White blood cells help your body fight infections. Mirtazapine may decrease your white blood cells.
If they’re more severe or don’t go away, talk to your doctor or pharmacist. If these effects are mild, they may go away within a few days or a couple of weeks. The more common side effects of mirtazapine can include: Mirtazapine can also cause other side effects. You may feel restless and agitated (unable to sit or stand still) for the first few weeks while taking this drug. You shouldn’t drive, use machinery, or do other activities that require alertness until you know how this drug affects you. It may affect your ability to make decisions, think clearly, or react quickly. Mirtazapine oral tablet may cause drowsiness. If weight gain is a concern for you, discuss alternative treatments for depression with your doctor. Increased appetite and weight gain warning: Mirtazapine can cause you to feel hungrier than usual, which can result in weight gain in some people.It may also affect your ability to make decisions, think clearly, or react quickly. Drowsiness warning: This drug can cause drowsiness.Your doctor will watch you for withdrawal symptoms when stopping treatment. If you need to stop taking this drug, your doctor will slowly reduce your dosage over time. They also include sweating, nausea, vomiting, strange dreams, dizziness, tiredness, confusion, and headache. These include anxiety, agitation, shaking, and tingling or electric shock-like feelings. Stopping it suddenly can cause withdrawal symptoms. Withdrawal warning: Don’t stop taking mirtazapine without talking to your doctor.Call your doctor right away if you have these symptoms. They also include stiff muscles, racing heartbeat, high or low blood pressure, sweating, fever, nausea, vomiting, and diarrhea. Symptoms of serotonin syndrome include agitation, hallucinations (seeing or hearing something that isn’t there), confusion, trouble thinking, coma, coordination problems, and muscle twitching. These include antidepressants or triptans, such as sumatriptan and zolmitriptan. Your risk may be higher if you also take other drugs that have similar effects as mirtazapine.
Serotonin syndrome warning: Mirtazapine can cause a life-threatening condition called serotonin syndrome.Call your doctor right away if you notice any of these changes. You and your family members, caregivers, and doctor should watch for any new or sudden changes in your mood, behaviors, thoughts, or feelings. It’s also higher within the first few months of treatment and during dosage changes. This risk is higher in children, teenagers, and young adults. Mirtazapine may cause an increase in suicidal thoughts or actions.A black box warning alerts doctors and patients about drug effects that may be dangerous. This is the most serious warning from the Food and Drug Administration (FDA).
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