Mitaprex 30 mg (Tablet)

Unit Price: ৳ 15.00 (3 x 10: ৳ 450.00)
Strip Price: ৳ 150.00

Medicine Details

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
  • Potent antagonist of 5- HT<sub>2</sub> and 5-HT<sub>3</sub> receptors
  • Moderate peripheral &alpha;1-adrenergic antagonist
  • Moderate antagonist at muscarinic receptors
  • Sedative effects due to H<sub>1</sub> receptor antagonism
  • Biotransformation pathways include demethylation and oxidation followed by conjugation

Dosage & Administration

  • Recommended starting dose of 15 mg/day
  • Effective dose range of 15 to 45 mg/day
  • Elimination half-life of approximately 20 to 40 hours
  • Not recommended for use in children

Interaction

  • Clinically significant drug-drug interactions with Monoamine Oxidase Inhibitors (MAOI) & other serotonergic drugs
  • May interrupt the metabolism or activity of Carbamazepine, Phenytoin or Cimetidine
  • Patient should avoid Alcohol & Diazepam

Contraindications

  • Contraindicated in patients with known hypersensitivity to Mirtazapine or to any of the excipients
  • Concomitant use with monoamine oxidase (MAO) inhibitor is contraindicated

Side Effects

  • 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 Mirtazapine therapy
  • Patients should notify their physician if they are breastfeeding an infant

Precautions & Warnings

  • Patients should be alert to the emergence of various changes in behavior and suicidal ideation
  • Patients should be warned about the risk of developing agranulocytosis
  • May impair judgment, thinking, and motor skills due to its sedative effect
  • Clinically significant ALT (SGPT) elevations may occur

Therapeutic Class

  • Atypical anti-depressant drugs

Storage Conditions

  • Keep away from light and moisture
  • Store below 30&ordm; C
  • Keep all medicine out of the reach of children

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