Tryptin 25 mg (Tablet)

Unit Price: ৳ 1.76 (20 x 10: ৳ 352.00)
Strip Price: ৳ 17.60

Medicine Details

Title

  • Tryptin

Categories

  • Medicine
  • Pharmaceuticals

Description

  • Tryptin is a tricyclic antidepressant with marked anticholinergic and sedative properties.

Indications

  • Depressive Illness particularly where sedation is required
  • Nocturnal Enuresis in children
  • Prophylaxis of Migraine
  • Tension Headache
  • Chronic Pain

Pharmacology

  • Inhibits the re-uptake of transmitter amines such as norepinephrine and serotonin
  • Increases concentration of neurotransmitters at synaptic clefts in the brain
  • Regulates mood by countering deficiencies in serotonin and norepinephrine neurotransmission

Dosage & Administration

  • Depression: Initially 75 mg daily, increased gradually to 150-200 mg
  • Nocturnal Enuresis: Child 7-10 years: 10-20 mg, 11-16 years: 25-50 mg at night; max. period of treatment 3 months
  • Prophylaxis of Migraine: 100 mg daily
  • Tension Headache: 10-25 mg three times daily

Interaction

  • Enhances sedative effect of alcohol and opioid analgesics
  • Increases risk of ventricular arrhythmias when used with Moxifloxacin or Terfenadine
  • Inhibited by Disulfiram and Cimetidine
  • Enhances risk of postural hypotension when used with diuretics

Contraindications

  • Myocardial infarction
  • Arrhythmias
  • Severe liver disease
  • Sedation affecting the ability to drive or operate machinery

Side Effects

  • Anticholinergic: Excessive perspiration, dry mouth, blurred vision, hyperpyrexia, urinary retention
  • Cardiovascular reactions: Hypotension, syncope, postural hypotension, hypertension, tachycardia, palpitations
  • CNS and Neuromuscular: Confusional states, disorientation, delusions
  • Allergic: Skin rash, urticaria, photosensitization
  • Haematological: Bone-marrow depression
  • Gastrointestinal: Nausea, vomiting, diarrhoea, constipation
  • Endocrine: Testicular swelling, gynaecomastia, breast enlargement

Pregnancy & Lactation

  • Pregnancy Category C
  • Crosses the placenta
  • Excreted into breast milk
  • Use during pregnancy only if potential benefit justifies potential risk to fetus
  • Consideration should be made for nursing infants if continuing the drug

Precautions & Warnings

  • Use with caution in patients with a history of epilepsy, glaucoma, urinary retention, cardiac disease, diabetes, hepatic impairment, thyroid disease, increased intra-ocular pressure, and psychoses

Therapeutic Class

  • Tricyclic Anti-depressant

Storage Conditions

  • Store in a cool and dry place below 30°C, protect from light and moisture

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