drugs that can affect the heart rhythm<\/strong> such as certain antibiotics and certain antipsychotic drugs.<\/li><\/ul>\n\n\n\nMirtazapine Actavis with food and alcohol<\/h2>\n\n\n\n
You may become drowsy if you drink alcohol while taking Mirtazapine Actavis.<\/p>\n\n\n\n
You should not drink any alcohol.<\/p>\n\n\n\n
You can take Mirtazapine Actavis with or without food.<\/p>\n\n\n\n
Pregnancy and breastfeeding<\/h2>\n\n\n\n
If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n
Pregnancy:<\/p>\n\n\n\n
Limited experience with Mirtazapine Actavis in pregnant women does not indicate an increased risk.\u00a0However, caution should be exercised when used during pregnancy.<\/p>\n\n\n\n
If you are taking Mirtazapine Actavis before or just before delivery, your baby should be checked for any\u00a0side effects.<\/p>\n\n\n\n
Ask your doctor if you can breastfeed while taking Mirtazapine Actavis.<\/p>\n\n\n\n
Tell your midwife or doctor that you are taking Mirtazapine Actavis.\u00a0When similar drugs (\u00a0SSRIs\u00a0) are used during pregnancy, the risk of a serious condition called\u00a0persistent\u00a0pulmonary\u00a0hypertension\u00a0in the newborn (PPHN) may increase.\u00a0This condition causes the baby to breathe faster and look blue.\u00a0The symptoms usually appear within 24 hours of the baby’s born.\u00a0If this affects your baby, contact a midwife or doctor immediately.<\/p>\n\n\n\n
Breast-feeding:<\/p>\n\n\n\n
Ask your doctor if you can breastfeed while taking Mirtazapine Actavis.<\/p>\n\n\n\n
Driving and using machines<\/h2>\n\n\n\n
Mirtazapine Actavis may affect your concentration or ability to react. Make sure your ability has not been affected before driving or using tools or machines.<\/p>\n\n\n\n
If your doctor has prescribed Mirtazapine Actavis to a patient under the age of 18, make sure that their ability to concentrate and react is not affected before the person enters traffic (eg by bicycle).<\/p>\n\n\n\n
You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0Descriptions of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n
Mirtazapine Actavis contains lactose and sodium<\/h2>\n\n\n\n
Mirtazapine Actavis contains lactose<\/strong><\/p>\n\n\n\nIf you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<\/p>\n\n\n\n
Mirtazapine Actavis contains sodium<\/strong><\/p>\n\n\n\nThis medicine contains less than 1 mmol (23 mg) sodium per film-coated tablet, ie essentially ‘sodium-free’.<\/p>\n\n\n\n
How to use Mirtazapine Actavis<\/h2>\n\n\n\n
Always take this medicine exactly as your doctor or pharmacist has told you. Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n
How much to take<\/em><\/p>\n\n\n\nThe recommended starting dose is 15 to 30 mg per day.\u00a0<\/strong>Your doctor may increase the\u00a0dose\u00a0one after a few days to the amount that is best for you (between 15 and 45 mg per day).\u00a0Dose\u00a0one is usually the same for all age groups.\u00a0If you are elderly or have kidney or liver disease, your doctor may need to adjust your\u00a0dose.<\/p>\n\n\n\nWhen to take Mirtazapine Actavis<\/em><\/p>\n\n\n\n\u2192 Take Mirtazapine Actavis at the same time each day. It is best to take Mirtazapine Actavis as a single dose before going to bed. However, your doctor may suggest that you split the dose of a Mirtazapine Actavis – once in the morning and once before going to bed. The higher dose one should take before going to bed. Take the tablets by mouth. Swallow your prescribed dose of Mirtazapine Actavis with water or juice without chewing.<\/p>\n\n\n\n
When can you expect to start feeling better?<\/em><\/p>\n\n\n\nIt usually takes 1-2 weeks before Mirtazapine Actavis starts working and after 2-4 weeks you can start to feel better.\u00a0During the first weeks of treatment you and your doctor must talk about the effects of Mirtazapine Actavis:<\/p>\n\n\n\n
