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 is prescribed for the treatment of major depressive disorder in adult patients.

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 regulatory‑compliant sourcing for global markets. Clients benefit from reliable logistics, batch traceability, and responsive technical support.

Manufacturer / TM Owner

Krka Farmacêutica, Unipessoal Lda.

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Indications & Clinical Uses

Mirtazapine is used primarily in the management of depressive disorders, acting on noradrenergic and serotonergic pathways.

  • Major depressive disorder: alleviates depressive symptoms and improves mood.
  • Depression‑related anxiety: reduces anxiety symptoms accompanying depression.
  • Depression‑associated insomnia: improves sleep quality in patients with depressive insomnia.

How It Works

  • Mirtazapine antagonizes central presynaptic α2‑adrenergic receptors, thereby increasing norepinephrine release, and blocks postsynaptic 5‑HT2 and 5‑HT3 receptors while also inhibiting H1 histamine receptors. This combined activity enhances serotonergic and noradrenergic neurotransmission, contributing to its antidepressant and anxiolytic effects.

Side Effects

Mirtazapine 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.
  • Constipation.

Serious or Rare Side Effects

  • Agranulocytosis or severe neutropenia.
  • Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Hepatic dysfunction or elevated liver enzymes.
  • Suicidal thoughts or behavior, especially early in treatment.

Precautions & Warnings

Before initiating therapy, clinicians should consider several safety measures.

  • Assess hepatic function: evaluate liver enzymes prior to treatment.
  • Monitor weight: track changes due to increased appetite.
  • Screen for suicidal ideation: especially during the first weeks.
  • Avoid abrupt discontinuation: taper the dose under medical supervision.
  • Store at ambient temperature: keep in the original pack, protect from moisture.

Avoid Interactions

Mirtazapine can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • MAO inhibitors: risk of hypertensive crisis.
  • CNS depressants (alcohol, benzodiazepines): enhanced sedation.
  • Strong CYP2D6 inhibitors (paroxetine, fluoxetine): increased mirtazapine plasma levels.

Moderate Interactions (Monitor Closely)

  • Other serotonergic agents (SSRIs, SNRIs): potential serotonin syndrome.
  • Antihistamines: additive sedative effect.
  • Warfarin: possible alteration of INR and bleeding risk.

Frequently Asked Questions

Mirtazapina Krka contains the active ingredient mirtazapine, which is prescribed to treat major depressive disorder in adult patients. It may also be used to alleviate associated anxiety and improve sleep quality when these symptoms are part of the depressive syndrome.

Mirtazapine works by blocking presynaptic α2‑adrenergic receptors, leading to increased release of norepinephrine, and by antagonizing postsynaptic 5‑HT2, 5‑HT3 and H1 receptors. This dual action enhances serotonergic and noradrenergic neurotransmission while reducing histamine‑mediated sedation.

The appropriate dose of Mirtazapina Krka is determined by the prescribing clinician based on the individual patient's clinical condition, response to therapy, and tolerability. Dosage adjustments are made according to professional medical guidance.

Safety data for mirtazapine in pregnancy and lactation are limited. Clinicians should weigh potential benefits against possible risks and consider alternative treatments when treating pregnant or nursing patients. The decision should be made on a case‑by‑case basis.

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 and any necessary import documentation.

Mirtazapine belongs to the NaSSA class, differing from SSRIs and SNRIs by its receptor profile. It often produces strong sedative effects and appetite stimulation, which can be advantageous for patients with insomnia or weight loss, whereas SSRIs are generally more activating and have a different side‑effect spectrum.

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

Mirtazapina Krka is taken orally, usually once daily in the evening due to its sedative properties. The tablet should be swallowed whole with water and not chewed or crushed unless otherwise directed by a healthcare professional.

Serious risks include the potential for agranulocytosis, severe neutropenia, hepatic dysfunction, and rare cases of Stevens‑Johnson syndrome. Additionally, patients should be monitored for emergence or worsening of suicidal thoughts, especially during the initial treatment period.

Mirtazapina Krka is contraindicated in patients with known hypersensitivity to mirtazapine or any of its excipients, and in those currently taking monoamine oxidase inhibitors (MAOIs) unless a washout period of at least 14 days has been observed. Caution is also advised for individuals with severe hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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