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

Mianserin Orifarm

Active Ingredient:
Mianserin Hydrochloride
Origin:
EU

Mianserin Orifarm (Mianserin Hydrochloride)

Mianserin, the active ingredient in Mianserin Orifarm, is a tetracyclic antidepressant presented as an oral tablet for oral use. It is prescribed for the treatment of major depressive disorder in adult patients, helping to alleviate depressive symptoms by modulating neurotransmitter activity.

GNH India supplies Mianserin Orifarm as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The product complies with EU regulatory standards and is distributed through GNH India's global logistics network, ensuring quality and traceability for healthcare providers.

Manufacturer / TM Owner

Orifarm Generics A/S

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Indications & Clinical Uses

Mianserin is a tetracyclic antidepressant that acts on depressive and related mood disorders.

  • Major depressive disorder: alleviates depressive symptoms in adults.
  • Depressive episodes in bipolar disorder: used as an adjunct to stabilize mood.
  • Anxiety associated with depression: helps reduce anxiety symptoms.

How It Works

  • Mianserin antagonizes central presynaptic α2‑adrenergic receptors and blocks several serotonin receptors, including 5‑HT2 and 5‑HT3. This dual antagonism increases the release of norepinephrine and serotonin, enhancing noradrenergic and serotonergic neurotransmission, which contributes to its antidepressant effect.

Side Effects

Mianserin may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Sedation or drowsiness
  • Weight gain or increased appetite
  • Dry mouth
  • Constipation
  • Dizziness
  • Orthostatic hypotension

Serious or Rare Side Effects

  • Agranulocytosis or severe blood dyscrasias
  • Seizures
  • Cardiac arrhythmias
  • Severe hypotension
  • Suicidal thoughts or behavior
  • Hepatotoxicity

Precautions & Warnings

Before prescribing Mianserin, clinicians should consider several safety aspects.

  • Assess cardiovascular status: evaluate blood pressure and heart rate prior to initiation.
  • Monitor weight: watch for significant weight gain during therapy.
  • Screen for suicidal ideation: especially during the early treatment phase.
  • Avoid abrupt discontinuation: taper the dose under medical supervision to reduce withdrawal risk.
  • Use caution in hepatic impairment: consider dose adjustment if liver function is compromised.
  • Store at ambient temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Mianserin can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • MAO inhibitors: risk of hypertensive crisis.
  • SSRIs or other serotonergic agents: potential serotonin syndrome.
  • CNS depressants (e.g., benzodiazepines): enhanced sedation and respiratory depression.

Moderate Interactions (Monitor Closely)

  • Alcohol: may increase sedative effects.
  • Anticholinergic drugs: additive dry mouth and constipation.

Frequently Asked Questions

Mianserin Orifarm contains the active ingredient mianserin, a tetracyclic antidepressant indicated for the treatment of major depressive disorder in adult patients. It helps improve mood, energy, and overall functioning by influencing neurotransmitter activity in the brain.

Mianserin works by blocking presynaptic α2‑adrenergic receptors and several serotonin receptors (such as 5‑HT2 and 5‑HT3). This blockade increases the release of norepinephrine and serotonin, enhancing neurotransmission that is often deficient in depression.

The appropriate dose of Mianserin Orifarm is determined by the prescribing clinician based on the patient’s condition, response, and tolerability. Dosage may be adjusted over time, and patients should follow the prescriber’s instructions without self‑adjusting the amount.

Safety data for mianserin in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies any potential risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To place an order, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Mianserin belongs to the tetracyclic class, differing from selective serotonin reuptake inhibitors (SSRIs) and serotonin‑norepinephrine reuptake inhibitors (SNRIs) in its receptor‑blocking profile. It may cause more sedation and weight gain but can be useful when patients do not respond to or tolerate SSRIs.

Mianserin Orifarm should be stored at ambient temperature, preferably below 25 °C. Keep the tablets in the original packaging, protect them from moisture, heat and direct sunlight to maintain stability and potency.

Mianserin Orifarm is taken orally, usually once daily in the evening with or without food, as directed by the prescribing physician. Swallow the tablet whole with a glass of water; do not crush or chew unless specifically instructed.

Serious risks include agranulocytosis, severe hypotension, cardiac arrhythmias, seizures, and the emergence or worsening of suicidal thoughts, especially at the start of therapy. Patients should be monitored closely for any signs of these conditions.

Mianserin is contraindicated in patients who have taken monoamine oxidase inhibitors within the past 14 days, those with known hypersensitivity to the drug, and individuals with severe liver impairment or uncontrolled cardiovascular disease. A healthcare professional should evaluate suitability before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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