Remeron (Mirtazapine)

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What is Generic Remeron  (Mirtazapine)?

Generic Remeron  (Mirtazapine) is a tetracyclic antidepressant. It affects chemicals in the brain that may become unbalanced and cause depression. It is thought to increase the activity of norepinephrine and serotonin which help elevate mood.Generic Remeron  (Mirtazapine) is used to treat major depressive disorder.Generic Remeron  (Mirtazapine) may also be used for other purposes not listed in this medication guide.

Important information about Generic Remeron  (Mirtazapine)

You should not take Generic Remeron  (Mirtazapine) if you are allergic to mirtazapine or if you are also taking tryptophan (sometimes called L-tryptophan). Do not use Generic Remeron  (Mirtazapine) if you have used an MAO inhibitor within the past 14 days. Serious, life-threatening side effects can occur if you take Generic Remeron  (Mirtazapine) before the MAO inhibitor has cleared from your body.

You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.Before taking Generic Remeron  (Mirtazapine), tell your doctor if you have bipolar disorder, liver or kidney disease, seizures, heart disease, a history of heart attack or stroke, or a history of drug abuse or suicidal thoughts.It may take up to several weeks before your symptoms improve. 

Keep using the medication as directed and tell your doctor if your symptoms do not improve after 4 weeks of treatment. Drinking alcohol can increase certain side effects of mirtazapine. Generic Remeron  (Mirtazapine) may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Before taking Generic Remeron  (Mirtazapine)

You should not take Generic Remeron  (Mirtazapine) if you are allergic to mirtazapine or if you are also taking tryptophan (sometimes called L-tryptophan).Do not use Generic Remeron  (Mirtazapine) if you have taken an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) in the last 14 days. 

Serious, life threatening side effects can occur if you use Generic Remeron  (Mirtazapine) before the MAO inhibitor has cleared from your body.If you have any of these other conditions, your doctor may need to adjust the dose of Generic Remeron  (Mirtazapine) or order special tests:liver or kidney disease; bipolar disorder (manic depression);seizures or epilepsy;low blood pressure or dizzy spells;high cholesterol or triglycerides;heart disease, including angina (chest pain);a history of heart attack or stroke; ora history of drug abuse or suicidal thoughts.You may have thoughts about suicide while taking an antidepressant, especially if you are younger than 24 years old. 

Tell your doctor if you have worsening depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.FDA pregnancy category C. It is not known whether Generic Remeron  (Mirtazapine) will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. 

It is not known whether mirtazapine passes into breast milk or if it could harm a nursing baby. Do not use Generic Remeron  (Mirtazapine) without telling your doctor if you are breast-feeding a baby.The orally disintegrating tablet may contain phenylalanine. Talk to your doctor before using this form of Generic Remeron  (Mirtazapine) if you have phenylketonuria (PKU).

How should I take Generic Remeron  (Mirtazapine)?

Take Generic Remeron  (Mirtazapine) exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.Take the regular tablet form of Generic Remeron  (Mirtazapine) with water.To take Generic Remeron  (Mirtazapine) orally disintegrating tablets (Generic Remeron  (Mirtazapine) SolTab):Keep the tablet in its blister pack until you are ready to take the medicine. Open the package and peel back the foil from the tablet blister. 

Do not push a tablet through the foil or you may break the tablet.Using dry hands, remove the tablet and place it in your mouth. It will begin to dissolve right away.Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing.Swallow several times as the tablet dissolves. No water is needed.Generic Remeron  (Mirtazapine) is usually taken once a day at bedtime. 

Follow your doctor's instructions.It may take up to several weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve after 4 weeks of treatment. Do not stop using Generic Remeron  (Mirtazapine) suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using Generic Remeron  (Mirtazapine).

Store Generic Remeron  (Mirtazapine) at room temperature, away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention.Overdose symptoms may include confusion, memory problems, drowsiness, and fast heart rate.

What should I avoid while taking Generic Remeron  (Mirtazapine)?

Drinking alcohol can increase certain side effects of Generic Remeron  (Mirtazapine). Mirtazapine may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Side effects of Generic Remeron  (Mirtazapine) 

Get emergency medical help if you have any of these signs of an allergic reaction to Generic Remeron  (Mirtazapine): skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have a serious side effect while using Generic Remeron  (Mirtazapine), such as:agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting;fever, chills, body aches, flu symptoms;white patches or sores inside your mouth or on your lips; orheadache, trouble concentrating, memory problems, weakness, feeling unsteady, or confusion.

Less serious Generic Remeron  (Mirtazapine) side effects include:

drowsiness, dizziness;increased appetite; orweight gain.This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. 

What other drugs will affect Generic Remeron  (Mirtazapine)?

Cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures or anxiety can add to sleepiness caused by Generic Remeron  (Mirtazapine). Tell your doctor if you regularly use any of these medicines.Many drugs can interact with Generic Remeron  (Mirtazapine). Below is just a partial list. Tell your doctor if you are using:conivaptan (Vaprisol);imatinib (Gleevec);isoniazid (for treating tuberculosis);lithium (Eskalith, LithoBid);St. John's wort;tramadol (Ultram, Ultracet);a blood thinner such as warfarin (Coumadin);an antibiotic such as clarithromycin (Biaxin), dalfopristin/quinupristin (Synercid), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin), or telithromycin (Ketek);an antidepressant such as amitriptyline (Elavil, Vanatrip), citalopram (Celexa), doxepin (Sinequan), desipramine (Norpramin), fluoxetine (Prozac, Sarafem, Symbyax), imipramine (Janimine, Tofranil), nefazodone, nortriptyline (Pamelor),

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Paxil (Paroxetine)

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Paxil Information

Paxil, also known under the names of Paroxetine, Seroxat or Aropax, is a medicine that belongs in the serotonin reuptake inhibitors class of drugs. It acts by balancing the chemicals in the human brain, preventing and helping remove such conditions as depression, anxiety or obsessive-compulsive behavior. It can be found under the form of tablets or suspension.

Paxil Indications

Paxil is mainly prescribed for the treatment of such disorders as depression, panic disorder, general anxiety, obsessive-compulsive disorder, social anxiety or phobia and Post Traumatic Stress Disorder (PTSD). Paxil can also be prescribed to treat a number of other conditions, so it is best that you ask your personal health care specialist if you want to know more about this drug and why it was prescribed to you.

Paxil Warnings

You should avoid taking Paxil if you have taken Monoamine Oxidase Inhibitor (MAOI) anywhere in the last two weeks, or if you were exposed to thioridazine (Mellaril) anytime over the past 6 weeks, as the consequences may be fatal. Consult with your personal health care specialist before starting Paxil treatment and make sure he is aware of your entire medical history. Special care and dosage will be employed if you are or have been suffering of:

·         Kidney disease

·         Liver disorders

·         Seizures or Epilepsy

·         Manic disorder

·         Suicidal tendencies

Studies have not yet firmly established whether Paxil is safe to take during pregnancy. If you are pregnant or planning to become so soon, you should check with your personal physician to see if you can start a treatment with this drug. You should also consult your personal health care specialist if you are a nursing mother, as the active ingredients in this medicine are known to pass into breast milk and may harm the infant.
Paxil may cause dizziness and drowsiness in some cases, so it is recommended that you avoid performing operation that require prolonged concentration, such as driving or operating heavy machinery.

Paxil Intake Guidelines

Your personal health care specialist should provide you with a detailed list of instructions regarding Paxil intake. It is strongly advised that you never deviate from these guidelines. If you have trouble understanding any of the directions, please ask your doctor, a pharmacist or a nurse to better explain them to you. The pills should be taken whole, not crushed or broken, and accompanied by a glass of water. If you are taking Paxil (Paroxetine, Seroxat or Aropax) in suspension, it is recommended that you shake the suspension well before pouring a dose of the drug. Do not cease to take this medicine abruptly, as there may be unwanted consequences. Instead, talk to your personal health care specialist and set up a cessation plan, to avoid unwanted effects.

Paxil Dosage

Please your personal physician to prescribe the Paxil dosage best suited for your age and general medical condition. Do not attempt to self-medicate, as this may result in grave, possibly even lethal consequences. Do not use the dosage prescribed to another patient, as the doses can vary greatly from one medical case to another.

Paxil Overdose

Among the symptoms of Paxil overdose, the most common are nausea, vomiting, tremors, seizures, agitation, drowsiness, hyperactivity, enlarged pupils. If you have any of these symptoms or have reason to believe you are suffering from an overdose with this drug, please contact at once your personal health care specialist or go to the nearest hospital to seek emergency medical attention.

Paxil Missed Dose

You should maintain a strict intake schedule, so as to avoid missing a dose of Paxil. However, should you happen to miss a dose, take it as soon as you remember, unless it is almost time for another intake, case in which it is recommended that you entirely skip that dose and continue with your regular intake program. Under no circumstances should you take a double dose of Paxil to make up for the lost one, as the consequences may be severely hazardous to your health.

Paxil Side Effects

There are some side effects associated with usage of Paxil. Some of the most frequent ones are:

·         Allergic reactions

·         Irregular pulse and heart beats

·         Low blood pressure, with dizziness and weakness

·         High blood pressure, with severe headaches and blurred vision

·         Fever

·         Headaches

·         Tremors, nervousness and anxiety

·         Sleepiness

·         Insomnia

·         Dryness of the mouth

·         Decrease in the sexual drive

·         Chills

There are other side effects that may appear while taking Paxil (Paroxetine, Seroxat or Aropax). If you start experience unusual symptoms, or they become too bothersome, please consult your personal health care specialist immediately to investigate and establish the causes, and determine the appropriate course of action.

Paxil Drug Reactions

It is strongly advised that Paxil should not be taken if you have been taking Monoamine Oxidase Inhibitor (MAOI) anywhere within the last two weeks, as the consequences of this action can be lethal. You should also avoid taking this medicine if you have been exposed to thioridazine (Mellaril) anywhere in the past six weeks, as this can also result in death.
Tell your personal health care specialist if you are taking or have been taking any of the following drugs:

·         Benzodiazepine

·         Tricyclic anti-depressants

·         Phenothiazine

·         Almotriptan

·         Frovatriptan

·         Carbamezepine

·         Lithium

·         Digoxin

·         Warfarin

·         Cimetidine

If you are currently taking any of these drugs, or have recently finished treatment with any of them, your personal physician may decide that you should stop your Paxil treatment entirely or significantly alter your dosage, in order to maintain your health and safety.

