Mirtazapine
Brand: Remeron
Boxed warning
Suicidal thoughts and behaviors in children, adolescents, and young adults.
- Caution
- Somnolence, weight gain, and rare agranulocytosis (report fever or sore throat).
Common side effects
- Sedation
- Increased appetite and weight gain
- Dry mouth
- Dizziness
Key interactions
- Additive sedation with alcohol and CNS depressants
- Serotonin syndrome risk with other serotonergic drugs
- Contraindicated with MAO inhibitors
Counseling points
- Usually taken at bedtime because it is sedating
- Appetite increase is expected and can be useful
- Do not stop abruptly
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