Questions about Remeron?

  1. I was wondering if anyone on here had experience, either through self or patients, with Remeron (mirtazipine). I readily admit I have never given it to any patient or taken it myself. I was wondering if you did take it, how did it work, side effects, and what it was prescribed for? I am NOT looking for medical advice, simply anecdotal evidence/experience. Thank!

    Melanie = )
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  2. 7 Comments

  3. by   GingerSue
    mirtazapine is an antidepressant, used to decrease anxiety, agitation, insomnia, and migraine headaches as well as depression

    it blocks alpha2-adrenergic receptors (which increases the release of norepinephrine), serotonin receptors, and histamine H1 receptors

    it should not be taken concurrently with other CNS depressants (alcohol, benzodiazepine antianxiety or hypnotic agents) because of additive sedation

    it should not be taken concurentlly with an MAO inhibitor or for 14 days aftern an MAO inhibitor is stopped (an MAO inhibitor should not be started until at least 14 days after mirtazapine is stopped)

    do not take St John's wort while taking an antidepressant

    With mirtazapine observe for sedation, confusion, dry mouth, constipation, nausea & vomiting, hypotension, tachycardia, urinary retention, photosensitivity, skin rash, weight gain (common effects are drowsiness, dizziness, and weight gain; has CNS depressant and anticholinergic effects)

    safety and effectiveness for mirtazapine has not been established for children younger than 18 years of age

    mirtazapine is unlikely to cause sexual dysfunction

    mirtazapine is not thought to have clinically significant effects on cytochrome P450 enzymes, but few studies have been done and effects are unknown

    hope this is of some help
  4. by   LilRedRN1973
    I just took my first dose and my psychiatrist wasn't kidding about the sedation side effect. I'm not sure if I can handle this....he prescribed 30mg but I don't know if that is a big or little dose. I feel drugged and it's not cool. Thank you for information!

    Melanie = )
  5. by   GingerSue
    my pharmacology textbook says that the dosage range for mirtazapine is PO 15 mg/d

    this is all the information that I have about mirtazapine
    (maybe take a look at www.drugdigest.com)
  6. by   wonderbee
    My son took Remeron. It was extremely sedating. If it's qd, you should talk to your provider about taking it hs.
  7. by   LPN2RNin6
    In the long term care facility where I used to work they also gave the pts remeron to try and help boost appetite. I did not feel that it worked it just seemed to sedate them and they were too sleepy to eat.
  8. by   sphinx
    I took this for depression a few years back. I have no idea if it worked at all-I was too sedated to notice! It was a very doped up/druggy feeling. When I wasn't sleeping, I was eating...a lot. This was a yucky one for me personally!
  9. by   jenno
    I have taken this drug for depression due to a grief process. The first time I started it, I felt like I had the flu for about 48 hours, then that symptom receded. But, after about a month I had to stop it because I could not stop eating. Seriously, I ate ALL the time, carbs especially! After a year I restarted it when I hit a "low". This time I had no flu symptoms and no eating problems. I take it at night before bed (45mg). It works quickly which is nice. I also take Wellbutrin, somehow Wellbutrin alone gave me crazy anxiety but with the two work really well for me. Nothing else worked.
    I also have seen it used frequently in geriatrics as an appetite stimulant.
    good luck!

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