Milran 12.5mg (Tablet)
Manufactured by: Beacon Pharmaceuticals Ltd.
Milnacipran Hydrochloride Similar medicine
Milran is indicated for
- Depresi
- Fibromyalgia
Precautions and warnings
1. Resiko bunuh diri
2. Kemungkinan sindrom serotonin
3. Tekanan darah tinggi
4. Detak jantung cepat atau tidak teratur
5. Resiko kejang
6. Kerusakan hati
7. Menghentikan pengobatan Savella
8. Kadar natrium yang rendah dalam darah
9. Pendarahan yang tidak biasa atau meningkat
10. Dapat memicu mania
11. Hati-hati bagi orang yang kesulitan buang air kecil
12. Tidak dianjurkan untuk penderita glaukoma sudut sempit terkontrol
13. Tidak boleh dikonsumsi bersamaan dengan alkohol
Side-effects
- Reaksi merugikan yang paling sering terjadi (? 5% dan lebih besar dari plasebo) adalah mual
- sakit kepala
- sembelit
- pusing
- insomnia
- muka memerah
- hiperhidrosis
- muntah
- jantung berdebar
- detak jantung meningkat
- mulut kering
- dan hipertensi.
Drug Interactions
- Iproniazid
- Nialamida
- Selegilin
- Digitalis
- sumatriptan
- Epinefrin (disuntikkan)
- Norepinefrin (disuntikkan)
- Klonidin
- Moklobemid
- Toloksaton
Contraindications
1. Inhibitor Monoamine Oksidase (MAOI)
2. Glaukoma Sudut Sempit yang Tidak Terkendali
Mode of actions
SNRI tidak berinteraksi dengan reseptor neurotransmitter jenis lain, seperti GABA, beta-adrenergik, opiat, histamin, atau benzodiazepin. Mereka juga tidak bertindak sebagai inhibitor MAO.
Dosage & Administration
Berdasarkan efikasi dan tolerabilitas, dosis dapat dititrasi sesuai dengan jadwal berikut:
Hari 1: 12,5 mg sekali
Hari 2-3: 25 mg/hari (12,5 mg dua kali sehari)
Hari 4-7: 50 mg/hari (25 mg dua kali sehari)
Setelah Hari 7: 100 mg/hari (50 mg dua kali sehari)
Berdasarkan respon masing-masing pasien, dosis dapat ditingkatkan menjadi 200 mg/hari (100 mg dua kali sehari).
Dosis di atas 200 mg/hari belum diteliti.
Pregnancy & Lactation
Meskipun penelitian pada reproduksi hewan menunjukkan efek buruk pada janin dan belum ada penelitian yang memadai dan terkontrol dengan baik pada wanita hamil, namun selama kehamilan, obat ini dapat digunakan tepat ketika benar-benar diperlukan meskipun ada potensi risikonya.
Ibu dengan bayi baru lahir yang telah menggunakan obat ini selama 3 bulan terakhir kehamilan mungkin jarang mengalami gejala termasuk mengantuk, otot kaku atau gemetar, kesulitan makan atau bernapas, dan menangis terus-menerus. Jika Anda melihat gejala-gejala ini pada bayi Anda terutama pada bulan pertama, segera beri tahu dokter.
Obat ini masuk ke dalam ASI. Bicaralah dengan dokter Anda sebelum menyusui.
Pack Size & Price
Price : ৳
Similar medicine
Manufactured by: Beacon Pharmaceuticals Ltd.
Manufactured by: Beacon Pharmaceuticals Ltd.
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