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 tetracyclic antidepressant presented as an oral formulation for oral use. It treats major depressive disorder in adults and is prescribed when improvement of mood, sleep and appetite is needed.

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 tetracyclic antidepressant that acts on multiple neurotransmitter pathways to alleviate depressive conditions.

  • Major depressive disorder: reduces depressive symptoms and improves overall mood in adult patients.
  • Depressive episodes with insomnia: promotes sleep continuity and quality.
  • Depression with loss of appetite or weight loss: may increase appetite and lead to modest weight gain.

How It Works

  • Mirtazapine antagonizes central presynaptic α2‑adrenergic receptors, enhancing noradrenergic release, and blocks 5‑HT2, 5‑HT3 and histamine H1 receptors, resulting in increased serotonergic and noradrenergic neurotransmission and sedation, which together improve depressive symptoms.

Side Effects

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

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
  • Hepatic dysfunction or jaundice
  • Severe hypersensitivity reactions (e.g., Stevens‑Johnson syndrome)
  • Suicidal thoughts or behavior, especially early in treatment
  • Seizures
  • Unexplained fever or rash

Precautions & Warnings

Before initiating therapy, clinicians should evaluate patient history and monitor for specific risks.

  • Assess depression severity: ensure accurate diagnosis and consider suicide risk.
  • Monitor for suicidal ideation: especially during the first weeks of treatment.
  • Use caution in hepatic impairment: dose adjustments may be required.
  • Use caution in elderly patients: increased sensitivity to sedation and falls.
  • Avoid abrupt discontinuation: taper gradually to reduce withdrawal symptoms.
  • Store at ambient temperature: keep in the original packaging, 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 serotonin syndrome.
  • CNS depressants (e.g., benzodiazepines, opioids): additive sedation and respiratory depression.
  • Strong CYP1A2 inhibitors (e.g., fluvoxamine): may increase mirtazapine plasma levels.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., carbamazepine, phenytoin): may reduce efficacy.
  • Other serotonergic agents (e.g., SSRIs, SNRIs, tramadol): monitor for serotonin syndrome.
  • Anticholinergic drugs: may exacerbate dry mouth and constipation.

Frequently Asked Questions

Mirzaten contains the active ingredient mirtazapine and is prescribed to treat major depressive disorder in adult patients. It helps improve mood, sleep quality, and appetite, addressing core symptoms of depression.

Mirtazapine works by blocking presynaptic α2‑adrenergic receptors, which increases the release of norepinephrine and serotonin. It also antagonizes 5‑HT2, 5‑HT3 and histamine H1 receptors, enhancing serotonergic activity while producing sedative effects that can improve sleep.

The appropriate dose of Mirzaten is determined by the prescribing clinician based on the individual’s medical condition, response to therapy, and tolerability. Patients should follow the dosage instructions provided by their healthcare professional.

Safety data for mirtazapine in pregnancy and lactation are limited. The prescriber must weigh potential benefits against possible risks to the fetus or infant. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss treatment options with their doctor.

To request 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 has a distinct receptor profile that often results in stronger sedative and appetite‑stimulating effects. This can be advantageous for patients with insomnia or weight loss, but may be less suitable for those who wish to avoid sedation.

Mirzaten should be stored at ambient temperature, below 25 °C, in its original packaging. Keep the product away from moisture, heat and direct sunlight to maintain stability and potency.

Mirzaten is taken orally, usually once daily in the evening to take advantage of 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 agranulocytosis or severe neutropenia, hepatic dysfunction, severe hypersensitivity reactions such as Stevens‑Johnson syndrome, and the emergence or worsening of suicidal thoughts, particularly during the initial weeks of therapy.

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 with uncontrolled severe hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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