Drugplain

Mirtazapine 7.5 mg/1

Mirtazapine · TABLET, FILM COATED · NCS HealthCare of KY, LLC dba Vangard Labs

9 Recalls on Record
Plain English

Mirtazapine is a tablet, film coated containing mirtazapine at 7.5 mg/1, taken oral. Manufactured by NCS HealthCare of KY, LLC dba Vangard Labs.

Key Facts

Brand Name
Mirtazapine
Generic Name
Mirtazapine
NDC Code (Product)
0615-8489
Manufacturer
NCS HealthCare of KY, LLC dba Vangard Labs
Strength
7.5 mg/1
Dosage Form
TABLET, FILM COATED
Route
ORAL
Marketing Status
Application #
ANDA076921
Marketing Start
10/22/2004

Recall History

9 Recalls on Record
Class II03/25/2016

Reliable Rexall-A Compounding Pharmacy

Lack of Processing Controls

TerminatedVoluntary: Firm initiated
Class II01/19/2017

Mylan Pharmaceuticals Inc.

Presence of Foreign Tablets/Capsules; possibility of Glipizide 10 mg tablet in bottle

TerminatedVoluntary: Firm initiated
Class I11/20/2019

AuroMedics Pharma LLC

Labeling: Label Error on Declared Strength; cases labelled Mirtazapine 15mg tablets, 500-count bottles, contain 500-count bottles of Mirtazapine 15mg tablets labelled as Mirtazapine 7.5 mg tablets.

TerminatedVoluntary: Firm initiated
Class II07/02/2013

Aidapak Services, LLC

Labeling:Label Mixup; MIRTAZAPINE Tablet, 7.5 mg may be potentially mislabeled as BROMOCRIPTINE MESYLATE, Tablet, 2.5 mg, NDC 00574010603, Pedigree: AD73525_40, EXP: 5/30/2014; DULoxetine HCl DR, Capsule, 20 mg, NDC 00002323560, Pedigree: W003005, EXP: 6/11/2014; carBAMazepine ER, Tablet, 100 mg, NDC 00078051005, Pedigree: W003330, EXP: 6/18/2014.

TerminatedVoluntary: Firm initiated
Class I11/20/2019

AuroMedics Pharma LLC

Labeling: Label Error on Declared Strength; cases labelled Mirtazapine 15mg tablets, 500-count bottles, contain 500-count bottles of Mirtazapine 15mg tablets labelled as Mirtazapine 7.5 mg tablets.

TerminatedVoluntary: Firm initiated
Class II03/18/2020

Aurobindo Pharma USA Inc.

CGMP Deviations: Products were manufactured in a processing area in which water leakage was observed

TerminatedVoluntary: Firm initiated
Class II01/27/2017

Mylan Institutional, Inc. (d.b.a. UDL Laboratories)

Presence of Foreign Tablets/Capsules; possibility of Glipizide 10 mg tablets commingled

TerminatedVoluntary: Firm initiated
Class II11/14/2014

Attix Pharmaceuticals

Penicillin Cross Contamination: All lots of all products repackaged and distributed between 01/05/12 and 02/12/15 are being recalled because they were repackaged in a facility with penicillin products without adequate separation which could introduce the potential for cross contamination with penicillin.

TerminatedVoluntary: Firm initiated
Class II07/02/2013

Aidapak Services, LLC

Labeling:Label Mixup; MIRTAZAPINE Tablet, 7.5 mg may be potentially mislabeled as ISONIAZID, Tablet, 300 mg, NDC 00555007102, Pedigree: W003691, EXP: 6/26/2014.

TerminatedVoluntary: Firm initiated

Side Effects Reported to FDA

FDA FAERS database · These are reported events, not confirmed side effects

fatigue3,822 reports
nausea3,806 reports
drug ineffective3,650 reports
toxicity to various agents3,577 reports
fall3,324 reports
off label use3,274 reports
diarrhoea3,270 reports
drug interaction2,936 reports
dizziness2,822 reports
death2,768 reports

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

1 INDICATIONS AND USAGE Mirtazapine tablets are indicated for the treatment of major depressive disorder (MDD) in adults [see Clinical Studies (14) ]. Mirtazapine tablets are indicated for the treatment of major depressive disorder (MDD) in adults. ( 1 )

