Adverse Reaction:
Tetracyclic antidepressants includes -
Mirtazapine and Maprotaline, Mianserin
Refer - Mitrazapine
MAPROTALINE-
CARDIOVASCULAR -
Hypertension/hypotension -rare
CNS-
Drowsiness 16% Dizziness 8% Nervousness 6% Headache 4%
Weakness/fatigue 4% Anxiety 3% Tremor 3%Insomnia 2% Agitation 2%,
DERMATOLOGIC-
Alopecia ,Rash -rare
GI-
Dry mouth 22% Constipation 6% Nausea 2% Vomiting -rare
METABOLIC/NUTRIONAL -
Edema -rare Weight gain -rare Weight loss - rare
MISCELLANEOUS -
Blurred vision 4% Altered liver function - rare, Urinary frequency -rare
Patient Information:
Ref - USP PDI Vol II 17th Edition (1997)
1.Allergies-
Tell your doctor if you have ever had any unusual or allergic reaction to
Maprotiline. Also tell your healthcare care professional if you are allergic to
any other substances such as foods. preservatives or dyes.
2.Pregnancy-
Maprotiline has not been studied in pregnant women. However, this
medicine has not shown to cause birth defects or other problems in
animal studies.
3. Breast-feeding-
Maprotiline passes into breast milk. however, this medicine has not
been reported to cause problems in nursing babies.
4.Children-
Studies of this medicine has been done only in adult patients and there is no
specific information comparing maprotiline in children with use in other age groups.
5.Older adults-
Drowsiness, dizziness or lightheadedness , confusion, vision problems,
dryness of mouth, constipation, difficulty in urination, may be likely to
occur in elderly patients.
6. Other medicines-
Tell your doctor if you are using any of the following-
Amphetamine or
Appetite suppressants or
Medicine for asthma or
Medicine for cold or fever - using these medicines with maprotiline
may cause unwanted side effects
CNS depressants - taking with maprotiline may increase CNS depressant
effects.
MAO inhibitors- at least 14 days should be allowed between stopping treatment
with one medicine and starting with other
7. Other medical problems-
Make sure you tell your doctor if you have any other medical problems
especially-
Alcohol abuse or
Difficulty in uination or
Enlarged prstrate or
Glaucoma or
Mental illness or
Stomach or intestinal problems - maprotiline may make the condition
worse
Heart or blood vessel disease or
Overative thyroid - serious effects on your heart may occur
Liver disease - high blood levels may occur increasing the chance of
side effects.