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 an oral tablet for oral use. It is indicated for the treatment of major depressive disorder in adult patients.
GNH India supplies Lerivon as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Organon Belgium B.V.

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Indications & Clinical Uses

  • Mianserin hydrochloride is employed primarily in the management of depressive disorders.
  • Major depressive disorder: reduction of depressive symptoms and improvement of overall mood.

How It Works

  • Mianserin hydrochloride acts as an antagonist at central presynaptic alpha‑2 adrenergic receptors, thereby increasing norepinephrine release. It also blocks histamine H1 and serotonin 5‑HT2 receptors, which enhances serotonergic and noradrenergic neurotransmission and contributes to its antidepressant effect.

Side Effects

Mianserin hydrochloride may cause a range of adverse reactions.

Common Side Effects

  • Drowsiness or sedation
  • Dry mouth
  • Weight gain
  • Dizziness

Serious or Rare Side Effects

  • Agranulocytosis or severe neutropenia
  • Seizures
  • Cardiac arrhythmias such as QT prolongation
  • Severe hypotension
  • Hepatic dysfunction
  • Emergence of suicidal thoughts or behaviors

Precautions & Warnings

  • When prescribing or dispensing Lerivon, consider the following precautions.
  • Monitor blood pressure: watch for hypotension, especially during treatment initiation.
  • Assess hepatic function: use caution in patients with liver impairment.
  • Evaluate for suicidal ideation: observe mood changes throughout therapy.
  • Avoid abrupt discontinuation: taper under medical supervision to reduce withdrawal risk.
  • Store at ambient temperature below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Mianserin hydrochloride can interact with several medication classes.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of hypertensive crisis.
  • CNS depressants (e.g., benzodiazepines): enhanced sedation.
  • Serotonergic agents (e.g., SSRIs, SNRIs): potential serotonin syndrome.

Moderate Interactions (Monitor Closely)

  • Antihypertensives: additive blood‑pressure lowering effect.
  • Anticholinergic drugs: increased anticholinergic burden.
  • Alcohol: may intensify sedative properties.

Frequently Asked Questions

Lerivon contains Mianserin hydrochloride and is prescribed for the treatment of major depressive disorder in adult patients. It helps alleviate depressive symptoms by modulating neurotransmitter activity in the brain.

Mianserin hydrochloride blocks presynaptic alpha‑2 adrenergic receptors, which increases norepinephrine release. It also antagonizes histamine H1 and serotonin 5‑HT2 receptors, enhancing serotonergic and noradrenergic signaling that contributes to its antidepressant effect.

The appropriate dose of Lerivon is determined by the prescribing clinician based on the individual’s clinical condition, response to therapy, and tolerability. Patients should follow the dosage instructions provided by their healthcare professional.

Safety data for Mianserin hydrochloride in pregnancy and lactation are limited. It should only be used if the potential benefit justifies any possible risk to the fetus or infant, and the decision must be made in consultation with a qualified healthcare provider.

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 and any necessary import documentation.

Lerivon belongs to the tetracyclic antidepressant class, which differs from selective serotonin reuptake inhibitors (SSRIs) in its receptor profile. While SSRIs primarily inhibit serotonin reuptake, Mianserin also blocks alpha‑2 adrenergic and histamine receptors, offering a distinct side‑effect and efficacy profile that may be advantageous for certain patients.

Lerivon tablets should be stored at ambient temperature below 25 °C, in their original packaging, and protected from moisture and direct light. Keep the product out of reach of children and do not use after the expiry date.

Lerivon is taken orally, usually with or without food, as directed by a healthcare professional. The tablets should be swallowed whole with an adequate amount of water and not crushed or chewed unless specifically advised.

Serious risks include agranulocytosis, seizures, cardiac arrhythmias such as QT prolongation, severe hypotension, hepatic dysfunction, and the emergence or worsening of suicidal thoughts. Patients should be monitored closely for any of these events and seek immediate medical attention if they occur.

Lerivon is contraindicated in patients with known hypersensitivity to Mianserin hydrochloride or any excipients, those currently receiving monoamine oxidase inhibitors, and individuals with severe hepatic impairment. Caution is also advised for patients with a history of cardiac conduction disorders or severe hypotension.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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