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

Mirtazapina Alter

Active Ingredient:
Mirtazapine
Origin:
EU

Mirtazapina Alter (Mirtazapine)

Mirtazapine, the active ingredient in Mirtazapina Alter, is a NaSSA (noradrenergic and specific serotonergic antidepressant) presented as an oral tablet for oral use. It is prescribed for the treatment of major depressive disorder in adults, helping to improve mood, sleep and appetite.

GNH India supplies Mirtazapina Alter as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing reliable sourcing and regulatory‑aligned distribution for this antidepressant medication.

Manufacturer / TM Owner

Alter S.A.

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Indications & Clinical Uses

Mirtazapine is used primarily in the management of depressive disorders, acting on noradrenergic and serotonergic pathways.

  • Major depressive disorder: alleviates depressive symptoms and improves functional outcomes.
  • Depression with anxiety symptoms: reduces anxiety and improves overall mood.
  • Depression with insomnia: promotes sleep and helps restore normal sleep patterns.

How It Works

  • Mirtazapine antagonizes central presynaptic α2‑adrenergic receptors, increasing norepinephrine release, and blocks serotonin 5‑HT2 and 5‑HT3 receptors while also antagonizing H1 receptors, resulting in enhanced serotonergic and noradrenergic neurotransmission that alleviates depressive symptoms.

Side Effects

Common Side Effects

  • Sedation: drowsiness, especially after the first doses.
  • Increased appetite: may lead to weight gain.
  • Dry mouth: reduced salivation.
  • Constipation: slowed gastrointestinal motility.

Serious or Rare Side Effects

  • Agranulocytosis: severe reduction in white blood cells.
  • Seizures: risk of convulsive episodes.
  • Severe hypersensitivity: rash, swelling, or anaphylaxis.
  • Hepatotoxicity: liver enzyme elevations or injury.
  • Emergence of suicidal thoughts: particularly early in treatment.

Precautions & Warnings

Mirtazapine requires careful clinical monitoring.

  • Hepatic function: assess liver status before initiating therapy.
  • Suicidal ideation: monitor for worsening depression or suicidal thoughts.
  • Cardiovascular disease: use cautiously in patients with heart conditions.
  • Discontinuation: avoid abrupt cessation to reduce withdrawal risk.
  • Renal impairment: consider dose adjustment in severe kidney disease.
  • Store at room temperature: keep in the original pack, protect from moisture and direct sunlight.

Avoid Interactions

Mirtazapine may interact with several medications.

Major Interactions (Avoid)

  • MAO inhibitors: risk of hypertensive crisis.
  • CNS depressants (e.g., alcohol, benzodiazepines): additive sedation.
  • Strong CYP2D6 inhibitors (e.g., fluoxetine): increased mirtazapine levels.

Moderate Interactions (Monitor Closely)

  • Antihypertensives: possible enhanced hypotensive effect.
  • Anticholinergic drugs: may increase dry mouth and constipation.

Frequently Asked Questions

Mirtazapina Alter is a prescription antidepressant that contains mirtazapine. It is indicated for the treatment of major depressive disorder in adults, helping to improve mood, sleep quality and appetite.

Mirtazapine works by blocking central presynaptic α2‑adrenergic receptors, which increases norepinephrine release, and by antagonizing serotonin 5‑HT2, 5‑HT3 and histamine H1 receptors. This combined action enhances noradrenergic and serotonergic neurotransmission, alleviating depressive symptoms.

The dosage of Mirtazapina Alter is individualized. A prescriber determines the appropriate starting dose and any subsequent titration based on the patient’s clinical response, tolerability and overall health status.

Safety of mirtazapine in pregnancy and lactation has not been definitively established; it is classified as having an unknown pregnancy category. Use should be considered only when the potential benefits outweigh the risks, and only under medical supervision.

To 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 the necessary import documentation.

Compared with SSRIs, mirtazapine has a distinct receptor profile that provides strong sedative and appetite‑stimulating effects, which can be beneficial for patients with insomnia or weight loss. However, it may cause more weight gain and sedation, while the risk of serotonin syndrome is lower when combined with other serotonergic agents.

Store the tablets at room temperature, below 25 °C, in the original packaging. Protect them from moisture and direct sunlight. Do not refrigerate or expose the product to extreme temperatures, as this could affect tablet integrity.

Mirtazapina Alter is taken orally, usually once daily in the evening, with or without food, as directed by the prescribing clinician. Swallow the tablet whole; do not crush or chew unless specifically instructed by a healthcare professional.

Serious adverse events may include agranulocytosis, severe hypersensitivity reactions, seizures, hepatotoxicity, and the emergence or worsening of suicidal thoughts, especially early in treatment. Patients should be monitored closely for any of these signs.

Individuals with known hypersensitivity to mirtazapine or any of its excipients, patients currently taking MAO inhibitors, and those with uncontrolled cardiovascular disease should avoid using this medication. A clinician must evaluate suitability before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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