Pronunciation: mir TAZ a peen

Brand: Remeron, Remeron SolTab

Mirtazapine 15 mg DT-BAR

slide 1 of 27, Mirtazapine 15 mg DT-BAR,

round, blue, imprinted with b 241

Image of Mirtazapine 15 mg DT-BAR
slide 1 of 27
    

Mirtazapine 15 mg ODT-TEV

slide 2 of 27, Mirtazapine 15 mg ODT-TEV,

round, white, citrus, imprinted with 7303, 93

Image of Mirtazapine 15 mg ODT-TEV
slide 2 of 27
    

Mirtazapine 15 mg-APO

slide 3 of 27, Mirtazapine 15 mg-APO,

oval, yellow, imprinted with APO, MI 15

Image of Mirtazapine 15 mg-APO
slide 3 of 27
    

Mirtazapine 15 mg-AUR

slide 4 of 27, Mirtazapine 15 mg-AUR,

oblong, yellow, imprinted with A, 8 0

Image of Mirtazapine 15 mg-AUR
slide 4 of 27
    

Mirtazapine 15 mg-EON

slide 5 of 27, Mirtazapine 15 mg-EON,

round, yellow, imprinted with E 20

Image of Mirtazapine 15 mg-EON
slide 5 of 27
    

Mirtazapine 15 mg-MYL

slide 6 of 27, Mirtazapine 15 mg-MYL,

round, beige, imprinted with M 515

Image of Mirtazapine 15 mg-MYL
slide 6 of 27
    

Mirtazapine 15 mg-WAT

slide 7 of 27, Mirtazapine 15 mg-WAT,

oblong, white, imprinted with 11 17, WPI

Image of Mirtazapine 15 mg-WAT
slide 7 of 27
    

Mirtazapine 30 mg DT-BAR

slide 8 of 27, Mirtazapine 30 mg DT-BAR,

round, blue, imprinted with b 242

Image of Mirtazapine 30 mg DT-BAR
slide 8 of 27
    

Mirtazapine 30 mg ODT-TEV

slide 9 of 27, Mirtazapine 30 mg ODT-TEV,

round, white, citrus, imprinted with 7304, 93

Image of Mirtazapine 30 mg ODT-TEV
slide 9 of 27
    

Mirtazapine 30 mg-APO

slide 10 of 27, Mirtazapine 30 mg-APO,

oval, pink, imprinted with APO, MI 30

Image of Mirtazapine 30 mg-APO
slide 10 of 27
    

Mirtazapine 30 mg-AUR

slide 11 of 27, Mirtazapine 30 mg-AUR,

oblong, red, imprinted with A, 09

Image of Mirtazapine 30 mg-AUR
slide 11 of 27
    

Mirtazapine 30 mg-MYL

slide 12 of 27, Mirtazapine 30 mg-MYL,

round, beige, imprinted with M 530

Image of Mirtazapine 30 mg-MYL
slide 12 of 27
    

Mirtazapine 30 mg-WAT

slide 13 of 27, Mirtazapine 30 mg-WAT,

oval, yellow, imprinted with WPI 1118

Image of Mirtazapine 30 mg-WAT
slide 13 of 27
    

Mirtazapine 45 mg-APO

slide 14 of 27, Mirtazapine 45 mg-APO,

oval, white, imprinted with APO, MI-45

Image of Mirtazapine 45 mg-APO
slide 14 of 27
    

Mirtazapine 45 mg-MYL

slide 15 of 27, Mirtazapine 45 mg-MYL,

round, beige, imprinted with M 545

Image of Mirtazapine 45 mg-MYL
slide 15 of 27
    

Mirtazapine 45 mg-TEV

slide 16 of 27, Mirtazapine 45 mg-TEV,

round, white, imprinted with 7208, 93

Image of Mirtazapine 45 mg-TEV
slide 16 of 27
    

Mirtazapine 45 mg-WAT

slide 17 of 27, Mirtazapine 45 mg-WAT,

oval, white, imprinted with WPI 1119

Image of Mirtazapine 45 mg-WAT
slide 17 of 27
    

Mirtazepine 15 mg-TEV

slide 18 of 27, Mirtazepine 15 mg-TEV,

round, yellow, imprinted with 9 3, 7206

Image of Mirtazepine 15 mg-TEV
slide 18 of 27
    

Mirtazepine 30 mg-EON

slide 19 of 27, Mirtazepine 30 mg-EON,

round, brown, imprinted with E 212

Image of Mirtazepine 30 mg-EON
slide 19 of 27
    

Mirtazepine 30 mg-TEV

slide 20 of 27, Mirtazepine 30 mg-TEV,

round, brown, imprinted with 9 3, 7207

Image of Mirtazepine 30 mg-TEV
slide 20 of 27
    

Mirtazepine 45 mg-EON

slide 21 of 27, Mirtazepine 45 mg-EON,

round, white, imprinted with E 222

Image of Mirtazepine 45 mg-EON
slide 21 of 27
    

Remeron 15 mg

slide 22 of 27, Remeron 15 mg,

elliptical, yellow, imprinted with Organon, TZ 3

Image of Remeron 15 mg
slide 22 of 27
    

Remeron 30 mg

slide 23 of 27, Remeron 30 mg,

elliptical, pink, imprinted with Organon, TZ 5

Image of Remeron 30 mg
slide 23 of 27
    

Remeron 45 mg

slide 24 of 27, Remeron 45 mg,

oval, white, imprinted with T Z 7, Organon

Image of Remeron 45 mg
slide 24 of 27
    

Remeron Soltab 15 mg

slide 25 of 27, Remeron Soltab 15 mg,

round, white, imprinted with T Z 1

Image of Remeron Soltab 15 mg
slide 25 of 27
    

Remeron Soltab 30 mg

slide 26 of 27, Remeron Soltab 30 mg,

round, white, imprinted with T Z 2

Image of Remeron Soltab 30 mg
slide 26 of 27
    

Remeron Soltab 45 mg

slide 27 of 27, Remeron Soltab 45 mg,

round, white, imprinted with T Z 4

Image of Remeron Soltab 45 mg
slide 27 of 27
    

What is the most important information I should know about mirtazapine?

You should not take mirtazepine if you are also taking tryptophan (sometimes called L-tryptophan).

Do not use mirtazepine if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.

Some young people have thoughts about suicide when first taking an antidepressant. Your doctor will need to check your progress at regular visits while you are using mirtazepine. Your family or other caregivers should also be alert to changes in your mood or symptoms.

Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Do not give this medicine to anyone younger than 18 years old without the advice of a doctor. Mirtazepine is not approved for use in children.

What is mirtazapine?

