Milran 12.5mg (Tablet)
Manufactured by: Beacon Pharmaceuticals Ltd.
Milnacipran Hydrochloride Similar medicine
Milran is indicated for
- 憂鬱症、纖維肌痛
Precautions and warnings
1. 自殺風險
2. 可能的血清素綜合症
3.高血壓
4.心跳快或不規則
5. 癲癇發作的風險
6.肝臟損傷
7. 停止 Savella 治療
8.血液中鈉含量低
9. 出血異常或增多
10.會引發狂熱
11.排尿困難者註意事項
12. 不建議患有受控制的窄角青光眼的人使用
13. 不宜與酒精同服
Side-effects
- 最常見的不良反應（≥5%且高於安慰劑）為噁心、頭痛、便秘、頭暈、失眠、潮熱、多汗、嘔吐、心悸、心跳加速、口乾和高血壓。
Drug Interactions
- 異丙煙肼
- 尼亞醯胺
- 司來吉蘭
- 洋地黃
- 舒馬曲坦
- 腎上腺素（注射）
- 去甲腎上腺素（注射）
- 可樂定
- 嗎氯貝胺
- 托洛沙酮
Contraindications
1. 單胺氧化酶抑制劑（MAOIs）
2. 不受控制的窄角型青光眼
Mode of actions
SNRI 不會與其他類型的神經傳導物質受體相互作用，例如 GABA、β-腎上腺素受體、鴉片類藥物、組織胺或苯二氮平類藥物。 它們也不充當 MAO 抑制劑。
Dosage & Administration
根據療效和耐受性，可以根據以下時間表調整劑量：
第 1 天：12.5 毫克，一次
第 2-3 天：25 毫克/天（12.5 毫克，每天兩次）
第 4-7 天：50 毫克/天（25 毫克，每天兩次）
第 7 天後：100 毫克/天（50 毫克，每天兩次）
根據患者個別反應，劑量可增加至 200 mg/天（100 mg 每天兩次）。
尚未研究超過 200 毫克/天的劑量。
Pregnancy & Lactation
儘管動物生殖研究顯示對胎兒有不良影響，並且在孕婦中沒有充分且良好對照的研究，但在懷孕期間，儘管存在潛在風險，但在確實需要時可以使用該藥物。
在懷孕最後 3 個月內使用這種藥物的新生兒母親可能很少會出現困倦、肌肉僵硬或顫抖、餵食或呼吸困難、持續哭泣等症狀。 如果您發現寶寶有任何這些症狀，尤其是在第一個月內，請立即告訴醫生。
這種藥物會進入母乳。 哺乳前請先諮詢您的醫生。
Pack Size & Price
Price : ৳
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