MILNACIPRAN Pharmacology


Antidepressive agent, Serotonin re-uptake inhibitor
Mechanism of Action of MILNACIPRAN
Milnacipran inhibits norepinephrine and serotonin reuptake in a 3:1 ratio, in practical use this means a balanced (equal) action upon both transmitters. The serotonin reuptake inhibition is likely to improve depression, while the norepinephrine reuptake inihibition probably improves chronic pain. Milnacipran exerts no significant actions on postynaptic H1, alpha-1, D1, D2, and muscarinic receptors, as well as on benzodiazepine/opiate binding sites
Pharmacokinets of MILNACIPRAN
Absorption: Absorbed after oral administration
Metabolism: Metabolised in the liver
Excretion: Excreted through urine
Onset of Action for MILNACIPRAN
Duration of Action for MILNACIPRAN
8 hrs
Side Effects of MILNACIPRAN
5.Heart rate increase
6.Dry mouth
Contra-indications of MILNACIPRAN
Hypersensitivity to milnacipran
Special Precautions while taking MILNACIPRAN
1.Renal disease
2.Heart disease
3.Open angle glaucoma
Pregnancy Related Information
Old Age Related Information
Breast Feeding Related Information
Children Related Information
Indications for MILNACIPRAN
1.Depressive disorder
Interactions for MILNACIPRAN
MAOIs - hyperserotonergia (serotonin syndrome), potentially lethal hypertensive crisis
5-HT1 receptor agonists - coronary vasoconstriction with risk of angina pectoris and myocardial infarction
Epinephrine, Norepinephrine (also in local anesthesia) - hypertensive crisis and/or possible cardiac arrhythmia
Clonidine - antihypertensive action of clonidine may be antagonized
Digitalis - hemodynamic actions increased
Typical Dosage for MILNACIPRAN
Depressive disorder: 100 mg/day (given as 50 mg 2 times daily), with a starting period of 4 days on 25 mg/day
Fibromyalgia: Initial dose on day 1: 12.5 mg once
Days 2 and 3: 12.5 mg twice daily
Days 4 through 7: 25 mg twice daily
After day 7: 50 mg twice daily
Recommended maintanance dose: 50 mg twice daily
Based on individual patient response, the dose may be increased to 100 mg twice daily
Storage Requirements for MILNACIPRAN
Store at room temperature away from moisture and heat. Keep out of the reach of children
Effects of Missed Dosage of MILNACIPRAN
Effects of Overdose of MILNACIPRAN

Home Delivery for MILNACIPRAN in Your City

Medicine India is just a publishing medium for medicine related information and does not provide services or sales of medicines including milnacipran.

However, we do publish a comprehensive directory of Pharmacies, Chemists and Druggists in cities all over India. You can use this directory to find the medicine stores in your city (or area) that provide home delivery services for milnacipran and other medicines and health products. Home delivery services for milnacipran may be free or they may cost you depending on the pharmacy and the minimum order requirements. It would be best to get this clarified while placing the order.

Please be aware that you should take milnacipran only if a doctor has recommended or prescribed it. Some or all pharmacies who provide a home delivery service for medicines might insist on a prescription for milnacipran before they complete the sale. You can get this information while placing the order for milnacipran with the pharmacy.

MILNACIPRAN is a generic medicine name and there are several brands available for it. Some of the brands for milnacipran might be better known than milnacipran itself. If the pharmacy that's willing to deliver medicines to your home doesn't have milnacipran in stock, you can ask for one of the branded alternatives for milnacipran.