Doctors' Answers to "Frequently Asked Questions" - Remeron


These comments are made for the purpose of discussion and should NOT be used as recommendations for or against therapies or other treatments. An individual patient is always advised to consult their own physician.

Remeron Concerns  [posted 10/21/98]
Question: I have been taking effexor and remeron since April.I have had trouble with nausea, insomnia, digestional disturbaces, and very cold hands at time.After telling my doctor this he lowered the dosage from 300mg to 225mg on the effexor and told me to take it on the morning.I take 7.5mg of remeron before bed.Two weeks after lowering the dosage I am still having trouble. I have tried to contact my doctor, but nobody has yet to return my calls. I am really concerned about the digestive problems and very soft stools. Is this the medication's side effect? I have had 2 GI studies done and both are negative.What action would you take.

Answer:  It's the meds. Try decreasing the Remeron;but, check with your md. 

General Info on Remeron [posted 10/21/98]
Question: Please give me information about "REMERON"

Answer: Remeron(mirtazapine) is an tetracyclic antidepressant. It is unrelated to the SRI class(prozac etc). Its mechanism of action is not currently known. Side effects include sedation, vertigo,elevated liver functions and changes in white blood cell counts. It is a class C pregnancy drug. The biggest limitation to its use is the somnulence that patients develop. It needs occasional monitoring of liver function tests and white counts.



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