Mirtazapine Sandoz 30mg Tablets 30


Drug Name: mirtazapine
Our Price $7.50
PBS $0.00
Concession $5.20
Safety Net $0.00

S8 Note - This prescription item is Schedule 8 and can only be supplied on a script from a registered doctor in Queensland. Any prescriptions from any other state cannot be filled and will be returned in the mail

Note: Private, PBS and our prices are available to the general public. Concession and Safety Net prices are only available to people with the appropriate concession or Safety Net cards. See Prescriptions for more details.


This prescription item requires a pre approved authority from the Government in order to get this item at the quoted price. Authority prescriptions need to be applied for by the doctor writing the script and can include reasons such as increased quantities due to dosage, increased repeats, use for a pre determined specified use, or the nature of the medication itself requiring specialist interaction. In the event that an authority is not granted on the script, the price will revert to the private price quoted for that item


This item contains more than one pack of a prescription product. Before this can be dispensed the doctor has to give approval. The prescription must be written for the total quantity or the prescription must be endorsed by your doctor "Regulation 24" otherwise we will be unable to dispense the increased amount. If you proceed with the order without approval, we will only send out one pack at the single pack price and refund the difference. Eg If your prescription is written out for 30 Tablets with 5 repeats and it does not have “Regulation 24 “ written on the script, the ONLY quantity we can dispense is 30 at one time. Further dispensing of this product could only occur after an appropriate length of time - usually 21 days but depends on dosage. In this example if you would like to obtain 180 Tablets then the doctor must endorse the prescription “Regulation 24” or the quantity must be written out for 180 and not 30. NB Conditions apply on the writing of a Regulation 24 prescription. Ask your doctor or pharmacist for details.

We can no longer accept signed authority forms from your doctor as permission to dispense more than one pack. Please contact our pharmacist for more information.

If you order this item as Private, NO PBS stickers will be issued. Once any prescription order has been sent the product cannot be returned for a refund even if your doctor changes your medication or you have an adverse reaction.

Mirtazapine Sandoz 30mg Tablets 30

Mirtazapine Sandoz 30mg Tablets 30

Product ID: 62079

Pharmacist Only Medicine

This product is a Pharmacist Only Medicine and requires pharmacist advice before we can dispatch this product. You must first place the order and then contact our pharmacists within 48 hours on 1300 367 283. The pharmacist will determine if this product is appropriate for you and if so, approve the order. In the event that you do not do this, the product will be deleted from your order and the balance of your order will be dispatched. This is not required if you have a doctor's prescription.


General Information

Mirtazapine Sandoz®
mirtazapine tablets

Consumer Medicine Information

This leaflet answers some common questions about Mirtazapine Sandoz.

It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.

All medicines have risks and benefits. Your doctor has weighed the risks of you taking this medicine against the benefits they expect it will have for you.

If you have any concerns about taking this medicine, ask your doctor or pharmacist.

Keep this leaflet with the medicine. You may need to read it again.

This medicine is used to treat depression.

It contains the active ingredient mirtazapine.

Mirtazapine belongs to a group of medicines called antidepressants.

It works by correcting chemical imbalances in parts of the brain and may help relieve the symptoms of depression. Chemical imbalances in parts of the brain are thought to cause depression.

Ask your doctor if you have any questions about why this medicine has been prescribed for you.

Your doctor may have prescribed it for another reason.

This medicine is not addictive.

This medicine is available only with a doctor’s prescription.

When you must not take it
Do not take this medicine if you have an allergy to:

mirtazapine, the active ingredient, or to any of the other ingredients listed at the end of this leaflet under Product Description.
Some of the symptoms of an allergic reaction may include:

shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin.
Do not take this medicine if you are taking another medicine for depression called a monoamine oxidase inhibitor (MAOI) or have been taking an MAOI within the last 14 days.

Examples of MAOIs include phenelzine, tranylcypromine and selegiline.

Taking this medicine with a MAOI may cause a serious reaction with a sudden increase in body temperature, extremely high blood pressure and severe convulsions.

Do not give this medicine to children or adolescents under the age of 18 years.

Safety and effectiveness in children and adolescents younger than 18 years has not been established.

Do not take this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering.

