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

Mirtazapina Combix

Active Ingredient:
Mirtazapine
Origin:
EU

Mirtazapina Combix (Mirtazapine)

Mirtazapine, the active ingredient in Mirtazapina Combix, is a tetracyclic antidepressant presented as an oral tablet for oral use. It is prescribed for the treatment of major depressive disorder in adult patients, helping to improve mood and functional outcomes.

GNH India supplies Mirtazapina Combix as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory‑approved batches to meet global demand. Clients benefit from reliable logistics and comprehensive documentation for import and distribution.

Manufacturer / TM Owner

Laboratorios Combix, S.L.U.

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Indications & Clinical Uses

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

  • Major depressive disorder: alleviates depressive symptoms and improves overall mood.
  • Depressive episodes in bipolar disorder (adjunctive): helps reduce depressive symptoms when used alongside mood stabilisers.
  • Treatment‑resistant depression: may be considered when first‑line agents are ineffective.

How It Works

  • Mirtazapine acts as an antagonist at central presynaptic α2‑adrenergic receptors, which increases the release of norepinephrine and serotonin. It also blocks serotonin 5‑HT2 and 5‑HT3 receptors and histamine H1 receptors, enhancing serotonergic neurotransmission while producing sedative and appetite‑stimulating effects.

Side Effects

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

Common Side Effects

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

Serious or Rare Side Effects

  • Agranulocytosis or severe neutropenia
  • Hepatic dysfunction
  • Suicidal thoughts or behaviour
  • Seizures
  • Severe hypersensitivity reactions (e.g., Stevens‑Johnson syndrome)

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety aspects.

  • Monitor weight: patients often experience increased appetite and weight gain.
  • Assess for suicidal ideation: especially during the early treatment phase.
  • Use caution in hepatic impairment: dose adjustment may be required.
  • Adjust dose in elderly patients: increased sensitivity to sedative effects.
  • Avoid abrupt discontinuation: tapering reduces risk of withdrawal symptoms.
  • Store at ambient temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Mirtazapine can interact with other medicines, affecting efficacy or safety.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of hypertensive crisis.
  • Other serotonergic agents (e.g., SSRIs, SNRIs): potential serotonin syndrome.
  • CNS depressants (e.g., benzodiazepines, alcohol): enhanced sedation.

Moderate Interactions (Monitor Closely)

  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine): may increase mirtazapine levels.
  • CYP3A4 inhibitors (e.g., ketoconazole): modest increase in exposure.
  • Alcohol: can intensify central nervous system effects.

Frequently Asked Questions

Mirtazapina Combix contains mirtazapine, which is prescribed to treat major depressive disorder in adult patients. It may also be used as an adjunct in depressive episodes associated with bipolar disorder or in cases where first‑line antidepressants have not provided sufficient relief.

Mirtazapine blocks presynaptic α2‑adrenergic receptors, leading to increased release of norepinephrine and serotonin. It also antagonises serotonin 5‑HT2 and 5‑HT3 receptors and histamine H1 receptors, which together enhance mood‑lifting neurotransmission while producing sedative and appetite‑stimulating effects.

The appropriate dose of Mirtazapina Combix is determined by the prescribing clinician based on the individual’s medical condition, response to therapy, and tolerability. Dosage adjustments may be needed for elderly patients or those with hepatic impairment.

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 treatments 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.

Compared with selective serotonin reuptake inhibitors (SSRIs), mirtazapine has a distinct receptor profile that often results in stronger sedative and appetite‑stimulating effects. It may be preferred when patients experience insomnia or weight loss, but its side‑effect profile differs, requiring individualized selection.

Mirtazapina Combix should be stored at ambient temperature, below 25 °C, in its original container to protect it from moisture and light. Keep the product out of reach of children and do not use it after the expiry date.

The medication is taken orally, usually once daily in the evening, with or without food. Patients should follow the prescribing clinician’s instructions regarding timing and whether the tablet should be swallowed whole or with a glass of water.

Serious risks include agranulocytosis or severe neutropenia, hepatic dysfunction, seizures, and rare hypersensitivity reactions such as Stevens‑Johnson syndrome. Patients should be monitored for signs of infection, liver problems, or any severe allergic response, and seek medical attention promptly if they occur.

Mirtazapina Combix is contraindicated in individuals who have a known hypersensitivity to mirtazapine or any of its excipients. It should also be avoided in patients currently taking monoamine oxidase inhibitors (MAOIs) or those with a history of severe hepatic impairment without appropriate medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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