What should I discuss with my healthcare provider before taking mirtazapine?
While you are taking mirtazapine you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking mirtazapine. In patients younger than 18 years, the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety, panic attacks, difficulty sleeping, irritability, hostility, impulsivity, severe restlessness, and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with mirtazapine. Do not stop taking mirtazapine. Do not take mirtazapine if you are currently taki
You should not take this medication if you are allergic to mirtazapine. You may have thoughts about suicide while taking an antidepressant, especially if you are younger than 24 years old. Tell your doctor if you have worsening depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed. Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment. Do not use mirtazapine if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take mirtazapine before the MAO inhibitor has cleared from your body. Before taking mirtazapine, tell your doctor if you are allergic to any drugs, or if you have: • liver or kidney disease; • bipola
You should not take this medication if you are allergic to mirtazapine or if you are also taking tryptophan (sometimes called L-tryptophan). Do not use mirtazapine if you have taken an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) in the last 14 days. Serious, life threatening side effects can occur if you use mirtazapine before the MAO inhibitor has cleared from your body. If you have any of these other conditions, you may need a mirtazapine dose adjustment or special tests: liver or kidney disease bipolar disorder (manic depression) seizures or epilepsy low blood pressure or dizzy spells high cholesterol or triglycerides heart disease, including angina (chest pain) a history of heart attack or stroke; or a history of drug abuse or suicidal thoughts You may have thoughts about suicide while taking an antidepressant, especially if you are younger than 24 years
You should not take this medication if you are allergic to mirtazapine or if you are also taking tryptophan (sometimes called L-tryptophan). Do not use mirtazapine if you have taken an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) in the last 14 days. Serious, life threatening side effects can occur if you use mirtazapine before the MAO inhibitor has cleared from your body. If you have any of these other conditions, you may need a mirtazapine dose adjustment or special tests: • liver or kidney disease; • bipolar disorder (manic depression); • seizures or epilepsy; • low blood pressure or dizzy spells; • high cholesterol or triglycerides; • heart disease, including angina (chest pain); • a history of heart attack or stroke; or • a history of drug abuse or suicidal thoughts. You may have thoughts about suicide while taking an antidepressant, especially if you ar
