Remeron for anxiety disorder

Suicidal thoughts or actions remeron and other antidepressant medicines may increase suicidal thoughts or actions in some children, teenagers, or young adults within the first few months of treatment or when the dose is changed.

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Serotonin SyndromeSevere reactions are possible when mirtazapine is combined with other medications that act on serotoninsuch as antipsychoticstriptanmigraine medications and other medications used to treat depressionThese combinations must be avoidedSymptoms of a reaction may include muscle rigidity and spasmsdifficulty movingchanges in mental state including delirium and agitationComa and death are possible.

Other Adverse Events Observed During The Premarketing Evaluation Of REMERON.

Treatment should consist of those general measures employed in the management of overdose with any drug effective in the treatment of major depressive disorderEnsure an adequate airwayoxygenationand ventilationMonitor ECG parametersincluding cardiac rhythmand vital signsGeneral supportive and symptomatic measures are also recommendedInduction of emesis is not recommendedGastric lavage with a large-bore orogastric tube with appropriate airway protectionif neededmay be indicated if performed soon after ingestionor in symptomatic patientsActivated charcoal should be administeredThere is no experience with the use of forced diuresisdialysishemoperfusionor exchange transfusion in the treatment of mirtazapine overdosageNo specific antidotes for mirtazapine are known.

Overdose symptoms may include confusionmemory problemsdrowsinessand fast heart rate.

Digestive Systemfrequentvomitinganorexiainfrequenteructationglossitischolecystitisnausea and vomitinggum hemorrhagestomatitiscolitisliver function tests abnormalraretongue discolorationulcerative stomatitissalivary gland enlargementincreased salivationintestinal obstructionpancreatitisaphthous stomatitiscirrhosis of livergastritisgastroenteritisoral moniliasistongue edema.

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