$18.70
Manufacturer: Ukraine
Amitriptyline is a tricyclic antidepressant, a non-selective inhibitor of neuronal reuptake of monoamines. Has a pronounced thymoleptic effect, belongs to the group of large antidepressants. The thymoleptic effect is combined with a pronounced sedative effect. It also has antiserotonin, antihistaminic and anticholinergic effects.
Indications
- Endogenous depression, including a depressive episode, recurrent depressive disorder;
- bipolar affective disorder, current depressive episode.
Description
Ingredients
active ingredient: amitriptyline;
1 ml of solution contains amitriptyline hydrochloride in terms of amitriptyline 10 mg;
excipients: glucose, water for injections.
Medicinal form
Solution for injections.
Main physical and chemical properties: colorless transparent liquid.
Pharmacotherapeutic group
Antidepressants. Non-selective inhibitors of the reverse neuronal uptake of monoamines. ATX code N06A A09.
Pharmacodynamics
Amitriptyline is a tricyclic antidepressant, a non-selective inhibitor of neuronal reuptake of monoamines. Has a pronounced thymoleptic effect, belongs to the group of large antidepressants. The thymoleptic effect is combined with a pronounced sedative effect. It also has antiserotonin, antihistaminic and anticholinergic effects.
Indications
- Endogenous depression, including a depressive episode, recurrent depressive disorder;
- bipolar affective disorder, current depressive episode.
Contraindications
Hypersensitivity to amitriptyline or any of the components of the drug. Glaucoma, prostate hypertrophy, bladder atony.
A recent myocardial infarction. Any kind of blockages or heart rhythm disturbances, as well as insufficiency of coronary arteries.
The simultaneous appointment of amitriptyline and MAOIs is contraindicated due to the development of serotonin syndrome (a combination of symptoms, which may include anxiety, confusion, tremors, myoclonus, and hyperthermia).
Treatment with the use of amitriptyline can be started 14 days after stopping the use of irreversible non-selective MAOIs, as well as at least 1 day after stopping the use of the reversible drugs moclobemide and selegiline.
Directions
In case of severe depression, treatment can be started with parenteral administration of the drug – intramuscularly or intravenously slowly – in adults at a dose of 25-40 mg 3-4 times a day. The course of treatment is 3-12 injections. After that, it is advisable to prescribe amitriptyline hydrochloride internally in the form of tablets.
Elderly persons should be prescribed the drug in smaller doses.
Moderate renal impairment: use with caution.
Decreased liver function of a moderate degree: careful selection of the dose and, if possible, determination of the content of the drug in the blood serum is recommended.
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