What happens if I miss a dose (Remeron, Remeron SolTab)?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose (Remeron, Remeron SolTab)?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Overdose symptoms may include confusion, memory problems, drowsiness, and fast heart rate.
What should I avoid while taking mirtazapine (Remeron, Remeron SolTab)?
Drinking alcohol can increase certain side effects of mirtazapine.
Mirtazapine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.
What other drugs will affect mirtazapine (Remeron, Remeron SolTab)?
Cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures or anxiety can add to sleepiness caused by mirtazapine. Tell your doctor if you regularly use any of these medicines
Many drugs can interact with mirtazapine. Below is just a partial list. Tell your doctor if you are using:
- cimetidine (Tagamet);
- conivaptan (Vaprisol);
- imatinib (Gleevec);
- isoniazid (for treating tuberculosis);
- lithium (Eskalith, LithoBid);
- St. John's wort;
- tramadol (Ultram, Ultracet);
- a blood thinner such as warfarin (Coumadin, Jantoven);
- an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), rifampin (Rifadin, Rifater, Rifamate), or telithromycin (Ketek);
- an antidepressant such as amitriptyline (Elavil, Vanatrip, Limbitrol), citalopram (Celexa), doxepin (Sinequan), desipramine (Norpramin), desvenlafaxine (Pristiq), fluoxetine (Prozac, Rapiflux, Sarafem, Selfemra, Symbyax), imipramine (Janimine, Tofranil), nefazodone, nortriptyline (Pamelor), paroxetine (Paxil), sertraline (Zoloft), venlafaxine (Effexor), and others;
- antifungal medication such as itraconazole (Sporanox), ketoconazole (Nizoral), or miconazole (Oravig);
- heart or blood pressure medication such as nicardipine (Cardene) or quinidine (Quin-G);
- HIV/AIDS medicine such as atazanavir (Reyataz), delavirdine (Rescriptor), indinavir (Crixivan), nelfinavir (Viracept), saquinavir (Invirase), or ritonavir (Norvir, Kaletra);
- migraine headache medicine such as almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex), or zolmitriptan (Zomig);
- seizure medication such as carbamazepine (Carbatrol, Equetro, Tegretol) or phenytoin (Dilantin);
This list is not complete and other drugs may interact with mirtazapine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.
Where can I get more information?
Your pharmacist can provide more information about mirtazapine.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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