MarketFlupentixol/melitracen
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Flupentixol/melitracen

Flupentixol/melitracen is a combination of two psychoactive agents flupentixol and melitracen. It is designed for short term usage only. It is produced by Lundbeck.

Medical uses
Fixed dose combination of flupentixol and melitracen is indicated for the treatment of anxiety, depression, asthenia, neurasthenia, masked depression, psychosomatic affections accompanied by anxiety and apathy, menopausal depressions, and dysphoria or depression in alcoholics and drug addicts. • Treatment of anxiety: Indicated for patients with anxiety disorders, especially when depression is also present or when there is associated asthenia (unexplained fatigue or weakness). • Management of asthenia: Used for conditions characterized by fatigue, low energy, and diminished motivation, frequently seen with mood disturbances. • Psychosomatic and neurotic disorders: Recommended for depressive neuroses, psychogenic depression, masked depression, neurasthenia, and psychosomatic affections where anxiety, depression, or apathy are prominent. Elderly: The usual starting dose is one tablet in the morning; in severe cases, one tablet may also be given at midday. ==Contraindications==
Contraindications
Circulatory collapse, depressed level of consciousness due to any cause, Coma. Severe depression requiring hospitalization or electroconvulsive therapy. Not recommended for use in states of excitement or overactivity. == Adverse reactions ==
Adverse reactions
Unsafe in porphyria. Caution when used in patients with epilepsy; Parkinson's disease; narrow angle glaucoma; prostatic hypertrophy; hypothyroidism; hyperthyroidism; liver disease; cardiac disease or arrhythmias; severe respiratory disease; renal failure; myasthenia gravis; phaeochromocytoma. Patients with hypersensitivity to thioxanthenes or other antipsychotics. Close monitoring for changes in behaviour, suicidal thoughts or clinical worsening during the initial part of the treatment is recommended. May impair control of diabetes; monitor blood glucose in diabetics. Drowsiness, dry mouth, constipation, vomiting, dyspepsia, diarrhea, abdominal pain, nausea, flatulence. Extrapyramidal effects, especially in the initial phase of the treatment. Tachycardia, palpitations, prolonged QT interval, hypotension. Thrombocytopenia, neutropenia, leukopenia, agranulocytosis. Dyspnoea, myalgia, muscle rigidity, micturition disorder, urinary retention. Increased appetite and weight. Abnormal glucose tolerance and LFTs. Insomnia, depression, nervousness, agitation, decreased libido, Tardive dyskinesia. ==Drug Interactions==
Drug Interactions
Increased risk of adverse effects when used with alcohol. May potentiate the effects of general anaesthetics and anticoagulants, and prolong the action of neuromuscular blockers. May increase anticholinergic effects of atropine and drugs with anticholinergic activity. May increase risk of neurotoxicity when used with sibutramine or lithium. Avoid concurrent usage with drugs that cause QT prolongation or cardiac arrhythmias. May inhibit metabolism of TCAs. May antagonise effects of adrenaline and sympathomimetics, and reverse antihypertensive effects of guanethidine. == Pharmacology ==
Pharmacology
Mechanism of action Flupentixol inhibits dopamine-mediated effects by acting as an antagonist at the D(2) and D(1a) dopamine receptors. It also acts as a 5-HTP receptor antagonist. . Melitracen is a TCA with anxiolytic properties. At low doses, it has activating properties. It is also a bipolar thymoleptic. The exact mechanism of Action is not fully understood. Pharmacokinetics Absorption: Flupentixol: Readily absorbed in the GI tract. Distribution: Flupentixol: >95% bound to plasma proteins; widely distributed in the body and crosses the blood brain barrier. Metabolism: Flupentixol: Extensively hepatic metabolism. Excretion: Flupentixol: Excreted in urine and faeces in the form of many metabolites. == Society and culture ==
Society and culture
Regulatory status This medication first reached market in 1973. It is approved in 21 countries worldwide, which does not include its home country of Denmark. It was taken off the approved list in India in 2014, citing a lack of required information such as mandatory clinical trial results in its 1998 approval decision. It is approved in China. • Taiwan: Brand names for generics include: • Pentoxol.m (scotmann pharmaceuticals Pakistan) • Sensit (Eskayef Bangladesh Ltd.) • Renxit (Renata Ltd.) • Melixol (Square Pharmaceuticals Ltd.) • Melanxit (Organic Health Care Ltd.) • Benzit (Bio-Pharma Ltd.) • Leanxit (ACME Laboratories Ltd.) • Danxipress (Vickmans Lab Ltd.) • Amilax (Amico Lab Ltd) • Angenta (Healthcare Pharmaceuticals Ltd.) • EXZILOR (SUN PHARMA LABORATORIES LTD.) • Mocalm (Swiss Pharmaceutical Co. Ltd. 瑞士藥廠股份有限公司新市廠) • Danxit (Astra Biopharmaceuticals LTD.) Use and abuse Flupentixol/melitracen is the single most popular antidepressant in China, according to 2013–2018 prescription data. It is generally not prescribed by psychiatrists, but by clinicians working in other areas, mainly gastroenterologists, cardiologists, endocrinologists, neurologists, even general physicians and surgeons. Only when a patient encounters a side effect on this drug are they referred to a psychiatrist. Among Jordanian pharmacists, 70.6% were willing to dispense the medication in situations including malpractice. ==See also==
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