Mirtazapine is an antidepressant. Mirtazapine affects chemicals in the brain that may be unbalanced in people with depression.

Mirtazapine is used to treat major depressive disorder.

Mirtazapine may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking mirtazapine?

You should not take this medicine if you are allergic to mirtazapine, or if you are also taking tryptophan (sometimes called L-tryptophan).

Do not use mirtazepine if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.

To make sure mirtazepine is safe for you, tell your doctor if you have:

  • liver or kidney disease;
  • narrow-angle glaucoma;
  • 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.

Some young people have thoughts about suicide when first taking an antidepressant. Your doctor will need to check your progress at regular visits while you are using mirtazepine. Your family or other caregivers should also be alert to changes in your mood or symptoms.

It is not known whether mirtazapine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

It is not known whether mirtazepine passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

The orally disintegrating tablet may contain phenylalanine. Talk to your doctor before using this form of mirtazapine if you have phenylketonuria (PKU).

How should I take mirtazapine?

Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Mirtazapine is usually taken once a day at bedtime. Follow your doctor's instructions.

Take the regular tablet form of mirtazapine with water.

To take the orally disintegrating tablet (Remeron SolTab):

  • Keep the tablet in its blister pack until you are ready to take it. Open the package and peel back the foil. Do not push a tablet through the foil or you may damage the tablet.
  • Use dry hands to remove the tablet and place it in your mouth.
  • Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing. If desired, you may drink liquid to help swallow the dissolved tablet.

It may take up to several weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after 4 weeks of treatment.

Do not stop using mirtazepine suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using mirtazepine.

Store at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

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?

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?

Avoid drinking alcohol. It may 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 are the possible side effects of mirtazapine?

Get emergency medical help if you have signs of an allergic reaction: skin rash or hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have:

  • racing thoughts, decreased need for sleep, unusual risk-taking behavior, feelings of extreme happiness or sadness, being more talkative than usual;
  • blurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights;
  • a light-headed feeling, like you might pass out;
  • changes in weight or appetite;
  • sudden weakness or ill feeling, fever, chills, sore throat, mouth sores, red or swollen gums, trouble swallowing;
  • rash, blisters, oozing, or severe pain in the palms of your hands or the soles of your feet;
  • high levels of serotonin in the body --agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting;
  • low levels of sodium in the body --headache, confusion, slurred speech, severe weakness, vomiting, loss of coordination, feeling unsteady; or
  • severe nervous system reaction --very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, tremors, feeling like you might pass out.

Common side effects include:

  • drowsiness, dizziness;
  • strange dreams;
  • vision changes;
  • dry mouth;
  • constipation;
  • increased appetite; or
  • weight gain.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect mirtazapine?

Taking this medicine with other drugs that make you sleepy can worsen this effect. Ask your doctor before taking mirtazepine with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.

Tell your doctor about all medicines you use, and those you start or stop using during your treatment with mirtazepine, especially:

  • cimetidine (Tagamet);
  • diazepam (Valium);
  • ketoconazole;
  • St. John's wort;
  • tramadol;
  • tryptophan (sometimes called L-tryptophan);
  • medicine to treat mood disorders, thought disorders, or mental illness --such as lithium, other antidepressants, or antipsychotics;
  • migraine headache medicine --sumatriptan, zolmitriptan, and others; or
  • seizure medicine --carbamazepine, phenytoin.

Other drugs may interact with mirtazepine, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.

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.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2017 Cerner Multum, Inc. Version: 7.03. Revision date: 9/25/2015.

Your use of the content provided in this service indicates that you have read, understood and agree to the End-User License Agreement, which can be accessed by clicking on this link.