How it should be taken
It comes as a tablet to take by mouth, with or without food.
Dosage & When it is to be taken
Adult- Initial- The recommended dose is 50 mg two or three times daily.
It may be increased up to 100 mg 3 times/day.
When it is not to be taken (Contraindications)
Contraindicated in patients with concurrent treatment with MAOIs, recent heart attack, heart diseases, severe liver disease and hypersensitivity.
Why it is prescribed (Indications)
This medication is a tricyclic antidepressant, prescribed for depression. It increases the amount of certain natural substances in the brain that are needed to maintain mental balance.
Category C :
Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.
Warnings and Precautions
Caution should be exercised in patients with history of heart problems, epilepsy, seizures, overactive thyroid, increased eye pressure, blood disorder, suicidal thoughts, enlarged prostate, urination problem, any allergy, who are taking other medications, elderly, during pregnancy and breastfeeding.
It may cause drowsiness, dizziness, blurred vision or lightheadedness. Do not drive a car or operate machinery and get up slowly from bed while taking this medication.
Avoid alcohol consumption.
Patient may develop with increased risk of neuroleptic malignant syndrome (NMS) with the following symptoms: fever, muscle tightness, confusion, abnormal thinking, fast or irregular heartbeat and sweating. If so consult with your doctor.
Patient may develop with increased risk of involuntary movements; if so consult with your doctor.
It may develop increased risk of suicidal thoughts in children and teenagers; watch them carefully.
Keep this medication in a tightly closed container and out of reach of children.