Remeron Drug Uses
Remeron Tablets are indicated for the treatment of major depressive disorder. Remeron is used to relieve symptoms of depression such as feelings of sadness, worthlessness, or guilt; loss of interest in daily activities; changes in appetite; tiredness; sleeping too much; insomnia; and thoughts of death or suicide.
How Taken
Remeron is available in a regular tablet formulation (Remeron) that should be swallowed with water.
The recommended starting dose for Remeron Tablets is 15 mg/day, administered in a single dose, preferably in the evening prior to sleep.
Remeron Warnings/Precautions
Do not take Remeron if you are currently taking, or have taken within the last 14 days, a monoamine oxidase inhibitor.
Before taking Remeron, tell your doctor if you have liver disease; have kidney disease; have a manic-depressive disorder; have blood problems; have high or low blood pressure or heart disease; have had a heart attack in the last 6 weeks; or have epilepsy or seizures.
You may not be able to take Remeron, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
Remeron is in the FDA pregnancy category C. This means that it is not known whether Remeron will harm an unborn baby. Do not take Remeron without first talking to your doctor if you are pregnant.
It is not known whether Remeron passes into breast milk. Do not take Remeron without first talking to your doctor if you are breast-feeding a baby.
If you are over 60 years of age, you may be more likely to experience side effects such as drowsiness, dizziness, unsteadiness, feeling uncoordinated and low blood pressure. You may require a lower dose of this medication.
Remeron Missed Dose
Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take only your next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed by your doctor.
Remeron Possible Side Effects
If you experience any of the following serious side effects, stop taking Remeron and call your doctor immediately or seek emergency medical treatment: an allergic reaction (swelling of the lips, face, or tongue; difficulty breathing); seizures; a fast or irregular heartbeat; or fever, chills, a sore throat, flu-like symptoms, or sores in your mouth or nose.
Other, less serious side effects may be more likely to occur. Continue to take Remeron If you experience any of the following serious side effects, stop taking Remeron and call your doctor immediately or seek emergency medical treatment: drowsiness; nausea; increase in weight or appetite; dizziness; dry mouth; constipation; or mild tremor.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
Remeron Storage
Store at controlled room temperature 20°- 25° C(68°- 77° F). Dispense in a tight, light resistant container.
Remeron Overdose
Signs and symptoms reported in association with overdose included disorientation, drowsiness, impaired memory, and tachycardia. There were no reports of ECG abnormalities, coma or convulsions following overdose with Remeron alone. Seek emergency medical attention.
More Information
Use caution when driving, operating machinery, or performing other hazardous activities. Remeron may cause drowsiness and dizziness. If you experience drowsiness or dizziness, avoid these activities.
Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall.
Avoid the use of alcohol while taking Remeron. Alcohol may increase drowsiness and dizziness.
Disclaimer
This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.
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Can anti-depressants interfere with tamoxifen treatment for breast cancer?
Many different drugs are used to treat depression. One family of drugs that are often used are the SSRIs (selective serotonin reuptake inhibitors). These drugs may also be used to treat hot flushes caused by hormonal treatments like tamoxifen.
Some studies have looked at the effect of taking an SSRI drug at the same time as tamoxifen. These show that taking an SSRI can change the way the body handles tamoxifen (tamoxifen metabolism).
Not all SSRIs affect tamoxifen metabolism equally. Paroxetine (Seroxat) and fluoxetine (Prozac) have the strongest effect, and the drugs citalopram (Cipramil) and venlafaxine (Efexor) have a weaker effect.
No one is sure if these changes in tamoxifen metabolism affect how well it works as a breast cancer treatment. We don’t know whether taking an SSRI makes tamoxifen less effective. More studies are being done to look into this.
If you are taking an SSRI and are also taking tamoxifen then have a chat with your doctor. They will be able to talk through the best options for you. These may include:
* Continuing with your present treatment
* Changing to one of the SSRI tablets that seems to have smaller effect on tamoxifen metabolism
* Stopping the SSRI and taking another treatment for depression or hormonal symptoms
* Changing to another hormone treatment not affected by SSRIs and continuing with the anti-depressant.
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