Mirtaz 7.5 Tablet (Mirtazapine 7.5 mg): Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Thoughts of harming yourself or others
- Severe allergic reaction with swelling of face, lips, or throat
- Difficulty breathing or chest pain
- Severe skin rash with blistering or peeling
- High fever with muscle rigidity and confusion
- Yellowing of eyes or skin, dark urine
- Seizures or loss of consciousness
- Irregular heartbeat or fainting
If experiencing severe symptoms, call emergency services immediately.
What is exzipin tablet used for?
This medicine is an antidepressant containing mirtazapine 7.5 mg. It is used to treat depression, often when accompanied by insomnia or poor appetite. It works by increasing certain chemicals in the brain. Take it at bedtime as prescribed. Do not stop suddenly.
- Generic Name: Mirtazapine (7.5mg)
- Manufacturer: Lezivia Life Sciences
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 exzipin tablet के बारे में (Hindi Summary)
उपयोग: यह दवा मिर्टाज़ापिन 7.5 मिलीग्राम युक्त एक एंटीडिप्रेसेंट है। इसका उपयोग अवसाद (डिप्रेशन) के इलाज के लिए किया जाता है, खासकर जब नींद न आने या भूख कम लगने की समस्या हो। यह मस्तिष्क में नॉरएड्रेनालाईन और सेरोटोनिन जैसे रसायनों के स्तर को संतुलित करके मूड को बेहतर बनाने में मदद करती है। यह दवा आमतौर पर रात को सोने से पहले ली जाती है क्योंकि यह नींद लाने में मदद करती है। इसका सेवन डॉक्टर के निर्देशानुसार ही करें। इसे अचानक बंद न करें, क्योंकि इससे withdrawal के लक्षण हो सकते हैं।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में नींद आना, भूख बढ़ना, वजन बढ़ना, मुँह सूखना, कब्ज और चक्कर आना शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आपको एलर्जी, सांस लेने में कठिनाई, दौरे, या मानसिक भ्रम जैसी समस्या हो तो तुरंत डॉक्टर से संपर्क करें। इस दवा को शराब के साथ न लें।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को गर्भावस्था, स्तनपान, या किसी अन्य बीमारी के बारे में बताएं। इस दवा को लेते समय वाहन चलाने या मशीनरी चलाने से बचें क्योंकि यह नींद और चक्कर ला सकती है। शराब का सेवन पूरी तरह बंद कर दें। दवा को डॉक्टर के बताए अनुसार ही लें, और इसे अचानक बंद न करें। अगर आपको कोई गंभीर दुष्प्रभाव दिखे तो तुरंत डॉक्टर से मिलें।
💊 exzipin tablet Uses & Benefits
- [{"condition":"Major depressive disorder","description":"This medicine is used to treat depression by improving mood, sleep, and appetite.
- It is particularly helpful when depression is accompanied by insomnia or weight loss.","evidence":"Well-established"},{"condition":"Depression with anxiety features","description":"It may be prescribed when depression occurs together with anxiety symptoms, as it can have a calming effect.","evidence":"Well-established"},{"condition":"Insomnia associated with depression","description":"Because of its sedating properties, this medicine is often used when depression includes difficulty falling or staying asleep.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Generalized anxiety disorder","description":"Sometimes prescribed off-label for anxiety, but it is not a first-line treatment.","evidence":"Limited"},{"condition":"Post-traumatic stress disorder (PTSD) with insomnia","description":"May be used off-label to help with sleep problems in PTSD, but evidence is limited.","evidence":"Limited"},{"condition":"Cancer-related anorexia and weight loss","description":"Occasionally used off-label to stimulate appetite and promote weight gain in cancer patients.","evidence":"Limited"}]
Primary treatment for: Major depressive disorder
Also treats: Depression with anxiety, Insomnia associated with depression, Cancer-related anorexia
📋 Drug Information
| Generic Name(s) | Mirtazapine (7.5mg) |
| Brand Name | exzipin tablet |
| Manufacturer | Lezivia Life Sciences |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Noradrenergic and specific serotonergic antidepressants (NASSAs) |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by blocking certain receptors in the brain. It is an antagonist at central presynaptic alpha-2 adrenergic inhibitory autoreceptors and heteroreceptors, which increases the release of noradrenaline and serotonin. It also blocks serotonin 5-HT2 and 5-HT3 receptors, as well as histamine H1 receptors. This combination of actions is thought to contribute to its antidepressant effects and its ability to improve sleep and appetite.
