Description and instructions of Melitor
In the modern world, many people are familiar with a state such as depression. This is a kind of mental disorder, which is characterized by a decrease in mood, loss of ability to rejoice, as well as a violation of thinking( in the negative direction) and motor retardation.
During depression, a person's self-esteem is significantly reduced, and there is a loss of interest in the usual activities and life in general. In some cases, the patient begins to abuse alcoholic beverages or any psychotropic substances. In addition, a person who has been depressed for a long time is prone to suicide. Therefore, it is necessary to leave this state. To do this, you need to contact an experienced doctor.
A large number of pharmacological companies specialize in the production of so-called antidepressants. These are psychotropic drugs that have a direct effect on the level of neurotransmitters, including dopamine and serotonin. In a depressed person, such a remedy improves mood, reduces lethargy, relieves depression, eliminates anxiety, apathy and emotional tension.
One of the most popular antidepressants is the preparation "Melitor".Instructions for use, reviews about the drug will be presented below.
Description, formulation, composition, packaging
Medication "Melitor", the instruction for which is enclosed in a cardboard package, is available in the form of tablets. They have an oblong shape and an orange-yellow color. Also, the drug is film-coated. On one side of the tablet is an imprint of the company logo.
In the sale of tablets come in blisters of 14 pieces.
What substances contain the medicine "Melitor"?Instructions for use asserts that its active ingredient is agomelatine. Also in the composition of the tablets are additional elements in the form of stearic acid, lactose monohydrate, povidone, corn starch, sodium starch glycolate( type A), anhydrous colloidal silicon dioxide and magnesium stearate.
Melitor tablets( instructions for use are described below) are an antidepressant that affects the nervous system and effectively manifests itself in various forms of depression. In addition, this drug is often taken with desynchronization of circadian rhythms, anxiety and stress.
The active substance of the drug in question is a melatonergic agonist of MT2 and MT1 receptors, as well as a 5-HT2c receptor antagonist. This drug has no affinity with choline, histamine, dopaminergic, beta and alpha-adrenergic and benzodiazepine receptors, and does not alter the degree of capture of monoamines. This drug synchronizes circadian rhythms, normalizes the structure of sleep, stimulates the formation of melatonin and facilitates falling asleep.
When using a medication to treat people suffering from depression, there is an extension of the slow-wave sleep phase. As for the phase of fast sleep, it is not subjected to any changes.
It should also be noted that this agent can stimulate the release of norepinephrine and dopamine in the cortex of the frontal lobe of the brain. In this case, agomelatine does not change the level of extracellular serotonin.
Properties of the medicine
What features are inherent in the drug "Melitor"?The instruction, the reviews say that in healthy volunteers it did not have a negative impact on memory, body weight, ability to concentrate, AD, sexual function and heart rate. In addition, agomelatine is not addictive. After the termination of treatment the withdrawal syndrome was not developed.
What are the kinetic properties of the medication under consideration? What does the instruction say about this?"Melitor" is well absorbed from the digestive tract. Its absolute bioavailability is 3%.But, depending on the characteristics of a person, significant fluctuations are possible. For example, in women of lower sex, the bioavailability of the drug is higher than that of men. Moreover, smoking reduces this indicator, and the intake of oral contraceptives, on the contrary, increases.
The peak concentration of the active component in the blood is observed 70-100 minutes after oral administration. The antidepressant is characterized by a high degree of association with plasma proteins( up to 95%).
Metabolism occurs in the liver with the formation of inactive compounds. The drug is excreted by the kidneys( about 80%) for two hours.
Why do I need the medicine "Melitor"?The instruction informs that this preparation is intended for treatment of people with depressive episodes.
When should we not prescribe the antidepressant that we are considering? What does the instruction say about this?"Melitor" is contraindicated in:
- increased individual sensitivity to the drug;
- lactase deficiency;
- severe hepatic impairment;
- of glucose / galactose malabsorption;
- in the elderly;
- congenital intolerance to galactose;
- at a minor age;
In addition, this remedy is cautiously prescribed to patients with hypomania or mania in anamnesis, impaired renal function, alcoholism( in the event that a person is receiving hepatotoxic drugs).
