MITAMARK 30mg Tablet 10's

Introduction About MITAMARK 30MG TABLET

MITAMARK 30MG TABLET contains Mirtazapine which belongs to the group of
medicines called Antidepressants. It is used in adults to manage depression.
Depression is a mood disorder characterized by persistent feeling of sadness,
loss of interest, feeling guilty or worthless, attention impairment, lack of
energy, suicidal thoughts and slow or abnormal physical movements.

MITAMARK 30MG TABLET can be taken with or without meals. It may take around 1-2
weeks for MITAMARK 30MG TABLET to start working and you may notice improvement
in your condition only after 2-4 weeks of therapy. Therefore, take MITAMARK 30MG
TABLET for the duration recommended by your doctor to achieve better results.

Before taking MITAMARK 30MG TABLET inform your doctor if you have any liver,
kidney or heart problems. You must also inform your doctor if you have jaundice,
diabetes, glaucoma, low blood pressure, previous history of fits, suicidal
thoughts or other mental illnesses (such as m
as a precaution.

Avoid concomitant use of MITAMARK 30MG TABLET with other antidepressants (MAO
inhibitor) without consulting your doctor. Consult your doctor before taking
MITAMARK 30MG TABLET if you are pregnant or breastfeeding.

The most common side effects of taking MITAMARK 30MG TABLET are dizziness,
drowsiness, weight gain, headache, constipation, dry mouth, problems in
sleeping, tremors, anxiety, confusion, joint pain and muscle pain. Contact your
doctor if any of these side effect worsens.

You must also inform your doctor immediately if your depression worsens or if
you experience any suicidal thoughts after taking MITAMARK 30MG TABLET.

Uses Of MITAMARK 30MG TABLET

• Manage depression in adults

How MITAMARK 30MG TABLET Works

MITAMARK 30MG TABLET is an antidepressant medication. It acts by increasing the
levels of certain chemical messengers (such as serotonin and norepinephrine) in
the brain that can stabilize mood and mental health. As a result, it improves
your mood and energy and reduce the signs of depression.

How to use MITAMARK 30MG TABLET

Take MITAMARK 30MG TABLET as advised by your physician. It can be taken with or
without food.

For Tablets: Swallow the medicine with a glass of water. Do not chew or
crush the medicine.

For Dispersible Tablets: Disperse the medicine in the required amount of
water as mentioned in the product label. Consume the mixture immediately after
dispersion.

Your doctor will decide the correct dose and duration of therapy for you
depending upon your age, body weight and health condition.

Do not stop taking MITAMARK 30MG TABLET without consulting your doctor as it may
make your symptoms re-appear once again or can cause withdrawal symptoms such as
vomiting, dizziness, agitation, anxiety or headaches.

Side Effects Of MITAMARK 30MG TABLET

Common

• increased hunger, weight gain
• drowsiness or sleepiness
• headache, dizziness
• feeling dizzy while standing up
• feeling tired
• dry mouth
• shakiness or tremor
• nausea, vomiting, diarrhea, constipation
• skin rash or eru
• joint pain, muscle pain or back pain
• swelling of ankles and feet
• abnormal dreams, problems in sleeping
• confusion, anxiety
• increased blood fat levels

Uncommon

• burning, stinging, tickling sensation in the skin
• restless legs (urge to move the legs)
• numbness in the mouth
• low blood pressure
• nightmares
• agitation, hallucination

Rare

• muscle twitching

Stop taking MITAMARK 30MG TABLET and contact your doctor immediately if you
experience any of the following side effects such as:

• worsening of depression, suicidal thoughts or behavior
• severe skin reactions (such as skin rash with itching and redness, blistering and peeling of skin, skin swelling and inflammation of mucous membrane, skin lesions with a pink/red ring and a pale center which may be itchy, scaly or filled with fluid accomp
• severe, frequent paranoid thoughts
• alternative episodes of happiness/pleasure and sadness (m
• signs of infection (such as unexplainable high fever, sore throat and mouth ulcers)
• memory problems
• inflammation of the liver (causing yellowing of skin and whites of the eye)
• inflammation of the pancreas (causing severe stomach pain with nausea and vomiting)
• fits (epilepsy)
• signs of serotonin syndrome (such as high fever, sweating, fast heart rate, diarrhea, muscle contractions, shivering, overactive reflexes, restlessness, mood changes, unconsciousness and increased salivation)
• signs of rhabdomyolysis (such as muscle pain, stiffness and/or weakness and darkening of the urine)

How To Manage Side Effects

Nausea and Vomiting:

Take MITAMARK 30MG TABLET with or just after a meal or a snack. Stick to simple
meals. Avoid eating rich or spicy food. Consult your doctor if your nausea
worsens.

