Product image of Mianserine Zentiva (Mianserin Hydrochloride) supplied by GNH India

Mianserine Zentiva

Active Ingredient:
Mianserin Hydrochloride
Origin:
EU

Mianserine Zentiva (Mianserin Hydrochloride)

Mianserin, the active ingredient in Mianserine Zentiva, is a tetracyclic antidepressant presented as an oral tablet for oral administration. It is indicated for the treatment of major depressive disorder in adult patients, helping to alleviate depressive symptoms through modulation of neurotransmitter activity. The medication is formulated to ensure consistent bioavailability and is manufactured under strict quality standards.

GNH India supplies Mianserine Zentiva as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing reliable sourcing and regulatory‑aligned distribution for this prescription medication. Our logistics network ensures timely delivery while complying with local import regulations and safety requirements.

Manufacturer / TM Owner

Zentiva France

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Indications & Clinical Uses

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

  • Major depressive disorder: reduces depressive symptoms in adults
  • Depressive disorder: improves mood, motivation and overall functioning
  • Treatment‑resistant depression: may be considered as an adjunct when first‑line agents are insufficient

How It Works

  • Mianserin acts as an antagonist of central presynaptic α2‑adrenergic receptors and a selective antagonist of serotonin 5‑HT2 receptors. By blocking these receptors, it enhances the release of norepinephrine and serotonin, increasing neurotransmission in pathways implicated in mood regulation and thereby producing antidepressant effects.

Side Effects

Mianserin may cause a range of adverse reactions, some of which are common and others that are serious or rare.

Common Side Effects

  • Drowsiness
  • Dry mouth
  • Weight gain
  • Constipation

Serious or Rare Side Effects

  • Agranulocytosis
  • Seizures
  • Severe hypotension

Precautions & Warnings

When prescribing Mianserin, clinicians should consider several safety measures.

  • Monitor blood counts: baseline and periodic CBC due to risk of agranulocytosis.
  • Assess cardiovascular status: caution in patients with hypotension.
  • Evaluate hepatic function: use with caution in liver impairment.
  • Avoid abrupt discontinuation: taper to reduce withdrawal symptoms.
  • Pregnancy and lactation: use only if benefits outweigh risks.
  • Store at room temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Mianserin can interact with various medicines; some require avoidance while others need careful monitoring.

Major Interactions (Avoid)

  • MAO inhibitors: risk of hypertensive crisis.
  • CNS depressants: additive sedation.
  • Serotonergic agents: potential serotonin syndrome.

Moderate Interactions (Monitor Closely)

  • Antihypertensives: may enhance hypotensive effect.
  • Anticholinergic drugs: increased anticholinergic burden.
  • Alcohol: may increase drowsiness.

Frequently Asked Questions

Mianserine Zentiva contains the active ingredient mianserin, which is prescribed for the treatment of major depressive disorder in adult patients. It helps to improve mood, energy levels and overall functioning by influencing neurotransmitter activity in the brain.

Mianserin works by blocking presynaptic α2‑adrenergic receptors and serotonin 5‑HT2 receptors. This antagonism increases the release of norepinephrine and serotonin, enhancing neurotransmission in pathways that regulate mood and alleviating depressive symptoms.

The dosage of Mianserine Zentiva is individualized and must be determined by a qualified prescriber based on the patient’s clinical condition, response to therapy and tolerability. Patients should follow the prescribing physician’s instructions and not adjust the dose on their own.

Safety data for mianserin in pregnancy and lactation are limited. It should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant, and this decision must be made by the treating physician.

To place an order, 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.

Mianserine belongs to the tetracyclic class, differing from selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs) in its receptor profile. It tends to cause less sexual dysfunction than SSRIs but may be associated with sedation and weight gain, making its risk‑benefit profile distinct for individual patients.

Mianserine Zentiva should be stored at room temperature, below 25 °C, in its original packaging. Protect the product from moisture, light and excessive heat to maintain its stability and potency throughout its shelf life.

Mianserine Zentiva is taken orally, usually with or without food, as directed by the prescribing clinician. Tablets should be swallowed whole with a glass of water and not chewed or crushed unless specifically instructed.

Serious adverse reactions, although rare, include agranulocytosis, seizures and severe hypotension. Patients should be monitored for signs of infection, neurological changes or sudden drops in blood pressure, and should seek immediate medical attention if such symptoms occur.

Mianserine Zentiva is contraindicated in individuals with known hypersensitivity to mianserin or any excipients, and in patients currently taking monoamine oxidase inhibitors (MAOIs). Caution is also advised for those with severe liver impairment, uncontrolled hypertension or a history of seizures.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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