If it has expired or is damaged, return it to your pharmacist for disposal.

If you are not sure whether you should start taking this medicine, talk to your doctor.

Before you start to take it
Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes.

Tell your doctor if you have or have had any of the following medical conditions:

thoughts of suicide or self harm
epilepsy (fits or convulsions)
liver problems
kidney problems
heart problems
low blood pressure (hypotension)
mental conditions such as schizophrenia or manic depression (alternating periods of elevation/overactivity and depressed mood)
an enlarged prostate resulting in difficulties in urination
glaucoma (increased pressure in your eyes)
unexplainable high fever, sore throat or mouth ulcers
galactose intolerance
glucose-galactose malabsorption.
Tell your doctor if you are pregnant or plan to become pregnant or are breastfeeding.

Your doctor can discuss with you the risks and benefits involved.

If you have not told your doctor about any of the above, tell him/her before you start taking Mirtazapine Sandoz.

Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.

Some medicines and Mirtazapine Sandoz may interfere with each other. These include:

other medicines used to treat depression, panic attacks, anxiety disorders, obsessive compulsive disorders or pre-menstrual dysphoric disorder, such as SSRIs or venlafaxine
monoamine oxidase inhibitors (MAOIs) such as tranylcypromine, phenelzine and selegiline
medicines containing St John’s Wort (Hypericum perforatum), a herbal remedy
medicines used for fungal infections, such as ketoconazole
medicines used to treat HIV/AIDS
medicines used to treat stomach ulcers, reflux or heartburns, such as cimetidine
medicines used to treat epilepsy, such as phenytoin and carbamazepine
benzodiazepines or other medicines used to treat anxiety and sleeping problems
warfarin, a medicine used to prevent blood clots
erythromycin, an antibiotic used to treat bacterial infections
rifampicin, a medicine used to treat tuberculosis
triptans such as sumatriptan, naratriptan and zolmitriptan, medicines used to treat migraines.
These medicines may be affected by Mirtazapine Sandoz or may affect how well it works. You may need different amounts of your medicines, or you may need to take different medicines.

Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking this medicine.

Follow all directions given to you by your doctor or pharmacist carefully.

They may differ from the information contained in this leaflet.

If you do not understand the instructions, ask your doctor or pharmacist for help.

How much to take
Ask your doctor or pharmacist if you are unsure of the correct dose for you.

They will tell you exactly how much to take.

Follow the instructions they give you.

If you take the wrong dose, Mirtazapine Sandoz may not work as well and your problem may not improve.

How to take it
Swallow the tablets whole with a full glass of water.

If you need to break Mirtazapine Sandoz 30mg tablets in half, hold the tablet with both hands and snap along the break line.

When to take Mirtazapine Sandoz
Take your medicine at about the same time each day, preferably as a single night-time dose before going to bed.

Taking it at the same time each day will help you remember when to take it.

If recommended by your doctor, this medicine may be taken in sub-doses equally divided over the day (for example, once in the morning and once at night-time before going to bed).

How long to take Mirtazapine Sandoz
Continue taking your medicine for as long as your doctor tells you.

For depression, the length of treatment depends on how quickly your symptoms improve.

Most antidepressants take time to work. Some symptoms may improve in 1 to 2 weeks, but it can take up to 2 to 4 weeks to feel the full benefit of the medicine.

It is important to keep taking your medicine even if you feel well, usually for about 4 to 6 months or even longer, to make sure the benefits will last.

If you forget to take it
Once daily dosing:
If you forget to take the tablet before you go to bed, do not take the missed dose the next morning.
This medicine may cause drowsiness or sleepiness during the day.
Continue treatment in the evening with your usual dose, and continue to take it as you would normally.

Twice daily dosing:

If you forget your morning dose: take your morning dose together with your evening dose.
If you forget your evening dose: do not take it with the next morning dose. Continue treatment with your usual evening dose, and continue to take it as you would normally.
If you forget both doses: do not try to make up for missed doses. Continue treatment with your usual morning and evening dose the next day.
If you are not sure what to do, ask your doctor or pharmacist.

If you have trouble remembering to take your medicine, ask your pharmacist for some hints.