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Sufrax (Cefixime)

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Suprax Information

Suprax (also known as Cefixime) is a semi-synthetic cephalosporin antibiotic, destined for oral use, which is able to reduce the development of the drug resistant bacteria.

Suprax Indications

Suprax is usually prescribed by doctors and personal health care providers to patients who are suffering from bacterial infections of the ears, throat, chest, urinary tract and to the individuals who have been diagnosed with the presence of a mild form of gonorrhea.

Suprax may also be recommended in the treatment of other medical conditions, but only if the personal health care provider, pharmacist or doctor recommends it.

Suprax Warnings

Patients should inform their doctor if they have had allergies to Penicillin and cephalosporin antibiotics, if they have stomach and intestinal diseases (such as colitis). If the patients see no amelioration of the symptoms after a few days of treatment they should announce their caregiver. Patients who are experiencing vomiting, nausea and severe diarrhea during the treatment with Suprax should talk with their doctor before taking anti-diarrheal drugs, because some of these medical products (like Lomotil or Paregoric) may worsen these symptoms.

The intake of Suprax is known to cause false urine-sugar test results in the case of the diabetic patients. These patients should tell their doctor that they are taking this medicine, before they submit an urine sample. Individuals who are suffering from any kidney disorder should discuss with their doctor before beginning the treatment with this medicine, because they usually need dose adjustments in order for this drug not to interfere with their medical condition.

Women who are pregnant or are planning to become pregnant should discuss this matter with their personal health care provider or doctor, before beginning the treatment with Suprax, as this medicine may harm the baby.

Suprax Intake Guidelines

Patients are recommended to ask their doctor how to take every dose of Suprax in order to obtain the best results during and after the treatment. Patients should pay attention to the doctor’s recommendations and under no circumstances should they deviate from them. In the cases in which the patients have more questions about their treatment they should ask their doctor or pharmacist for further information.

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As we said before, the dose of this drug must be adjusted for patients who are suffering from renal impairment, for individuals who are undergoing ambulatory peritoneal dialysis and hemodialysis.

This medicine can be taken in without food, but the patients who develop an upset stomach are recommended to take it with food, even if food slows down the rate of Suprax’s absorption.  Patients, who are using a liquid from of this medicine, are recommended to use a measuring spoon, in order to be able to accurately measure their dose of Suprax.

Suprax Dosage

The individuals will be prescribed by their personal health care provider the exact dose of Suprax that they should use daily. Patients should not ignore the doctor’s recommendations. Adult patients who are suffering from urethral gonococcal infections and uncomplicated cervical infections are usually recommended 400 mg per day. Children are recommended to take 8 mg per kilogram daily. This quantity may be taken as a single dose or divided in two doses which are to be taken every 12 hours.

Children who are known to weigh more than 50 kilograms and children who are older than 12 years are usually prescribed by their personal health care provider the adult dose of this medication, which consists in 400mg of drug which should be ingested daily.

As the functions of the kidneys usually decrease with age and as this medicine is eliminated from the organism by the kidneys, the personal health care provider will prescribe the elderly people only a small dose of Suprax.

Suprax Overdose

Patients who believe that they have taken an overdose of Suprax should immediately announce their doctor. Your personal physician will ask you to remain in the hospital for further tests and symptomatic treatment.

It is well known that any drug which is taken in excess can lead to a series of symptoms. In the case of a Suprax overdose, the symptoms which a patient can experience include the following: nausea, diarrhea, vomiting, headaches, blood in the urine and upper abdominal pain.

Suprax Missed Dose

Patients are recommended to try to respect the schedule which their doctor gave them and not to skip any dose of Suprax. Individuals, who are supposed to take this medicine once a day and forget to take one of the doses, should take it as soon as they remember; then, they must wait 12 hours before the next dose. After taking the second dose of this product, the patients can return to their normal schedule.

Patients, who are taking Suprax twice a day and forget to take one of the doses, should take it as soon as they recall and wait at least 6 hours before taking the next dose. After taking the second dose, they can proceed with their normal schedule.

Patients who are taking Suprax three times a day and forget to take one or more of their scheduled doses, can take a dose of this remedy as soon as they remember, and wait at least 4 hours before taking the next dose; after this they can return to their regular schedule.

Suprax Side Effects

It is a well known the fact that any medicine has its side effects; in the case of Suprax, the clinical manifestations which can appear include: abdominal pain, gas, indigestion, loose stools,nausea, vomiting and mild diarrhea, headaches, itching, fever, dizziness and inflammation of the large intestine.

Suprax Drug Reactions

Patients should inform their doctor before beginning their treatment if they are taking Tegretol (which is a seizure medication) or Coumadin (which is an anticlotting medication). Patients should also inform their doctor of all the prescription and non prescription medicines that they are taking, including vitamins and herbal products.

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