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

Lerivon

Active Ingredient:
Mianserin Hydrochloride
Origin:
EU

Lerivon (Mianserin Hydrochloride)

Mianserin, the active ingredient in Lerivon, is a tetracyclic antidepressant presented as an oral formulation for oral use. It is prescribed for the treatment of major depressive disorder in adult patients, helping to improve mood and functional capacity.

GNH India supplies Lerivon as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies, clinics and procurement teams worldwide, with a focus on quality assurance, regulatory compliance and reliable global distribution.

Manufacturer / TM Owner

N.V. Organon

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Indications & Clinical Uses

Mianserin is a tetracyclic antidepressant used primarily in the management of depressive disorders.

  • Major depressive disorder: alleviates depressive symptoms and improves overall mood and daily functioning.

How It Works

  • Mianserin acts as an antagonist at central presynaptic α2‑adrenergic receptors and blocks several serotonin receptors (5‑HT2 and 5‑HT3). This dual antagonism disinhibits norepinephrine release and enhances serotonergic neurotransmission, contributing to its antidepressant effect.

Side Effects

Mianserin may cause a range of adverse reactions, which are grouped by frequency.

Common Side Effects

  • Drowsiness: feeling unusually sleepy or fatigued.
  • Dry mouth: reduced salivation causing discomfort.
  • Constipation: infrequent or hard stools.
  • Weight gain: increase in body weight.

Serious or Rare Side Effects

  • Agranulocytosis: severe reduction in white blood cells.
  • Seizures: occurrence of convulsive episodes.
  • Cardiac arrhythmia: irregular heart rhythm.

Precautions & Warnings

When prescribing or dispensing Lerivon, several safety considerations should be observed.

  • Monitor blood pressure: Mianserin can affect cardiovascular parameters.
  • Assess liver function: hepatic impairment may alter drug metabolism.
  • Evaluate for suicidal ideation: especially during early treatment.
  • Use caution in elderly patients: increased sensitivity to sedative effects.
  • Avoid abrupt discontinuation: tapering reduces withdrawal risk.
  • Store at ambient temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Mianserin can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • MAO inhibitors: risk of hypertensive crisis.
  • SSRIs or SNRIs: potential serotonin syndrome.
  • CNS depressants (e.g., benzodiazepines, alcohol): increased sedation.

Moderate Interactions (Monitor Closely)

  • Antihypertensive agents: may enhance blood‑pressure lowering effect.
  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine): may increase mianserin plasma levels.

Frequently Asked Questions

Lerivon contains the active ingredient Mianserin Hydrochloride and is indicated for the treatment of major depressive disorder in adult patients. It helps to alleviate depressive symptoms, improve mood, and restore functional capacity as part of a comprehensive psychiatric care plan.

Mianserin works by blocking presynaptic α2‑adrenergic receptors, which increases the release of norepinephrine, and by antagonizing serotonin receptors 5‑HT2 and 5‑HT3. The combined effect enhances both norepinephrine and serotonin neurotransmission, contributing to its antidepressant activity.

The dosage of Lerivon is individualized by the prescribing clinician based on the patient’s clinical condition, response, and tolerability. Physicians determine the appropriate starting dose and any subsequent adjustments, following local prescribing guidelines and patient‑specific factors.

The pregnancy category for Mianserin is listed as unknown, and limited data are available on its use during lactation. Healthcare providers should weigh potential benefits against possible risks and consider alternative therapies when treating pregnant or nursing patients.

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 (Mianserin) belongs to the tetracyclic antidepressant class, which differs from selective serotonin reuptake inhibitors (SSRIs) by its broader receptor profile, including α2‑adrenergic antagonism. This may result in a distinct side‑effect spectrum, such as more sedation, but can be advantageous for patients who do not respond to SSRIs.

Lerivon should be stored at ambient temperature, below 25 °C, in its original packaging to protect it from moisture and light. Keep the product out of reach of children and avoid storing it in bathrooms or other humid environments.

Lerivon is administered orally. The tablets (or other oral formulation) are taken with water, usually once daily or as directed by the prescriber. Patients should follow the dosing schedule provided by their healthcare professional and not alter the regimen without consultation.

Serious adverse reactions to monitor include agranulocytosis (a marked drop in white blood cells), seizures, and cardiac arrhythmias. If any of these events occur, immediate medical attention is required and the medication should be discontinued under professional supervision.

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

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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