Mitaprex 30 mg (Tablet)
Unit Price: ৳ 15.00 (3 x 10: ৳ 450.00)
Strip Price: ৳ 150.00
Medicine Details
Category | Details |
---|---|
Generic | Mirtazapine |
Company | Incepta pharmaceuticals 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
- Potent antagonist of 5- HT<sub>2</sub> and 5-HT<sub>3</sub> receptors
- Moderate peripheral α1-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 30º C
- Keep all medicine out of the reach of children