If you take too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (telephone 13 11 26) for advice, or go to Accident and Emergency at the nearest hospital, if you think that you or anyone else may have taken too much Mirtazapine Sandoz. Do this even if there are no signs of discomfort or poisoning.

You may need urgent medical attention.

Symptoms of an overdose may include:

increased heart rate
Things you must do
If you are about to be started on any new medicine, remind your doctor and pharmacist that you are taking Mirtazapine Sandoz.

Tell any other doctors, dentists, and pharmacists who treat you that you are taking this medicine.

If you become pregnant while taking this medicine, tell your doctor immediately.

Do not stop taking your tablets until you have spoken to your doctor.

If you develop fever, chills, sore throat or mouth ulcers or other signs of frequent infections, tell your doctor immediately.

If you have any suicidal thoughts or other mental/mood changes, tell your doctor immediately or go to the nearest hospital for treatment. Occasionally, the symptoms of depression or other psychiatric conditions may include thoughts of harming yourself or committing suicide. Until the full effects of your medicine becomes apparent, these symptoms may increase in the first few weeks of treatment.

If you or someone you know is showing signs of suicide-related behaviour while taking Mirtazapine Sandoz, contact your doctor or a mental health professional immediately or go to the nearest hospital for treatment.

These signs include:

thoughts or talk about death or suicide
thoughts or talk of self-harm or harm to others
any recent attempts of self-harm
increase in aggressive behaviour, irritability or agitation.
Any mention of self-harm, violence or suicide must be taken seriously.

Keep all of your doctor’s appointments so that your progress can be checked. Your doctor may do some blood tests from time to time. This helps to prevent unwanted side effects.

Tell your doctor if you feel the tablets are not helping your condition.

Tell your doctor if you have not taken your medicine exactly as prescribed. Otherwise your doctor may think that it was not effective and change your treatment unnecessarily.

Things you must not do
Do not drive or operate machinery until you know how Mirtazapine Sandoz affects you. This medicine may cause drowsiness, dizziness or sleepiness in some people. If you have any of these symptoms, do not drive, operate machinery or do anything else that could be dangerous.

Do not take Mirtazapine Sandoz to treat any other complaints unless your doctor tells you to.

Do not give your medicine to anyone else, even if they have the same condition as you.

Do not stop taking your medicine or lower the dosage without checking with your doctor. Your doctor may want you to gradually reduce the amount you are taking before stopping completely. This may help reduce the possibility of withdrawal symptoms such as nausea, headache, dizziness, anxiety and agitation.

Things to be careful of
Be careful when drinking alcohol while you are taking this medicine. If you drink alcohol, drowsiness or dizziness may be worse. You may also feel less alert.

Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Mirtazapine Sandoz. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical attention if you get some of the side effects.

Do not be alarmed by the following lists of side effects. You may not experience any of them.

Ask your doctor or pharmacist to answer any questions you may have.

Tell your doctor or pharmacist if you notice any of the following and they worry you:

drowsiness or sleepiness, especially during the first weeks of treatment
dizziness or feeling faint, especially when standing up quickly from a lying or sitting position
increase in appetite and weight gain
dry mouth
swollen ankles or feet due to fluid accumulation (oedema)
trouble concentrating
nightmares/vivid dreams
tingling fingers or toes
muscle or joint aches and pains
restless legs
anxiety or problems sleeping*.
*Anxiety or problems sleeping may be symptoms of depression.

Tell your doctor immediately if you notice any of the following:

any symptoms of infections such as fever, sore throat or mouth ulcers, gastrointestinal (stomach or bowel) disturbances.
In very rare cases, Mirtazapine Sandoz may reduce your ability to fight infections. Symptoms of this rare side effect usually appear after about 2 to 6 weeks of treatment. This side effect is usually reversible after stopping treatment.

If any of the following happen, tell your doctor immediately or go to Accident and Emergency at your nearest hospital:

swelling of the face, lips, mouth or throat which may cause difficulty in swallowing or breathing
wheezing or shortness of breath
skin rashes, itching or hives
fits or seizures
shaking or tremors
muscle spasms, twitching or sudden muscle contractions (myoclonus)
attack of excessive excitability (mania)
very agitated or restless behaviour
yellowing of the eyes and/or skin (jaundice)
generalised fluid retention with weight gain
changes in heart rate or rhythm, chest pain
symptoms of serotonin syndrome: fever, sweating, increased heart rate, uncontrollable diarrhoea, muscle contractions, shivering, overactive reflexes, restlessness, mood changes and unconsciousness.
The above list includes very serious side effects. You may need urgent medical attention or hospitalisation.

