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(Mirtazapine)
Prescription required. Can not be split. Product of Australia. Shipped from Australia. Remeron is also marketed internationally under the name Axit.
Prescription required. May be split. Product of UK/EU. Shipped from United Kingdom.
Prescription required. May be split. Product of Australia. Shipped from Australia. Remeron is also marketed internationally under the name Avanza.
Prescription required. May be split. Product of UK/EU. Shipped from United Kingdom.
Prescription required. May be split. Product of UK/EU. Shipped from United Kingdom.
Remeron (Mirtazapine) is a prescription medication used to treat Major Depressive Disorder (MDD) in adults. Classified as a tetracyclic antidepressant, it is thought to work by balancing neurotransmitters such as serotonin and norepinephrine in the brain. While the exact mechanism is not fully understood, Remeron helps improve mood, sleep, and appetite in individuals experiencing moderate to severe depression. Remeron is also sometimes recommended by healthcare providers to help treat conditions like insomnia, headaches, and fibromyalgia.
Remeron is prescribed for major depressive disorder and is often chosen when symptoms include:
Significant sleep disturbances (insomnia)
Appetite loss and unintended weight loss
Anxiety or agitation
Poor response to other antidepressants
It may be favored in some instances for its sedating effects and lower risk of sexual side effects compared to SSRIs and SNRIs. When prescribed for depression, it’s often an option after treatments with SSRIs or SNRIs are not well-tolerated.
To comply with Canadian International Pharmacy Association regulations you are permitted to order a 3-month supply or the closest package size available based on your personal prescription. read more
Take Remeron exactly as prescribed by your healthcare provider. Standardized instructions often include:
Initial dose is usually 15 mg taken once daily, typically at bedtime due to drowsiness
Dose may be increased gradually to a maximum of 45 mg/day
Can be taken with or without food
For orally disintegrating tablets (SolTab), place on the tongue and allow it to dissolve; do not chew or crush
Continue taking Remeron even if the symptoms being managed do not seem to improve right away—improvements may take 2–4 weeks.
Before starting Remeron, tell your doctor if you have a history of:
Bipolar disorder, suicidal thoughts, or severe depression
Seizures, liver or kidney disease
Glaucoma or heart problems (including a history of arrhythmias or QT prolongation)
Low white blood cell counts or low sodium levels
Do not take Remeron if you:
Are allergic to mirtazapine
Are taking or have recently taken an MAO inhibitor (within 14 days)
Take supplements containing tryptophan
Avoid drinking alcohol and discuss with your provider before stopping the medication. Sudden discontinuation can lead to withdrawal symptoms such as dizziness, sweating, nausea, or mood changes.
It’s important to note that Remeron can interact with a variety of medications and over-the-counter products. Talk with your healthcare providers about all of the products you use to ensure they can be used safely together. In some instances, dosage adjustments or alternatives may be needed to ensure safety.
No special diet is required while taking Remeron
However, be aware that it may increase appetite and lead to weight gain
If you have phenylketonuria (PKU), avoid orally disintegrating tablets (SolTab), which may contain phenylalanine
If you miss a dose:
Take it as soon as you remember unless it’s nearly time for your next dose
Do not take two doses at once
Resume your regular schedule the next day
Drowsiness or sedation
Dizziness
Increased appetite and weight gain
In some instances, mirtazapine may be specifically chosen for individuals who are unintentionally losing weight due to its ability to help stimulate appetite.
Allergic reactions (rash, swelling, difficulty breathing)
Low white blood cell count (fever, sore throat, flu-like symptoms)
Seizures
Serotonin syndrome (confusion, fever, tremors, nausea, hallucinations)
Low sodium levels (headache, vomiting, weakness, confusion)
Contact your doctor immediately if you experience suicidal thoughts, panic attacks, or mood changes. Remeron, like other antidepressants, has been associated with an increase in suicidal thoughts and behavior, particularly in pediatric and young adult patients. Supportive monitoring during a treatment transition is critical.
Store Remeron at room temperature (68–77°F or 20–25°C)
Keep away from light, heat, and moisture
Keep in the original container with the lid tightly closed
Keep out of reach of children and pets
Do not share this medication with others
Tell your provider about all current medications, including:
Antidepressants, opioids, sedatives
Herbal supplements (e.g., St. John’s Wort)
Migraine drugs (e.g., sumatriptan)
Antibiotics, antifungals, seizure medications
Remeron may cause drowsiness, so avoid driving or operating machinery until you know how it affects you
Inform your doctor if you become pregnant, plan to become pregnant, or are breastfeeding
For questions or to report side effects, contact your provider or call the FDA at 1-800-FDA-1088.
The content on this page is for informational and educational purposes only and does not constitute professional medical advice. Patients should not use the information presented on this page for diagnosing a health-related issue or disease. Before taking any medication or supplements, patients should always consult a physician or qualified healthcare professional for medical advice or information about whether a drug is safe, appropriate or effective.