Adco-Mirteron FC tablets
Clinical Summary
Quick overview from the medicine insert
Indication
Major depressive disorder
Dosage (summary)
Initial dose of 15 mg once daily, may be increased to 30 mg or 45 mg based on clinical response and tolerability.
Onset of Action / Duration
2 to 4 weeks for full therapeutic effect.
Special Populations
- Elderly patients
- Patients with hepatic impairment
- Patients with renal impairment
Pregnancy & Breastfeeding
Use during pregnancy only if the potential benefit justifies the potential risk to the fetus. Mirtazapine is excreted in breast milk; caution is advised when administered to nursing mothers.
Key Drug Interactions
- CNS depressants (e.g., alcohol, benzodiazepines) may enhance sedative effects.
- MAO inhibitors may increase the risk of serotonin syndrome.
- Other antidepressants may increase the risk of side effects.
Contraindications
- Hypersensitivity to mirtazapine or any of its excipients.
- Concurrent use with monoamine oxidase inhibitors (MAOIs).
Common side effects
- Drowsiness
- Increased appetite
- Weight gain
- Dry mouth
- Constipation
- Dizziness
Counselling Points
- Take at bedtime to minimize sedation.
- Avoid alcohol while taking this medication.
- Report any unusual changes in mood or behavior.
- Do not discontinue abruptly; consult a healthcare provider for tapering.
Serious warnings
- Risk of suicidal thoughts and behaviors in young adults.
- Monitor for signs of serotonin syndrome.
- Caution in patients with a history of seizures.
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