Ixel 25 mg. 28 capsules

Ixel WHAT IS AND WHAT IT IS USED FOR?

Ixel belongs to a group of medicines known as antidepressants.

Used to treat depression in adults. Achieving the effect can take 1-3 weeks.

BEFORE YOU TAKE Ixel

Do not take Ixelles

If you are allergic to Milnacipran or any of the other ingredients of Ixelles

 In combination with other drugs: non-selective MAO inhibitors, selective MAO-B inhibitors, digitalis, and migraine medications belonging to the group known as triptans

This medicine should not normally be used:

 In combination with injections of adrenaline or noradrenaline, clonidine, selective MAO-A inhibitors

 If you have difficulty urinating due to an enlarged prostate

Take special care with Ixelles

Thoughts of suicide and worsening of your depression or anxiety disorder

If you are depressed or have anxiety disorders you can sometimes have thoughts of harming or killing themselves. They can enhance the use of antidepressants for the first time as an effect of these drugs requires time, usually about two weeks but sometimes longer.

More likely to think like this:

 If you have previously had thoughts about killing or harming yourself

 If you are a young adult. Data from clinical studies suggest an increased risk of suicidal behavior in patients under 25 years with psychiatric conditions who were treated with an antidepressant.

If at any time you have thoughts of harming or killing yourself, contact your doctor or go to hospital.

Use in children and adolescents under 18 years.

Ixelles generally should not be used in children or adolescents under 18 years. Also you should know that patients under 18 have an increased risk of side effects such as suicide attempt, suicidal thoughts and hostility when using this class of drugs. However, your doctor may prescribe Ixelles for patients under 18 years, if it considers that it is in his interest.

Consult your doctor if you have:

 Sleep disorders and increased excitability at baseline;

 Renal failure: the daily dose may be adjusted by your doctor

 Enlargement of the prostate or difficulty urinating

 High blood pressure or heart disease

 Visual impairment with elevated intraocular pressure

Epilepsy or a history of epilepsy

Taking Ixelles with food and drink

Not recommended for use of alcohol or medicines that contain alcohol. Ixelles should be taken with a glass of water, preferably with a meal.

Pregnancy and lactation

This drug is not recommended during pregnancy. If you know you are pregnant during the treatment, consult your doctor as only he can decide whether treatment should be continued.

If you take Ixelles before birth, your baby may immediately or shortly after birth to show reversible symptoms associated with withdrawal symptoms or exposure Milnacipran. In this case you need to conduct a clinical observation.

This medicine may pass into breast milk of the mother. Therefore, breastfeeding is contraindicated.

Driving and operating machinery

Drivers of vehicles and machinery operators are advised to exercise caution due to the risk of dizziness, especially early in treatment.

How to take Ixel?

Always Ixelles exactly as your doctor tells you. If you're not sure, ask your doctor.

If you think that the effect of Ixelles is too strong or too weak, talk to your doctor.

Method and route of administration

Orally

Swallow hard capsule with a glass of water at mealtimes.

Duration

Treatment usually lasts for several months.

Do not stop treatment at its own discretion, even if you feel better. If necessary, treatment should be discontinued gradually according to your doctor's instructions.

Possible side effects

Side effects may occur mainly in the first week or the first two weeks of treatment with Milnacipran.

 Dizziness, sweating, anxiety, hot flashes and urinary abnormalities

 Nausea, vomiting, dry mouth, constipation, tremor, palpitations, agitation, headache, skin allergy, skin redness and itching with patches

 If you have cardiovascular disease or are taking heart medicines, can often occur conditions such as high blood pressure, low blood pressure, dizziness or palpitations

 Tests of liver function, hepatitis

 In rare cases, a group of symptoms associated with an excess of serotonin in the brain due to the important effect of Ixelles occur with nausea, sweating, anxiety, hot flashes, tremor, palpitations and agitation.

 Can occur and an inability to urinate, convulsions, especially in patients with a history of epilepsy, pain in the testes and abnormal ejaculation.

 In extremely rare cases: reducing the level of sodium in the blood and bleeding from the skin and mucous membranes.

Some symptoms can be caused by depression.

Additional Information:

What Ixelles:

 The active substance is Milnacipran hydrochloride

The other ingredients are calcium hydrogen phosphate dihydrate, croscarmellose calcium, povidone K30, colloidal anhydrous silica, magnesium stearate, talc.

 The capsule shell contains:

 Ixelles 25 mg: cap and body: titanium dioxide, red iron oxide, yellow iron oxide, gelatin

 Ixelles 50 mg: cap: titanium dioxide, red iron oxide, yellow iron oxide, gelatin

Body: titanium dioxide, red iron oxide, yellow iron oxide, gelatin.