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

Mirtazapine Eg

Active Ingredient:
Mirtazapine
Origin:
EU

Mirtazapine Eg (Mirtazapine)

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

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

Manufacturer / TM Owner

Eg Labo Laboratoires Eurogenerics

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Indications & Clinical Uses

  • Mirtazapine acts on noradrenergic and serotonergic pathways to alleviate depressive conditions.
  • Major depressive disorder: reduces depressive symptoms and improves mood in adults.
  • Depressive episodes in bipolar disorder: may be used as adjunct therapy under specialist supervision.
  • Anxiety associated with depression: can help improve sleep and lessen anxiety symptoms.

How It Works

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

Side Effects

Mirtazapine is associated with a range of adverse reactions that vary in frequency and severity.

Common Side Effects

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

Serious or Rare Side Effects

  • Agranulocytosis or severe neutropenia
  • Suicidal thoughts or behavior
  • Serotonin syndrome when combined with other serotonergic agents
  • Severe hypersensitivity reactions (rash, angioedema)
  • Hepatic dysfunction or jaundice
  • Unexplained bleeding or bruising

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety aspects.

  • Hepatic function: assess liver enzymes in patients with hepatic impairment.
  • Mood monitoring: watch for worsening depression or emergence of suicidal ideation.
  • Elderly patients: start at low dose and monitor for excessive sedation.
  • Concomitant CNS depressants: avoid additive sedation and respiratory depression.
  • Discontinuation: taper gradually to reduce risk of withdrawal 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, requiring careful management.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of hypertensive crisis or serotonin syndrome.
  • Other serotonergic agents (SSRIs, SNRIs, tramadol): increased risk of serotonin syndrome.
  • CNS depressants (benzodiazepines, alcohol): enhanced sedation and respiratory depression.
  • Strong CYP2D6 inhibitors (paroxetine, fluoxetine): may raise mirtazapine plasma levels.

Moderate Interactions (Monitor Closely)

  • Antihypertensive drugs: additive hypotensive effect.
  • Anticholinergic medications: heightened anticholinergic burden.
  • NSAIDs or anticoagulants: potential for increased gastrointestinal bleeding.

Frequently Asked Questions

Mirtazapine Eg contains the active ingredient mirtazapine, which is prescribed primarily for the treatment of major depressive disorder in adult patients. It helps alleviate depressive symptoms and improve overall mood.

Mirtazapine works by blocking presynaptic α2‑adrenergic receptors, which increases the release of norepinephrine, and by antagonizing 5‑HT2 and 5‑HT3 receptors, enhancing serotonergic activity. It also blocks H1 histamine receptors, contributing to its sedative properties.

The appropriate dose of Mirtazapine Eg is determined by the prescribing healthcare professional based on the individual’s clinical condition, response to therapy, and tolerability. Patients should follow the prescriber’s instructions and not adjust the dose on their own.

Safety data for mirtazapine in pregnancy and lactation are limited. Healthcare providers should weigh the potential benefits against possible risks before prescribing it to pregnant or nursing women. The decision is made on a case‑by‑case basis.

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.

Mirtazapine belongs to the NaSSA class, differing from SSRIs and SNRIs by its dual antagonism of α2‑adrenergic and certain serotonin receptors. This mechanism often results in strong sedative and appetite‑stimulating effects, which can be advantageous for patients with insomnia or weight loss, but may be less suitable for those concerned about weight gain.

Mirtazapine Eg should be stored at ambient temperature, below 25 °C, in its original packaging. Keep it away from moisture, direct sunlight, and out of reach of children.

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

Serious risks include the potential for suicidal thoughts, especially when therapy is initiated or dosage is changed, agranulocytosis, severe hypersensitivity reactions, and serotonin syndrome when combined with other serotonergic drugs. Patients should seek immediate medical attention if any of these occur.

Mirtazapine should be avoided in individuals who have a known hypersensitivity to the drug or any of its excipients, those currently taking monoamine oxidase inhibitors, or patients with uncontrolled severe liver disease. It should also be used with caution in the elderly and in patients with a history of bipolar disorder.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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