Dizziness:

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or
machines completely while you are feeling dizzy. Do not consume excessive
alcohol, as it could aggravate your dizziness. Consult your doctor if your
dizziness worsens.

Headache:

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as
water or electrolytes. Applying a pain-relieving balm on your forehead can be
beneficial. Do not consume excessive alcohol, as it could aggravate your
headache. Consult your doctor if your headache worsens.

Constipation:

Try to eat more fiber rich foods such as fresh fruit, vegetables and cereals.
Drink plenty of water and exercise regularly. If this does not help, consult
your doctor for advice.

Warning & Precautions

!### Pregnancy

MITAMARK 30MG TABLET should be used with caution in pregnant women and in women
who think that they might be pregnant or planning to have a baby. Therefore,
consult your doctor before taking it.

!### Breastfeeding

MITAMARK 30MG TABLET should be used with caution in breastfeeding women.
Therefore, consult your doctor before taking it.

!### Driving and Using Machines

Do not drive or operate any heavy tools or machines if you experience dizziness
or tiredness after taking MITAMARK 30MG TABLET.

!### Alcohol

Avoid consum
you feel dizzier.

!### Kidney

MITAMARK 30MG TABLET should be used with caution in patients with kidney
problems. Therefore, consult your doctor before taking it.

!### Liver

MITAMARK 30MG TABLET should be used with caution in patients with liver problems
(such as jaundice). Therefore, consult your doctor before taking it.

!### Allergy

Do not take MITAMARK 30MG TABLET if you are allergic to Mirtazapine.

!### Heart Disease

MITAMARK 30MG TABLET should be used with caution in patients with heart problems
(such as changes in heart rhythm, a recent heart attack or heart failure).
Therefore, consult your doctor before taking it.

Others

Before taking MITAMARK 30MG TABLET, inform your doctor if you:

• have suicidal thoughts
• are aged less than 25 years
• have or ever had fits in the past
• have low blood pressure
• have schizophrenia (mental illness affecting thinking abilities)
• have m
• have diabetes
• have glaucoma (increased pressure in the eye)
• have difficulty in passing urine due to prostate enlargement

Use in Pediatrics:

MITAMARK 30MG TABLET is generally not recommended for use in children and
adolescents (aged below 18 years) due to lack of safety data. However, your
doctor may prescribe MITAMARK 30MG TABLET to your child if considered necessary.
Proper dose adjustments and careful monitoring are required in such patients.

Use in Geriatrics:

MITAMARK 30MG TABLET should be used with caution in elderly patients (aged 65
years or above). Therefore, consult your doctor before taking it.

Interactions

A. Drug-Drug Interactions:

Before taking MITAMARK 30MG TABLET, inform your doctor, if you are taking any of
the following medicines such as:

• other medicines used to manage depression such as MAO inhibitors (Ex. moclobemide, tranylcypromine, selegiline), SSRI (venlafaxine, duloxetine)
• medicines used to manage control abnormal heart rhythm (such as digoxin, amiodarone)
• medicines used to manage migraine headaches (such as L-tryptophan, sumatriptan, zolmitriptan)
• tramadol, morphine (medicine used for pain relief)
• linezolid (an antibiotic used to manage bacterial infection)
• lithium, St. John’s Wort, nefazodone (medicines used to manage depression)
• methylene blue (a medicine used to manage high levels of methaemoglobin in the blood)
• medicines used to reduce anxiety and to induce sleep (such as alprazolam, midazolam, diazepam, clonazepam)
• medicines used to manage schizophrenia (such as olanzapine)
• medicines used to manage allergic conditions (as cetirizine)
• medicines used to manage bacterial infections (Ex. erythromycin)
• medicines used to manage fungal infections (such as ketoconazole)
• medicines used to manage HIV infection (such as ritonavir, atazanavir, nelfinavir)
• medicines used to manage stomach ulcers (such as cimetidine)
• medicines used to manage epilepsy (such as carbamazepine and phenytoin)
• rifampicin (a medicines used to manage tuberculosis)
• medicines used to manage blood clotting (such as warfarin)

Overdosage:

If you or anyone else accidentally took more MITAMARK 30MG TABLET, consult your
doctor immediately or visit the nearby hospital. Symptoms of overdose might
include severe drowsiness, fast or rapid heart rate, fainting or disorientation.

Synopsis

Drug	:	Mirtazapine
Pharmacological Category	:	Atypical Antidepressants
Therapeutic Indication	:	Depression
Dosage Forms	:	Tablet, Dispersible Tablet

More Information

• Keep MITAMARK 30MG TABLETout of reach of children
• Store MITAMARK 30MG TABLET at room temperature

FAQs About MITAMARK 30MG TABLET

What is the use of MITAMARK 30MG TABLET?

