Product image of Mirtabene Ratiopharm (Mirtazapine) supplied by GNH India

Mirtabene Ratiopharm

Active Ingredient:
Mirtazapine
Origin:
EU

Mirtabene Ratiopharm (Mirtazapine)

Mirtazapine, the active ingredient in Mirtabene Ratiopharm, is a NaSSA (noradrenergic and specific serotonergic antidepressant) presented as a tablet for oral use. It treats major depressive disorder in adults and helps improve mood, sleep and appetite.
GNH India supplies Mirtabene Ratiopharm 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

Mirtabene Ratiopharm, a NaSSA antidepressant, is indicated for depressive disorders.

  • Major depressive disorder: reduces depressive symptoms and improves overall functioning.
  • Depression with anxiety: alleviates both mood and anxiety components.
  • Depression with insomnia: helps improve sleep quality while treating depressive symptoms.

How It Works

  • Mirtazapine blocks central presynaptic α2‑adrenergic receptors, increasing norepinephrine and serotonin release. It also antagonises postsynaptic 5‑HT2 and 5‑HT3 receptors and strongly blocks histamine H1 receptors, producing antidepressant and sedative effects without directly inhibiting serotonin reuptake.

Side Effects

Mirtabene Ratiopharm may cause a range of adverse reactions.

Common Side Effects

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

Serious or Rare Side Effects

  • Agranulocytosis or severe neutropenia
  • Severe hypersensitivity reactions (rash, angioedema)
  • Suicidal thoughts or behavior, especially early in treatment
  • Serotonin syndrome when combined with other serotonergic agents
  • Hepatotoxicity
  • Cardiac arrhythmias (QT prolongation)

Precautions & Warnings

When prescribing Mirtabene Ratiopharm, clinicians should consider several safety measures.

  • Hepatic function: assess liver status before initiation.
  • Mood monitoring: watch for worsening depression or emergent suicidal ideation.
  • Elderly patients: use caution due to increased risk of sedation and falls.
  • Discontinuation: avoid abrupt stopping to reduce withdrawal symptoms.
  • Drug interactions: review concomitant medications for serotonergic or CYP interactions.
  • Store at ambient temperature: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Mirtabene Ratiopharm can interact with several drug classes.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of hypertensive crisis and serotonin syndrome.
  • Linezolid or other reversible MAO inhibitors: similar risk of serotonin excess.
  • Other serotonergic agents (e.g., SSRIs, SNRIs, tramadol): may precipitate serotonin syndrome.

Moderate Interactions (Monitor Closely)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, erythromycin): may increase mirtazapine plasma levels.
  • CYP3A4 inducers (e.g., rifampicin, carbamazepine): may reduce efficacy.
  • Alcohol or CNS depressants: enhanced sedation and respiratory depression risk.

Frequently Asked Questions

Mirtabene Ratiopharm contains mirtazapine, a NaSSA antidepressant indicated for the treatment of major depressive disorder in adults. It helps alleviate depressive symptoms, improve sleep, and increase appetite when needed.

Mirtazapine blocks presynaptic α2‑adrenergic receptors, increasing norepinephrine and serotonin release, and antagonises postsynaptic 5‑HT2, 5‑HT3 and histamine H1 receptors. This combined action produces antidepressant and sedative effects without directly inhibiting serotonin reuptake.

The appropriate dose of Mirtabene Ratiopharm is determined by the prescribing clinician based on the patient’s 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 medication should only be used if the potential benefit justifies any potential risk to the fetus or infant, and decisions should be made in consultation with a healthcare professional.

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.

Mirtazapine differs from SSRIs and SNRIs by its dual antagonism of α2‑adrenergic and specific serotonin receptors, leading to a distinct side‑effect profile that includes sedation and weight gain. It is often chosen when patients need a sedating effect or have poor appetite.

Store Mirtabene Ratiopharm tablets at ambient temperature, below 25 °C, in the original packaging. Keep the product away from moisture, heat and direct sunlight to maintain stability.

Mirtabene Ratiopharm is taken orally, usually once daily in the evening due to its sedative properties. It should be swallowed whole with water and not crushed or chewed unless otherwise directed by a healthcare professional.

Serious risks include the potential for suicidal thoughts or behavior, especially at treatment initiation, agranulocytosis, severe hypersensitivity reactions, and serotonin syndrome when combined with other serotonergic drugs. Prompt medical attention is required if any of these occur.

Mirtabene Ratiopharm should be avoided in patients with known hypersensitivity to mirtazapine or any excipients, those currently on MAO inhibitors, and individuals with severe hepatic impairment unless specifically advised by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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