HUMAN PAPILLOMAVIRUS 9-VALENT VACCINE

MIANSERIN

Mianserin stimulates central noradrenergic neurotransmission by reducing noradrenaline reuptake and blocking the presynaptic 2-autoreceptor. It also interacts with serotonergic receptors in the CNS, antihistamine properties, and 1 antagonistic activity.

Use this medication precisely as recommended by your physician. Follow the prescription of your doctor carefully.

The medication dose your physician has given is based on your condition, other medications or food supplements you may take, and your reaction to treatment. To diminish your risks for adverse effects, don’t increase your dosage, take it regularly, or take it as instructed by your physician. Adverse events may still happen even at usual prescription dosages.

If your physician requests you to use this drug consistently, use it regularly to get the most benefits from it. To make you remember it better, take it at a fixed time every day.

Your doctor may need to modify your dosages to ease your symptoms or if you develop adverse reactions.

If you have any inquiries with regards to information, ask your physician or pharmacist.

Mianserin is used in the following conditions:

  • Depression

This medicine may be recommended for different uses. Approach your physician or pharmacist for more information.  

Do not use Mianserin in people with the following conditions:

  • Mania
  • Concomitant use with MAOIs
  • Lactation
  • Severe hepatic impairment

Mianserin may have the following side effects:

  • Blurred vision
  • Urinary retention
  • Granulocytopenia
  • Suicidal ideation and behaviour
  • Constipation
  • Xerostomia
  • Hyponatraemia
  • Arthralgia
  • Precipitate shift to mania or hypomania
  • Bone fracture
  • Hepatic disorder
  • Jaundice
  • Non-puerperal lactation
  • Orthostatic hypotension
  • QT prolongation
  • Ventricular arrhythmias
  • Agranulocytosis
  • Leucopenia
  • Aplastic anemia
  • Sweating
  • Arthritis
  • Edema
  • Nipple tenderness
  • Rash
  • Polyarthropathy
  • Dizziness
  • Headache
  • Tremor
  • Seizure
  • Withdrawal symptoms
  • Gynaecomastia

Potentially Fatal:

  •  Serotonin syndrome

Keep in mind that your physician has recommended this drug since he or she has known that the advantage to you is more noteworthy than the risk of adverse reactions. Many individuals utilizing this medicine don’t have serious side effects. 

A serious allergy to this medication is uncommon. In any case, seek emergency medical help if you see any manifestations of a serious allergic response, including a rash, tingling or swelling particularly of the face or tongue or throat, dizziness or difficulty in breathing.

This is not a complete list of side effects. If you see other effects not recorded above, contact your physician or pharmacist.

Take extra caution in patients with the following medical conditions:

  • Paralytic ileus
  • Benign prostatic hyperplasia
  • Xerostomia
  • Increased intraocular pressure
  • Urinary retention
  • Visual problems
  • Suicidal ideation or history of suicide-related event
  • Existing or history of CV disease
  • Congenital long QT syndrome
  • Patient undergoing surgery
  • Renal and hepatic impairment 
  • Elderly
  • Structural heart disease, or left ventricular dysfunction
  • Brain damage
  • Diabetes mellitus
  • Bipolar disorder
  • Pheochromocytoma
  • Cerebrovascular disease
  • Hypovolaemia
  • History of seizure
  • Head trauma
  • Decreased gastrointestinal motility
  • Angle-closure glaucoma
  • Female
  • Pregnancy

Prior to taking this medicine, tell your physician or pharmacist if you are allergic to it, or if you have some other hypersensitivities. This drug may contain inert ingredients which can cause unfavorable side effects or different issues. Talk with your pharmacist for more information.

Interactions

 Mianserin  may interact with the following medicines:

  • Phenytoin
  • Atomoxetine
  • Diazoxide
  • Hydralazine
  • Antiepileptics
  • Barbiturates
  • Anxiolytics
  • Nitroprusside
  • Antihistamine
  • Antimuscarinics
  • Carbamazepine
  • Phenobarbital
  • Primidone
  • Hypnotics
  • Antipsychotics

Potentially Fatal:

  • Lithium
  • Tramadol
  • MAOIs
  • Linezolid
  • IV methylene blue
  • Fentanyl
  • TCAs
  • Triptans
  • Buspirone
  • Tryptophan 

Inform your physician about the drugs you take including over-the-counter medications, prescribed drugs, supplements and vitamins.

This is not a complete list of drug interactions. Approach your physician or pharmacist for more details.

The effects of certain medications can change if you consume different medications or herbal products simultaneously. This can build your risk for side effects or may cause your drugs not to work effectively. These interactions are conceivable, yet don’t generally happen. Your physician or pharmacist can prevent or oversee interactions by changing how you utilize your prescriptions or by close checking.

While utilizing this drug, don’t start, stop, or change the dose of other medicines you are using without your physician’s advice.

Symptoms of overdose may include the following: 

  • Nausea
  • Hypertension
  • Respiratory depression
  • ECG abnormalities 
  • Nystagmus
  • Constricted or dilated pupils
  • Prolonged sedation
  • Convulsions
  • Coma
  • Ataxia
  • Vomiting
  • Dry mouth
  • Bradycardia
  • Tachycardia
  • Hypotension
  • 1st degree to complete heart block

Seek medical help immediately.

Available Brands:

  • Tolvon

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