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Remeron Side Effects You Need to Know 

remeron side effectsRemeron side effects: What do I really need to know? 

Remeron side effects cannot really be anticipated, but, if any develop or increase in intensity you should notify your physician immediately. Only your doctor can decide if the Remeron side effects you experience would preclude you from continuing with this antidepressant medication. 

Remeron side effects may include... 

Abnormal dreams and thinking, constipation, dizziness, dry mouth, flu-like symptoms, increased appetite, sleepiness, weakness, weight gain 

Remeron side effects and special warnings about this antidepressant: 

In addition to the Remeron side effects mentioned above, antidepressants have been noted to increase suicidal thoughts and behavior in children and adolescents with depression and other psychological problems.  Anyone considering the use of this or similar antidepressant medications with children or adolescents must balance the risk of the Remeron side effects along with the clinical need.  Remeron has not been adequately studied in children, and should not be recommended for use for individuals under the age of 18 years old. 


The symptoms of depression have been found to occasionally worsen for both adults and children, sometimes resulting in suicidal thinking and behaviors whether they are on antidepressants or not.  Individuals taking this and other depression medications along with their caregivers need to watch for new or increased symptoms, and need to pay special attention to such Remeron side effects as agitation, anxiety, hostility, panic, restlessness, extreme hyperactivity, and suicidal thinking or behavior, and report them to their physician immediately. You need to be especially vigilant at the initiation of treatment as well as when medication dosages are changed. 

Sometimes fatal reactions have been noted when Remeron is taken along with other medications such as the MAO inhibitors. These medications include the antidepressants Nardil and Parnate and should never be taken along with Remeron, or within 14 days of discontinuing treatment with one of them.  You should always allow at least 14 days between stopping Remeron and starting an MAO inhibitor. 

You should also take special note if you develop flu-like symptoms such as a sore throat, chills or fever, mouth sores or any other signs of infection, and contact your doctor immediately.  These symptoms may be indicative of a serious underlying medical condition. 

Remeron may also increase cholesterol levels in some people.  If you know or believe you have problem cholesterol you should notify your doctor prior to beginning this depression medication. 

Remeron should also be used with caution if you have liver, kidney or heart problems or high blood pressure.  Also, let your doctor know if you have a history of seizures, mania (extremely high spirits), hypomania (mild excitability), have used drugs in the past or have any other physical or emotional problems. 

You may feel dizzy or lightheaded when you begin this depression medication, especially when getting up from a lying or sitting position.  You should tell your doctor about this side effect if it does not go away by simply getting up slowly from lying down or sitting. 

You should also avoid the Sol Tabs form of Remeron if you must avoid phenylalanine. 

Possibly food and drug interactions in addition to the Remeron side effects: 

It can actually be fatal if you combine Remeron with an MAO inhibitor.  Also, you should not drink alcohol while taking this antidepressant medication.  When Remeron is taken with certain other drugs, the effects of either can be increased, decreased or otherwise altered.  It is especially important for you to check with your doctor before combining Remeron with tranquilizers such as Valium, Xanax and Ativan. 

Remeron side effects to consider when pregnant or breast-feeding: 

This antidepressant has not been adequately studied during pregnancy, along with the related Remeron side effects. If you're pregnant or plan to become pregnant or are breast-feeding, you need to talk to your doctor about the continuing use of Remeron.  It is not currently known whether Remeron appears in breast milk.  However, it is known that many medications make their way into breast milk and should be a special concern for you and your doctor to consider.  The possible benefits will need to be considered along with the potential Remeron side effects, and it should be considered whether you should continue with this antidepressant while pregnant or breast-feeding.

Information from the PDR Pocket Guide to Prescription Drugs

Webpage and additional information by Paul Susic Ph.D. Licensed  Psychologist

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