What Should I Tell My Healthcare Provider?You should talk with your healthcare provider prior to taking this medication if you have:
- Bipolar disorder or a family history of the condition (also known as manic depression)
- A history of heart attack or stroke
- Chest pain
- A low level of white blood cells (neutropenia)
- Liver problems, including liver failure or cirrhosis
- Kidney disease, including kidney failure (renal failure)
- Seizures or epilepsy
- Low blood pressure (hypotension)
- A history of suicide attempts or suicidal thoughts
- Any allergies, including allergies to food, dyes, or preservatives.
Also, let your healthcare provider know if you are:
- Pregnant or thinking of becoming pregnant (see Mirtazapine and Pregnancy)
- Breastfeeding (see Remeron and Breastfeeding).
Make sure to tell your healthcare provider about all of the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.
(Click Remeron Warnings and Precautions to learn more, including information on who should not take the drug.)
AlternativesDepression, even in its most severe form, is highly treatable. As with many illnesses, getting treatment for depression early is more effective and reduces the chance of recurrence.
The most common forms of treatment for depression are medication (antidepressants) and psychotherapy ("talk therapy"). In cases of severe depression, healthcare providers may recommend electroconvulsive therapy (ECT). Some people may also try complementary or alternative treatments for depression (see Natural Remedies for Depression).
Remeron is generally quite effective at treating depression. It is also generally well tolerated. However, side effects can occur, or the medicine may not work as well as needed. In these cases, your healthcare provider may recommend an alternative. Examples of substitute depression medications include:
- Selective serotonin reuptake inhibitors (SSRIs)
- Serotonin-norepinephrine reuptake inhibitors (SNRIs)
- Norepinephrine and dopamine reuptake inhibitors (NDRIs)
- Tricyclic antidepressants
- Monoamine oxidase inhibitors (MAOIs).
(Click Remeron Alternatives for more information. Click Dealing With Depression to learn about other ways of managing depression.)