Deanxit

Deanxit

flupentixol + melitracen

Manufacturer:

Lundbeck

Distributor:

DKSH
/
Four Star
Concise Prescribing Info
Contents
Flupentixol 0.5 mg, melitracen 10 mg
Indications/Uses
Anxiety, depression, asthenia; neurasthenia; psychogenic depression; depressive neuroses; masked depression; psychosomatic affections accompanied by anxiety & apathy; menopausal depression; dysphoria & depression in alcoholics & drug-addicts.
Dosage/Direction for Use
Adult 2 tab daily, morning & noon. In severe cases, morning dose may be increased to 2 tab. Max: 4 tab daily. Elderly >65 yr 1 tab in the morning. In severe cases, 1 tab in the morning, 1 tab at noon. Maintenance: 1 tab in the morning.
Administration
May be taken with or without food.
Contraindications
Hypersensitivity. Circulatory collapse, depressed level of consciousness due to any cause (eg, intoxication w/ alcohol, barbiturates or opiates), coma, blood disorders, phaeochromocytoma. Recent MI. Any degree of AV block or disorders of cardiac rhythm & coronary artery insufficiency. Concomitant treatment w/ MAOIs; treatment w/ Deanxit may be instituted 14 days after discontinuation of non-selective MAOIs & min 1 day after discontinuation of moclobemide & selegiline.
Special Precautions
Concomitant treatment w/ MAOIs. Should be used w/ caution in patients w/ organic brain syndrome, convulsion, urinary retention, hyperthyroidism & advanced hepatic or CV disease, in susceptible individuals & in patients w/ a history of CV disorders. Concomitant treatment w/ other drugs which may cause QT prolongation is contraindicated. Serotonergic psychiatric drugs should not be started in a patient receiving linezolid. Wait until 24 hr after the last dose of linezolid before starting the serotonergic psychiatric drugs. Not recommended for excitable or overactive patients. The possibility of development of NMS. Depression is associated w/ an increased risk of suicidal thoughts, self-harm & suicide. It is a general clinical experience that the risk of suicide may increase in the early stages of recovery. Close supervision of high-risk patients should accompany drug therapy. Patients (& caregivers) should be alerted about the need to monitor for any clinical worsening, suicidal behaviour or thoughts & unusual changes in behaviour & to seek medical advice immediately if these symptoms present. Deanxit may modify insulin & glucose responses. In patients w/ the rare condition of shallow anterior chamber & narrow chamber angle, attacks of acute glaucoma due to dilation of the pupil may be provoked. Deanxit should be used w/ caution in patients receiving SSRIs, w/ risk factors for stroke. Increased mortality in older people w/ dementia. Deanxit is not licensed for the treatment of dementia-related disturbances. Anaesth given during tri/tetracyclic antidepressant therapy may increase the risk of arrhythmias & hypotension. Cases of VTE have been reported w/ antipsychotic drugs. Not recommended in childn & adolescents <18 yr.
Adverse Reactions
Insomnia, agitation, restlessness; somnolence, tremor, dizziness; accommodation disorder; dry mouth, constipation; fatigue; prolonged ECG QT.
Drug Interactions
Contraindicated combinations: MAOIs due to risk of serotonin syndrome. Inadvisable combinations: Sympathomimetic agents, adrenergic neurone blockers, anticholinergic agents, drugs which may increase the QT interval. Combinations requiring precautions for use: CNS depressants, lithium, levodopa.
MIMS Class
Antidepressants
ATC Classification
N06CA02 - melitracen and psycholeptics ; Belongs to the class of antidepressants in combination with psycholeptics.
Presentation/Packing
Form
Deanxit FC tab
Packing/Price
100's
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