\u2192 Talk to your doctor 2 to 4 weeks after starting Mirtazapine Actavis about the effect of the treatment.<\/p>\n\n\n\n
If you still do not feel better, your doctor may give you a higher\u00a0dose.\u00a0In that case, talk to your doctor again after another 2 to 4 weeks.\u00a0You should usually take Mirtazapine Actavis until your depressive symptoms have been gone for 4-6 months.<\/p>\n\n\n\n
If you take more Mirtazapine Actavis than you should<\/h2>\n\n\n\n
The most likely signs of an overdose of Mirtazapine Actavis (without other medicines or alcohol) are\u00a0fatigue, confusion,<\/strong> and an increased heart rate.\u00a0The symptoms of a possible overdose can be changes in heart rhythm (fast, irregular heartbeat) and\/or fainting, which can be symptoms of a life-threatening condition called\u00a0Torsades de pointes.<\/p>\n\n\n\nIf you forget to use Mirtazapine Actavis<\/h2>\n\n\n\n
If you are going to take your dose once a day<\/em><\/p>\n\n\n\n- Do not take a double dose to make up for a forgotten dose . Take your next dose at the usual time.<\/li><\/ul>\n\n\n\n
If you are going to take your dose twice a day<\/em><\/p>\n\n\n\n- If you forget to take your morning dose, simply take it with your evening dose.<\/li>
- if you forget to take your evening dose, do not take it with your next morning dose, just skip it and continue with your usual morning and evening doses.<\/li>
- if you have missed both doses , do not try to compensate for the missed doses . Skip both and continue the next day with your usual morning and evening doses.<\/li><\/ul>\n\n\n\n
If you stop taking Mirtazapine Actavis<\/h2>\n\n\n\n
\u2192 Only stop taking Mirtazapine Actavis if you have agreed with your doctor.<\/p>\n\n\n\n
If you quit too soon, your depression may return. When you start to feel better, talk to your doctor. Your doctor will decide when you can stop treatment.<\/p>\n\n\n\n
Do not suddenly stop taking Mirtazapine Actavis, even if your depression has subsided.\u00a0If you stop taking Mirtazapine Actavis suddenly, you may feel nauseous, dizzy, upset, anxious, or have a headache.\u00a0These symptoms can be avoided if you step down gradually.\u00a0Your doctor will tell you how to reduce the\u00a0dose\u00a0gradually.<\/p>\n\n\n\n
If you have any further questions on the use of this product, ask your doctor, pharmacist, or nurse.<\/p>\n\n\n\n
Possible side effects<\/h2>\n\n\n\n
Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n
If you experience any of the following serious\u00a0side effects, stop taking mirtazapine and contact your doctor immediately.<\/strong><\/p>\n\n\n\nUncommon<\/strong> (may affect up to 1 in 100 people):<\/p>\n\n\n\n- Feeling elated or feeling “high” (mania)<\/li><\/ul>\n\n\n\n
Has been reported<\/strong> (occurs in an unknown number of users):<\/p>\n\n\n\n- Signs of infection such as unexplained high fever, sore throat and mouth ulcer ( agranulocytosis ). In rare cases, mirtazapine may interfere with the production of blood cells (bone marrow depression). Some people become more susceptible to infection because mirtazapine can cause a temporary lack of white blood cells ( granulocytopenia ). In rare cases, mirtazapine may also cause a lack of red and white blood cells as well as platelets ( aplastic anemia ), a lack of platelets ( thrombocytopenia ) or an increase in white blood cells ( eosinophilia) .).<\/li>
- Epileptic seizures (seizures).<\/li>
- A combination of symptoms such as unexplained fever, sweating, increased heart rate, diarrhea, (uncontrollable) muscle contractions, chills, overactive reflexes, restlessness, mood swings, unconsciousness and increased salivation. In very rare cases, it may be a sign of serotonergic syndrome.<\/li>
