Product image of Mirzaten (Mirtazapine) supplied by GNH India

Mirzaten

Active Ingredient:
Mirtazapine
Origin:
EU

Mirzaten (Mirtazapine)

Mirtazapine, the active ingredient in Mirzaten, 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 Mirzaten as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Krka-Farma D.O.O.

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Indications & Clinical Uses

Mirtazapine belongs to the NaSSA class and is used to manage depressive disorders.

  • Major depressive disorder: reduces depressive symptoms and improves mood in adults.
  • Depression with anxiety features: alleviates both depressive and anxiety symptoms.
  • Treatment‑resistant depression (adjunct): may be added when first‑line agents are insufficient.

How It Works

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

Side Effects

Mirtazapine may cause a range of adverse reactions.

Common Side Effects

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

Serious or Rare Side Effects

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

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety aspects.

  • Hepatic function: assess liver status, especially in patients with existing liver disease.
  • Weight monitoring: track changes due to increased appetite.
  • Elderly patients: use caution because of heightened risk of sedation and falls.
  • Discontinuation: avoid abrupt cessation to reduce risk of withdrawal symptoms.
  • Bipolar disorder: monitor for possible activation of manic episodes.
  • Store at ambient temperature: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Mirtazapine can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of severe serotonin syndrome.
  • Other serotonergic agents (e.g., SSRIs, SNRIs, tramadol): increase serotonin toxicity.
  • Central nervous system depressants (e.g., benzodiazepines, alcohol): enhanced sedation.

Moderate Interactions (Monitor Closely)

  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine): may raise mirtazapine levels.
  • Antihypertensives: additive hypotensive effect.
  • Anticholinergic drugs: heightened anticholinergic burden.
  • Carbamazepine: may reduce mirtazapine concentration.
  • Warfarin: monitor INR for possible alteration.

Frequently Asked Questions

Mirzaten contains the generic drug mirtazapine and is used primarily to treat major depressive disorder in adult patients. It may also help alleviate depressive symptoms that are accompanied by anxiety and can be considered as an adjunct in cases where first‑line antidepressants have not achieved sufficient response.

Mirtazapine works by blocking presynaptic α2‑adrenergic receptors, which increases the release of norepinephrine. It also antagonizes several serotonin receptors (5‑HT2 and 5‑HT3) and the histamine H1 receptor, resulting in enhanced serotonergic and noradrenergic neurotransmission while providing sedative and appetite‑stimulating effects.

The dose of Mirzaten is determined by the prescribing clinician based on the individual’s clinical condition, response, and tolerability. The prescriber will select the appropriate strength and dosing schedule, which may be adjusted over time as needed.

The safety of mirtazapine in pregnancy and lactation has not been definitively established. Healthcare providers should weigh the potential benefits against possible risks and consider alternative treatments when appropriate. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss their situation with a qualified medical professional.

To place an order, submit an enquiry on the Mirzaten product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, and will request verification of trade or institutional credentials. After verification, the team will provide pricing, availability, shipping details, and any necessary import documentation.

Compared with selective serotonin reuptake inhibitors (SSRIs), mirtazapine has a distinct mechanism that includes antihistaminic activity, often leading to sedation and weight gain. It may be preferred when patients experience insomnia or poor appetite, whereas SSRIs are generally less sedating. Choice of therapy depends on individual symptom profile, side‑effect tolerance, and clinical judgment.

Mirzaten tablets should be stored at ambient temperature, below 25 °C, in their original container to protect from moisture and light. Keep the product out of reach of children and avoid storing in humid environments such as bathrooms.

Mirzaten 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, which can lead to infections, as well as the emergence of suicidal thoughts or behaviors, especially when therapy is initiated or dosage is changed. Rarely, hypersensitivity reactions, hepatic dysfunction, and serotonin syndrome (when combined with other serotonergic drugs) may occur.

Mirzaten is contraindicated in patients with known hypersensitivity to mirtazapine or any of its excipients. It should also be avoided in individuals currently taking monoamine oxidase inhibitors (MAOIs) or those who have experienced severe adverse reactions to similar antidepressants. Clinicians should assess each patient’s medical history before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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