Product image of Mirtazapina Krka (Mirtazapine) supplied by GNH India

Mirtazapina Krka

Active Ingredient:
Mirtazapine
Origin:
EU

Mirtazapina Krka (Mirtazapine)

Mirtazapine, the active ingredient in Mirtazapina Krka, is a NaSSA (noradrenergic and specific serotonergic antidepressant) presented as an oral tablet for oral use. It treats major depressive disorder in adult patients, helping to improve mood, sleep, and appetite.

GNH India supplies Mirtazapina Krka as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides reliable logistics for global distribution, including temperature‑controlled shipping where required and comprehensive regulatory support throughout.

Manufacturer / TM Owner

Krka, D.D., Novo Mesto

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Indications & Clinical Uses

Mirtazapina Krka, as a NaSSA antidepressant, is indicated for conditions within the major depressive disorder spectrum.

  • Major depressive disorder: reduces depressive symptoms, improves mood, sleep quality, and appetite in adult patients.
  • Depressive episodes with insomnia: helps restore normal sleep patterns while alleviating depressive mood.
  • Depressive symptoms with anxiety: lessens anxiety and tension associated with depressive states.

How It Works

  • Mirtazapine acts by antagonizing central presynaptic α2‑adrenergic receptors, which increases the release of norepinephrine and serotonin. It also blocks postsynaptic 5‑HT2 and 5‑HT3 receptors and strongly antagonizes H1 histamine receptors, contributing to its sedative and appetite‑stimulating effects. These mechanisms also modulate other neurotransmitter systems, enhancing overall mood stabilization and reducing depressive cognition.

Side Effects

Mirtazapina Krka may cause a range of adverse reactions, which are categorized by frequency.

Common Side Effects

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

Serious or Rare Side Effects

  • Agranulocytosis or severe neutropenia
  • Severe hypersensitivity reactions such as rash or angioedema
  • Suicidal thoughts or worsening depression

Precautions & Warnings

When prescribing Mirtazapina Krka, clinicians should consider several safety measures.

  • Assess hepatic function: evaluate liver enzymes before initiating therapy.
  • Monitor body weight: watch for rapid weight gain and adjust nutrition as needed.
  • Screen for suicidal ideation: especially during the first weeks of treatment.
  • Use caution in elderly patients: increased risk of sedation and falls.
  • Avoid abrupt discontinuation: taper the dose under medical supervision to prevent withdrawal.
  • Store at room temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Mirtazapina Krka interacts with several drug classes; awareness of these interactions helps prevent adverse events.

Major Interactions (Avoid)

  • Monoamine oxidase inhibitors (MAOIs): risk of hypertensive crisis.
  • Other central nervous system depressants: additive sedation and respiratory depression.
  • Serotonergic agents (e.g., SSRIs, SNRIs, tramadol): potential serotonin syndrome.
  • Alcohol: enhances CNS depressive effects.

Moderate Interactions (Monitor Closely)

  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine): may increase mirtazapine plasma levels.
  • CYP3A4 inducers (e.g., carbamazepine, rifampicin): may reduce mirtazapine efficacy.
  • Anticholinergic drugs: combined anticholinergic burden may increase side effects.

Frequently Asked Questions

Mirtazapina Krka contains the active ingredient mirtazapine and is prescribed primarily for the treatment of major depressive disorder in adult patients. It helps alleviate depressive symptoms, improve sleep quality, and increase appetite, addressing several core features of depression.

Mirtazapine works by blocking presynaptic α2‑adrenergic receptors, which boosts the release of norepinephrine and serotonin. It also antagonises postsynaptic 5‑HT2 and 5‑HT3 receptors and strongly blocks H1 histamine receptors, resulting in enhanced monoaminergic transmission and the characteristic sedative and appetite‑stimulating effects.

The appropriate dose of Mirtazapina Krka is determined individually by a qualified prescriber based on the patient’s clinical condition, response, and tolerability. Dosage adjustments are made according to professional guidelines and the treating physician’s judgment.

Safety data for mirtazapine in pregnancy and lactation are limited. The drug should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Healthcare providers typically evaluate each case carefully and may consider alternative therapies when appropriate.

To place an order, 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 (including any temperature‑controlled requirements) and the necessary import documentation.

Mirtazapine belongs to the NaSSA class, which differs from selective serotonin reuptake inhibitors (SSRIs) by its dual action on norepinephrine and serotonin release and its strong antihistamine effect. Compared with many SSRIs, it often causes more sedation and weight gain but may be advantageous for patients with insomnia or poor appetite.

Mirtazapina Krka should be stored at room temperature, preferably below 25 °C. Keep the tablets in the original packaging, protect them from moisture, heat and direct sunlight, and ensure the container is tightly closed to maintain product stability.

The medication is taken orally, usually as a tablet, with a glass of water. It can be taken with or without food, although taking it with a light snack may reduce gastrointestinal discomfort. Patients should follow the dosing schedule prescribed by their healthcare professional.

Serious adverse reactions include agranulocytosis or severe neutropenia, severe hypersensitivity such as rash or angioedema, and the emergence or worsening of suicidal thoughts, especially during the early treatment phase. Prompt medical attention is required if any of these events occur.

Mirtazapina Krka is contraindicated in patients with known hypersensitivity to mirtazapine or any of its excipients, and in those currently receiving monoamine oxidase inhibitors (MAOIs) or who have taken an MAOI within the past 14 days. Caution is also advised for individuals with severe hepatic impairment or uncontrolled cardiovascular disease.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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