- Thoughts of wanting to hurt yourself or commit suicide<\/li>
- Reddish spots on the torso that resemble targets or are round, often with blisters in the middle; flaking skin; sores in the oral cavity, throat, nose, genitals and eyes. These severe skin rashes may be preceded by fever and flu-like symptoms ( Stevens-Johnson syndrome , toxic epidermal necrolysis ).<\/li>
- Widespread rash, high body temperature and enlarged lymph nodes (DRESS syndrome or drug hypersensitivity syndrome).<\/li><\/ul>\n\n\n\n
Other possible side effects with mirtazapine are:<\/strong><\/p>\n\n\n\nVery common<\/strong> (may affect more than 1 user in 10) :<\/strong><\/p>\n\n\n\n- increased appetite and increased weight<\/li>
- drowsiness or drowsiness<\/li>
- headache<\/li>
- dry mouth<\/li><\/ul>\n\n\n\n
Common<\/strong> (may affect up to 1 in 10 people) :<\/strong><\/p>\n\n\n\n- fatigue<\/li>
- dizziness<\/li>
- shaking or trembling<\/li>
- nausea<\/li>
- diarrhea<\/li>
- vomiting<\/li>
- constipation<\/li>
- skin rash or eczema (exanthema)<\/li>
- joint pain ( arthralgia ) or muscle ( myalgia )<\/li>
- back pain<\/li>
- feeling dizzy or fainting when you get up suddenly ( orthostatic hypotension )<\/li>
- swelling (especially ankles and feet) due to fluid retention ( edema )<\/li>
- fatigue<\/li>
- vivid dreams<\/li>
- confusion<\/li>
- feelings of anxiety<\/li>
- sleeping problems<\/li>
- memory problems, which in most cases went back when treatment was stopped.<\/li><\/ul>\n\n\n\n
Uncommon<\/strong> (may affect up to 1 in 100 people) :<\/strong><\/p>\n\n\n\n- abnormal sensation in the skin, e.g. burning, stinging, tickling or irritating ( paresthesia )<\/li>
- bogs<\/li>
- fainting ( syncope )<\/li>
- feeling of numbness in the mouth ( oral hypesthesia )<\/li>
- low blood pressure<\/li>
- nightmares<\/li>
- feeling of upset<\/li>
- hallucinations<\/li>
- strong need to want to move<\/li><\/ul>\n\n\n\n
Rare<\/strong> (may affect up to 1 in 1,000 people ):<\/strong><\/p>\n\n\n\n- muscle twitching or contractions ( myoclonus )<\/li>
- aggression<\/li>
- abdominal pain and nausea, which may indicate inflammation of the pancreas ( pancreatitis )<\/li><\/ul>\n\n\n\n
Has been reported<\/strong> (occurs in an unknown number of users):<\/p>\n\n\n\n- abnormal sensation in the mouth ( oral paresthesia )<\/li>
- swelling of the mouth ( edema of the mouth)<\/li>
- swelling of the whole body (general edema )<\/li>
- local swelling<\/li>
- hyponatremia<\/li>
- improper secretion of antidiuretic hormone<\/li>
- severe skin reactions (bullous dermatitis , erythema multiforme)<\/li>
- somnambulism<\/li>
- speech disorder<\/li>
- elevated blood levels of creatine kinase<\/li>
- difficulty emptying the bladder ( urinary retention )<\/li>
- muscle pain, stiffness and \/ or weakness, darker or discolored urine ( rhabdomyolysis )<\/li>
- elevated levels of the hormone et prolactin in the blood ( hyperprolactinemia , including symptoms of enlarged breasts and \/ or milk flow from the breasts)<\/li>
- prolonged painful erection of the penis<\/li><\/ul>\n\n\n\n
Additional side effects are in children and adolescents<\/strong><\/p>\n\n\n\nThe following common\u00a0side effects\u00a0were observed in\u00a0clinical trials\u00a0in children under 18 years of age: significant weight gain, hives, and high blood fats.<\/p>\n\n\n\n
How to store Mirtazapine Actavis<\/h2>\n\n\n\n
Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n
Do not use this medicine after the expiry date which is stated on the carton and blister or can after EXP. The expiration date is the last day of the specified month.<\/p>\n\n\n\n
This medicine has no special storage instructions.<\/p>\n\n\n\n
