Tiapine XR 300 mg (Tablet (Extended Release))

Unit Price: ৳ 22.00 (2 x 10: ৳ 440.00)
Strip Price: ৳ 220.00

Medicine Details

Indications

  • Treatment of Acute and chronic psychoses
  • Schizophrenia
  • Bipolar disorder
  • Manic episodes
  • Depressive episodes
  • Maintenance treatment of bipolar I disorder

Pharmacology

  • Chemical class: dibenzothiazepine derivatives
  • Antagonist at multiple neurotransmitter receptors
  • No appreciable affinity at cholinergic muscarinic and benzodiazepine receptors
  • Mechanism of action is unknown
  • Efficacy mediated through dopamine D2 and serotonin 5HT2 antagonism

Dosage & Administration

  • Administered twice daily
  • First 4 days dosage titration
  • Usual effective dose range of 300-450 mg/day
  • Maintenance treatment in combination with a mood stabilizer
  • Dosage adjustments for manic and depressive episodes
  • 300 mg/day dosage for depressive episodes

Interaction

  • Caution with medicines causing electrolyte imbalance
  • Co-administration with thioridazine or carbamazepine
  • Increases in the clearance of Tiapine XR with concomitant use of certain medications

Contraindications

  • Hypersensitivity to Quetiapine

Side Effects

  • Somnolence
  • Dizziness
  • Dry mouth
  • Elevations in serum triglyceride levels
  • Weight gain
  • Extrapyramidal symptoms

Pregnancy & Lactation

  • Use only if benefits justify potential risks during pregnancy
  • Avoid breastfeeding while taking Quetiapine

Precautions & Warnings

  • Risk of suicidal thoughts and self-harm
  • Caution in patients with cardiovascular disease
  • Increased risk of orthostatic hypotension
  • Caution in patients with history of seizures
  • Consideration of dose reduction if tardive dyskinesia appears
  • Discontinuation and appropriate medical treatment for Neuroleptic Malignant Syndrome
  • Exercise caution in patients with cardiovascular disease or family history of QT prolongation
  • Monitoring for neutropenia and hyperglycemia

Use in Special Populations

  • Caution in the elderly due to reduced plasma clearance
  • Not indicated for use in children and adolescents below 18 years of age

Overdose Effects

  • Survival reported in acute overdoses of up to 30 grams
  • No specific antidote
  • Intensive care for severe intoxication
  • Treatment for refractory hypotension
  • Close medical supervision and monitoring

Therapeutic Class

  • Atypical neuroleptic drugs

Storage Conditions

  • Keep out of the sight and reach of children
  • Do not use after expiry date
  • Store in a cool and dry place away from light

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