Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.
You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
Before taking mirtazapine, tell your doctor if you have bipolar disorder, liver or kidney disease, seizures, heart disease, a history of heart attack or stroke, or a history of drug abuse or suicidal thoughts.
Side Effects of Remeron
Nervous System: frequent: hypesthesia, apathy, depression, hypokinesia, vertigo, twitching, agitation, anxiety, amnesia, hyperkinesia, paresthesia; infrequent: ataxia, delirium, delusions, depersonalization, dyskinesia, extrapyramidal syndrome, libido increased, coordination abnormal, dysarthria, hallucinations, manic reaction, neurosis, dystonia, hostility, reflexes increased, emotional lability, euphoria, paranoid reaction; rare: aphasia, nystagmus, akathisia (psychomotor restlessness), stupor, dementia, diplopia, drug dependence, paralysis, grand mal convulsion, hypotonia, myoclonus, psychotic depression, withdrawal syndrome, serotonin syndrome.
Alcohol and illegal drugs were not involved, the statement from the coroner’s office said. Prescription drugs were found in “therapeutic concentrations,” the statement added.
Williams was found dead in his Tiburon, California, home August 11 from what investigators suspected was a suicide by hanging. He was 63 years old.
The death certificate, obtained by CNN on August 21, says his ashes were scattered off the coast one day later.
Los Angeles (AFP) – Robin Williams had recently become more paranoid when he committed suicide by hanging himself, coroners said Friday, adding that he had no alcohol or illicit drugs in his system.
There were also signs that the comic actor — who had recently been diagnosed with Parkinson’s Disease — had tried to cut his left wrist, according to an autopsy report.
No suicide note or other indication that he planned to take his own life was found at the scene, it said.
“His prior medical history reportedly included depression, Parkinson’s Disease and a recent increase in paranoia,” said a longer coroners’ report, which was obtained by AFP.
The report included other details about Williams’ medical history, including that he had shown symptoms of Parkinson’s since 2011, including a left arm tremor and slowing of left hand movements. He was diagnosed with the disease in November 2013.
“The clinical history is notable for depression, with components of paranoia, compulsiveness and anxiety,” it said.
Although he had suffered from depression sporadically “for most of his adult life… he had no known history of suicidal ideation or behavior,” the report said.
The report gave a detailed description of how Williams’ body was found hanging by a belt from a closet door in his stepson’s bedroom. It noted that a pocket knife with a 3-inch (7.5-centimeter) blade was found near the body.
“Several superficial vertical and horizontal cuts were seen over the inner aspect of the left wrist; these wounds had a scant amount of blood present,” the report said.
The actor was wearing a black, short-sleeve T-shirt, black jeans and “was in a seated position, and slightly leaning forward with a black nylon belt secured around his neck.”
Williams had been sleeping separately from his wife partly because he talked in his sleep, sometimes very loudly, it said.
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