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Remeron and Alcohol
Healthcare providers generally recommend that people not take Remeron and alcohol at the same time. They also suggest that if a person does decide to drink alcohol while taking the drug that they drink in moderation, and only after they have learned how it affects them. Taking Remeron and alcohol together may increase the effects of alcohol by increasing the symptoms of depression or affecting motor skills.
People are usually warned to avoid alcohol while taking Remeron® (mirtazapine). This is because alcohol and medicines like Remeron affect similar chemicals in the brain. The concern is that Remeron will increase the effects of alcohol -- whether this is increasing symptoms of depression or affecting motor skills.
Generally, people who take Remeron should avoid alcohol, especially when first starting the drug. Most people experience drowsiness while taking Remeron, and alcohol makes this symptom worse. Only once you have learned how Remeron will affect you (and only with your healthcare provider's approval) should you drink while taking Remeron. If you do drink, make sure to limit your alcohol intake to a moderate amount.
When healthcare providers recommend moderate alcohol drinking, they mean one drink a day for women and two drinks a day for men. Because the alcohol content in drinks varies, what counts as one drink also varies. When healthcare providers talk about one alcoholic drink, they are referring to one of the following examples:
- 12 ounces of beer
- 5 ounces of wine
- 1½ ounces of 80-proof whiskey
- 1 ounce of 100-proof spirits.
If a person decides to drink alcohol in moderation while on Remeron, it is recommended that they do not drink alcohol at the same time that they take their Remeron. Also, a person should learn the effects of Remeron on their body before they begin drinking. The medication can cause drowsiness and may affect a person's ability to perform certain functions, such as driving a car or operating machinery.
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD



