Meds and glaucoma

It seems that glaucoma is listed as a possible side effect for just about every prescription medication these days. I am taking Remeron (mirtazapine, for anxiety and insomnia) and, of course, glaucoma is listed. How big a threat is this? Do I stop taking the pills? I don't have glaucoma and last check-up had healthy optic nerves, although moderate cupping. it's not listed as a common side effect, but it is mentioned. thanks

[Michael J Kutryb, MD]

The main thing is to make sure your angles are open.  Simply call  your ophthalmolgist and ask him if it is OK for you to take it.  I get calls like this all the time - no big deal.

MJK MD

[doobie07]

Thank you, doctor. How would I know if my angles were closed? What symptoms would there be? My opthalmologist left the practice and I haven't found a new one yet.

[Michael J Kutryb, MD]

Find a new one and have gonioscopy test to see how open the angles are.

MJK MD

[Spido]

A related discussion, GLIB RESPONSES FROM DOCTORS RE: GLAUCOMA & MEDS was started.