Mirtazapine

Buy Remeron Online

Remeron, known generically as mirtazapine, is an antidepressant that treats major depressive disorder by influencing serotonin and norepinephrine in the brain. It is effective in alleviating symptoms like low mood, lack of interest, and fatigue, and is particularly beneficial for patients with depression-related insomnia or anxiety. Available in tablet form with doses ranging from 15 mg to 45 mg, it may cause side effects such as sleepiness and weight gain. Remeron can also be used off-label for anxiety disorders and neuropathic pain.

Product Overview

Remeron, or mirtazapine, is a medication primarily used to manage major depressive disorder in adults, offering a unique dual-action mechanism that impacts both serotonin and norepinephrine pathways in the brain. This antidepressant helps relieve symptoms such as sadness, loss of interest, and energy deficiency, and is known for its fast-acting benefits that can be observed within the first few weeks of treatment. 

Remeron can improve sleep quality and increase appetite, making it particularly useful for patients who suffer from depression-induced insomnia or weight loss. Remeron is available as immediate-release tablets in strengths of 15 mg, 30 mg, and 45 mg, typically taken once daily at bedtime. Common side effects include drowsiness, increased appetite, dry mouth, and weight gain. 

It also carries a black box warning for increased risk of suicidal thoughts in young adults. Due to its sedative effects, it is advised to avoid driving or operating heavy machinery after intake. This medication is also used off-label to treat anxiety disorders and some sleep disturbances.

What Is Remeron Usually Prescribed For?

• It is used to treat depression

What Are the Benefits of Remeron?

• Effectively treats major depressive disorder (MDD) in adults.
• May improve sleep quality and increase appetite in patients with depression.
• Can be particularly helpful for individuals experiencing anxiety, agitation, or restlessness associated with depression.
• Unique mechanism of action targeting both serotonin and norepinephrine systems in the brain.
• May be less likely to cause certain side effects, such as sexual dysfunction, compared to some other antidepressants.
• Available in various formulations, including tablets and orally disintegrating tablets.
• Relatively fast onset of action, with potential improvement seen within the first few weeks of treatment.
• May have a calming effect that can benefit patients with depression-related insomnia or agitation.
• Potential off-label use for the management of anxiety disorders, neuropathic pain, and certain sleep disorders.

What Is the Most Common Side Effect of Remeron?

Common Remeron side effects may include:

• Weight gain
• Strange dreams
• Dry mouth
• Dizziness
• Increased appetite
• Sleepiness
• Constipation

[Note: This list is not exhaustive, if you notice any other symptoms that are not mentioned above, consult your doctor immediately.]

What Are the Forms & Strengths of Remeron?

It comes in the form of oral immediate-release tablet and is available in these following strengths:

• Remeron 15 mg tablet
• Remeron 30 mg tablet
• Remeron 45 mg tablet

What Is the Typical Dosage of Remeron?

Dosage of Remeron for depression

• Adults (ages 18–64 years):

• • • Starting Dosage: 15 mg taken once daily in the evening before bedtime.
    • Dosage Adjustments: Your doctor may increase the dose slowly, every 1-2 weeks, depending on how your symptoms improve.
    • Maximum Dosage: Up to 45 mg per day.

• Children (ages 0–17 years): Remeron is not confirmed as safe or effective for children under 18 years old.

• Seniors (ages 65 years and older):

• • Reduced Kidney Function: Older adults often process drugs more slowly, leading to higher levels of the drug in the body for a longer period, which could increase the risk of side effects.
  • Adjusted Dosage: Doctors might prescribe a lower dose or adjust the dosing schedule to prevent too much of the drug from building up in the body.

How Should Remeron Be Taken?

• • Read the Guide: Always read the Medication Guide provided by your pharmacist before starting Remeron, and upon receiving each refill. 
  • Method of Administration: Take Remeron orally, with or without food, typically once daily at bedtime. Your specific dosage will depend on your medical condition and how you respond to treatment.

• Handling the Medication:

• • Use clean, dry hands to open the blister pack.
  • Place the tablet on your tongue; it will dissolve quickly and can be swallowed with saliva, no need for water.
  • Do not break, chew, or crush the tablets.
• Consistency: Take the medication regularly at the same time each day to get the most benefit. It may take 1 to 4 weeks to notice an improvement in symptoms. 
• Continuation: Continue taking Remeron even if you feel well. Do not stop taking it without consulting your doctor, as some conditions may worsen upon abrupt discontinuation.
• Monitoring: Inform your doctor if your condition persists or worsens.

What to Do When You Miss a Dose of Remeron? 

If you miss a dose and remember close to the time of your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

[Note: Do not take two doses of Remeron at the same time to compensate for a missed dose. This can increase your risk of experiencing side effects.]

What Happens When You Take Too Much Remeron?

