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

Mirtazapin Hormosan

Active Ingredient:
Mirtazapine
Origin:
EU

Mirtazapin Hormosan (Mirtazapine)

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

Manufacturer / TM Owner

Hormosan Pharma Gmbh

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Indications & Clinical Uses

Mirtazapine acts on central neurotransmitter pathways to alleviate depressive conditions.

  • Major depressive disorder: reduces depressive symptoms in adult patients.
  • Depressive episodes associated with bipolar disorder: helps alleviate the depressive phase.
  • Treatment‑resistant depression (adjunct therapy): may be added when first‑line agents are insufficient.

How It Works

  • Mirtazapine antagonizes central presynaptic α2‑adrenergic receptors, increasing norepinephrine release, and blocks 5‑HT2, 5‑HT3 and H1 receptors, which together enhance serotonergic and noradrenergic neurotransmission while providing antihistaminic effects that contribute to its antidepressant activity.

Side Effects

Mirtazapine may cause a range of adverse reactions, from mild to serious.

Common Side Effects

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

Serious or Rare Side Effects

  • Agranulocytosis or severe neutropenia
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis
  • Suicidal thoughts or behavior, especially early in treatment
  • Severe hypotension or syncope
  • Hepatic injury or jaundice
  • Seizures (rare)

Precautions & Warnings

Before prescribing Mirtazapine, clinicians should consider several safety aspects.

  • Hepatic function: assess liver status in patients with known impairment.
  • Suicidal ideation: monitor closely during the initial treatment period.
  • Cardiovascular disease: use caution in patients with existing hypotension or arrhythmias.
  • Discontinuation: avoid abrupt cessation to reduce risk of withdrawal symptoms.
  • Elderly patients: start at low dose due to increased sensitivity to sedation.
  • Store at ambient temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Mirtazapine can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

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

Moderate Interactions (Monitor Closely)

  • Antihypertensives: additive hypotensive effect may require dose adjustment.
  • Anticholinergic drugs: increased anticholinergic burden may worsen dry mouth and constipation.

Frequently Asked Questions

Mirtazapin Hormosan contains mirtazapine, an antidepressant indicated for the treatment of major depressive disorder in adult patients. It may also be used as adjunct therapy for depressive episodes in bipolar disorder or for patients whose depression has not responded adequately to first‑line agents.

Mirtazapine blocks presynaptic α2‑adrenergic receptors, which increases the release of norepinephrine. It also antagonises 5‑HT2, 5‑HT3 and H1 receptors, leading to enhanced serotonergic transmission and antihistaminic effects that together improve mood and sleep patterns.

The dose of mirtazapine is individualized by the prescribing clinician based on the patient’s clinical condition, response, and tolerability. The prescriber determines the appropriate starting dose and any subsequent adjustments.

Safety data for mirtazapine in pregnancy and lactation are limited. Clinicians should weigh potential benefits against possible risks and consider alternative therapies when possible. Breastfeeding mothers should discuss potential exposure with their healthcare provider.

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 belongs to the NaSSA class, differing from SSRIs and SNRIs by its dual antagonism of α2‑adrenergic and specific serotonin receptors. This mechanism 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.

Mirtazapin Hormosan should be stored at ambient temperature, below 25 °C, in its original packaging. Keep the product away from moisture and direct sunlight to maintain stability.

The medication 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 behaviors, especially early in treatment, agranulocytosis, severe hypotension, and rare dermatologic reactions such as Stevens‑Johnson syndrome. Patients should be monitored closely for any sudden changes in mood, blood counts, or skin condition.

Mirtazapin Hormosan is contraindicated in patients who have taken a monoamine oxidase inhibitor within the past 14 days. Caution is also advised for individuals with uncontrolled cardiovascular disease, severe hepatic impairment, or a history of hypersensitivity to mirtazapine or any excipients.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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