Tell your doctor or pharmacist if you notice anything else that is making you feel unwell. Other side effects not listed above may also occur in some people.

Keep your medicine in the original container.

If you take it out of its original container it may not keep well.

Keep your medicine in a cool dry place where the temperature stays below 25°C.

Do not store Mirtazapine Sandoz or any other medicine in the bathroom or near a sink. Do not leave it on a window sill or in the car.

Heat and dampness can destroy some medicines.

Keep it where children cannot reach it. A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.

If your doctor tells you to stop taking this medicine or the expiry date has passed, ask your pharmacist what to do with any medicine that is left over.

What it looks like
Mirtazapine Sandoz comes in two types of tablets:

Mirtazapine Sandoz 30mg - beige, oval tablets with a score notch on one side.
Mirtazapine Sandoz 45mg - white, circular tablets.
Available in blisters of 30 tablets.

Active ingredients:

Mirtazapine Sandoz 30mg - 30mg mirtazapine
Mirtazapine Sandoz 45mg - 45mg mirtazapine.
Inactive ingredients:

maize starch
colloidal anhydrous silica
magnesium stearate
titanium dioxide
macrogol 8000.
Mirtazapine Sandoz 30mg tablets also contain:

iron oxide red CI77491
iron oxide yellow CI77492
iron oxide black CI77499.
This medicine does not contain sucrose, gluten, tartrazine or any other azo dyes.

Mirtazapine Sandoz is supplied in Australia by:
Sandoz Pty Ltd
ABN 60 075 449 553
Level 4, 100 Harris St
Pyrmont NSW 2009
Tel: 1800 634 500 1800 634 500

This leaflet was revised in July 2009.

Australian Register Numbers
30mg tablets: AUST R 117156
45mg tablets: AUST R 117157

Published by MIMS/myDr November 2009

Consumers should be aware that the information provided by the Consumer Medicines Information (“CMI”) search (“CMI Search”) is for information purposes only and consumers should continue to obtain professional advice from a qualified healthcare professional regarding any condition for which they have searched for CMI. CMI is supplied by the relevant pharmaceutical company for each consumer medical product. All copyright and responsibility for CMI is that of the relevant pharmaceutical company. UBM Medica Australia uses its best endeavours to ensure that at the time of publishing, as indicated on the publishing date for each resource (e.g. “Published by MIMS/myDr January 2007”), the CMI provided was complete to the best of UBM Medica Australia’s knowledge. The CMI and the CMI Search are not intended to be used by consumers to diagnose, treat, cure or prevent any disease or for any therapeutic purpose. UBM Medica Australia, its servants and agents shall not be responsible for the continued currency of the CMI, or for any errors, omissions or inaccuracies in the CMI and/or the CMI Search whether arising from negligence or otherwise or from any other consequence arising there from
Preferred Generic
Our preferred generic for this medication is listed below. A generic prescription medicine works in the same way as the existing medicine. What matters is the active ingredient, which is the same in the generic brands and the existing brand. Please click on it below to view the product(s).
Mirtazapine Sandoz 30mg Tablets 60 (2 x 30) (Authority Script)
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Alternative Product(s)
There is generic brand to choose from in the table below. Generic Brands are less expensive brands that have been proven to have the same effect. Please select the desired brand.* *Some Doctor's will have "no substitution permitted" endorsed on the script. Please check your prescription as generics are not available in this case.
Avanza 30mg Tablets 30
Avanza 30mg Tablets 60 (2 x 30 ) Authority Script
Axit 30mg Tablets 30
Axit 30mg Tablets 60 (2 x 30) Authority Script
Mirtazapine Sandoz 30mg Tablets 60 (2 x 30) (Authority Script)
Mirtazon 30mg Tablets 30
Mirtazon 30mg Tablets 60 (2 x 30) (Authority Script)