Product image of Mirtazapine Sandoz 30 (Mirtazapine) supplied by GNH India

Mirtazapine Sandoz 30

Active Ingredient:
Mirtazapine
Origin:
EU

Mirtazapine Sandoz 30 (Mirtazapine)

Mirtazapine, the active ingredient in Mirtazapine Sandoz 30, is a noradrenergic and specific serotonergic antidepressant (NaSSA) presented as a 30 mg tablet for oral use. It is indicated for the treatment of major depressive disorder in adult patients.

GNH India supplies Mirtazapine Sandoz 30 as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation for global distribution. Products are manufactured under EU GMP guidelines and undergo rigorous batch release testing.

Manufacturer / TM Owner

Sandoz B.V.

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Indications & Clinical Uses

Mirtazapine, a noradrenergic and specific serotonergic antidepressant, is used primarily in the management of depressive disorders.

  • Major depressive disorder: reduces depressive symptoms and improves overall mood in adults.
  • Depressive episodes associated with major depressive disorder: alleviates core symptoms such as low energy and anhedonia.
  • Adjunctive treatment of anxiety symptoms in depressive disorders: may help reduce associated anxiety and improve sleep.

How It Works

  • Mirtazapine acts as an antagonist at central presynaptic α2‑adrenergic receptors, increasing norepinephrine release, and blocks serotonergic 5‑HT2 and 5‑HT3 receptors while antagonising H1 receptors. This combined activity enhances serotonergic and noradrenergic neurotransmission, contributing to its antidepressant effects.

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.
  • Fatigue.

Serious or Rare Side Effects

  • Agranulocytosis or severe neutropenia.
  • Severe allergic reactions such as anaphylaxis.
  • Seizures.
  • Emergence or worsening of suicidal thoughts.
  • Hepatic dysfunction.

Precautions & Warnings

Before prescribing mirtazapine, clinicians should consider several safety aspects.

  • Assess psychiatric history: evaluate for suicidal ideation before initiating therapy.
  • Monitor weight: watch for significant weight gain during treatment.
  • Check liver function: adjust use in patients with hepatic impairment.
  • Caution in elderly: increased risk of sedation, falls, and orthostatic hypotension.
  • Avoid abrupt discontinuation: taper under medical supervision to reduce withdrawal effects.
  • Store at ambient temperature: keep below 25 °C, in the original packaging, and protect from moisture and light.

Avoid Interactions

Mirtazapine can interact with several drug classes, requiring careful management.

Major Interactions (Avoid)

  • MAO inhibitors: risk of hypertensive crisis.
  • CNS depressants (e.g., benzodiazepines, alcohol): enhanced sedation.
  • Serotonergic agents (e.g., SSRIs, SNRIs, tramadol): potential serotonin syndrome.

Moderate Interactions (Monitor Closely)

  • CYP2D6 inhibitors (e.g., fluoxetine): may increase mirtazapine plasma levels.
  • CYP3A4 inducers (e.g., carbamazepine): may reduce therapeutic efficacy.
  • Antihistamines: additive anticholinergic effects may increase sedation.

Frequently Asked Questions

Mirtazapine Sandoz 30 is a prescription tablet containing the antidepressant mirtazapine. It is primarily indicated for the treatment of major depressive disorder in adult patients, helping to alleviate depressive symptoms and improve mood.

Mirtazapine works by blocking presynaptic α2‑adrenergic receptors, which increases norepinephrine release, and by antagonising serotonergic 5‑HT2 and 5‑HT3 receptors as well as H1 histamine receptors. This combined action enhances serotonergic and noradrenergic neurotransmission, contributing to its antidepressant effect.

The appropriate dose of Mirtazapine Sandoz 30 is determined by the prescribing clinician based on the individual patient's condition, response, and tolerability. Dosage adjustments are made according to clinical judgment and patient needs.

The safety of mirtazapine in pregnancy and lactation has not been definitively established. Healthcare providers should weigh potential benefits against possible risks and consider alternative treatments when appropriate.

To order, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams across international markets, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Mirtazapine belongs to the NaSSA class, differing from SSRIs and SNRIs by its combined noradrenergic and specific serotonergic activity and strong antihistamine effect. This profile often results in pronounced sedation and weight gain, which can be advantageous for patients with insomnia or appetite loss, but may be less suitable for those concerned about these side effects.

Store the tablets at ambient temperature, preferably below 25 °C. Keep them in the original blister pack or container, protect from moisture and direct light, and ensure they are out of reach of children.

Mirtazapine Sandoz 30 is taken orally, usually once daily in the evening with or without food, as directed by a healthcare professional. Swallow the tablet whole; do not crush or chew unless specifically instructed.

Serious risks include agranulocytosis or severe neutropenia, severe allergic reactions such as anaphylaxis, seizures, and the potential for emergence or worsening of suicidal thoughts, particularly during early treatment or dose changes.

Mirtazapine should be avoided in patients with known hypersensitivity to the drug, those currently taking monoamine oxidase inhibitors, or individuals with a history of severe hepatic impairment without appropriate medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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