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Mirtazapine is an antidepressant taken once a day at bedtime for depression; PockDose stocks two tablet versions, Remeron and plain mirtazapine, in 7.5mg, 15mg and 30mg.
Mirtazapine
7.5/15/30mg
Mirtazapine 7.5mg, 15mg and 30mg tablets, an antidepressant taken once a day at bedtime for depression; the Remeron listing carries the same ingredient and strengths.
Mirtazapine is an antidepressant. It is used to treat depression, including the kind that drags on for weeks or months with low mood, little interest in things, broken sleep and a flagging appetite. It sits in the antidepressants group but works differently from the SSRIs most people have heard of, and it is often picked when poor sleep or weight loss are part of the picture.
Two chemical messengers in the brain, noradrenaline and serotonin, help regulate mood, sleep and appetite. Mirtazapine raises the levels of both by blocking the receptors that would otherwise hold them back. It also blocks histamine receptors, the same ones antihistamine sleep aids act on, which is why a first tablet often brings heavy drowsiness and a bigger appetite. The effect on mood builds slowly; sleep and appetite usually change first.
Take it once a day, at bedtime, because the sleepiness peaks in the hours after a dose. Meals make no difference. The three strengths cover the range normally used, and sleepiness is usually strongest at the low end, so 7.5mg can feel more sedating than 30mg; 15mg at night is a common starting point. If a night is missed, wait for the next one rather than doubling up. Keep the strips in a cool, dry spot out of direct sun.
Mirtazapine tablets and Remeron are the two versions on offer. Same medicine, same tablet form, same three strengths: 7.5mg, 15mg and 30mg. Remeron is the brand name the drug has been sold under for years, while the plain version carries the ingredient name. Choose by strength, and by whichever name you already know.
Drowsiness, dry mouth, constipation, dizziness and a growing appetite are the effects people notice most, and weight gain often follows the appetite change. Cholesterol and triglyceride levels can creep up, so blood tests are sometimes arranged. A fever with a sore throat, mouth ulcers or unusual bruising can signal a fall in white blood cells and needs urgent treatment. Mirtazapine deepens the effect of alcohol and other sedating medicines, and it must not be taken with an MAO inhibitor. Other serotonin-raising medicines, including tramadol and some antidepressants and migraine treatments, can bring on serotonin syndrome.
Mirtazapine can be ordered online with delivery to Hong Kong. The range includes Mirtazapine tablets and generic Remeron, both in 7.5mg, 15mg and 30mg tablets. An order that has not been dispatched can be cancelled within 24 hours, and support answers 24/7 in English and Cantonese.
Each of the two mirtazapine products has its own price per pack, shown on its page in HKD or your selected currency; larger packs usually cost less per unit.
PockDose does not ask you to upload a prescription when you order mirtazapine. See the ordering FAQ for details.
Remeron is a brand name of mirtazapine, which is also sold as Mirtaz and Zispin. Here, mirtazapine can be bought online as generic Remeron and mirtazapine tablets. These are generics, not the original brand.
Sleep often improves within the first few nights, and appetite can pick up just as quickly. The effect on mood is slower — several weeks of daily doses are usually needed before the full benefit shows, so a quiet first fortnight does not mean the tablets are not working.
The drowsiness from a dose is strongest in the first few hours, so bedtime puts it where it is most useful. A morning dose tends to leave people groggy all day. Taking it at the same time each night also keeps the amount in your body steady.
Alcohol adds to the drowsiness and dizziness mirtazapine already causes, so a drink can hit harder than it used to and leave you unsteady. Keeping to a small amount, and not drinking right before you take your tablet, lowers the chance of a rough night.
Headache, nausea, restlessness and trouble sleeping can follow an abrupt stop, even after only a few weeks of treatment. They pass, but they are uncomfortable. Easing the dose down over a couple of weeks is gentler, and appetite and weight often drift back towards where they started.
It often does. Appetite rises in the first weeks, especially for starchy and sweet food, and weight creeps up over the following months in many people. The effect is usually stronger at the lower strengths. Keeping portions in check and staying active from the start makes it easier to live with.