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

Mirtazapina Flas

Active Ingredient:
Mirtazapine
Origin:
EU

Mirtazapina Flas (Mirtazapine)

Mirtazapine, the active ingredient in Mirtazapina Flas, is a NaSSA (noradrenergic and specific serotonergic antidepressant) presented as an oral formulation for oral use. It is prescribed for the treatment of major depressive disorder in adult patients.

GNH India supplies Mirtazapina Flas as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring quality manufacturing standards, reliable distribution across global markets, and comprehensive support for product registration and logistics.

Manufacturer / TM Owner

Bluefish Pharmaceuticals Ab

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Indications & Clinical Uses

Mirtazapine is indicated for major depressive disorder, a condition that affects mood, cognition and physical function.

  • Major depressive disorder: reduces depressive symptoms, improves mood, sleep and overall functioning in adult patients.

How It Works

  • Mirtazapine blocks central presynaptic α2‑adrenergic receptors, increasing norepinephrine release, and antagonizes serotonin 5‑HT2 and 5‑HT3 receptors while stimulating 5‑HT1 receptors. This combined action enhances serotonergic and noradrenergic neurotransmission, contributing to its antidepressant effect.

Side Effects

Mirtazapine may cause a range of adverse reactions that vary in frequency and severity.

Common Side Effects

  • Sedation or drowsiness
  • Increased appetite and weight gain
  • Dry mouth
  • Constipation
  • Dizziness
  • Edema (swelling of the lower limbs)

Serious or Rare Side Effects

  • Agranulocytosis (dangerously low white‑blood‑cell count)
  • Severe neutropenia
  • Hepatotoxicity (liver injury)
  • Seizures
  • Suicidal thoughts or behavior, especially early in treatment
  • Severe hypersensitivity reactions (e.g., Stevens‑Johnson syndrome)

Precautions & Warnings

Before initiating therapy, clinicians should assess patient history and monitor for specific risks.

  • Pregnancy: Category C – weigh potential benefits against risks and consult obstetric guidance.
  • Breastfeeding: Use only if benefits outweigh potential infant exposure.
  • Elderly patients: Start at low dose and monitor for excessive sedation or falls.
  • Hepatic impairment: Dose adjustment may be required; monitor liver function tests.
  • Concomitant CNS depressants: Increase risk of sedation and respiratory depression.
  • Store at ambient temperature: keep in original container, protect from moisture and direct sunlight.

Avoid Interactions

Mirtazapine can interact with several drug classes, altering efficacy or safety.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of hypertensive crisis and serotonin syndrome.
  • Potent CYP2D6 inhibitors (e.g., fluoxetine, paroxetine): may increase mirtazapine plasma levels.

Moderate Interactions (Monitor Closely)

  • CNS depressants (e.g., benzodiazepines, alcohol): additive sedation.
  • Anticholinergic agents: may exacerbate dry mouth and constipation.
  • Warfarin: monitor INR as mirtazapine may affect coagulation parameters.

Frequently Asked Questions

Mirtazapina Flas contains mirtazapine, which is prescribed primarily for the treatment of major depressive disorder in adult patients. It helps alleviate depressive symptoms such as low mood, loss of interest, and sleep disturbances.

Mirtazapine works by blocking presynaptic α2‑adrenergic receptors, which increases norepinephrine release, and by antagonizing serotonin 5‑HT2 and 5‑HT3 receptors while stimulating 5‑HT1 receptors. This dual action enhances serotonergic and noradrenergic neurotransmission, contributing to its antidepressant effect.

The appropriate dose of Mirtazapina Flas is determined by the prescribing clinician based on the individual’s clinical condition, response to therapy, and tolerability. Dosage adjustments are made according to professional guidelines and patient needs.

Mirtazapina Flas is classified as Pregnancy Category C, meaning risk cannot be ruled out. It should be used only if the potential benefit justifies the potential risk to the fetus. During breastfeeding, use only if the benefit to the mother outweighs possible exposure to the infant.

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 any necessary import documentation.

Mirtazapine belongs to the NaSSA class, differing from SSRIs and SNRIs by its combined antagonism of certain serotonin receptors and α2‑adrenergic blockade. This profile often results in pronounced sedative effects and appetite stimulation, which can be advantageous for patients with insomnia or weight loss, but may be less suitable for those prone to weight gain.

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

Mirtazapina Flas is taken orally, usually once daily in the evening due to its sedative properties. The tablet should be swallowed whole with water and not chewed or crushed unless otherwise directed by a healthcare professional.

Serious risks include agranulocytosis, severe neutropenia, hepatotoxicity, seizures, and the emergence or worsening of suicidal thoughts, particularly during the early phase of treatment. Patients should be monitored closely for any signs of infection, liver dysfunction, or changes in mood.

Mirtazapina Flas is contraindicated in patients with known hypersensitivity to mirtazapine or any of its excipients, and in those currently taking monoamine oxidase inhibitors (MAOIs) or who have taken an MAOI within the past 14 days. Caution is also advised for individuals with severe hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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