Product image of Mirtazapin Actavis (Mirtazapine) supplied by GNH India

Mirtazapin Actavis

Active Ingredient:
Mirtazapine
Origin:
EU

Mirtazapin Actavis (Mirtazapine)

Mirtazapine, the active ingredient in Mirtazapin Actavis, is a NaSSA (noradrenergic and specific serotonergic antidepressant) presented as oral tablets for oral use. It is prescribed for the treatment of major depressive disorder in adult patients. The medication works by modulating neurotransmitter activity, helping to alleviate depressive symptoms such as low mood, loss of interest, and impaired concentration.

GNH India supplies Mirtazapin Actavis as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to European Union GMP standards and provides reliable logistics for global distribution, ensuring product integrity from manufacturing to end‑user.

Manufacturer / TM Owner

Actavis Group Ptc Ehf.

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Indications & Clinical Uses

Mirtazapine is a NaSSA antidepressant used primarily in the management of depressive disorders.

  • Major depressive disorder: alleviates depressive symptoms and improves functional outcomes in adult patients.

How It Works

  • Mirtazapine antagonizes central presynaptic α2‑adrenergic receptors, which increases norepinephrine release, and blocks postsynaptic 5‑HT2 and 5‑HT3 receptors, enhancing serotonergic transmission. It also antagonizes histamine H1 receptors, contributing to its sedative profile. These combined actions raise synaptic concentrations of norepinephrine and serotonin, helping to correct the neurochemical imbalances associated with depression.

Side Effects

Mirtazapine may cause a range of adverse reactions, which are generally categorized by frequency.

Common Side Effects

  • Drowsiness or sedation
  • Increased appetite and weight gain
  • Dry mouth
  • Constipation
  • Dizziness
  • Peripheral edema

Serious or Rare Side Effects

  • Agranulocytosis or severe neutropenia
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis
  • Hepatic dysfunction
  • Seizures
  • Suicidal thoughts or behavior
  • Severe allergic reactions such as anaphylaxis

Precautions & Warnings

Before initiating therapy, several safety considerations should be reviewed.

  • Assess psychiatric history: evaluate risk of suicidal ideation, especially in early treatment.
  • Monitor weight and metabolic parameters: mirtazapine can increase appetite and cause weight gain.
  • Review hepatic function: dose adjustment may be needed in severe liver impairment.
  • Caution in patients with a history of seizures or hematologic disorders.
  • Avoid abrupt discontinuation: taper under medical supervision to reduce withdrawal effects.
  • Store at ambient temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Mirtazapine can interact with several drug classes, requiring careful management.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of hypertensive crisis; a 14‑day washout is required.
  • Strong CYP2D6 inhibitors (e.g., fluoxetine, paroxetine): may raise mirtazapine plasma levels.
  • Central nervous system depressants (e.g., benzodiazepines, opioids): additive sedation and respiratory depression.

Moderate Interactions (Monitor Closely)

  • Other serotonergic agents (SSRIs, SNRIs, tramadol): potential for serotonin syndrome.
  • Anticholinergic medications: increased anticholinergic burden may exacerbate dry mouth and constipation.
  • Alcohol: enhances sedative effects and may impair cognition.

Frequently Asked Questions

Mirtazapin Actavis contains the antidepressant mirtazapine and is indicated for the treatment of major depressive disorder in adult patients. It helps to reduce depressive symptoms such as low mood, loss of interest, and impaired concentration, supporting functional recovery when prescribed by a qualified healthcare professional.

Mirtazapine works by blocking presynaptic α2‑adrenergic receptors, which increases the release of norepinephrine, and by antagonizing postsynaptic 5‑HT2 and 5‑HT3 receptors, enhancing serotonergic activity. Its additional antagonism of histamine H1 receptors contributes to its sedative effect, together restoring neurotransmitter balance implicated in depression.

The appropriate dose of Mirtazapin Actavis is determined individually by the prescribing clinician based on the patient’s clinical condition, response, and tolerability. Dosage may be adjusted over time, and patients should follow the specific instructions provided by their healthcare provider.

Safety data for mirtazapine in pregnancy and lactation are limited. The drug should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss risks and alternatives with their healthcare professional.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide. After receiving the request, the sales team will verify trade or institutional credentials, then provide pricing, availability, shipping details (including any cold‑chain requirements), and assist with import documentation.

Mirtazapine belongs to the NaSSA class, whereas many other antidepressants, such as SSRIs and SNRIs, primarily increase serotonin or both serotonin and norepinephrine levels. Mirtazapine’s strong antihistamine effect often leads to sedation and weight gain, which can be advantageous for patients with insomnia or appetite loss, but may be less desirable for those concerned about metabolic side effects.

Store the tablets at ambient temperature, preferably below 25 °C. Keep them in the original packaging to protect from moisture and light, and ensure the container is tightly closed. Do not store in the bathroom or near heat sources, and keep out of reach of children.

Mirtazapin Actavis is taken orally, usually once daily in the evening. Tablets should be swallowed whole with a glass of water and not chewed or crushed, unless otherwise directed by a healthcare professional. Food does not significantly affect absorption, so it can be taken with or without meals.

Serious risks include agranulocytosis or severe neutropenia, which can lead to infection, and rare dermatologic reactions such as Stevens‑Johnson syndrome. Additionally, mirtazapine may increase suicidal thoughts or behaviors, particularly during the initial treatment period or when doses are changed. Patients should be monitored closely for any signs of infection, severe skin reactions, or worsening mood.

Mirtazapin Actavis should be avoided in individuals with known hypersensitivity to mirtazapine or any of its excipients. It is also contraindicated in patients who have taken a monoamine oxidase inhibitor within the past 14 days, and caution is advised for those with severe hepatic impairment or a history of blood dyscrasias.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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