Pajjiż: Afrika t’Isfel
Lingwa: Ingliż
Sors: South African Health Products Regulatory Authority (SAHPRA)
Organon South Africa (Pty) Ltd
See ingredients
TABLET
EACH TABLET CONTAINS MIRTAZAPINE 15,0 mg
Registered
2000-06-07
Page 1 of 14 PATIENT INFORMATION LEAFLET SCHEDULING STATUS PROPRIETARY NAME AND DOSAGE FORM REMERON ® 15 mg Tablet REMERON ® 30 mg Tablet READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU ARE GIVEN REMERON Keep this leaflet. You may need to read it again. If you have further questions, please ask your doctor or your pharmacist. REMERON has been prescribed for you personally and you should not share your medicine with other people. It may harm them, even if their symptoms are the same as yours. 1. WHAT REMERON CONTAINS Each REMERON 15 mg tablet contains as active ingredient 15 mg mirtazapine and each 30 mg tablet contains as active ingredient 30 mg mirtazapine. The inactive ingredients are maize starch, hydroxypropyl cellulose, magnesium stearate, colloidal silicon dioxide, lactose monohydrate, hydroxypropyl methylcellulose, polyethylene glycol, titanium dioxide and red and yellow iron oxide colouring agents. 2. WHAT REMERON IS USED FOR This medicine belongs to a group of medicines known as antidepressants. REMERON is used to treat depression in adults. S5 Page 2 of 14 It may take up to 4 weeks before you experience an improvement. 3. BEFORE TAKING REMERON DO NOT TAKE REMERON: If you are allergic (hypersensitive) to mirtazapine or any of the other ingredients of REMERON. If so, you must talk to your doctor as soon as you can before taking REMERON. If you are taking or have recently taken (within the last 2 weeks) medicines called monoamine oxidase inhibitors (MAO-Is). TAKE SPECIAL CARE WITH REMERON USE IN CHILDREN AND ADOLESCENTS UNDER 18 YEARS OF AGE REMERON should not be used for children and adolescents under 18 years, as patients under 18 have an increased risk of side effects such as suicide attempt, suicidal thoughts and hostility (predominantly aggression, oppositional behaviour and anger) when they have taken this class of medicines. THOUGHTS OF SUICIDE AND WORSENING OF YOUR DEPRESSION If you are depressed you may have thoughts of harming or killing yourself. These thoughts may be increas Aqra d-dokument sħiħ
Page 1 of 19 SCHEDULING STATUS PROPRIETARY NAME AND DOSAGE FORM REMERON ® 15 mg Tablet REMERON ® 30 mg Tablet COMPOSITION Each REMERON 15 mg film-coated tablet contains 15 mg of mirtazapine. Contains sugar: lactose monohydrate 114 mg. Excipients: colloidal anhydrous silica, hydroxypropyl cellulose, magnesium stearate and maize starch. Coating layer: hydroxypropyl methylcellulose, polyethylene glycol, titanium dioxide and iron oxide yellow. Each REMERON 30 mg film-coated tablet contains 30 mg of mirtazapine. Contains sugar: lactose monohydrate 227 mg. Excipients: colloidal anhydrous silica, hydroxypropyl cellulose, magnesium stearate and maize starch. Coating layer: hydroxypropyl methylcellulose, polyethylene glycol, titanium dioxide, iron oxide yellow, iron oxide red. PHARMACOLOGICAL CLASSIFICATION A.1.2 Psychoanaleptics (antidepressants) PHARMACOLOGICAL ACTION PHARMACODYNAMIC PROPERTIES S5 Page 2 of 19 Mirtazapine is a tetracyclic antidepressant, belonging to the piperazino-azepine group of compounds. Mirtazapine is an antagonist of central α 2 -auto and hetero-adrenoceptors which causes an increase in both noradrenaline and serotonin release. The effect of released serotonin is exerted specifically via 5-HT 1 type receptors, because 5- HT 2 and 5-HT 3 type receptors are specifically blocked by mirtazapine. Both enantiomers of mirtazapine are presumed to contribute to the antidepressant activity, the S(+) enantiomer by blocking α 2 -auto and hetero-adrenoceptors and 5-HT 2 receptors and the R(-) enantiomer by blocking α 2 hetero-adrenoceptors and 5-HT 3 receptors. In one study there was no efficacy difference indicated between the two enantiomers, despite their different receptor affinities. The potent histamine H 1 -antagonistic activity of mirtazapine is responsible for its sedative properties. Mirtazapine has modest antagonism on cholinergic activity. Mirtazapine has modest peripheral α 1 -adrenergic antagonist activities and has been associated with acute postural hypotension (see SIDE EFFECTS). PHARMA Aqra d-dokument sħiħ