Package	Per tablet	Savings	Price
180 tablets	$0.31	$16	$72 $56
150 tablets	$0.32	$12	$60 $48
120 tablets	$0.33	$9	$48 $39
90 tablets	$0.34	$5	$36 $31
60 tablets	$0.37	$2	$24 $22
30 tablets	$0.40	–	$12

What is this medicine?

MITRA 30 mg Tablet contains Mirtazapine, a tetracyclic antidepressant. This medicine is used to treat major depressive disorder (MDD). It helps improve mood and feelings of well-being by restoring the balance of natural chemicals (neurotransmitters) in the brain, particularly norepinephrine and serotonin.

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What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• bipolar disorder or manic-depressive illness

• seizures or epilepsy

• heart disease or recent heart attack

• liver or kidney disease

• low blood pressure

• high cholesterol or triglycerides

• glaucoma or increased intraocular pressure

• history of suicidal thoughts or attempts

• an unusual or allergic reaction to mirtazapine, other antidepressants, or any other medications, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

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How should I use this medicine?

Take this medicine by mouth with a glass of water. It is usually taken once daily, preferably at bedtime, as it may cause drowsiness.

Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking this medicine except on the advice of your doctor or health care professional, as sudden withdrawal may cause symptoms.

Overdosage: If you think you have taken too much of this medicine, contact a poison control center or emergency room at once.

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What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, skip the missed dose and take only your next scheduled dose. Do not take double or extra doses.

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What may interact with this medicine?

• monoamine oxidase inhibitors (MAOIs)

• other antidepressants or antipsychotic medicines

• benzodiazepines or medicines for sleep or anxiety

• carbamazepine or phenytoin

• cimetidine

• tramadol or opioids

• alcohol

• medicines that may affect heart rhythm (e.g., amiodarone, quinidine)

• blood thinners like warfarin

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

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What should I watch for while using this medicine?

• Monitor for worsening depression or suicidal thoughts, especially when starting this medication or changing the dose.

• It may take several weeks to feel the full effect of this medicine.

• Do not suddenly stop taking the medicine without consulting your doctor.

• Avoid drinking alcohol while on this medication, as it can worsen drowsiness.

• This medicine may cause drowsiness or dizziness. Do not drive, operate machinery, or perform activities that require alertness until you know how the medicine affects you.

• Check with your doctor if you experience unusual mood changes, agitation, or thoughts of self-harm.

• Inform your healthcare provider if you are planning surgery, including dental procedures.

• Periodic blood tests may be required to monitor blood cell counts.

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What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• suicidal thoughts or behavior

• hallucinations or mania

• confusion or disorientation

• severe dizziness or fainting

• signs of infection (fever, sore throat)

• seizures

• yellowing of skin or eyes (jaundice)

• allergic reactions like rash, itching, swelling of the face, lips, or throat

• difficulty breathing

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• drowsiness

• increased appetite or weight gain

• dry mouth

• constipation

• dizziness

• strange dreams

This list may not describe all possible side effects.

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Where should I keep my medicine?

• Keep out of the reach of children.

• Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F).

• Protect from moisture and light.

• Do not store in the bathroom.

• Throw away any unused medicine after the expiration date.