Diziness

Vertigo

Nausea

Vomiting

Diarrhea

Fatigue

Myualgia

chills

Paresthesia

insomnia

vivid dreams

What does Remeron (mirtazapine) block?

• The reuptake of NE and Serotonin (5HT₁₎: Antidepressant Effects
• Blocks the 5-HT₂ and 5-HT₃ Receptor Sites

By Blocking the reuptake of 5HT1 Remeron decreases

Remeron Blocks the 5-HT₂ and 5-HT₃ Receptor Sites resulting in:

• Fewer Activatoin Side Effects
• Fewer Sexual Side Effects
• Less Nausea, Headaches
• Can be sedating
• Increase appetite and weight gain

What are some negative effects of Children/Adolexcents & Antidepressants

Increase chance of becoming suicidal

• 2 times as likely to develop suicidal thoughts.
• FDA has a black box warning
• Benefit to risk ratios unfavorable
  • Paxil
  • Zoloft
  • Effexor

Antidipressant Effects throught the inhibition of MAO

• MAOI's are used on a limited basis because of their interaction with certain medications and foods containing Tyramine

It increases the release of NE and slows down the enzymes that destroy it overloding the synops.

9 years of their life

14 years of funtional activity

12 years of normal health

• Marked increase of suicide
• High rate of divorce
• high rate of job loss
• Increased likelihood of substance abuse (55%+)

• Without full inter-episodic recovery (between cycles)
• With Full inter-episodic recovery

• Lithium, lightest of the alkali metals, similar to sodium
• Has no effect on the brain except in relation to mania
• Action is not completely understood, may alter neuronal sodium transport
• Effective in 60-80 percent of acute hypomanic and manic episodes

• 1.5 to 2.0 mEq/L blood levels
• Nausea/vomiting
• Diarrhea
• Abdominal pain
• Mild Tremor
• Lethargy
• Impaired concentration