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Mirtazapine

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generic Remeron, Remeron Soltab

Mirtazapine, commonly known by the brand name Remeron, is a medication prescribed for the treatment of major depressive disorder (MDD) in adults. This antidepressant is classified as a tetracyclic and is available in both oral tablet and orally disintegrating tablet forms, usually taken once daily at bedtime. Mirtazapine works by increasing the levels of serotonin and norepinephrine in the brain, which are crucial for mood regulation. While it can be effective for alleviating symptoms of depression, it may cause side effects such as sleepiness, dry mouth, increased appetite, and potential weight gain. Always consult your healthcare provider for personalized medical advice before starting any new medication.
Our coupons are free to use. Before paying, show the pharmacist your Mirtazapine savings card to get your free discount. Use our filters below to edit the prescription box to match your needs. The Mirtazapine prices will update based on your prescription needs. Above our Mirtazapine coupons, you can change your location to see pharmacy prices and costs in other areas. We're here to help you buy Mirtazapine at the lowest price with our prescription discount card.

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15MG, Mirtazapine (30 Tablets)

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CVS

$19.23

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Rite Aid

$5.70

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Albertsons

$10.86

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Walgreens

$19.06

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Mirtazapine savings card

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$19.23

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Mirtazapine dosage forms

The average cost for 30 Tablets of Mirtazapine (generic Remeron, Remeron Soltab) at 30MG is $8 with a free coupon. This is 14.04% off the average retail price of $57
DosageQuantityPrice fromPer unit
30MG30 Tablets$8$0.27
15MG30 Tablets$8$0.27
45MG30 Tablets$8$0.27
7.5MG30 Tablets$15.41$0.51

Mirtazapine Warnings

Antidepressant medications, such as mirtazapine (Remeron), are prescribed to treat depression and other mood disorders. While they offer significant benefits, there are important safety considerations to be aware of:

  • Worsening Depression and Suicidal Thoughts: Antidepressants may increase the risk of suicidal thoughts, particularly in individuals under 25 years old or those with a history of mental health conditions. Immediate medical attention is crucial if suicidal thoughts or unusual behavioral changes occur. This is especially important when starting the medication or adjusting the dose.

  • Infection Risk: Some individuals may experience a drop in white blood cell counts, leading to higher infection risk. Symptoms such as fever, fatigue, chills, cough, or breathing difficulties should be promptly reported to a healthcare provider.

  • Serotonin Syndrome: There is a risk of developing serotonin syndrome, a potentially life-threatening condition caused by excessive serotonin levels. This risk increases if mirtazapine is taken with other serotonin-enhancing drugs. Symptoms include rapid heart rate, sweating, muscle stiffness, fever, and confusion. Medical attention is necessary if these symptoms arise.

  • Withdrawal Symptoms: Abrupt discontinuation of mirtazapine can lead to withdrawal symptoms like nausea, anxiety, and dizziness. It's important to consult a healthcare provider for a safe discontinuation plan.

  • Bipolar Disorder Caution: Antidepressants can trigger mania in individuals at risk of bipolar disorder. Monitoring for behavioral changes is essential.

  • Glaucoma Concerns: Mirtazapine may exacerbate angle-closure glaucoma. Regular eye exams are recommended, and any vision changes should be reported.

  • Heart Rhythm Issues (QT Prolongation): This medication can affect heart rhythm, particularly in individuals with electrolyte imbalances or pre-existing heart conditions. Monitoring via electrocardiograms (EKGs) may be necessary.

  • Severe Allergic Reactions: Severe allergic reactions, including anaphylaxis and serious skin conditions, can occur. Immediate medical attention is required if symptoms like swelling or skin changes appear.

  • Cognitive and Sedation Effects: Mirtazapine may cause drowsiness and impair concentration. Caution is advised when driving or operating machinery, especially if combined with other sedative drugs.

  • Seizure Risk: Individuals with a history of seizures should discuss this with their healthcare provider before starting mirtazapine.

  • Low Sodium Levels: Older adults or those on diuretics may experience low blood sodium levels. Symptoms like confusion and weakness require urgent medical evaluation.

  • Phenylketonuria (PKU) Warning: The orally disintegrating tablets contain phenylalanine; individuals with PKU should consider alternative formulations.

Contraindications: Mirtazapine should not be used in combination with MAO inhibitors, linezolid, or methylene blue within the last 14 days due to serious health risks. Always consult a healthcare provider if these conditions apply.

Mirtazapine Side Effects

Common side effects:

  • Dizziness
  • Drowsiness
  • Lightheadedness
  • Increased appetite
  • Weight gain
  • Dry mouth
  • Constipation

Less common but important to monitor:

  • Strange dreams
  • Flu-like symptoms
  • Muscle pain
  • Increased urination
  • Swelling in hands or feet
  • Tremors
  • Confusion

Serious side effects:

  • Serotonin syndrome (rapid heartbeat, severe dizziness, hallucinations, unexplained agitation)
  • Abnormal heart rhythms
  • Seizures
  • Severe allergic reactions (swelling of face, lips, or tongue, difficulty breathing)
  • Serious skin reactions (hives, rashes, blisters)
  • Low blood sodium levels (nausea, fatigue, headache, seizures, unconsciousness)

Mirtazapine Interactions

Interactions with high risk of serious adverse effects and should be avoided:

Interactions with moderate risk that may require dose adjustment, closer monitoring, or timing changes:

Interactions with low risk that usually do not require a change in therapy:

Mirtazapine FAQs
What is the drug mirtazapine used for?

Mirtazapine is primarily used to treat major depressive disorder. It can help improve mood, relieve anxiety, and increase appetite.

Mirtazapine is not an opioid. It is an antidepressant that belongs to a class of medications known as tetracyclic antidepressants. It is primarily used to treat major depressive disorder.

The main side effect of mirtazapine is sedation or drowsiness. It is often used to help with sleep issues due to this effect. Other common side effects include increased appetite and weight gain.

Mirtazapine is not classified as a controlled substance. It is an antidepressant medication that is available by prescription.

Mirtazapine is an antidepressant that can be effective in treating anxiety symptoms. It is often prescribed for individuals with anxiety disorders, as it can help reduce anxiety levels and improve mood. However, the response to medication can vary from person to person, and it is important for individuals to consult with their healthcare provider to determine the most appropriate treatment for their specific condition.