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Valdoxan

Valdoxan

agomelatine

Manufacturer:

Servier

Distributor:

Zuellig Pharma
Concise Prescribing Info
Contents
Agomelatine
Indications/Uses
Major depressive episodes in adults. Generalised anxiety disorder (GAD).
Dosage/Direction for Use
25 mg once daily at bedtime for at least 6 mth, may be increased to 50 mg once daily after: Major depressive episodes 2 wk if there is no improvement, GAD 4 wk if there is no improvement. Elderly <75 yr 25-50 mg daily.
Administration
May be taken with or without food.
Contraindications
Hypersensitivity. Concomitant use of potent CYP1A2 inhibitors eg, fluvoxamine, ciprofloxacin. Hepatic impairment (ie, cirrhosis or active liver disease) or transaminases >3 times ULN.
Special Precautions
Not to be initiated in patients w/ baseline values of ALT &/or AST >3 times ULN. Patients w/ pretreatment elevated transaminases (>ULN ranges & ≤3 times ULN range); hepatic injury risk factors eg, obesity/overwt/non-alcoholic fatty liver disease, diabetes, alcohol use disorder, substantial alcohol intake or concomitant use w/ drugs associated w/ risk of hepatic injury. History of bipolar disorder, mania or hypomania; history of suicide-related events; suicidal ideation. Perform LFTs prior to treatment & periodically thereafter. Concomitant use w/ moderate CYP1A2 inhibitors (eg, propranolol, enoxacin). Not to be taken by patients w/ galactose intolerance, Lapp lactase deficiency, glucose-galactose malabsorption. May affect ability to drive & use machines. Severe or moderate renal impairment. Avoid use during pregnancy. Lactation. Not recommended in childn <18 yr. Not to be used in elderly w/ dementia & elderly ≥75 yr.
Adverse Reactions
Headache. Anxiety, abnormal dreams; dizziness, somnolence, insomnia; nausea, diarrhoea, constipation, abdominal pain, vomiting; increased ALT &/or AST; back pain; fatigue; increased wt.
Drug Interactions
Increased or decreased bioavailability w/ potent CYP1A2 (eg, fluvoxamine, ciprofloxacin), moderate CYP2C9 (eg, fluvoxamine), moderate CYP1A2 (eg, propranolol, enoxacin) inhibitors; oestrogens. Decreased bioavailability w/ rifampicin, smoking. Avoid use w/ alcohol.
MIMS Class
Antidepressants
ATC Classification
N06AX22 - agomelatine ; Belongs to the class of other antidepressants.
Presentation/Packing
Form
Valdoxan FC tab 25 mg
Packing/Price
28's
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