Remeron: Uses, indications and precautions when using

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Remeron is used in the treatment of depression, to help improve mood. / Remeron works by restoring the balance of natural chemicals in the brain.

1. What are the effects of Remeron?

Remeron, also known as Mirtazapine, is an antidepressant that is used to treat depression.
Remeron helps improve mood and happiness, it works by restoring the balance of natural chemicals (neurotransmitters) in the brain.
2. How to use Remeron Remeron is to be taken by mouth with or without food as directed by your doctor, usually once daily at bedtime. The dose will depend on your medical condition and response to treatment. Do not break, chew or crush the tablets, do not remove any tablets from the blister pack until you are ready to take your dose. Use Remeron regularly to get the most benefit from it. It may take about 1 to 4 weeks for you to notice an improvement in your symptoms. Absolutely do not arbitrarily increase the dose or abuse the drug for a longer time than prescribed. This not only makes the condition improve faster, but also increases the risk of unwanted effects. Keep taking Remeron at the prescribed dose even if you feel well.

3. Undesirable effects when using the drug Remeron

Some unwanted effects that may occur when using Remeron include:
Dizziness Sudden weight gain Dry mouth Constipation Serious side effects such as swelling of hands and feet, tremor, confusion, signs of infections (such as fever, persistent sore throat), irregular fast heartbeat, severe dizziness, fainting, widened pupils, vision changes (eg seeing rainbows around lights at night, blurred vision) Serotonin elevation or serotonin toxicity syndrome: The risk is increased if you are also taking other medicines that increase Serotonin, symptoms may appear such as rapid heartbeat, hallucinations, loss of coordination, severe dizziness, convulsions, unexplained fever, agitation, unusual restlessness, ... Before prescribing, doctors always weigh the benefits of Remeron to outweigh the risks of side effects. extra. However, in some cases, when taking Remeron, unwanted effects may still occur. Therefore, when seeing abnormal signs, the patient should immediately notify the medical staff for immediate intervention.

4. Some notes when using Remeron

Some notes when using Remeron include:
Report a history of allergy to Remeron or any other allergies. The product may contain inactive drug ingredients and may cause allergic reactions or other serious problems. Report any medical history, especially personal or family history of mental disorders (eg, bipolar disorder, mania, suicide attempts), kidney disease, liver disease, epilepsy, high blood pressure. high blood pressure, high cholesterol or triglycerides, heart disease (such as heart attack, angina), stroke, dehydration, glaucoma,... Remeron may contain aspartame, if you have phenylketonuria (PKU) or any other condition where you must limit your intake of Aspartame (or Phenylalanin), consult your doctor or pharmacist on how to use Remeron. Medicines can make you dizzy or drowsy, using stimulants such as (alcohol or marijuana) can make this worse. Therefore, limit the use of stimulants during the use of Relpax. Do not use machines, drive or do any other work that requires alertness. To relieve symptoms such as: Dizziness and lightheadedness, change position slowly. To reduce the feeling of dry mouth, suck on hard candy or chew sugar-free gum, drink water at regular intervals, or use a saliva substitute. The elderly may be more sensitive to the side effects of drugs that can cause drowsiness and QT prolongation. Therefore, consider using the drug in the elderly. Remeron should only be used when clearly needed during pregnancy. If Remeron is used during the last 3 months of pregnancy, the infant may develop symptoms such as: Shortness of breath, convulsions, muscle stiffness, restlessness or constant fussiness. Tell your doctor immediately if any of these symptoms appear. If you are pregnant or planning to become pregnant, discuss the benefits and risks of using Remeron with your doctor right away.

5. What to do when overdosing or forgetting to take Remeron?

If you forget to take a dose of Remeron, take it as soon as possible. However, if the time you remember the missed dose is close to the time for your next dose, skip the missed dose and take your next dose at the same time as the original dosing schedule. Absolutely do not use twice the dose of the drug than the treatment regimen. Overdose of Remeron can cause serious symptoms such as: irregular fast heartbeat, severe dizziness, fainting, etc.

6. Drug interactions

Drug interactions can decrease the effectiveness of Remeron, or increase the effect of unwanted effects. Tell your doctor about all other medicinal products you are using, including prescription and over-the-counter medicines, vitamins, and herbal products. Do not stop, start, or change the dose of any medicine without your doctor's consent.
Some drugs that can interact with Remeron include:
MAO inhibitors: Isocarboxazid, Linezolid, Moclobemide, Phenelzine, Rasagiline, Procarbazine, Tranylcypromine, Safinamide, Selegiline,... Most MAO inhibitors also don't. should be used for two weeks before and after treatment with Remeron. Your risk of Serotonin syndrome is increased if you are using stimulants (such as the street drug MDMA, ecstasy), or certain antidepressants (such as Fluoxetine, Duloxetine, Venlafaxine, Paroxetine). Antihistamines: Cetirizine, Diphenhydramine Anxiolytics, sleeping pills: Diazepam, Zolpidem, Alprazolam Muscle relaxers: Carisoprodol, Cyclobenzaprine Opioid analgesics: Hydrocodone, Codeine

7. How to store Remeron

Store Remeron at room temperature, away from moisture and light, do not store in the freezer. Each medicine will have different storage methods, so read the Remeron storage instructions carefully on the packaging, or ask your pharmacist. Keep Remeron out of the reach of children and family pets. When the medicine has expired or cannot be used anymore, dispose of it properly. Do not arbitrarily dispose of Remeron into the environment such as a water pipe or toilet unless requested. Please consult your waste disposal company or pharmacist on how to safely dispose of Remeron to help protect the environment.

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Reference source: Webmd.com