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Metramax 15mg Tablet

Prescription Required

Overview

Introduction

Metramax 15mg Tablet is a prescription medicine used in the treatment of depression. This medicine helps by increasing the level of chemical messengers (serotonin and noradrenaline) in the brain that have a calming effect on the brain and relax the nerves, thus treating your depression.

Metramax 15mg Tablet may be taken with or without food. It is advised to take this medicine at a fixed time each day to maintain a consistent level in the blood. If you miss any doses, take it as soon as you remember. Do not skip any doses and finish the full course of treatment even if you feel better. It is important that this medication is not stopped suddenly as it may worsen your symptoms.

Some common side effects of this medicine include dryness in mouth, increased appetite, and headaches. It even causes dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. This medicine may cause weight gain; therefore, you should have a balanced diet and exercise regularly. Moreover, it is important to inform your doctor if you develop a sore throat or fever after taking this medicine.

Uses of Metramax Tablet

Side effects of Metramax Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Metramax

  • Sleepiness
  • Dryness in mouth
  • Increased appetite
  • Headache
  • Weight gain

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Sleepiness
    If the medicine is making you drowsy during the day, stop what you are doing and sit or lie down until you feel better. You can also consider taking a nap. Physical exercises such as walking may be helpful. Do not drink alcohol, as it will make you feel more tired. Avoid driving or operating heavy equipment when you are feeling drowsy. This problem usually goes away as your body gets used to the medicine. However, if it does not, ask your doctor if you can take your medicine at bedtime or whether the dose can be reduced.
  • Coping with Dryness in mouth
    Keep a drink available that you can sip through the day. Rinse your mouth with warm salted water and chew sugarless gum or hard candy. Try breathing through your nose more often than your mouth. Avoid caffeinated beverages, smoking and alcohol because they can make your condition worse. Use lip balm if your lips are also dry. Try to avoid foods that are acidic (like lemons), spicy, salty or sugary. If this side effect bothers you or does not go away, talk to your doctor about artificial saliva products or other suitable treatments.
  • Coping with Headache
    Make sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. But, if they last longer or get worse, ask your doctor to recommend a painkiller.
  • Coping with Weight gain
    Try to eat a healthy balanced diet without increasing your portion sizes. Avoid processed meat or poultry and seafood. Eat small, frequent meals and eat slowly. Do not snack on foods that contain a lot of calories such as crisps, cakes, biscuits and sweets. If you feel hungry between meals, eat fruits and vegetables which have low calories. Avoid reaching for a sugary drink if you feel stressed. Fasting once a week can be an effective way to lose weight. Make sure you get enough sleep. With proper diet and lifestyle changes, you might not gain any weight or may gain only a small amount. Even then if it bothers you, ask your doctor if there are any alternative medicines that do not have this side effect.

How to use Metramax Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Metramax 15mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Metramax Tablet works

Metramax 15mg Tablet is an antidepressant. It works by increasing the levels of chemical messengers (serotonin and noradrenaline), natural substances in the brain that help maintain mental balance.

Safety Advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Metramax 15mg Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Metramax 15mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breastfeeding
CONSULT YOUR DOCTOR
Metramax 15mg Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
The baby should be monitored for behavioral side effects and adequate growth.
Driving
UNSAFE
Metramax 15mg Tablet may cause side effects which could affect your ability to drive.
Metramax 15mg Tablet can affect your concentration or alertness. This may impair your driving ability.
Kidney
CAUTION
Metramax 15mg Tablet should be used with caution in patients with kidney disease. Dose adjustment of Metramax 15mg Tablet may be needed. Please consult your doctor.
Liver
CAUTION
Metramax 15mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Metramax 15mg Tablet may be needed. Please consult your doctor.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Metramax 15mg Tablet
₹7.0/Tablet
Mirtee 15mg Tablet
Talent India
₹8.95/Tablet
28% costlier
Mirsol 15mg Tablet
Icon Life Sciences
₹9.3/Tablet
33% costlier
Mirtaz 15 Tablet
Sun Pharmaceutical Industries Ltd
₹10.43/Tablet
49% costlier
Mirtakem 15mg Tablet
Alkem Laboratories Ltd
₹10.9/Tablet
56% costlier
Mirnite 15mg Tablet
Intas Pharmaceuticals Ltd
₹12/Tablet
71% costlier

Quick Tips

  • Metramax 15mg Tablet starts to work more quickly than other antidepressants.
  • Avoid driving or operating dangerous machinery as it may decrease alertness.
  • Avoid consuming alcohol when taking the Metramax 15mg Tablet, as it may cause excessive drowsiness and calmness.
  • If your doctor asks you to stop Metramax 15mg Tablet, you should reduce the dose slowly over 4 weeks. You should not discontinue it abruptly.
  • Notify your doctor immediately if you develop a sore throat or fever or stomatitis during treatment with Metramax 15mg Tablet.

