Product image of Mirtabene (Mirtazapine) supplied by GNH India

Mirtabene

Active Ingredient:
Mirtazapine
Origin:
EU

Mirtabene (Mirtazapine)

Mirtazapine, the active ingredient in Mirtabene, is a NaSSA (noradrenergic and specific serotonergic antidepressant) presented as an oral tablet for oral use. It treats major depressive disorder in adults.
GNH India supplies Mirtabene as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Teva B.V

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Indications & Clinical Uses

Mirtazapine is indicated for major depressive disorder, a condition affecting mood and functional capacity.

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

How It Works

  • Mirtazapine acts as an antagonist at central presynaptic α2‑adrenergic receptors, increasing norepinephrine release, and blocks postsynaptic 5‑HT2 and 5‑HT3 receptors, which enhances serotonergic neurotransmission while reducing serotonergic side‑effects. This combined action contributes to its antidepressant effect.

Side Effects

Mirtazapine may cause a range of adverse reactions.

Common Side Effects

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

Serious or Rare Side Effects

  • Agranulocytosis or severe neutropenia
  • Serotonin syndrome, especially with other serotonergic agents
  • Suicidal thoughts or behavior
  • Severe hypotension
  • Hepatic dysfunction

Precautions & Warnings

Mirtazapine requires careful monitoring in several clinical situations.

  • Monitor mood: watch for worsening depression or emergence of suicidal thoughts.
  • Assess liver function: use cautiously in patients with hepatic impairment.
  • Elderly patients: increased risk of sedation and falls; start at low dose.
  • Avoid abrupt discontinuation: taper under medical supervision to reduce withdrawal.
  • Pregnancy and breastfeeding: evaluate risk‑benefit before use.
  • Store at ambient temperature: keep in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Mirtazapine can interact with other medicines, requiring attention to avoid adverse outcomes.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of severe hypertension or serotonin syndrome.
  • Linezolid or other reversible MAO‑A inhibitors.
  • Other serotonergic agents (e.g., SSRIs, SNRIs, tramadol): heightened serotonin syndrome risk.

Moderate Interactions (Monitor Closely)

  • CNS depressants (e.g., benzodiazepines, alcohol): may increase sedation.
  • Antihypertensive drugs: additive blood‑pressure lowering effect.
  • CYP3A4 inhibitors (e.g., ketoconazole, erythromycin): may raise mirtazapine plasma levels.
  • Alcohol: can potentiate central nervous system depression.

Frequently Asked Questions

Mirtabene contains mirtazapine, which is prescribed to treat major depressive disorder in adults. It helps improve mood, sleep, and appetite by enhancing noradrenergic and serotonergic neurotransmission.

Mirtazapine blocks presynaptic α2‑adrenergic receptors, increasing norepinephrine release, and antagonizes postsynaptic 5‑HT2 and 5‑HT3 receptors. This dual action boosts overall serotonergic activity while reducing certain serotonin‑related side effects, contributing to its antidepressant effect.

The appropriate dose of Mirtabene is determined by the prescribing clinician based on the patient’s clinical condition, response, and tolerability. Dosage adjustments are made individually and should follow the prescriber’s instructions.

Safety data for mirtazapine in pregnancy and lactation are limited. The prescriber must weigh potential benefits against possible risks to the fetus or infant before deciding to use Mirtabene during pregnancy or while breastfeeding.

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.

Mirtabene (mirtazapine) belongs to the NaSSA class, differing from SSRIs and SNRIs by its dual antagonism of α2‑adrenergic and specific serotonin receptors. This profile often results in strong sedative and appetite‑stimulating effects, which can be advantageous for patients with insomnia or weight loss, but may be less suitable for those concerned about weight gain.

Mirtabene should be stored at ambient temperature, below 25 °C. Keep the tablets in the original container, protect them from moisture and direct sunlight, and ensure they are out of reach of children.

Mirtabene is taken orally, usually once daily in the evening with or without food, as directed by the prescriber. Swallow the tablet whole; do not crush or chew unless specifically instructed.

Serious risks include agranulocytosis or severe neutropenia, serotonin syndrome when combined with other serotonergic drugs, and the emergence or worsening of suicidal thoughts, especially during the initial treatment period. Prompt medical attention is required if any of these occur.

Mirtabene is contraindicated in patients taking monoamine oxidase inhibitors (MAOIs) or those who have shown hypersensitivity to mirtazapine. Caution is advised for individuals with severe hepatic impairment, uncontrolled hypertension, or a history of bipolar disorder where antidepressant-induced mania is a concern.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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