Mechanism Steps
💡 How to Take exzipin tablet
Strength: Mirtazapine 7.5 mg immediate-release tablet
Dosage Information
| Adult Dosage | The usual starting dose of this medicine for adults is 15 mg once daily at bedtime. The dose may be increased by your doctor based on your response and tolerability, typically up to a maximum of 45 mg per day. For elderly patients or those with kidney or liver problems, a lower starting dose such as 7.5 mg may be used. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not change your dose without consulting your doctor. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of this medicine, especially drowsiness, dizziness, and low sodium levels. A lower starting dose, such as 7.5 mg once daily at bedtime, is often recommended. The dose may be adjusted based on response and tolerability. Close monitoring is advised. |
| Renal Impairment | In patients with moderate to severe renal impairment, the clearance of this medicine may be reduced. A lower starting dose and careful titration are recommended. Consult your doctor for individualized dosing. |
| Hepatic Impairment | In patients with hepatic impairment, the clearance of this medicine may be reduced. A lower starting dose and careful titration are recommended. Consult your doctor for individualized dosing. |
| Maximum Daily Dose | 45 mg per day |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of exzipin tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| MAOIs | Major | |
| SSRIs/SNRIs | Major | |
| Tramadol | Major | |
| Alcohol | Major | |
| Ketoconazole | Moderate | |
| Rifampin | Moderate | |
| Benzodiazepines | Moderate | |
| Warfarin | Moderate | |
| Antihistamines | Minor | |
| Opioids | Minor |
🚨 Major Interactions
- Monoamine oxidase inhibitors (MAOIs)
- Other serotonergic drugs (e.g., SSRIs, SNRIs, triptans, tramadol)
- Alcohol
⚡ Moderate Interactions
- CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin)
- CYP3A4 inducers (e.g., rifampin, carbamazepine)
- Benzodiazepines
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine because it can increase drowsiness, dizziness, and impair your ability to think and react. It may also worsen the side effects of this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to mirtazapine or any component of the tablet","Concurrent use with monoamine oxidase inhibitors (MAOIs) or within 14 days of stopping an MAOI","Recent myocardial infarction or unstable angina","Uncontrolled narrow-angle glaucoma","Severe hepatic impairment"]
⚠️ Warnings & Precautions
["May cause drowsiness and impair ability to drive or operate machinery. Avoid until you know how it affects you.","May increase appetite and cause weight gain. Monitor your weight and diet.","May cause dizziness upon standing. Rise slowly from sitting or lying positions.","Do not stop this medicine abruptly as it can cause withdrawal symptoms. Taper gradually under medical supervision.","May worsen depression or increase suicidal thoughts, especially in young adults. Close monitoring is required.","Use with caution in patients with bipolar disorder as it may trigger mania.","Use with caution in patients with liver or kidney disease. Dose adjustment may be needed.","May cause low sodium levels, especially in elderly. Monitor sodium levels.","Avoid alcohol while taking this medicine.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding."]
🤱 Lactation Safety
This medicine is excreted in breast milk. Breastfeeding is not recommended while taking this medicine unless the doctor advises otherwise. Consult your doctor to weigh the benefits and risks.
