Product image of Mirtazapina Almus (Mirtazapine) supplied by GNH India

Mirtazapina Almus

Active Ingredient:
Mirtazapine
Origin:
EU

Mirtazapina Almus (Mirtazapine)

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

Manufacturer / TM Owner

Almus Farmaceutica S.A.

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Indications & Clinical Uses

Mirtazapine is indicated for conditions within the depressive disorder spectrum.

  • Major depressive disorder: reduces depressive symptoms and improves mood in adults.
  • Depressive disorder with melancholic features: alleviates profound sadness, loss of pleasure, and psychomotor retardation.
  • Major depressive disorder with insomnia: helps improve sleep quality while treating depressive symptoms.

How It Works

  • Mirtazapine antagonizes central presynaptic α2‑adrenergic receptors, increasing norepinephrine release, and blocks 5‑HT2 and 5‑HT3 receptors, enhancing serotonergic transmission. Potent histamine H1 receptor antagonism contributes to its sedative properties, while the combined actions result in antidepressant and anxiolytic effects.

Side Effects

Mirtazapine may cause a range of adverse reactions, varying in frequency and severity.

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
  • Seizures
  • Hepatic dysfunction
  • Severe allergic reactions (anaphylaxis)

Precautions & Warnings

Before initiating therapy, consider the following safety measures.

  • Weight monitoring: anticipate possible weight gain and counsel patients on nutrition.
  • Suicidal ideation: assess for worsening depression or suicidal thoughts, particularly during the first weeks.
  • Hepatic impairment: use caution and consider dose adjustment in patients with liver disease.
  • Discontinuation: avoid abrupt cessation to reduce risk of rebound insomnia or agitation.
  • Elderly patients: start at low dose due to increased sensitivity to sedation and orthostatic effects.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Mirtazapine can interact with several drug classes; awareness helps prevent adverse outcomes.

Major Interactions (Avoid)

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

Moderate Interactions (Monitor Closely)

  • CNS depressants (e.g., benzodiazepines, alcohol): additive sedation and respiratory depression.
  • CYP2D6 or CYP3A4 inhibitors (e.g., fluoxetine, ketoconazole): may increase mirtazapine plasma levels.
  • CYP inducers (e.g., carbamazepine, rifampin): may reduce therapeutic effect.
  • Antihistamines: potential for excessive sedation.
  • Warfarin: monitor INR as mirtazapine may affect coagulation parameters.

Frequently Asked Questions

Mirtazapina Almus contains mirtazapine, which is prescribed to treat major depressive disorder in adult patients. It helps alleviate depressive symptoms, improve mood, and can also aid sleep when insomnia is a component of the depression.

Mirtazapine works by blocking presynaptic α2‑adrenergic receptors, which increases norepinephrine release, and by antagonizing 5‑HT2 and 5‑HT3 receptors, enhancing serotonergic activity. Its strong antihistamine effect also contributes to sedation, supporting patients with depressive insomnia.

The appropriate dose of Mirtazapina Almus is determined by the prescribing clinician based on the individual’s clinical condition, response, and tolerability. Dosage adjustments are made according to professional medical guidance.

The safety of mirtazapine in pregnancy and lactation has not been definitively established. Healthcare providers should weigh potential benefits against possible risks and consider alternative therapies when treating pregnant or nursing individuals.

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, and its potent antihistamine activity. This profile often results in strong sedative effects and weight gain, which can be advantageous for patients with insomnia or loss of appetite, but may be less desirable for those concerned about metabolic side effects.

Mirtazapina Almus should be stored at room temperature, below 25 °C, in its original packaging. Keep the product away from moisture, direct sunlight, and excessive heat to maintain its stability and potency.

Mirtazapina Almus is taken orally, usually once daily in the evening due to its sedative properties. The tablet 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, severe allergic reactions such as anaphylaxis, agranulocytosis, and rare skin reactions like Stevens‑Johnson syndrome. Patients should be monitored closely for any signs of these conditions.

Mirtazapina Almus is contraindicated in patients who have taken monoamine oxidase inhibitors within the past 14 days, those with known hypersensitivity to mirtazapine, and individuals with severe hepatic impairment where dose adjustment is not feasible. It should also be used with caution in the elderly and in patients with a history of bipolar disorder.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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