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

Mirtazapina Tarbis

Active Ingredient:
Mirtazapine
Origin:
EU

Mirtazapina Tarbis (Mirtazapine)

Mirtazapine, the active ingredient in Mirtazapina Tarbis, is a noradrenergic and specific serotonergic antidepressant (NaSSA) presented as an oral tablet for oral administration. It is indicated for the management of major depressive disorder in adult patients, helping to improve mood, sleep and appetite.

GNH India supplies Mirtazapina Tarbis as a licensed, GDP‑compliant international pharmaceutical supplier, providing reliable bulk shipments to hospitals, pharmacies, and clinics across Europe and other global markets while adhering to stringent quality and regulatory standards through validated manufacturing processes.

Manufacturer / TM Owner

Tarbis Farma, S.L.

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Indications & Clinical Uses

Mirtazapine acts on the central noradrenergic and serotonergic pathways to treat depressive disorders.

  • Major depressive disorder: reduces depressive symptoms and improves overall mood in adults.
  • Depressive episodes in bipolar I disorder (adjunct): may alleviate depressive phases when used with mood stabilizers.
  • Depression with prominent insomnia: helps improve sleep quality while treating depressive symptoms.

How It Works

  • Mirtazapine blocks central presynaptic α2‑adrenergic receptors, increasing norepinephrine release, and antagonizes postsynaptic 5‑HT2 and 5‑HT3 receptors, enhancing serotonergic transmission. Its strong H1‑histamine receptor antagonism contributes to sedation and appetite stimulation. The combined actions raise synaptic concentrations of norepinephrine and serotonin, producing antidepressant effects. Additionally, by inhibiting certain serotonergic subtypes, it reduces anxiety and improves sleep architecture, which further supports its therapeutic profile.

Side Effects

Mirtazapine may cause a variety of adverse reactions, ranging from mild and frequently observed effects to rare but potentially serious conditions that require immediate medical attention.

Common Side Effects

  • Sedation or drowsiness: feeling unusually sleepy, especially after the first dose.
  • Increased appetite and weight gain: heightened hunger that may lead to gradual weight increase.
  • Dry mouth: reduced salivation causing discomfort.
  • Constipation: infrequent bowel movements or hard stools.

Serious or Rare Side Effects

  • Agranulocytosis or severe neutropenia: dangerously low white‑blood‑cell count requiring urgent care.
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis: severe skin reactions with blistering and detachment.
  • Suicidal thoughts or worsening depression: emergence of suicidal ideation, particularly early in therapy.

Precautions & Warnings

When prescribing mirtazapine, clinicians should consider several precautionary measures to ensure safe use.

  • Pregnancy: safety not established; avoid unless benefits outweigh risks.
  • Elderly patients: increased sensitivity to sedation and risk of falls.
  • History of bipolar disorder: may trigger manic or hypomanic episodes.
  • Concomitant CNS depressants: potential additive sedation, monitor closely.
  • Liver impairment: dose adjustment may be necessary due to altered metabolism.
  • Store at ambient temperature below 25°C: keep in the original container, protect from moisture and light.

Avoid Interactions

Mirtazapine can interact with other medicines, influencing its efficacy or safety.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of serotonin syndrome.
  • Other serotonergic agents (SSRIs, SNRIs, tramadol): additive serotonin effects.
  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine): may increase mirtazapine plasma levels.
  • Alcohol or CNS depressants: enhanced sedation and respiratory depression.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., carbamazepine, phenytoin): may reduce therapeutic effect.
  • Anticholinergic drugs: combined dry mouth and constipation.
  • Warfarin: possible alteration of INR, requiring monitoring.

Frequently Asked Questions

Mirtazapina Tarbis contains the active ingredient mirtazapine and is prescribed for the treatment of major depressive disorder in adult patients. It helps to alleviate depressive symptoms, improve mood, and can also aid sleep and appetite regulation as part of a comprehensive depression management plan.

Mirtazapine works by blocking presynaptic α2‑adrenergic receptors, which increases the release of norepinephrine, and by antagonising postsynaptic 5‑HT2 and 5‑HT3 receptors, enhancing serotonergic activity. Its strong H1‑histamine receptor antagonism also contributes to sedation and appetite stimulation, together producing an overall antidepressant effect.

The appropriate dose of mirtazapine is individualized by the prescribing clinician based on factors such as the severity of depression, patient age, liver function, concomitant medications, and response to therapy. No fixed regimen is provided here; the prescriber will set the dosage according to clinical judgment.

Safety data for mirtazapine in pregnancy and lactation are limited. It is generally classified as a drug with unknown pregnancy risk, and use is only considered when the potential benefit justifies the potential risk to the fetus. Breastfeeding mothers should discuss alternatives with their healthcare provider.

To request Mirtazapina Tarbis, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will ask for trade or institutional credentials. The sales team will then reply with pricing, availability, shipping details and any necessary import documentation.

Mirtazapine belongs to the NaSSA class, whereas SSRIs primarily inhibit serotonin reuptake. Mirtazapine’s dual action on norepinephrine and serotonin, plus its antihistaminic effect, often results in pronounced sedation and weight gain, which can be advantageous for patients with insomnia or loss of appetite. SSRIs typically have a lower risk of weight gain but may cause sexual dysfunction.

Mirtazapina Tarbis should be stored at ambient temperature below 25 °C. Keep the tablets in the original packaging, protect them from moisture and direct light, and ensure they are out of reach of children. No refrigeration is required for this oral dosage form.

Mirtazapina Tarbis is taken orally, usually once daily in the evening to take advantage of its sedative properties. The tablet should be swallowed whole with water and not crushed or chewed. The exact timing and any food considerations are determined by the prescribing clinician.

Serious risks include the potential for agranulocytosis or severe neutropenia, severe skin reactions such as Stevens‑Johnson syndrome, and the emergence of suicidal thoughts or worsening depression, especially during the initial weeks of therapy. Patients should seek immediate medical attention if they notice signs of infection, rash, or mood changes.

Mirtazapine is contraindicated in individuals with known hypersensitivity to the drug 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 allergic reactions to similar agents. Caution is advised for patients with uncontrolled hypertension, severe liver impairment, or a history of bipolar disorder.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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