MITAMARK 30MG TABLET is used in adults to manage depression.

How MITAMARK 30MG TABLET works?

MITAMARK 30MG TABLET is an antidepressant medication. It acts by increasing the
levels of certain chemical messengers (such as serotonin and norepinephrine) in
the brain that can stabilize mood and mental health. As a result, it improves
your mood and energy and reduce the signs of depression.

How to take MITAMARK 30MG TABLET?

Take MITAMARK 30MG TABLET as advised by your physician. It can be taken with or
without food. Your doctor may advice you to take MITAMARK 30MG TABLET once or
twice daily based on your age and health condition. If you are taking
mirtazapine as tablets, swallow the medicine with a glass of water. Do not chew
or crush the medicine. If you are taking mirtazapine as dispersible tablets,
disperse the medicine in the required amount of water as mentioned in the
product label.

Can I stop taking MITAMARK 30MG TABLET once I started feeling better?

No. Do not stop taking MITAMARK 30MG TABLET without consulting your doctor as it
may make your symptoms re-appear once again or can cause withdrawal symptoms
such as vomiting, dizziness, agitation, anxiety or headaches. Take MITAMARK 30MG
TABLET as advised by your doctor for the stipulated duration.

What is the best time to take MITAMARK 30MG TABLET?

MITAMARK 30MG TABLET can be taken with or without food. It is best to take
MITAMARK 30MG TABLET as a single dose before going to bed. However, your doctor
may suggest you to split your doses once in the morning and once at night before
bed time.

Can I take MITAMARK 30MG TABLET daily?

Take MITAMARK 30MG TABLET as advised by your physician. Your doctor will
evaluate your health condition and suggests whether can you take MITAMARK 30MG
TABLET every day or not.

Will taking a higher dose of MITAMARK 30MG TABLET be more effective?

No, taking a higher dose of MITAMARK 30MG TABLET will not be effective rather it
can lead to toxicity. Always take the dose prescribed by your doctor. If the
prescribed dose is not effective for you, consult your doctor for advice. Your
doctor might increase the dose or suggest an alternative therapy.

What to do if I forgot to take a dose of MITAMARK 30MG TABLET?

If you forgot to take a dose of MITAMARK 30MG TABLET, take it as soon as you
remember. However, if it is time for the next dose of MITAMARK 30MG TABLET, skip
the missed dose and take the next one regularly. Do not take a double dose of
MITAMARK 30MG TABLET to compensate the missed ones. Consult your doctor for
advice.

How long will it take for MITAMARK 30MG TABLET to reduce my symptoms?

MITAMARK 30MG TABLET starts working after 1-2 weeks of the therapy. However, you
may notice a difference in your condition only after 2-4 weeks of the therapy.
It may take around 4-6 months for MITAMARK 30MG TABLET to completely reduce the
symptoms of depression. Therefore, take MITAMARK 30MG TABLET consistently as
advised by your physician to achieve better results.

Can the use of MITAMARK 30MG TABLET make me feel ill?

MITAMARK 30MG TABLET rarely causes signs of illness (such as unexplainable fever
with sore throat or mouth ulcers). This is due to decrease in immune cells
produced by the bone marrow. If you experience any signs of illness,
particularly during 4-6 weeks of the therapy, consult your doctor immediately.

What are the side effects of MITAMARK 30MG TABLET?

The most common side effects of taking MITAMARK 30MG TABLET are dizziness,
drowsiness, weight gain, headache, constipation, dry mouth, problems in
sleeping, tremors, anxiety, confusion, joint pain and muscle pain. Contact your
doctor if any of these side effect worsens. You must also inform your doctor
immediately if you depression worsens or experience any suicidal thoughts after
taking MITAMARK 30MG TABLET.

Is MITAMARK 30MG TABLET safe to use in children?

MITAMARK 30MG TABLET is generally not recommended for use in children and
adolescents (aged below 18 years). However, consult your doctor before taking
it.

Can MITAMARK 30MG TABLET cause constipation?

Yes. Constipation is a common side effect of taking MITAMARK 30MG TABLET. Eat
plenty of fiber rich foods such as fresh fruits, vegetables, cereals as well as
drink plenty of water and exercise more regularly when taking this medicine.
Contact your doctor if this side effect bothers you.

Can MITAMARK 30MG TABLET cause dry mouth?

MITAMARK 30MG TABLET may cause dryness of mouth. Contact your doctor if this
side effect bothers you.

Is MITAMARK 30MG TABLET safe?

MITAMARK 30MG TABLET is safe at doses prescribed by the doctor. Do not alter the
dosage of MITAMARK 30MG TABLET without consulting your doctor.