Amiron 7.5 mg (Tablet)
Unit Price: ৳ 6.50 (3 x 10: ৳ 195.00)
Strip Price: ৳ 65.00
Medicine Details
Category | Details |
---|---|
Generic | Mirtazapine |
Company | Orion pharma ltd |
Also available as |
Indications
- Treatment of major depressive disorder (MDD)
Pharmacology
- Enhances central noradrenergic and serotonergic activity
- Acts as an antagonist at central presynaptic α2-adrenergic inhibitory autoreceptors and heteroreceptors
- Antagonist of 5-HT<sub>2</sub> and 5-HT<sub>3</sub> receptors
- Antagonist of histamine (H<sub>1</sub>) receptors
- Moderate peripheral α1-adrenergic antagonist
- Moderate antagonist at muscarinic receptors
- Rapid and well-absorbed after oral administration
- Peak plasma levels reached after about 2 hours
- Approximately 85% binding to plasma proteins
- Mean half-life of elimination is 20-40 hours; (26 hours in males, 37 hours in females)
Dosage & Administration
- Recommended starting dose: 15 mg/day
- Effective dose range: 15 to 45 mg/day
- Recommended administration in the evening or prior to sleep
- Not recommended for use in children
- Dosage changes should be made at intervals of less than 1 to 2 weeks
Interaction
- Clinically significant drug-drug interactions with MAOI & other serotonergic drugs
- May interrupt the metabolism or activity of Carbamazepine, Phenytoin, or Cimetidine
- Patients should avoid Alcohol & Diazepam
Contraindications
- Contraindicated in known hypersensitivity to Mirtazapine or its excipients
- Concomitant use with MAO inhibitors is contraindicated
Side Effects
- Common side effects include dizziness, drowsiness, dry mouth, increased appetite, weight gain
Pregnancy & Lactation
- Pregnancy Category-C
- Patients should notify their physician if they become pregnant or intend to become pregnant during therapy
- Patients should notify their physician if they are breastfeeding an infant
Precautions & Warnings
- Patients, families, and caregivers should be alert to the emergence of certain behavioral changes
- Patients should be warned about the risk of developing agranulocytosis
- May impair judgment, thinking, and motor skills
- Clinically significant ALT (SGPT) elevations (≥3 times the upper limit of the normal range) may occur
Therapeutic Class
- Atypical anti-depressant drugs
Storage Conditions
- Keep away from light and moisture
- Store below 30º C
- Keep all medicine out of the reach of children