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Are taking certain drugs such asTriptans used to treat migraine headache Medicines used to treat moodanxietypsychotic or thought disordersincluding tricyclicslithiumSSRIsSNRIsor antipsychotics Tramadol used to treat pain Over-the-counter supplements such as tryptophan or StJohn’s wort Phenytoincarbamazepineor rifampicinthese drugs can decrease your blood level of REMERONCimetidine or ketoconazolethese drugs can increase your blood level of REMERONMedicines that may affect your hearts rhythmsuch as certain antibiotics and some antipsychoticshave or hadliver problems kidney problems heart problems or certain conditions that may change your heart rhythm seizures or convulsions bipolar disorder or mania a tendency to get dizzy or faint are pregnant or plan to become pregnantIt is not known if REMERON will harm your unborn babyTalk to your healthcare provider aboutthe benefits and risks of treating depression during pregnancy are breastfeeding or plan to breastfeedSome REMERON may pass into your breast milkTalk to your healthcare provider about the best way to feed your baby while taking REMERON.

A major depressive episode may be the initial presentation of bipolar disorderIt is generally believedthough not established in controlled trialsthat treating such an episode with an antidepressant alone may increase the likelihood of precipitation of a mixed/manic episode in patients at risk for bipolar disorderWhether any of the symptoms described above represent such a conversion is unknownHoweverprior to initiating treatment with an antidepressantpatients with depressive symptoms should be adequately screened to determine if they are at risk for bipolar disordersuch screening should include a detailed psychiatric historyincluding a family history of suicidebipolar disorderand depressionIt should be noted that REMERONmirtazapineTablets are not approved foruse in treating bipolar depression.

This medication should be used only when clearly needed during pregnancyIf this medication is used during the last 3 months of pregnancyinfrequently your newborn may develop symptoms including feeding or breathing difficultiesseizuresmuscle stiffnessjitteriness or constant cryingReport any such symptoms to your doctor promptlyHoweversince untreated mental/mood disorderssuch as depressioncan be a serious conditiondo not stop taking this medication unless your doctor directs you to do soIf you are planning pregnancybecome pregnantor think you may be pregnantimmediately discuss with your doctor the benefits and risks of using this medication during pregnancy.

Tell your doctor about all medicines you useand those you start or stop using during your treatment with Remeronespecially:

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