米氮平
別名: Remeron, Remeron SolTab, Zispin, Mirataz
藥物類別: Tetracyclic Antidepressant; 5-HT3 Antagonist
* **給藥方式**：請嚴格按照處方劑量給藥。可與食物一起或空腹給予。 * **口腔崩解錠 (ODT)**：若使用口含融化錠，請確保雙手完全乾燥。將藥片放在寵物舌下，並合上其嘴巴數秒直到藥片溶解。溶解後請立即提供飲水。 * **預期效果**：您應會觀察到寵物食慾改善且嘔吐減少。 * **需回報的副作用**：若發現寵物過度嗜睡、嚴重虛弱、心跳過快或行為異常，請聯繫您的獸醫師。 > **貓咪飼主注意事項**：貓咪服藥後變得異常愛叫（大聲喵喵叫）或過度黏人是非常常見的現象。這通常是無害的，但若造成困擾，請告知您的獸醫師。
劑量必須由獸醫依你寵物的個別情況決定。切勿在沒有獸醫指導下給予人類藥物或其他寵物的處方藥。
用途
- As an appetite stimulant and/or antiemetic
- As an appetite stimulant and/or antiemetic
- As an appetite stimulant and/or antiemetic
- Appetite stimulation
- As an appetite stimulant and/or antiemetic
- As an appetite stimulant and/or antiemetic
- Appetite stimulation / Management of social fears
給藥方式
POTopical (Transdermal)
可能的副作用
- Drowsiness/sedation
- Vocalization (especially in cats)
- Increased affection (cats)
- Hypotension
- Tachycardia
- Sedation (common and can be profound)
- Increased vocalization (especially in cats)
- Altered behavior and increased interaction with others
- Blood dyscrasias (reported in humans)
注意事項與禁忌
- Hypersensitivity to mirtazapine
- Use of monoamine oxidase inhibitors (MAOIs, e.g., selegiline) within the past 14 days
- Pre-existing haematological disease
- Use with caution in patients with known **cardiac disease** or **cerebrovascular disease** that could be exacerbated by hypotension. * Monitor patients with **renal impairment, renal failure, or hepatic disease** closely, as clearance may be reduced. * Use with caution in patients with **diabetes mellitus**, as antidepressants may indirectly affect blood glucose concentrations. * Due to weak anticholinergic activity, use vigilance in patients susceptible to these effects (e.g., **urinary retention, prostatic hypertrophy, acute closed-angle glaucoma, increased intraocular pressure, GI obstruction, or ileus**). * May impair concentration and alertness in active animals. * Use cautiously in patients with pre-existing **hematological disease** (leukopenia, neutropenia, thrombocytopenia), as it has been rarely associated with blood dyscrasias in humans.
藥物相互作用
- CLONIDINE: Mirtazapine may cause increases in blood pressure
- DIAZEPAM (and other benzodiazepines): Minimal effects on mirtazapine blood levels, but may cause additive impairment of motor skills
- FLUVOXAMINE: May cause increased serum concentrations of mirtazapine
- LINEZOLID: Increased risk for serotonin syndrome
- SELEGILINE, AMITRAZ: Increased risk for serotonin syndrome; MAO inhibitors considered contraindicated with mirtazapine
- TRAMADOL: Increased risk for serotonin syndrome
- Other behaviour-modifying drugs (e.g., SSRIs, MAOIs): Increased risk of serotonin syndrome
常見問題
米氮平用於寵物有什麼用途？
* **給藥方式**：請嚴格按照處方劑量給藥。可與食物一起或空腹給予。 * **口腔崩解錠 (ODT)**：若使用口含融化錠，請確保雙手完全乾燥。將藥片放在寵物舌下，並合上其嘴巴數秒直到藥片溶解。溶解後請立即提供飲水。 * **預期效果**：您應會觀察到寵物食慾改善且嘔吐減少。 * **需回報的副作用**：若發現寵物過度嗜睡、嚴重虛弱、心跳過快或行為異常，請聯繫您的獸醫師。 > **貓咪飼主注意事項**：貓咪服藥後變得異常愛叫（大聲喵喵叫）或過度黏人是非常常見的現象。這通常是無害的，但若造成困擾，請告知您的獸醫師。
米氮平對我的寵物安全嗎？
劑量必須由獸醫依你寵物的個別情況決定。切勿在沒有獸醫指導下給予人類藥物或其他寵物的處方藥。
本文僅供一般健康教育，不能取代專業獸醫意見。如寵物身體不適，請諮詢獸醫。