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

Mirtazapine Aurobindo

Active Ingredient:
Mirtazapine
Origin:
EU

Mirtazapine Aurobindo (Mirtazapine)

Mirtazapine, the active ingredient in Mirtazapine Aurobindo, 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 Aurobindo as a licensed, GDP‑compliant international pharmaceutical supplier, providing the product to hospitals, pharmacies and clinics worldwide through regulated distribution channels that meet quality and safety standards. The company ensures batch traceability, proper documentation and timely delivery to meet the needs of healthcare providers across multiple regions.

Manufacturer / TM Owner

Aurobindo Pharma B.V.

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Indications & Clinical Uses

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

  • Major depressive disorder: reduces depressive symptoms and improves mood and functional outcomes.
  • Treatment‑resistant depression: may be considered when first‑line agents have been ineffective.
  • Depression with insomnia or loss of appetite: helps improve sleep quality and stimulate appetite.

How It Works

  • Mirtazapine blocks central presynaptic α2‑adrenergic receptors, increasing the release of norepinephrine and serotonin. It also antagonizes postsynaptic 5‑HT2 and 5‑HT3 receptors and strongly blocks histamine H1 receptors, which contributes to its antidepressant and sedative effects. These mechanisms result in a rapid increase in synaptic catecholamines and serotonin, which underlies its therapeutic efficacy in depression.

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
  • Seizures
  • Severe hypersensitivity reactions (e.g., Stevens‑Johnson syndrome)
  • Emergence of suicidal thoughts, especially early in treatment

Precautions & Warnings

When prescribing mirtazapine, clinicians should observe several precautionary measures to ensure patient safety.

  • Assess hepatic function: evaluate liver enzymes before initiating therapy.
  • Monitor weight: due to potential significant weight gain.
  • Screen for suicidal ideation: especially during the first weeks of treatment.
  • Use caution in the elderly: higher risk of sedation, falls, and orthostatic hypotension.
  • Avoid abrupt discontinuation: taper the dose under medical supervision to prevent withdrawal symptoms.
  • Store at ambient temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Mirtazapine can interact with other medicines, altering its effectiveness or increasing risk of adverse events.

Major Interactions (Avoid)

  • MAO inhibitors: concurrent use may cause hypertensive crisis or serotonin syndrome.
  • CNS depressants (e.g., benzodiazepines, alcohol): additive sedation and respiratory depression.
  • Other serotonergic agents (e.g., SSRIs, SNRIs, tramadol): risk of serotonin syndrome.

Moderate Interactions (Monitor Closely)

  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine): may raise mirtazapine plasma levels.
  • Antihypertensive drugs: enhanced hypotensive effect leading to dizziness or fainting.
  • Lithium: possible increase in neurotoxicity and lithium levels.

Frequently Asked Questions

Mirtazapine Aurobindo is a prescription oral antidepressant indicated 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, thereby improving overall functional capacity.

Mirtazapine works by blocking presynaptic α2‑adrenergic receptors, which increases the release of norepinephrine and serotonin. It also antagonizes postsynaptic 5‑HT2 and 5‑HT3 receptors and strongly blocks histamine H1 receptors, enhancing monoaminergic neurotransmission while providing sedative effects.

The appropriate dose of mirtazapine is determined by the prescribing clinician based on the individual patient's clinical condition, response, and tolerability. Dosage adjustments are made according to professional guidelines and patient-specific factors; patients should follow the prescriber’s instructions.

Safety data for mirtazapine in pregnancy and lactation are limited, and the medication is generally classified as contraindicated unless the potential benefit outweighs the risk. Women who are pregnant, planning pregnancy, or breastfeeding should discuss alternatives and risks with their healthcare provider.

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, whereas SSRIs primarily inhibit serotonin reuptake. Mirtazapine often causes sedation and weight gain, which can be advantageous for patients with insomnia or poor appetite, while SSRIs are generally activating and have a different side‑effect profile. Choice depends on individual patient needs and tolerability.

Mirtazapine Aurobindo should be stored at ambient temperature, below 25 °C, in the original packaging. Protect the product from moisture, direct sunlight, and excessive heat to maintain its stability and potency throughout its shelf life.

Mirtazapine Aurobindo is taken orally, usually once daily in the evening to take advantage of 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 the rare occurrence of agranulocytosis or severe neutropenia, seizures, severe hypersensitivity reactions such as Stevens‑Johnson syndrome, and the emergence or worsening of suicidal thoughts, particularly during the initial weeks of therapy.

Mirtazapine should be avoided in patients who are currently taking monoamine oxidase inhibitors, have a known hypersensitivity to the drug, or have uncontrolled severe medical conditions that could be aggravated by its sedative or metabolic effects. A thorough medical review is required before initiation.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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