Product image of Motofen (Mirtazapine) supplied by GNH India

Motofen

Active Ingredient:
Mirtazapine
Origin:
EU

Motofen (Mirtazapine)

Mirtazapine, the active ingredient in Motofen, is a NaSSA (noradrenergic and specific serotonergic antidepressant) presented as an oral tablet for oral use. It is prescribed for major depressive disorder in adult patients.
GNH India supplies Motofen as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Norma Hellas S.A.

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Indications & Clinical Uses

Mirtazapine, marketed as Motofen, is indicated for conditions within the major depressive disorder therapeutic pathway.

  • Major depressive disorder: alleviates depressive symptoms and improves overall mood.

How It Works

  • Mirtazapine antagonizes central presynaptic α2‑adrenergic receptors, which enhances norepinephrine release, and blocks serotonergic 5‑HT2 and 5‑HT3 receptors as well as histamine H1 receptors. This combined action increases synaptic concentrations of norepinephrine and serotonin, contributing to its antidepressant effect.

Side Effects

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

Common Side Effects

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

Serious or Rare Side Effects

  • Agranulocytosis
  • Severe neutropenia
  • Hepatotoxicity
  • Seizures
  • Suicidal thoughts or behavior
  • Hyponatremia (low sodium levels)

Precautions & Warnings

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

  • Pregnancy: safety not established; weigh benefits against potential risks.
  • Breastfeeding: mirtazapine passes into milk; consider alternative therapy.
  • Hepatic impairment: dose adjustment may be required.
  • Elderly patients: increased sensitivity to sedation and falls.
  • Concomitant CNS depressants: monitor for enhanced sedation.
  • Store at ambient temperature: keep in original container, 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): profound sedation.
  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine): increased mirtazapine levels.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (e.g., warfarin): possible alteration of INR.
  • Anticholinergic agents: additive dry mouth and constipation.
  • Other serotonergic drugs: monitor for serotonin syndrome.

Frequently Asked Questions

Motofen contains the active ingredient mirtazapine and is used to treat major depressive disorder in adult patients. It helps alleviate depressive symptoms and improve mood by influencing neurotransmitter activity in the brain.

Mirtazapine works by blocking presynaptic α2‑adrenergic receptors, which increases norepinephrine release, and by antagonizing serotonergic 5‑HT2 and 5‑HT3 receptors as well as histamine H1 receptors. This results in higher levels of norepinephrine and serotonin, producing an antidepressant effect.

The appropriate dose of Motofen is determined by the prescribing clinician based on the individual’s medical 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. The prescriber should evaluate the potential benefits against possible risks to the fetus or infant before initiating therapy. Breastfeeding mothers should discuss alternatives with their healthcare provider.

To order Motofen, 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.

Motofen (mirtazapine) belongs to the NaSSA class, differing from SSRIs and SNRIs by its dual antagonism of α2‑adrenergic and specific serotonergic receptors. This mechanism can lead to distinct side‑effect profiles, such as higher sedation and appetite stimulation, which may be advantageous or disadvantageous depending on patient needs.

Motofen should be stored at ambient temperature, below 25 °C, in its original packaging. Protect the tablets from moisture, excessive heat, and direct sunlight to maintain potency and stability.

Motofen is taken orally, usually once daily in the evening, with or without food, as directed by the prescriber. Swallow the tablet whole with a glass of water; do not crush or chew unless specifically instructed.

Serious risks include agranulocytosis, severe neutropenia, hepatotoxicity, seizures, hyponatremia, and the emergence or worsening of suicidal thoughts. Patients should be monitored regularly for these rare but potentially life‑threatening events.

Motofen 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 severe hepatic impairment without appropriate dose adjustment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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