Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
DULOXETINE HYDROCHLORIDE
CAMBER LABORATORIES SDN. BHD.
DULOXETINE HYDROCHLORIDE
10x7s Capsules; 4x7s Capsules
Hetero Labs Limited
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP) _ DULOX 30/60 (DULOXETINE HYDROCHLORIDE DELAYED RELEASE CAPSULES 30MG / 60MG) Duloxetine hydrochloride (30mg/60 mg) WHAT IS IN THIS LEAFLET 1. What _DULOX 30 & 60 _ is used for 2. How _DULOX 30 & 60 _ works 3. Before you use _DULOX 30 & 60 _ 4. How to use _DULOX 30 & 60 _ 5. While you are using it 6. Side effects 7. Storage and Disposal of _DULOX 30 _ _& 60 _ 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision WHAT _DULOX 30 & 60 _IS USED FOR Duloxetine is used to treat major depressive disorder and general anxiety disorder. Duloxetine is also used to treat pain caused by nerve damage in people with diabetes (diabetic neuropathy). HOW _DULOX 30 & 60 _ WORKS Duloxetine affects chemicals in the brain that may become unbalanced and cause depression. BEFORE YOU USE _DULOX 30 & 60 _ _- When you must not use it _ _Pregnancy and lactation _ Do not take _DULOX 30 & 60 _ if you are pregnant, trying to get pregnant or think you may be pregnant. Do not take _DULOX 30 & 60 _ if you are breast-feeding. Ask your doctor or pharmacist for advice before taking any medicine. - _Before you start to use it _ _ _ Do not use this medication if you are allergic to duloxetine, or if you have untreated or uncontrolled high blood pressure . DO NOT USE DULOXETINE IF YOU HAVE TAKEN AN MAO INHIBITOR IN THE PAST 14 DAYS. A dangerous drug interaction could occur. MAO inhibitors include furazolidone, isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine. After you stop taking duloxetine, you must wait at least 5 days before you start taking an MAOI. To make sure duloxetine is safe for you, tell your doctor if you have: • liver or kidney disease; • seizures or epilepsy; • a bleeding or blood clotting disorder; • high blood pressure; • glaucoma; • bipolar disorder (manic depression); • a history of drug abuse or suicidal thoughts Some young people have thoughts about suicide when first taking an antidepressant. Your d Baca dokumen lengkap
DULOXETINE HYDROCHLORIDE DELAYED RELEASE CAPSULES 30 & 60 MG NAME OF THE PRODUCT DULOX 30 (Duloxetine Hydrochloride Delayed Release Capsules 30 mg) DULOX 60 (Duloxetine Hydrochloride Delayed Release Capsules 60 mg) NAME AND STRENGTH OF ACTIVE INGREDIENT Name : Duloxetine Hydrochloride Capsules Strength : 30 mg Name : Duloxetine Hydrochloride Capsules Strength : 60 mg PRODUCT DESCRIPTION DULOX 30 (DULOXETINE HYDROCHLORIDE DELAYED RELEASE CAPSULES 30MG) Opaque blue cap / Opaque white body size '3' hard gelatin capsules imprinted with 'H' on cap and '191' on body with golden yellow ink, filled with white to off white colored pellets. DULOX 60 (DULOXETINE HYDROCHLORIDE DELAYED RELEASE CAPSULES 60MG) Opaque blue cap / Opaque green body size '1' hard gelatin capsules imprinted with 'H' on cap and '192' on body with white ink, filled with white to off white colored pellets. PHARMACODYNAMICS Pharmacotherapeutic group: Other antidepressants. ATC code: N06AX21. Mechanism of action Duloxetine is a combined serotonin (5-HT) and noradrenaline (NA) reuptake inhibitor. It weakly inhibits dopamine reuptake, with no significant affinity for histaminergic, dopaminergic, cholinergic, and adrenergic receptors. It was reported that duloxetine dose-dependently increases extracellular levels of serotonin and noradrenaline in various brain areas. Pharmacodynamic effects Duloxetine normalised pain thresholds in several models of neuropathic and inflammatory pain and attenuated pain behaviour in a model of persistent pain. The pain inhibitory action of duloxetine is believed to be a result of potentiation of descending inhibitory pain pathways within the central nervous system. PHARMACOKINETICS Duloxetine is administered as a single enantiomer. Duloxetine is extensively metabolised by oxidative enzymes (CYP1A2 and the polymorphic CYP2D6), followed by conjugation. The pharmacokinetics of duloxetine demonstrate large intersubject variability (generally 50-60%), partly due to gender, age, smoking status, and CYP2D6 metaboliser status. Baca dokumen lengkap