Overdosing on Remeron can lead to serious side effects such as confusion, sleepiness, memory problems, and a fast heart rate. If you suspect an overdose, contact your doctor or local poison control center immediately. In severe cases, call 911 or head to the nearest emergency room.

[Note: If you notice you have taken too much medication, call your local emergency number immediately.]

How Does Remeron Work?

Remeron is an antidepressant that affects chemicals in the brain, such as norepinephrine and serotonin, which help regulate mood. The exact mechanism isn’t fully understood, but it is thought to enhance the levels of these neurotransmitters, thereby improving symptoms of depression.

What Are the Safety Precautions of Remeron?

• Black Box Warning: Increased risk of suicidal thoughts and actions in children, teenagers, and young adults, particularly when starting the medication.
• Monitoring: Close observation for changes in mood, behavior, or thoughts is advised, especially at the beginning of treatment.
• QT Prolongation Risk: May increase the risk of QT prolongation, affecting heart rhythm. This risk is higher in older adults, those with heart issues, or low potassium/magnesium levels.
• Sedation: Can cause dizziness and sleepiness, impacting the ability to drive or operate heavy machinery.
• Discontinuation Symptoms: Gradual withdrawal is recommended to avoid symptoms like dizziness, anxiety, confusion, and nausea.
• Pregnancy: Use cautiously during pregnancy as it may cause complications such as difficulty feeding and seizures in newborns.

How Do You Store Remeron?

• Keep mirtazapine at room temperature, between 59°F and 86°F (15°C and 30°C).
• Store the medication away from direct light to preserve its effectiveness.
• Do not store in damp or humid areas, such as bathrooms, to prevent degradation.

What Drugs Interact with Remeron?

• Drugs that can increase serotonin levels:

• • • Intravenous methylene blue
    • Monoamine oxidase inhibitors (MAOIs)
    • Linezolid (Zyvox), an antibiotic

• Drugs that may increase the risk of side effects:

• • • Certain antipsychotics or antibiotics can affect heart rhythm.
    • Lithium, triptan, and other serotonergic medications.
    • Warfarin may heighten the risk of bleeding.
    • Benzodiazepines can enhance drowsiness.

• Drugs that can increase the level of mirtazapine in the body:

• • Carbamazepine (Tegretol)
  • Phenytoin (Dilantin)
  • Antifungals, protease inhibitors for HIV, cimetidine (Tagamet), and antibiotics

[Note: This list of interactions isn’t complete. Talk to your doctor if you notice any interaction with food, over-the-counter drugs, prescriptions or supplements.]

What Is the Best Alternative to Mirtazapine for Depression?

• Elavil (amitriptyline)
• Brintellix (vortioxetine)
• Pristiq (desvenlafaxine)
• Wellbutrin (bupropion)
• Remeron (mirtazapine)
• Zoloft (sertraline)
• Lexapro (escitalopram)
• Parnate (tranylcypromine)
• Paxil (paroxetine)
• Viibryd (vilazodone)
• Celexa (citalopram)
• Nardil (phenelzine)
• Desyrel (trazodone)
• Prozac (fluoxetine)
• Fetzima (levomilnacipran)
• Cymbalta (duloxetine)
• Tofranil (imipramine)
• Pamelor (nortriptyline)

[Note: Your healthcare provider will choose which Remeron alternative is best for you. Taking or consuming them by yourself may cause serious side effects.]

Remeron Cost & Coupons

Remeron, commonly prescribed for major depressive disorder, can be expensive in the U.S., especially without insurance. Arctic Meds provides a more affordable solution, allowing U.S. residents to buy Remeron online from Canada at considerably reduced costs. Benefit from our lower prices by using the coupon code “ARCTIC10,” which grants an additional 10% off your first order. Joining our referral program could further reduce your costs, potentially saving up to $200 on your medication needs ensuring cost-effective treatment for your mental health.

Frequently Asked Questions

What can you not eat with mirtazapine?

There are no specific food restrictions when taking mirtazapine, so you can generally eat and drink normally.

Is Remeron a good sleeping pill?

Though primarily prescribed as an antidepressant, Remeron (mirtazapine) is also known to aid sleep. It can help by increasing total sleep time, improving sleep efficiency, and enhancing various sleep stages, making it beneficial for those with insomnia related to depression.

How fast does Remeron put you to sleep?

Remeron typically begins to have sedative effects soon after intake, usually within 30 minutes to an hour, making it effective for those needing help to fall asleep quickly. It reaches peak levels in the bloodstream about two hours after consumption.

Who cannot take mirtazapine (Remeron)?

Mirtazapine may not be suitable for everyone. It should be used with caution or avoided by those with glaucoma, as it can increase eye pressure. Individuals with epilepsy should also be careful, as there is a slight risk it could trigger seizures.

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