💊 Overdose Management
Overdose of this medicine may cause drowsiness, disorientation, tachycardia, and in severe cases, respiratory depression, seizures, and cardiac arrhythmias. If you suspect an overdose, seek immediate medical attention or contact a poison control center. Treatment is supportive and symptomatic. There is no specific antidote. Activated charcoal may be considered if taken within a few hours. Monitor vital signs and cardiac rhythm.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Before you start this medicine, tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding. This medicine may pass into breast milk, so your doctor will weigh the benefits and risks. Do not drive or operate heavy machinery until you know how this medicine affects you, as it can cause drowsiness and dizziness. Avoid alcohol completely while taking this medicine because it can increase drowsiness and impair your judgment. Take this medicine exactly as prescribed, usually once daily at bedtime, because it can make you sleepy. Do not crush, chew, or break the tablet unless your doctor says it is okay. If you miss a dose, take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Never double the dose. Keep all your medical appointments so your doctor can monitor your progress and check for any side effects. Do not stop this medicine suddenly, as this can cause withdrawal symptoms such as nausea, headache, and anxiety. Your doctor will usually reduce the dose gradually. Store this medicine at room temperature, away from moisture and heat, and keep it out of reach of children. If you experience any serious side effects, contact your doctor immediately or go to the nearest emergency department.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the side effects of this medicine, especially drowsiness, dizziness, and low sodium levels. A lower starting dose is often recommended. Regular monitoring of sodium levels and renal function is advised. Falls are a risk due to drowsiness and dizziness; take precautions to prevent falls.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss with your doctor before starting or continuing this medicine. The safety of this medicine during pregnancy is not fully established. Your doctor will weigh the benefits and risks and may consider alternative treatments. Do not stop the medicine suddenly without medical advice.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine before any surgery. It may interact with anesthetic agents and increase sedation. Your doctor may advise you to stop the medicine temporarily before surgery. Do not stop without medical advice.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. It may cause dry mouth, which can increase the risk of dental problems. Maintain good oral hygiene and stay hydrated. If you need sedation for dental work, inform the dentist about this medicine.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause drowsiness and dizziness, especially when you first start taking it. Avoid strenuous exercise or activities that require alertness until you know how it affects you. If you feel dizzy or lightheaded during exercise, stop and rest. Stay hydrated.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness and dizziness, which may affect your ability to drive or operate machinery. It is best to take it at bedtime to minimize daytime sedation. You may need to adjust your work schedule if you experience morning drowsiness. Discuss with your doctor if your work involves operating heavy machinery. With improvement in depression, your overall work performance and daily functioning may improve.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you need to stop, your doctor will gradually reduce the dose over several weeks to prevent withdrawal symptoms. Withdrawal symptoms may include nausea, headache, dizziness, anxiety, and insomnia. If you experience any of these, contact your doctor. In some cases, long-term maintenance therapy may be recommended to prevent relapse of depression.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to weight gain, increased appetite, and metabolic changes. Regular monitoring of weight, blood sugar, and lipid profile may be advised. Some patients may experience sexual dysfunction, though less common than with SSRIs. It is important to have regular follow-ups with your doctor to assess the continued need for the medicine and to monitor for any side effects. Do not stop the medicine without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A type of talk therapy that can be as effective as medication for mild to moderate depression and can complement medicine.
Evidence: Well-establishedPhysical activity can help improve mood and reduce symptoms of depression.
Evidence: Well-establishedThese practices can help reduce stress and improve emotional well-being.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled to receive a live vaccine, inform your doctor about all medicines you are taking.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from extreme heat or cold. If crossing time zones, consult your doctor about adjusting the timing of your dose. Do not stop taking the medicine during travel. Check local customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine may start helping with sleep within a few days, but the full antidepressant effect usually takes 1 to 4 weeks. It is important to continue taking it as prescribed.
A: No, do not stop suddenly even if you feel better. Stopping abruptly can cause withdrawal symptoms. Your doctor will gradually reduce the dose under supervision.
A: Weight gain is a common side effect of this medicine. You can manage it with a healthy diet and regular exercise. Consult your doctor if weight gain is excessive.
A: No, alcohol should be avoided while taking this medicine as it can increase drowsiness and impair your ability to think and react.
A: The safety of this medicine during pregnancy is not fully established. Consult your doctor to weigh the benefits and risks.
🤔 Common Patient Concerns
🔄 Substitutes for exzipin tablet
View AllAlternative brands with exact same active ingredient:
-
mirise 7.5mg tabletSunrise Remedies Pvt Ltd ₹32.81 50.3% CHEAPER
-
Mira 7.5mg TabletZoic Lifesciences ₹32.90 50.2% CHEAPER
-
miramind 7.5mg tabletTorrent Pharmaceuticals Ltd ₹33.00 50% CHEAPER
-
mizhra 7.5 mg tabletUSV Ltd ₹33.47 49.3% CHEAPER
-
mitrapil 7.5mg tabletPsychotropics India Ltd ₹34.66 47.5% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Mirtazapine is only for sleep.
Fact: Mirtazapine is an antidepressant that also helps with sleep, but its primary use is to treat depression. - Myth: You can stop mirtazapine whenever you want.
Fact: Stopping suddenly can cause withdrawal symptoms. Always taper under medical supervision. - Myth: Mirtazapine works immediately.
Fact: It may take 1 to 4 weeks for the full antidepressant effect, although sleep may improve sooner.
🔄 Alternative Options
Generic Alternatives
- Mirtazapine 7.5 mg tablet
Brand Alternatives
- Mirtaz 7.5 Tablet