MIRTAZAPINE

Generic Name : MIRTAZAPINE

TradeName : MATIZ tab MAZ TAB tab MIRAMIND tab MIRAZEP tab MIRNITE tab MIRPINE film-coated tab MIRT film-coated tab MIRTACIN tab MIRTADEP tab MIRTAZ tab MIRZEST film-coated tab NASSA tab NUTAZ-15 film-coated tab NUTAZ-30 film-coated tab NUTAZ-7.5 film-coated tab RISTRA tab ZIPDEP tab

Why it is prescribed (Indications) : This medication is prescribed for depression. It is an antidepressant. It alters certain activity of certain chemicals in the brain to maintain mental balance

When it is not to be taken (Contraindications) : Hypersensitivity to any component of the product or mirtazapine; concomitant use with MAOInhibitors.s.

When it is to be taken : Oral Initial: 15 mg/day; May increase gradually based on response. Usual range: 15-45 mg/day in1-2 divided doses.

How it should be taken : It comes as a tablet and as a disintegrating tablet to take by mouth. It usually is taken once a day at bedtime, with or without food.

Special Instruction :
*Avoid completely in unstable cases, epilepsy or history of seizures; *Caution should be exercised in patients with history of liver or kidney damage; heart diseases, recent sudden heart attack, low blood pressure, diabetes, psychoses, and history of bipolar disorder, pregnancy and lactation, elderly. *Stop treatment if jaundice, urination disturbances, angle-closure glaucoma, raised intraocular pressure develops. *Monitor patient for signs of bone marrow depression and suicidal tendency. *It may cause drowsy, dizziness or impaired vision, do not drive a car or operate machineries while taking this medication.

Side Effects :
HEART
Hypertension, palpitation, postural hypotension, dilation of the blood vessels.
CENTRAL NERVOUS SYSTEM
Drowsiness, loss of strength, dizziness, abnormal dreams, abnormal thinking, confusion, tremor, agitation, amnesia, anxiety, depression, headache, abnormal movements, and suicidal tendencies.
SKIN
Itching, rash.
GI
Dry mouth, constipation, nausea, abdominal pain, acute abdominal syndrome, loss of appetite, diarrhea, impaired digestion, flatulence, vomiting.
GENITOURINARY
Urinary frequency, sexual dysfunction, urinary tract infection.
BLOOD
Decrease in white blood cells.
METABOLIC-NUTRITIONAL
Increased appetite, weight gain, peripheral edema, thirst.
MUSCULOSKELETAL
Back pain, muscle pain, joint pain, muscle weakness.
RESPIRATORY
Shortness of breath, increased cough, sinusitis.
MISCELLANEOUS
Flu syndrome, poor or indistinct vision, inflammation of pharynx, rhinitis, taste perversion, ringing the ears.

Other Precautions :
*Avoid abrupt withdrawal.

Storage Conditions :
Oral: Store at 15-30°C. Protect from light and moisture.