"Melitor" is intended for oral administration. The tablet is swallowed whole, not crushing and not chewing. It is taken regardless of eating. With the development of side effects on the part of the digestive tract, medication can also be used during the meal.
Daily dose should be taken once a day, before bedtime.
The duration of treatment and the dose of medication is determined by the doctor individually.
Usually an adult is prescribed 25 mg of medication per day. With an insufficiently pronounced therapeutic effect, 2 weeks after the start of treatment, the dosage is increased to 50 mg per day.
People receiving this therapy should constantly monitor liver function.
The course duration in patients with depression should not be less than six months.
Is the drug treated well tolerated by patients? What does the instruction say about this?"Melitor" only in some cases causes the development of side effects. In most people, they go through 2 weeks.
So, against the background of taking this medication in patients can arise:
- nausea, gastralgia, stool disorder, increased level of liver transaminases and hepatitis;
- dizziness, migraine, headache, visual impairment, disturbance of wakefulness and sleep, paresthesia, suicidal thoughts, unreasonable sense of anxiety;
- skin rash, hives, itching, erythematous rash and eczema;
- myalgia, asthenia, back pain.
What are the symptoms of an overdose of Melitor tablets? The instruction informs that at the moment no such messages have been received from patients. When taking the drug in elevated doses, it shows gastric lavage and the reception of enterosorbents. Symptomatic therapy is also performed.
The kinetics of the drug in question may change when it is combined with preparations metabolized by the enzymes of the cytochrome CYP 2C9 / 19 and P450 1A2.In particular, it is not recommended to prescribe this medication with "Ciprofloxacin" and "Fluvoxamine".
As for "Propanolol", "Enoxacin", "Grepafloxacin", they should be used with extreme caution for those who are already receiving treatment with Melitor.
Feeding and Pregnancy
Can I take Melitor during the gestation period? The instruction informs, that such means can be appointed or nominated to pregnant women, but only under vital indications. Experiments on animals have revealed that agomelatine does not adversely affect the development of the fetus. Although the data on the safety of this drug in pregnant women is not enough.
If the drug is required to be taken during lactation, it is necessary to consult with the treating doctor and decide on the interruption of breastfeeding.
Special recommendations for taking medication
What do I need to know before taking Melitor medication( 25 mg)?Instruction, reviews report that this tool is not recommended for elderly patients.
In the development of manic signs treatment should be interrupted.
In some cases, improvement after taking pills does not occur in the first few weeks. Therefore, the condition of the patient requires constant monitoring. In the early stages of recovery, the development of suicidal thoughts may increase.
All patients taking Melitor should always monitor liver function. With an increased content of transaminases in the blood, the test should be repeated within two days. When the indicators are increased 3 times, the therapy is stopped.
Treatment with the drug in question should be carried out with extreme caution if the patient has risk factors for liver damage, including obesity, non-alcoholic fatty disease, as well as significant alcohol consumption or simultaneous use of drugs that have hepatotoxic effects.
Analogues and cost
The price of antidepressant "Melitor" is 850 rubles. If necessary, this remedy can be replaced with such drugs as "Lotosonik", "Azafen", "Neurol", "Adeptress", "Cetol", "Sevprem", "Zalox", "Trittico", etc.
Now you know the properties of such an antidepressant, as "Melitor".Instructions for use of this medication have been described above.
Many patients claim that this remedy effectively manifests itself in deep depression. It eliminates depression, reduces lethargy and returns interest to life. However, it should be noted that only an experienced specialist should prescribe this drug. It is he who can determine the safe dosage of medication and the duration of treatment.
Also to the merits of this tool, consumers attribute a low probability of side effects, a small number of contraindications and ease of use( the tablet should be taken once a day).
As for the disadvantages, they are only considered to be a high cost of the drug.