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, D.D., Novo Mesto

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Indications & Clinical Uses

  • Mirtazapine is a NaSSA antidepressant that acts on depressive disorders and related symptom clusters.
  • Major depressive disorder: improves mood, sleep and appetite in adult patients.
  • Depressive episodes with insomnia: provides sedative effect that can aid sleep while treating depression.
  • Depressive episodes with anxiety: reduces anxiety symptoms alongside core depressive relief.

How It Works

  • Mirtazapine antagonizes central presynaptic α2‑adrenergic receptors, enhancing noradrenergic release, and blocks serotonin 5‑HT2 and 5‑HT3 receptors while strongly inhibiting H1 histamine receptors. This combined activity increases noradrenergic and serotonergic neurotransmission, leading to antidepressant and anxiolytic effects.

Side Effects

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

Common Side Effects

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

Serious or Rare Side Effects

  • Agranulocytosis or severe neutropenia
  • Seizures
  • Hepatic injury or jaundice
  • Suicidal thoughts or behavior
  • Severe hypersensitivity reactions (e.g., Stevens‑Johnson syndrome)
  • Orthostatic hypotension

Precautions & Warnings

  • Before initiating therapy, clinicians should consider several safety aspects.
  • Monitor weight: patients often experience increased appetite and weight gain.
  • Assess hepatic function: use with caution in patients with liver impairment.
  • Screen for suicidal ideation: especially during early treatment phases.
  • Avoid abrupt discontinuation: taper dose to reduce withdrawal symptoms.
  • Store at ambient temperature: keep below 25 °C, retain in original packaging, and protect from moisture.

Avoid Interactions

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

Major Interactions (Avoid)

  • MAO inhibitors: risk of hypertensive crisis; avoid concurrent use.
  • Linezolid or other reversible MAO inhibitors: potential serotonin syndrome.
  • Other serotonergic antidepressants: increased serotonin syndrome risk.

Moderate Interactions (Monitor Closely)

  • CYP2D6 inhibitors (e.g., fluoxetine): may raise mirtazapine plasma levels.
  • CYP3A4 inducers (e.g., carbamazepine): may reduce therapeutic exposure.
  • Alcohol: can enhance central nervous system depression.

Frequently Asked Questions

Mirzaten contains mirtazapine, a NaSSA antidepressant prescribed primarily for the treatment of major depressive disorder in adults. It helps alleviate depressive symptoms such as low mood, loss of interest, sleep disturbances, and appetite changes.

Mirtazapine blocks presynaptic α2‑adrenergic receptors, increasing norepinephrine release, and antagonizes serotonin 5‑HT2 and 5‑HT3 receptors while strongly inhibiting H1 histamine receptors. This dual action enhances noradrenergic and serotonergic neurotransmission, producing antidepressant and anxiolytic effects.

The dose of Mirzaten is individualized. A qualified prescriber determines the appropriate starting dose and any subsequent adjustments based on the patient’s clinical response, tolerability, and overall health status.

Data on mirtazapine use during pregnancy and lactation are limited. It is generally recommended to avoid use unless the potential benefit outweighs the risk. Pregnant or nursing patients should discuss alternatives with their healthcare provider.

To order Mirzaten, 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.

Compared with selective serotonin reuptake inhibitors (SSRIs), mirtazapine offers a distinct receptor profile that often results in greater sedation and appetite stimulation, which can be advantageous for patients with insomnia or weight loss. However, its side‑effect spectrum differs, and individual response varies.

Mirzaten tablets should be stored at ambient temperature, preferably below 25 °C. Keep them in the original blister pack, protect from moisture and direct sunlight, and keep out of reach of children.

Mirzaten is taken orally, usually once daily in the evening. It can be swallowed with or without food, but taking it with a light snack may reduce gastrointestinal discomfort for some patients.

Serious risks include agranulocytosis or severe neutropenia, seizures, significant hepatic injury, emergence or worsening of suicidal thoughts, and rare hypersensitivity reactions such as Stevens‑Johnson syndrome. Patients should seek immediate medical attention if any of these occur.

Mirzaten should not be used by individuals with known hypersensitivity to mirtazapine or any of its excipients, and it is contraindicated in patients currently receiving monoamine oxidase inhibitors (MAOIs) or who have taken an MAOI within the past 14 days.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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