Product image of Mirtazapine Accord Healthcare (Mirtazapine) supplied by GNH India

Mirtazapine Accord Healthcare

Active Ingredient:
Mirtazapine
Origin:
EU

Mirtazapine Accord Healthcare (Mirtazapine)

Mirtazapine, the active ingredient in Mirtazapine Accord Healthcare, is a NaSSA (noradrenergic and specific serotonergic antidepressant) presented as an oral tablet for oral use. It is indicated for the treatment of major depressive disorder in adult patients.

GNH India supplies Mirtazapine Accord Healthcare as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Accord Healthcare Limited

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Indications & Clinical Uses

  • Mirtazapine acts on central neurotransmitter pathways to treat depressive disorders.
  • Major depressive disorder: reduces depressive symptoms and improves mood in adults.

How It Works

  • Mirtazapine antagonizes central presynaptic α2‑adrenergic receptors, which increases norepinephrine release, and blocks postsynaptic 5‑HT2 and 5‑HT3 receptors, enhancing serotonergic transmission. It also inhibits histamine H1 receptors, contributing to its sedative and appetite‑stimulating effects.

Side Effects

Mirtazapine may cause a range of adverse reactions.

Common Side Effects

  • Sedation or drowsiness
  • Increased appetite leading to weight gain
  • Dry mouth
  • Constipation
  • Dizziness
  • Peripheral edema

Serious or Rare Side Effects

  • Agranulocytosis or severe neutropenia
  • Suicidal thoughts, especially early in therapy
  • Hypersensitivity reactions such as rash or angioedema
  • Hepatic dysfunction
  • Serotonin syndrome when combined with other serotonergic agents
  • Severe hypotension

Precautions & Warnings

Before initiating therapy, consider the following precautions.

  • Assess psychiatric history: evaluate risk of suicidal ideation, especially in early treatment.
  • Monitor weight and metabolic parameters: track changes in appetite and body mass.
  • Check liver function: obtain baseline labs and repeat as clinically indicated.
  • Avoid abrupt discontinuation: taper under medical supervision to reduce withdrawal effects.
  • Caution in elderly: increased sensitivity to sedation and orthostatic hypotension.
  • Store at ambient temperature below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Mirtazapine can interact with several drug classes.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of hypertensive crisis.
  • Strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole): may increase mirtazapine plasma levels.
  • Strong CYP3A4 inducers (e.g., rifampicin, carbamazepine): may reduce therapeutic effect.

Moderate Interactions (Monitor Closely)

  • Other serotonergic agents (SSRIs, SNRIs, tramadol): monitor for serotonin syndrome.
  • Alcohol: may enhance central nervous system depression.
  • Benzodiazepines or other CNS depressants: additive sedative effects.

Frequently Asked Questions

Mirtazapine Accord Healthcare is prescribed for the treatment of major depressive disorder in adult patients. It helps alleviate depressive symptoms such as low mood, loss of interest, and impaired concentration by modulating neurotransmitter activity in the brain.

Mirtazapine works by blocking presynaptic α2‑adrenergic receptors, which increases the release of norepinephrine, and by antagonizing postsynaptic 5‑HT2 and 5‑HT3 receptors, enhancing serotonergic transmission. Its antihistamine activity also contributes to sedation and appetite stimulation.

The appropriate dose of mirtazapine is determined by the prescribing clinician based on the individual’s clinical condition, response, and tolerability. Dosage may be adjusted over time, and patients should follow the prescriber’s instructions without self‑adjusting the amount.

Safety data for mirtazapine in pregnancy and lactation are limited. Healthcare providers should weigh potential benefits against possible risks and discuss any concerns with the patient. Women who are pregnant, planning to become pregnant, or breastfeeding should consult their physician before using the medication.

To place an order, submit an enquiry on the product page at gnhindia.com with the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide. After submission, the sales team will verify trade or institutional credentials and respond with pricing, availability, shipping details, and any necessary import documentation.

Mirtazapine belongs to the NaSSA class, differing from SSRIs and SNRIs by its dual action on norepinephrine and serotonin receptors and its antihistaminic effect. It is often chosen for patients who need a sedating antidepressant or who experience insomnia, whereas SSRIs are typically less sedating.

Store the tablets at ambient temperature below 25 °C, in the original packaging, and protect them from moisture and direct sunlight. Do not store in bathrooms or other humid environments to maintain product stability.

Mirtazapine Accord Healthcare 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 the potential for agranulocytosis or severe neutropenia, hepatic dysfunction, and the emergence or worsening of suicidal thoughts, particularly during the initial weeks of therapy. Patients should be monitored closely for any signs of infection, liver issues, or changes in mood.

Mirtazapine is contraindicated in patients who have taken a monoamine oxidase inhibitor (MAOI) within the past 14 days. Caution is also advised for individuals with known hypersensitivity to mirtazapine, severe hepatic impairment, or those at high risk for suicidal behavior.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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