Mirtazapine (Avanza)

Question 1

Class

Answer 1

tetracyclic antidepressant

Question 2

Indications

Answer 2

Major depression

best antidepressant for patients who experience sexual dysfunction with other agents

Question 3

Dose Range

Answer 3

15 – 60mg d

Question 4

Counselling/SE

Answer 4

• This medicine may cause drowsiness and may increase the effects of alcohol; do not drive or operate machinery if you are affected.
• Do not stop taking this medicine suddenly unless your doctor tells you to.
• if you have any thoughts of harming yourself, then let the dr know immediately.
• Avanza SolTab®: put the tablet on your tongue, let it disintegrate and then swallow it.

SE:

• increased appetite, weight gain
• peripheral oedema
• weakness
• orthostatic hypotension
• seizures

Question 5

Monitoring

Answer 5

• psych review (compliance, tolerability, worsening of condition)
• behaviour (increase suicidal thoughts)
• weight