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Indication & Dosage
 
 
Oral
TREATMENT OF DEPRESSION
Adult:

 Initially, 25 mg tid, gradually increased to 50 mg tid if necessary, alternatively as a single dose at night.
 

Elderly: 50-75 mg daily.

   
Administration May be taken with or without food.
   
Precautions Epilepsy, hypertension, glaucoma, urinary retention, gradual withdrawal, pregnancy, lactation, elderly.
   
Potentially Life-threatening 
Adverse Drug Reactions
Cholestatic jaundice, sexual dysfunction, exacerbation of psychotic manifestation, cardiac arrhythmias, hypotension, dry mouth, constipation, disturbance of accommodation, tachycardia, postural hypotension, drowsiness, tremors and skin rash. Withdrawal symptoms with abrupt cessation: Insomnia, irritability and excessive sweating.
   
Adverse Drug Reactions Bone marrow depression, cardiac arrhythmias and agranulocytosis, reports of ventricular fibrillation and renal failure.
   
Interactions Should not be given concurrently or within 14 days of stopping MAOIs. Potentiates catecholamines, sympathomimetics, narcotics and alcohol. Reduces hypotensive activity of bethanidine, guanethidine.
   
   
 

 

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