Product image of Mirtastad (Mirtazapine) supplied by GNH India

Mirtastad

Active Ingredient:
Mirtazapine
Origin:
EU

Mirtastad (Mirtazapine)

Mirtazapine, the active ingredient in Mirtastad, is a NaSSA (noradrenergic and specific serotonergic antidepressant) presented as an oral tablet for oral use. It is indicated for the treatment of major depressive disorder in adult patients, where it helps to alleviate depressive symptoms, improve mood, and restore normal sleep patterns.

GNH India supplies Mirtastad as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing reliable access to quality‑controlled medication for mental health care with full regulatory documentation and export certifications.

Manufacturer / TM Owner

Stada Arzneimittel Ag

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

Mirtazapine is employed in the management of depressive disorders, acting on noradrenergic and serotonergic pathways to restore neurotransmitter balance.

  • Major depressive disorder: reduces depressive symptoms, improves mood, and enhances overall functioning in adults.

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 serotonergic side‑effects. The combined effect results in heightened monoaminergic activity that contributes to antidepressant efficacy.

Side Effects

Mirtazapine may cause a range of adverse reactions, some of which are frequent and others that are uncommon but serious.

Common Side Effects

  • Sedation or drowsiness
  • Increased appetite and weight gain
  • Dry mouth
  • Constipation
  • Dizziness or light‑headedness
  • Orthostatic hypotension

Serious or Rare Side Effects

  • Agranulocytosis or severe neutropenia
  • Serotonin syndrome, especially with other serotonergic agents
  • Severe hypersensitivity reactions (rash, angioedema, anaphylaxis)
  • Suicidal thoughts or behavior, particularly early in treatment
  • Hepatic dysfunction or jaundice
  • Seizures in predisposed individuals

Precautions & Warnings

Before initiating therapy, clinicians should evaluate patient history and monitor for specific safety concerns.

  • Monitor weight and metabolic parameters: mirtazapine can increase appetite and cause weight gain.
  • Assess for suicidal ideation: watch for worsening mood, especially during the first weeks.
  • Use caution in hepatic impairment: dose adjustment may be required.
  • Avoid abrupt discontinuation: taper gradually to reduce withdrawal symptoms.
  • Evaluate concomitant CNS depressants: increased sedation may occur.
  • Store below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Mirtazapine can interact with several drug classes, requiring careful assessment of co‑medications.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of severe serotonin syndrome.
  • Other serotonergic agents (e.g., SSRIs, SNRIs, tramadol): heightened serotonin toxicity.

Moderate Interactions (Monitor Closely)

  • Central nervous system depressants (benzodiazepines, alcohol): additive sedation.
  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine): may increase mirtazapine plasma levels.
  • Antihistamines: potential for enhanced drowsiness.
  • Anticholinergic drugs: may exacerbate dry mouth and constipation.
  • Blood thinners (warfarin): monitor INR for possible changes.

Frequently Asked Questions

Mirtastad contains the active ingredient mirtazapine and is used to treat major depressive disorder in adult patients. It helps alleviate depressive symptoms, improve mood, and support better sleep patterns as part of a comprehensive mental‑health treatment plan.

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

The appropriate dose of Mirtastad is determined by the prescribing clinician based on the individual’s medical condition, response to therapy, and tolerability. Dosage adjustments are made according to clinical judgment and patient needs.

Safety data for mirtazapine 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 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.

Mirtastad (mirtazapine) belongs to the NaSSA class, which differs from SSRIs and SNRIs by its combined α2‑adrenergic antagonism and 5‑HT2/3 blockade. This mechanism often results in pronounced sedation and appetite stimulation, making it useful for patients with insomnia or weight loss, whereas other antidepressants may have different side‑effect profiles.

Mirtastad should be stored below 25 °C in its original packaging, protected from moisture and direct sunlight. Keeping the product in a dry, temperature‑controlled environment helps maintain its stability and potency.

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

Serious risks include the potential for serotonin syndrome when combined with other serotonergic drugs, agranulocytosis or severe neutropenia, significant weight gain, and the emergence or worsening of suicidal thoughts, especially during the initial treatment period.

Mirtastad is contraindicated in patients with known hypersensitivity to mirtazapine or any of its excipients, and it should be avoided in individuals currently taking monoamine oxidase inhibitors. Caution is also advised for patients with severe hepatic impairment or those at high risk for suicidal behavior.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.