Interaction with Drugs

Taking Metramax with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Camopan
LIFE-THREATENING
Brand(s): Rasalect, Relgin, Rasipar
LIFE-THREATENING
Brand(s): Jumex, Selgin, Elegelin
LIFE-THREATENING
Brand(s): Uli-Vin
LIFE-THREATENING

Patient Concerns

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Suggest anti depression tablet
Dr. Sunil Sekhri
Diabetology
Firstly Depression patient need to be diagnosed in the clinic and based on that appropriate medication are prescribed
Vomitting sensation and 1 time vomitted. Given emset 4mg tablet.but no improvement And also gave tablet LANZOL junior 15mg half tablet on morning on empty stomach
Dr. Gopal Samdani
Paediatrics
Vomiting Loose motion. If it?s a breastfed baby, breastfeed as and when the baby demands. It helps to restore the water lost from the body. If the baby is formula fed or above 6 months, ORS could be given. ORS packets are easily available in medical stores. If the ORS packets are not available, 1 teaspoon of sugar and equal amount of salt can be mixed in the cooled boiled water and provided after each bowel movement. This helps to restore the lost ions and water from the body.There are many underlying causes of Patient?s symptoms. Different cause needs different treatment. Specific treatment cannot be given unless we establish exact underlying cause. Advice given without doing clinical examination can be imperfect or some time harmful to patient.
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Do you have any questions related to Metramax 15mg Tablet ?

FAQs

Q. Is Metramax an SSRI/ MAOI/opiate/ narcotic/ benzo/tricyclic antidepressant?

Metramax is a tetracyclic antidepressant. It is not SSRI/ MAOI/opiate/narcotic

Q. Is Metramax addictive?

No, Metramax is not addictive. Patient should follow the advice of the doctor regarding its use

Q. Is Metramax safe?

Metramax is safe if used at prescribed dose and duration as advised by your doctor

Q. Can I take Metramax forever?

No, patient should take Metramax for the given duration as advised by your doctor

Q. Can I take mirtazapine for sleep with citalopram?

No, Patient should not take mirtazapine with citalopram because it may cause serious side effects. Always consult your doctor regarding its use

Q. Can you take Metramax for sleep?

Metramax is specifically used to treat major depressive disorder. Patient should follow the advice of the doctor regarding its use

Q. Can I take mirtazapine with sertraline/ citalopram/ fluoxetine/ antibiotics/ zopiclone/ amitryptline/ tramadol/ diazepam/ ambien/ Xanax?

Taking other medicines may alter the effects of mirtazapine. Always consult your doctor for the change of dose regimen or an alternative drug of choice that may strictly be required

Q. Does Metramax cause weight gain/memory loss/ insomnia/ make you eat more/ make you constipated?

Metramax may cause these side effects. However, consult your doctor if you experience any of these symptoms

Q. Does Metramax treat anxiety/lower seizure threshold?

Metramax may be used to treat anxiety but not to lower the seizure threshold. Care should be taken in patients with seizures

Q. Does Metramax contain benzodiazepine?

No, it does not contain benzodiazepine.

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Disclaimer:

1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. Stahl SM, editor. Mirtazapine. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 441-45.
  2. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 925-26.
  3. Mirtazapine. Barnstaple, Devon: Accord-UK Ltd.; 2011 [01 Jan. 2018]. [Accessed 28 Jan. 2019] (online) Available from:External Link
  4. Mirtazapine. Salt lake city, USA: Cephalon, Inc.; [revised 12-2015]. [Accessed 25 Mar 2019] (online) Available from:External Link
  5. Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Mirtazapine. [Updated 2019 Apr 1]. [Accessed 20 Feb. 2020] (online) Available from:External Link
  6. Mirtazapine. South Ruislip, Middlesex: Aurobindo Pharma - Milpharm Ltd.; 2006 [revised 15 Oct. 2018]. [Accessed 25 Mar 2019] (online) Available from:External Link
  7. Central Drugs Standard Control Organisation (CDSCO). [Accessed 25 Mar. 2019] (online) Available from:External Link
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