Medicines should not be disposed of via wastewater or household waste.<\/p>\n\n\n\n
Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.<\/p>\n\n\n\n
Contents of the pack and other information<\/h2>\n\n\n\nContent declaration<\/h2>\n\n\n\n- The active substance is mirtazapine.Mirtazapine Actavis 15 mg film-coated tablets contain 15 mg mirtazapine per film-coated tablet.Mirtazapine Actavis 30 mg film-coated tablets contain 30 mg mirtazapine per film-coated tablet.Mirtazapine Actavis 45 mg film-coated tablets contain 45 mg mirtazapine per film-coated tablet.<\/li>
- Other ingredients are:Tablet core: lactose monohydrate , pregelatinized maize starch, anhydrous croscarmellose sodium, magnesium stearate.Tablet coating: hypromellose, macrogol 8000, titanium dioxide (E171), talc.Mirtazapine Actavis 15 mg film-coated tablets (tablet coating) also contain yellow iron oxide (E172) and red iron oxide (E172).Mirtazapine Actavis 30 mg film-coated tablets (tablet coating) also contain yellow iron oxide (E172) and red iron oxide (E172).<\/li><\/ul>\n\n\n\n
What the medicine looks like and contents of the pack<\/h2>\n\n\n\n
Mirtazapine Actavis film-coated tablets are:<\/p>\n\n\n\n
15 mg tablets: yellow, scored on both sides, oval, biconvex, film-coated tablets. Marked with “I” on one side.<\/p>\n\n\n\n
30 mg tablets: brown, scored on both sides, oval, biconvex, film-coated tablets. Marked with “I” on one side. The tablet can be divided into two equal parts.<\/p>\n\n\n\n
45 mg tablets: white, oval, biconvex, film-coated tablets. Marked with “I” on one side.<\/p>\n\n\n\n
Pack sizes<\/em><\/p>\n\n\n\nBlisters: 10, 14, 20, 28, 30, 50, 56 and 100 tablets.<\/p>\n\n\n\n
Jar: 30, 100 and 500 tablets.<\/p>\n\n\n\n
The pack size of 500 tablets is intended for hospital use.<\/p>\n\n\n\n
Not all pack sizes may be marketed.<\/p>\n\n\n\n
Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n
Marketing Authorisation Holder<\/strong><\/p>\n\n\n\nActavis Group PTC EHF.<\/p>\n\n\n\n
Reykjavikurvegur 76-78<\/p>\n\n\n\n
IS-220 Hafnarfjordur<\/p>\n\n\n\n
Iceland<\/p>\n\n\n\n
Manufacturer<\/strong><\/p>\n\n\n\nActavis Group PTC EHF.<\/p>\n\n\n\n
Reykjavikurvegur 78, IS-220 Hafnarfjordur, Iceland<\/p>\n\n\n\n
Actavis Ltd.<\/p>\n\n\n\n
BLB 015-016 Bulebel Industrial Estate, Zejtun ZTN 3000, Malta<\/p>\n\n\n\n
Balkanpharma-Dupnitsa AD<\/p>\n\n\n\n
3 Samakovsko Shosse Str., Dupnitsa, 2600, Bulgaria<\/p>\n","protected":false},"excerpt":{"rendered":"
Mirtazapine Actavis belongs to a group of medicines called antidepressants.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,15581],"tags":[17682,17706,17677,17701,17705,17704,17681,17680,17678,17702,17703,17679],"class_list":["post-18074","post","type-post","status-publish","format-standard","hentry","category-medicines","category-n","tag-benefits-of-mirtazapine","tag-benefits-of-mirtazapine-actavis","tag-mirtazapine","tag-mirtazapine-actavis","tag-mirtazapine-actavis-side-effects","tag-mirtazapine-actavis-tablet","tag-mirtazapine-side-effects","tag-mirtazapine-tablet","tag-what-is-mirtazapine","tag-what-is-mirtazapine-actavis","tag-what-mirtazapine-actavis-is-used-for","tag-what-mirtazapine-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/18074","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=18074"}],"version-history":[{"count":3,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/18074\/revisions"}],"predecessor-version":[{"id":18092,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/18074\/revisions\/18092"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=18074"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=18074"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=18074"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}