Product image of Mirtazapine Ab (Mirtazapine) supplied by GNH India

Mirtazapine Ab

Active Ingredient:
Mirtazapine
Origin:
EU

Mirtazapine Ab (Mirtazapine)

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

GNH India supplies Mirtazapine Ab as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The product complies with EU regulatory standards and is manufactured under strict quality controls.

Manufacturer / TM Owner

Aurobindo N.V.

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Indications & Clinical Uses

Mirtazapine is an antidepressant that acts on noradrenergic and serotonergic pathways.

  • Major depressive disorder: reduces depressive symptoms and improves overall mood.
  • Depression with insomnia: promotes sleep and alleviates nighttime disturbances.
  • Depression with anxiety: helps lessen anxiety symptoms associated with depressive episodes.

How It Works

  • Mirtazapine antagonizes central presynaptic α2‑adrenergic receptors, increasing norepinephrine release, and blocks 5‑HT2 and 5‑HT3 receptors, enhancing serotonergic transmission. Its potent H1‑histamine antagonism contributes to sedation and appetite stimulation, collectively producing antidepressant effects.

Side Effects

Mirtazapine may cause a range of adverse reactions.

Common Side Effects

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

Serious or Rare Side Effects

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

Precautions & Warnings

Before initiating therapy, consider the following safety measures.

  • Assess hepatic function: adjust use in severe liver impairment.
  • Monitor weight: significant weight gain may occur.
  • Evaluate for suicidal ideation: especially during early treatment.
  • Caution in cardiovascular disease: may cause orthostatic hypotension.
  • Avoid abrupt discontinuation: taper to reduce withdrawal symptoms.
  • Store at room temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Mirtazapine can interact with several drug classes.

Major Interactions (Avoid)

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

Moderate Interactions (Monitor Closely)

  • CYP2D6 or CYP3A4 inhibitors (e.g., fluoxetine, ketoconazole): may increase plasma levels.
  • CYP inducers (e.g., carbamazepine, rifampin): may reduce efficacy.
  • Antihistamines: additive sedative effect.

Frequently Asked Questions

Mirtazapine Ab contains the active ingredient mirtazapine, which is prescribed to treat major depressive disorder in adult patients. It helps improve mood, sleep quality, and appetite, addressing several core symptoms of depression.

Mirtazapine works by blocking presynaptic α2‑adrenergic receptors, which increases norepinephrine release, and by antagonizing 5‑HT2 and 5‑HT3 serotonin receptors. Its strong H1‑histamine antagonism also contributes to sedation and appetite stimulation, together producing an antidepressant effect.

The appropriate dose of Mirtazapine Ab is determined by the prescribing clinician based on the individual’s medical condition, response to therapy, and tolerability. Dosage adjustments are made according to clinical judgment and patient needs.

Safety data for mirtazapine in pregnancy and lactation are limited. The prescriber should evaluate the potential benefits against possible risks to the fetus or infant before initiating therapy in pregnant or nursing women.

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 required import documentation.

Compared with selective serotonin reuptake inhibitors (SSRIs), mirtazapine has a distinct mechanism that often results in greater sedation and appetite stimulation, making it useful for patients with insomnia or weight loss. It may be chosen when SSRIs are ineffective or poorly tolerated.

Mirtazapine Ab tablets should be stored at room temperature, below 25 °C, in the original packaging to protect from moisture and light. Keep the product out of reach of children and do not use if the packaging is damaged.

Mirtazapine Ab is taken orally, usually once daily in the evening due to its sedative effect. 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 hypersensitivity reactions, seizures, hepatotoxicity, and the emergence or worsening of suicidal thoughts, particularly during the initial weeks of treatment. Patients should be monitored closely for these events.

Mirtazapine is contraindicated in patients who have taken monoamine oxidase inhibitors within the past 14 days, those with known hypersensitivity to the drug, and individuals with severe hepatic impairment without appropriate dose adjustment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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