Dosage & Administration

2 DOSAGE AND ADMINISTRATION • Starting dose: 15 mg once daily; may increase up to maximum recommended dose of 45 mg once daily. ( 2.1 ) • Administer orally once daily, preferably in the evening prior to sleep. ( 2.1 ) • Reduce dose gradually when discontinuing mirtazapine tablets. ( 2.6 , 5.13 ) 2.1 Recommended Dosage The recommended starting dose of mirtazapine tablets is 15 mg once daily, administered orally, preferably in the evening prior to sleep. If patients do not have an adequate response to the initial 15 mg dose, increase the dose up to a maximum of 45 mg per day. Dose changes should not be made in intervals of less than 1 to 2 weeks to allow sufficient time for evaluation of response to a given dose [see Clinical Pharmacology (12.3) ]. 2.3 Screen for Bipolar Disorder Prior to Starting Mirtazapine Tablets Prior to initiating treatment with mirtazapine tablets or another antidepressant, screen patients for a personal or family history of bipolar disorder, mania, or hypomania [see Warnings and Precautions (5.8) ]. 2.4 Switching Patients to or from a Monoamine Oxidase Inhibitor Antidepressant At least 14 days must elapse between discontinuation of a monoamine oxidase inhibit

Contraindications

4 CONTRAINDICATIONS Mirtazapine tablets are contraindicated in patients: • Taking, or within 14 days of stopping, MAOIs (including the MAOIs linezolid and intravenous methylene blue) because of an increased risk of serotonin syndrome [see Warnings and Precautions (5.3) , Drug Interactions (7) ]. • With a known hypersensitivity to mirtazapine or to any of the excipients in mirtazapine tablets. Severe skin reactions, including Stevens-Johnson syndrome, bullous dermatitis, erythema multiforme and toxic epidermal necrolysis have been reported following the use of mirtazapine tablets [see Adverse Reactions 6.2 ]. • Concomitant use of monoamine oxidase inhibitors (MAOIs) or use within 14 days of stopping MAOIs. ( 2.4 , 4 , 7 ) • Known hypersensitivity to mirtazapine or any of the excipients in mirtazapine tablets. ( 4 )

Drug Interactions

7 DRUG INTERACTIONS Table 5 includes clinically important drug interactions with mirtazapine [see Clinical Pharmacology (12.3) ]. Table 5: Clinically Important Drug Interactions with Mirtazapine Monoamine Oxidase Inhibitors (MAOIs) Clinical Impact The concomitant use of serotonergic drugs, including mirtazapine, and MAOIs increases the risk of serotonin syndrome. Intervention Mirtazapine is contraindicated in patients taking MAOIs, including MAOIs such as linezolid or intravenous methylene blue [see Dosage and Administration (2.4) , Contraindications (4) , Warnings and Precautions (5.3) ]. Examples selegiline, tranylcypromine, isocarboxazid, phenelzine, linezolid, methylene blue Other Serotonergic Drugs Clinical Impact The concomitant use of serotonergic drugs with mirtazapine increases the risk of serotonin syndrome. Intervention Monitor patients for signs and symptoms of serotonin syndrome, particularly during treatment initiation and dosage increases. If serotonin syndrome occurs, consider discontinuation of mirtazapine and/or concomitant serotonergic drugs [see Warnings and Precautions (5.3) ]. Examples SSRIs, SNRIs, triptans, tricyclic antidepressants, fentanyl, lithium, amphe

Adverse Reactions

6 ADVERSE REACTIONS The following adverse reactions are described in more detail in other sections of the prescribing information: • Hypersensitivity [see Contraindications (4) ] • Suicidal Thoughts and Behaviors [see Warnings and Precautions (5.1) ] • Agranulocytosis [see Warnings and Precautions (5.2) ] • Serotonin Syndrome [see Contraindications (4) , Warnings and Precautions (5.3) , Drug Interactions (7) ] • Angle-Closure Glaucoma [see Warnings and Precautions (5.4) ] • QT Prolongation and Torsades de Pointes [see Warnings and Precautions (5.5) ] • Increased Appetite and Weight Gain [see Warnings and Precautions (5.6) ] • Somnolence [see Warnings and Precautions (5.7) ] • Activation of Mania or Hypomania [see Warnings and Precautions (5.8) ] • Seizures [see Warnings and Precautions (5.9) ] • Elevated Cholesterol and Triglycerides [see Warnings and Precautions (5.10) ] • Hyponatremia [see Warnings and Precautions (5.11) ] • Transaminase Elevations [see Warnings and Precautions (5.12) ] • Discontinuation Syndrome [see Warnings and Precautions (5.13) ] • Use in Patients with Concomitant Illness [see Warnings and Precautions (5.14) ] Most common adverse reactions (≥5% or greater an

Frequently Asked Questions

What is Mirtazapine used for?

Mirtazapine contains Mirtazapine. It is a tablet, film coated taken oral. Consult your doctor for specific uses.

Is Mirtazapine a controlled substance?

Mirtazapine is not classified as a controlled substance by the DEA.

What is the generic name for Mirtazapine?

The generic name for Mirtazapine is Mirtazapine. There are 2 other brand versions of Mirtazapine.

What is the NDC code for Mirtazapine 7.5 mg/1?

The NDC (National Drug Code) for Mirtazapine 7.5 mg/1 is 0615-8489, listed by NCS HealthCare of KY, LLC dba Vangard Labs.