Product image of Lerivon (Mianserin Hydrochloride) supplied by GNH India

Lerivon

Active Ingredient:
Mianserin Hydrochloride
Origin:
EU

Lerivon (Mianserin Hydrochloride)

Mianserin Hydrochloride, the active ingredient in Lerivon, is a tetracyclic antidepressant presented as a tablet for oral use. It is prescribed for the treatment of major depressive disorder in adult patients, helping to improve mood, sleep, and overall functioning, and may be considered when other antidepressants have been ineffective.

GNH India supplies Lerivon as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

N.V. Organon

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Indications & Clinical Uses

Mianserin Hydrochloride is used in the management of depressive and related disorders.

  • Major depressive disorder: alleviates depressive symptoms and improves functional outcomes.
  • Anxiety disorders: reduces anxiety symptoms associated with depressive states.
  • Insomnia related to depression: promotes sleep through its antihistaminic effect.

How It Works

  • Mianserin Hydrochloride exerts its antidepressant effect primarily by antagonising central α2‑adrenergic receptors, increasing the release of norepinephrine and serotonin. It also blocks histamine H1 receptors and serotonin 5‑HT2 and 5‑HT3 receptors, contributing to its sedative and anxiolytic properties. Additionally, it may influence dopaminergic pathways indirectly, modulating neurotransmission in brain regions involved in mood regulation.

Side Effects

Mianserin Hydrochloride may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects

  • Drowsiness: feeling unusually sleepy or fatigued.
  • Dry mouth: reduced salivation leading to discomfort.
  • Weight gain: increase in body weight over time.
  • Constipation: difficulty passing stools.

Serious or Rare Side Effects

  • Severe hypotension: marked drop in blood pressure.
  • Cardiac arrhythmia: irregular heart rhythm.
  • Blood dyscrasias: neutropenia or agranulocytosis.
  • Seizures: convulsive episodes.

Precautions & Warnings

When prescribing Mianserin Hydrochloride, clinicians should consider several precautionary measures.

  • Assess cardiovascular status: monitor blood pressure and heart rate.
  • Evaluate hepatic function: adjust use in patients with liver impairment.
  • Monitor for suicidal ideation: especially during early treatment.
  • Avoid abrupt discontinuation: taper dose to reduce withdrawal symptoms.
  • Store at ambient temperature: keep below 25°C in original packaging, protect from moisture.

Avoid Interactions

Mianserin Hydrochloride can interact with other medicines, altering its efficacy or safety.

Major Interactions (Avoid)

  • MAO inhibitors: risk of hypertensive crisis; discontinue MAOIs at least 14 days before starting.
  • CNS depressants (e.g., benzodiazepines, alcohol): enhanced sedation and respiratory depression.
  • Antihypertensive agents: additive blood pressure lowering effect.

Moderate Interactions (Monitor Closely)

  • Selective serotonin reuptake inhibitors (SSRIs): potential for serotonin syndrome.
  • Tricyclic antidepressants: increased risk of cardiac effects.
  • Anticholinergic drugs: may exacerbate dry mouth and constipation.

Frequently Asked Questions

Lerivon contains Mianserin Hydrochloride and is indicated for the treatment of major depressive disorder in adults. It may also be prescribed to alleviate anxiety symptoms and to improve sleep disturbances associated with depression, providing a comprehensive approach to mood stabilization.

Mianserin Hydrochloride works by blocking central α2‑adrenergic receptors, which increases the release of norepinephrine and serotonin. It also antagonises histamine H1 and serotonin 5‑HT2/5‑HT3 receptors, producing sedative and anxiolytic effects that help correct the neurotransmitter imbalances underlying depression.

The dosage of Lerivon is determined individually by the prescribing healthcare professional based on the patient’s clinical condition, response to therapy, and tolerability. No fixed regimen is provided here; the prescriber will set the appropriate dose and titration schedule.

Safety data for Mianserin Hydrochloride in pregnancy and lactation are limited, and the pregnancy category is listed as unknown. Consequently, Lerivon should be used only if the potential benefit justifies the potential risk to the fetus or infant, and it is generally avoided unless absolutely necessary.

To order Lerivon, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Lerivon (Mianserin) belongs to the tetracyclic antidepressant class, differing from selective serotonin reuptake inhibitors (SSRIs) which primarily block serotonin reuptake. Mianserin’s broader receptor profile—blocking α2‑adrenergic, histamine, and serotonin receptors—often results in stronger sedative effects, which can be advantageous for patients with insomnia but may cause more anticholinergic side effects compared with SSRIs.

Lerivon tablets should be stored at ambient temperature, preferably below 25 °C. Keep them in the original container, protect from moisture and direct sunlight, and ensure they are out of reach of children. Do not refrigerate or freeze the tablets.

Lerivon is taken orally as a tablet, usually with a glass of water. It can be taken with or without food, but consistent administration with respect to meals helps maintain stable plasma levels. Patients should follow the prescriber’s instructions regarding timing and any dose adjustments.

Serious risks include severe hypotension, cardiac arrhythmias, blood dyscrasias such as neutropenia or agranulocytosis, and the potential for seizures. Patients should seek immediate medical attention if they experience sudden drops in blood pressure, irregular heartbeats, unexplained infections, or convulsive episodes.

Lerivon is contraindicated in patients with known hypersensitivity to Mianserin or any excipients, those currently taking monoamine oxidase inhibitors, and individuals with uncontrolled severe cardiovascular disease. Caution is also advised for patients with hepatic impairment, a history of seizures, or significant electrolyte disturbances.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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