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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by cherylann on December 10, 2004, at 11:48:13
I remember reading about a side of remeron, flu like symptoms and sores in mouth.
Well, for the past month or so I keep feeling like I'm going to come down with something, achy, kind of that stuffy headache. Then it goes away for a few days and creeps back again. I just thought it was a bad year for germs.
Then I put two and two together and remembered this side effect. Has anyone else had this happen? Is it something I should really worry about? If the doc tells me to stop the remeron, since my insurance has dropped me, I have very little alternatives as far as drugs go.
Thanks,
cherylann
Posted by ed_uk on December 10, 2004, at 12:19:23
In reply to Dangerous remeron side effect-afraid to call doc., posted by cherylann on December 10, 2004, at 11:48:13
Hello,
Very rarely Remeron can cause neutropenia or agranulocytosis. This puts you at a risk of serious infection.
Although it's very unlikely that you have this side effect you do need to get a complete blood count to be sure.
Regards,
Ed.
Posted by nagash on December 10, 2004, at 17:33:13
In reply to Re: Dangerous remeron side effect-afraid to call doc., posted by ed_uk on December 10, 2004, at 12:19:23
I second that post. I don't know if its as rare as the pharm company wants us to believe, but I know a person who developed such symptoms after a couple of weeks on mianserin (mirtazapine's older brother)
Posted by yxibow on December 11, 2004, at 15:53:15
In reply to Dangerous remeron side effect-afraid to call doc., posted by cherylann on December 10, 2004, at 11:48:13
> I remember reading about a side of remeron, flu like symptoms and sores in mouth.
>If the doc tells me to stop the remeron, since my >insurance has dropped me, I have very little >alternatives as far as drugs go.
>
> Thanks,
> cherylann
First, quoting the PI..."..These three cases yield a crude incidence of severe neutropenia (with or without associated infection) of approximately 1.1 per thousand patients exposed, with a very wide 95% confidence interval, i.e., 2.2 cases per 10,000 to 3.1 cases per 1000."
(and one of the patients had another disorder as well)... basically says its somewhere between 2/100 of a % and 3/10 of a % or very rare.
However... I understand your concern.... I was worried about it when I took remeron just like I worried about every other drug reading the PDR. I would say several points to your post.
First... if you're concerned about it... and you've been on it for like 3-6 weeks or so, like I had, I would ask your doctor to give you a simple CBC blood count. If you cannot afford the blood count perhaps a free clinic can administer one.
Second point... I assume you are taking generic mirtazapine now as Remeron is no longer being promoted except as Soltab and probably not manufactured but I dont know on that point.
As for your alternatives... I leave a disclaimer not being a doctor and not knowing what exactly you are being treated for other than I can assume major depression. There are cheaper alternatives although they are not necessarily as clean drugs as the ones used today, namely the tricyclic antidepressants such as Imipramine, Amitriptryline, Anafranil, etc.
To a healthy holiday season and a brighter new year.Tidings and sincerity
Posted by theo on December 12, 2004, at 6:51:45
In reply to Dangerous remeron side effect-afraid to call doc., posted by cherylann on December 10, 2004, at 11:48:13
I had this problem with Effexor XR. I had so many mouth ulcers, I could barely eat! I simply quit taking it and tried something else.
This is the end of the thread.
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