Product image of Mirap Distab (Mirtazapine) supplied by GNH India

Mirap Distab

Active Ingredient:
Mirtazapine
Origin:
EU

Mirap Distab (Mirtazapine)

Mirtazapine, the active ingredient in Mirap Distab, is a NaSSA (noradrenergic and specific serotonergic antidepressant) presented as an oral tablet for oral administration. It is prescribed for the treatment of major depressive disorder in adult patients, helping to improve mood, sleep and appetite.

GNH India supplies Mirap Distab as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to EU quality standards and provides reliable, timely logistics, regulatory support and documentation for cross‑border procurement.

Manufacturer / TM Owner

Rowex Ltd

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Indications & Clinical Uses

Mirtazapine acts on noradrenergic and serotonergic pathways to treat depressive disorders.

  • Major depressive disorder: alleviates depressive symptoms and improves functional outcomes

How It Works

  • Mirtazapine antagonizes central presynaptic α2‑adrenergic receptors, increasing norepinephrine release, and blocks postsynaptic 5‑HT2 and 5‑HT3 receptors, which enhances serotonergic transmission while reducing adverse serotonergic effects. This combined action raises noradrenergic and serotonergic neurotransmission, contributing to its antidepressant efficacy.

Side Effects

Common Side Effects

  • Sedation or drowsiness
  • Increased appetite and weight gain
  • Dry mouth
  • Constipation
  • Dizziness
  • Fatigue

Serious or Rare Side Effects

  • Agranulocytosis or severe neutropenia
  • Seizures
  • Severe hypotension
  • Hepatic dysfunction
  • Suicidal ideation, especially early in treatment
  • Blood dyscrasias such as thrombocytopenia

Precautions & Warnings

Mirtazapine requires careful monitoring in several clinical situations.

  • Assess hepatic function: adjust use in severe liver impairment
  • Monitor weight: risk of significant weight gain
  • Screen for suicidal thoughts: especially during initial weeks
  • Use caution in elderly: increased risk of sedation and falls
  • Avoid abrupt discontinuation: may cause withdrawal symptoms
  • Store at ambient temperature: keep in original container, protect from moisture and light

Avoid Interactions

Mirtazapine may interact with several drug classes.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of hypertensive crisis
  • Other serotonergic agents (e.g., SSRIs, SNRIs, tramadol): risk of serotonin syndrome
  • Central nervous system depressants (e.g., benzodiazepines, alcohol): enhanced sedation

Moderate Interactions (Monitor Closely)

  • Antihypertensives: additive hypotensive effect
  • Anticholinergic drugs: increased anticholinergic burden
  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine): may raise mirtazapine levels
  • Carbamazepine: may reduce mirtazapine exposure
  • Warfarin: monitor INR for potential changes

Frequently Asked Questions

Mirap Distab contains the antidepressant mirtazapine and is indicated for the treatment of major depressive disorder in adult patients. It helps to reduce depressive symptoms, improve sleep quality, and may increase appetite, supporting overall functional recovery.

Mirtazapine works by blocking presynaptic α2‑adrenergic receptors, which increases norepinephrine release, and by antagonizing postsynaptic 5‑HT2 and 5‑HT3 receptors. This dual action enhances serotonergic and noradrenergic neurotransmission, contributing to its antidepressant effect.

The appropriate dose of Mirap Distab is determined by the prescribing clinician based on the individual’s clinical condition, age, and response to therapy. Dosing typically starts at a low level and may be titrated upward as needed, under medical supervision.

Safety data for mirtazapine during pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To order Mirap Distab, 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.

Compared with selective serotonin reuptake inhibitors (SSRIs), mirtazapine has a distinct receptor profile that often results in greater sedation and weight gain but may be advantageous for patients with insomnia or poor appetite. Its efficacy in major depressive disorder is comparable, while its side‑effect profile differs.

Mirap Distab should be stored at ambient temperature, preferably below 25 °C. Keep the tablets in the original packaging, protect them from moisture and direct light, and ensure they are out of reach of children.

Mirap Distab is taken orally, usually as a tablet. It should be swallowed whole with water, preferably in the evening due to its sedative effect, unless otherwise directed by a healthcare provider.

Serious risks include agranulocytosis or severe neutropenia, seizures, marked hypotension, hepatic dysfunction, and the emergence or worsening of suicidal thoughts, particularly during the early phase of treatment. Patients should be monitored closely for these events.

Mirap Distab is contraindicated in patients with known hypersensitivity to mirtazapine, those who have taken a monoamine oxidase inhibitor within the past 14 days, and individuals with severe hepatic impairment. Caution is also advised for patients with uncontrolled cardiovascular disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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