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

Mirtazapine Biogaran

Active Ingredient:
Mirtazapine
Origin:
EU

Mirtazapine Biogaran (Mirtazapine)

Mirtazapine, the active ingredient in Mirtazapine Biogaran, is a tetracyclic antidepressant presented as a tablet for oral use. It treats major depressive disorder in adult patients and is prescribed when improvement of mood, sleep and appetite is needed.

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

Manufacturer / TM Owner

Biogaran

1
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Indications & Clinical Uses

Mirtazapine acts on central neurotransmitter systems involved in mood regulation and is indicated for several depressive conditions.

  • Major depressive disorder: reduces depressive symptoms and improves overall mood.
  • Depressive episodes in bipolar disorder (adjunct): helps alleviate depressive phase when used with mood stabilisers.
  • Depression with insomnia or loss of appetite: improves sleep quality and stimulates appetite, supporting nutritional status.

How It Works

  • Mirtazapine antagonises central presynaptic α2‑adrenergic receptors, thereby increasing noradrenergic release, and blocks 5‑HT2, 5‑HT3 and histamine H1 receptors. This combined action enhances serotonergic and noradrenergic neurotransmission while producing sedative and appetite‑stimulating effects, contributing to its antidepressant profile.

Side Effects

Mirtazapine may cause a range of adverse reactions, from mild to serious.

Common Side Effects

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

Serious or Rare Side Effects

  • Agranulocytosis or severe neutropenia.
  • Seizures, particularly in predisposed individuals.
  • Hepatic dysfunction or jaundice.
  • Severe hypotension or orthostatic collapse.

Precautions & Warnings

Before initiating therapy, clinicians should evaluate specific risk factors and monitor patients appropriately.

  • Pregnancy: avoid unless benefits outweigh potential risks to the fetus.
  • Elderly patients: start at low dose and monitor for excessive sedation.
  • Concomitant CNS depressants: increased risk of profound drowsiness.
  • History of bipolar disorder: monitor for emergence of manic symptoms.
  • Store at ambient temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Mirtazapine can interact with several drug classes; some combinations should be avoided while others require close monitoring.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of hypertensive crisis.
  • Other central nervous system depressants (e.g., benzodiazepines, opioids): may cause profound sedation.
  • Serotonergic agents (e.g., SSRIs, SNRIs, triptans): increased risk of serotonin syndrome.

Moderate Interactions (Monitor Closely)

  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine): may raise mirtazapine plasma levels.
  • Alcohol: additive CNS depression and impaired coordination.
  • Antihistamines: may enhance sedative effects.

Frequently Asked Questions

Mirtazapine Biogaran is prescribed for the treatment of major depressive disorder in adults. It helps alleviate depressive symptoms such as low mood, loss of interest, sleep disturbances, and reduced appetite, supporting overall functional recovery.

Mirtazapine works by blocking presynaptic α2‑adrenergic receptors, which increases the release of norepinephrine and serotonin. It also antagonises 5‑HT2, 5‑HT3 and histamine H1 receptors, enhancing serotonergic activity while providing sedative and appetite‑stimulating effects.

The appropriate dose of mirtazapine is determined by the prescribing clinician based on the individual’s clinical condition, response, and tolerability. Dosage adjustments are made during treatment to achieve optimal therapeutic effect.

Mirtazapine is classified as a pregnancy category where use is only recommended if the potential benefit justifies the potential risk to the fetus. It is excreted in breast milk, so breastfeeding mothers should discuss risks and alternatives with their healthcare provider.

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 often produces stronger sedative and appetite‑stimulating effects, which can be advantageous for patients with insomnia or weight loss. Its distinct receptor profile may result in a different side‑effect spectrum, making it a useful alternative when SSRIs are not tolerated.

Store the tablets at ambient temperature, preferably below 25 °C. Keep them in the original blister or container, protect from moisture and direct sunlight, and ensure the packaging remains tightly closed until use.

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

Serious risks include agranulocytosis, severe hepatic dysfunction, seizures, and rare cases of profound hypotension. Patients should be monitored for signs of infection, liver abnormalities, unexplained seizures or sudden drops in blood pressure, and seek immediate medical attention if these occur.

Mirtazapine is contraindicated in individuals who have taken a monoamine oxidase inhibitor within the past 14 days, those with known hypersensitivity to the drug, and patients with severe hepatic impairment. Caution is also advised for patients with a history of bipolar disorder, as it may precipitate mania.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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