The active ingredient in Mirataz® is mirtazapine

The pharmacodynamic action of mirtazapine involves antagonism of several receptor sites

Antagonism of presynaptic α-2 receptors, serotonin receptors (5-HT2A, 5-HT2C, 5-HT3), and histamine receptors (H1) by mirtazapine has been demonstrated to result in:

  • Orexigenic effect via interaction with nuclei within the hypothalamus1

  • Enhanced release of both serotonin (5-HT) and noradrenaline (NE)2

Watch this video to learn how the pharmacodynamic action of mirtazapine helps lead to feline weight gain.

While not FDA approved, human and compounded versions of mirtazapine have been used off-label but may not be ideal for every cat

  • Human tablets must be split or broken, which may result in inaccurate dosing

  • Oral products placed on food can only work if the cat is eating

  • Liquids by mouth may not be any easier than pilling

  • Compounded medications have been shown to lack consistency, stability, and have unknown safety and efficacy3

Mirataz gives your clients an option for one less oral medication for their cats

Click here to read the “Dear Veterinarian” letter the FDA distributed regarding the benefits of using FDA-approved drugs – specifically using Mirataz versus compounded formulations of mirtazapine.

Mirataz is indicated for the management of weight loss in cats.

Important Safety Information

Mirataz® (mirtazapine transdermal ointment) is for topical use in cats only under veterinary supervision. Do not use in cats with a known hypersensitivity to mirtazapine or any of the excipients. Do not use in cats treated with monoamine oxidase inhibitors (MAOIs). Not for human use. Keep out of reach of children. Wear gloves when handling/applying, wash hands after and avoid contact between the treated cat and people or other animals for 2 hours following application. Use with caution in cats with hepatic and kidney disease. Cat’s food intake should be monitored upon discontinuation. Safety has not been evaluated in cats less than 2 kg, less than six months of age or in breeding, pregnant or lactating cats. The most common adverse reactions observed during clinical trials were application site reactions, behavioral abnormalities (vocalization and hyperactivity) and vomiting. For product label, including complete safety information, click here.

References

1. Mirataz® (mirtazapine transdermal ointment) [package insert], Kindred Biosciences, Inc. (Burlingame, CA). Rev. 5-2018.

2. Agnew W, Korman R. Pharmacological appetite stimulation: rational choices in the inappetent cat. J Feline Med Surg. 2014;16(9):749-756.

3. Benson KK, Zajic LB, Morgan PK, et al. Drug exposure and clinical effect of transdermal mirtazapine in healthy young cats: a pilot study. J Feline Med Surg. 2017;19(10):998-1006.