closures or constriction in the gastro-intestinal area
    • Eye inner pressure increase (green star) or acute narrow-angle glaucoma.

    Mirtazapine belongs to the Group of Tri and tetrazyklischen antidepressants and increases the concentration of the body’s messengers of dopamine and norepinephrine in the brain. The mirror of both signalling substances Remergil often abased in depression and responsible for the typical symptoms such as depression, lack zest for life, lack of drive and restlessness.

    To start using mirtazapine has a strong calming and dampening effect, what can be used in the treatment of anxiety disorders. The effect of mood enhancing adjuvants as only when inserts the most antidepressants after about two to four weeks. Remergil more is, however, already a drive increase in the patient.

    Compared to the classic tricyclic antidepressants, the tetrazyklische mirtazapine is characterised by very few side effects.


    Treatment for adults should begin with a daily dose of 6 mg (two millilitres concentrated product). She will increase usually gradually to up to 21 milligrams (seven ml concentrate). For example, each six milligrams (two millilitres concentrated product) can each nine milligrams (three millilitres concentrated product) on the first and second day, the third and fourth day and each 15 milligrams (five millilitres concentrated product) be given to the fifth and sixth day. In the following one to eight may days, if necessary, increase the daily dose gradually further to 21 milligrams (seven ml concentrate).

    The recommended dose for elderly patients is equivalent to the adult dose. A dose increase should be done under comprehensive controls. Only in this way, a sufficient and reliable effect can be guaranteed.

    Rare side effects: oppression of blood cell formation in the bone marrow (bone marrow depression), euphoria (pathologic), confusion, hallucinations, nightmares, arousal, dizziness, headache, seizures (epilepsy), tremor, emotional disorders, leg trouble, unconsciousness, low blood pressure, dry mouth, diarrhea, boost the liver (transaminases), rash, joint pain, muscle pain, fatigue

    Bipolar disorder: Mirtazapine should not be used in treating bipolar disorder unless mood stabilizers are also being used. It can precipitate manic episodes that may be mild or severe, and can lead to delusions, psychosis and rapid cycling.

    Agranulocytosis: A few people have developed agranulocytosis while taking mirtazapine. This is a condition in which there are very few disease-fighting cells in your bloodstream, which makes you susceptible to infections. Notify your doctor if you experience mouth sores, sores that won't heal or become easily infected, fever, sore throat or any other unusual symptoms.

by annathomas | 2019-12-15 19:00