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How does this medication work? What will it do for me?
Moclobemide belongs to the class of antidepressants known as monoamine oxidase (MAO) inhibitors. It is used to treat depression. Depression is believed to be caused by imbalances in certain brain chemicals. This medication works by bringing these chemicals back into balance.
Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.
Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.
What form(s) does this medication come in?
Each pale yellow, oval, biconvex, film-coated tablet, imprinted "P" logo "150" on one side and single scored on the other side, contains 150 mg of moclobemide. Nonmedicinal ingredients: hydroxypropyl methylcellulose, lactose anhydrous, lactose monohydrate, magnesium stearate, purified water, sodium starch glycolate, povidone PVK-30, synthetic yellow iron oxide, titanium dioxide, triacetin, and white cornstarch.
Each white, oval, biconvex, film-coated tablet, imprinted "P" logo "300" on one side and single scored on the other side, contains 300 mg of moclobemide. Nonmedicinal ingredients: hydroxypropyl cellulose, hydroxypropyl methylcellulose, lactose anhydrous, magnesium stearate, polyethylene glycol, purified water, sodium starch glycolate, povidone PVK-30, titanium dioxide, and white cornstarch.
How should I use this medication?
The usual starting dose of moclobemide for adults is 150 mg twice daily. If necessary, your doctor may gradually increase your dose after the first week to a maximum of 300 mg twice daily. The recommended dose of moclobemide for adults ranges from 150 mg to 300 mg, taken twice daily after meals.
Moclobemide should be swallowed whole with a glass of water. Do not split, crush, chew, or dissolve the tablets.
This medication may take a few days to several weeks to achieve the best effect. Unlike other MAO inhibitors, no special dietary restrictions are necessary when taking moclobemide. It is very important, however, to always take this medication immediately after you have eaten.
Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.
It is important to take this medication exactly as prescribed by your doctor. Do not stop taking this medication without talking to your doctor first, even if you start to feel better. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Store this medication at room temperature and keep it out of the reach of children.
Who should NOT take this medication?
Do not take this medication if you:
- are allergic to moclobemide or any ingredients of the medication
- are in an acute state of confusion
- are taking any of the following medications:
- other MAO inhibitors e.g., tranylcypromine)
- SNRI antidepressants e.g., desvenlafaxine)
- SSRI antidepressants e.g., fluoxetine, sertraline)
- tricyclic antidepressants (e.g., amitriptyline)
- "triptan" migraine medications (e.g., sumatriptan)
What side effects are possible with this medication?
What side effects are possible with this medication?
- dryness of mouth
- trouble sleeping
Although most of these side effects listed below don’t happen very often, they could lead to serious problems if you do not check seek medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
- blurred vision or other changes in vision
- fast, racing, or irregular heartbeat
- feeling confused, disoriented, or lost
- new or worsened emotional problems
- slow heartbeat
- slurred speech
- stiff neck, severe throbbing headache
- symptoms of low sodium levels in the blood (e.g., achy, stiff or uncoordinated muscles, confusion, tiredness, weakness)
- thoughts of self-harm or hurting others
Stop taking the medication and seek immediate medical attention if any of the following occur:
- signs of a hypertensive reaction (e.g., severe headache with confusion and blurred vision, nausea, vomiting, severe anxiety, difficulty breathing, severe chest pain, seizures)
- signs of a serious allergic reaction (e.g., abdominal cramps, difficulty breathing, nausea and vomiting, or swelling of the face and throat)
- signs of serotonin syndrome (too much serotonin in the body; e.g., fast or racing heartbeat, loss of coordination, agitation, decreased reflexes, rapid changes in blood pressure, fever, heavy sweating, confusion)
Are there any other precautions or warnings for this medication?
Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Diet restrictions: Treatment with moclobemide does not require special diet restrictions as with other MAO inhibitors such as phenelzine. However, you should avoid consuming large amounts of certain foods, such as over 70 g of Marmite or 200 g of strong cheese. As a safety measure, immediately report the sudden occurrence of any of the following:
- extremely fast or slow heart rate
- neck stiffness
- other unusual symptoms not previously experienced
Drowsiness/reduced alertness: This medication may cause drowsiness or dizziness. Do not drive, operate machinery, or perform other potentially hazardous tasks until you have determined how this medication affects you.
Glaucoma: Moclobemide may cause symptoms of glaucoma (increased pressure in the eyes), such as blurred vision or eye pain or pressure, to become worse. If you have glaucoma, discuss with your doctor how this medication may affect your medical condition, and whether any special monitoring is needed.
Kidney disease: If you have reduced kidney function or kidney disease, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Liver function: Liver disease or reduced liver function may cause this medication to build up in the body, causing side effects. If you have reduced liver function or liver disease, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. For people with severe liver dysfunction, the daily dose of moclobemide should be reduced to one-third or one-half of the standard dose.
Other medications: Treatment with tricyclic antidepressants may be started after moclobemide has been stopped for at least 2 days. Do not start treatment with moclobemide until antidepressants have been stopped for 2 weeks in most cases (wait 5 weeks after taking fluoxetine).
Suicidal or agitated behaviour: People taking this medication may feel agitated (restless, anxious, aggressive, emotional, and feeling not like themselves), or they may want to hurt themselves or others. These symptoms may occur within several weeks after starting this medication. If you experience these side effects or notice them in a family member who is taking this medication, contact your doctor immediately. You should be closely monitored by your doctor for emotional and behaviour changes while taking this medication.
Thyroid disease: With certain types of thyroid disease, this medication can cause a severe increase in blood pressure. If you have thyroid disease, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Pregnancy: The safety of using moclobemide during pregnancy has not been established. This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.
Breast-feeding: This medication passes into breast milk. If you are a breast-feeding mother and are taking moclobemide, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of using this medication have not been established for children.
What other drugs could interact with this medication?
There may be an interaction between moclobemide and any of the following:
- acetylcholinesterase inhibitors (e.g., donepezil, galantamine, rivastigmine)
- alpha/beta agonists (e.g., epinephrine, norepinephrine)
- alpha agonists (e.g., clonidine, methyldopa)
- amphetamines (e.g., dextroamphetamine)
- anesthetics (e.g., halothane)
- anti-emetic medications (e.g., granisetron, ondansetron)
- antihistamines (e.g,. cetirizine, doxylamine, diphenhydramine, hydroxyzine, loratadine)
- antipsychotic medications (e.g., haloperidol, quetiapine, risperidone)
- appetite suppressants (e.g., sibutramine, mazindol)
- "azole" antifungals (e.g., itraconazole, ketoconazole, voriconazole)
- beta-2 agonists (e.g., salbutamol, formoterol, terbutaline)
- botulinum toxin
- decongestants (e.g., phenylephrine, oxymetazoline, pseudoephedrine, tetrahydrazoline, xylometazoline)
- diabetes medications (e.g., chlorpropamide, glipizide, glyburide, insulin, metformin, nateglinide, rosiglitazone)
- ergot alkaloids (e.g., ergotamine, dihydroergotamine)
- glaucoma medications (e.g., apraclonidine, brimonidine)
- methylene blue
- other monoamine oxidase inhibitors (MAOIs; e.g., moclobemide, phenelzine, rasagiline, selegiline, tranylcypromine)
- narcotic medications (e.g., fentanyl, morphine, codeine, oxycodone)
- potassium chloride
- St. John’s wort
- selective serotonin reuptake inhibitors (SSRIs; e.g., citalopram, fluoxetine, paroxetine, sertraline)
- serotonin/norepinephrine reuptake inhibitors (SNRIs; e.g., desvenlafaxine, duloxetine, venlafaxine)
- sympathomimetic medications (e.g., epinephrine, norepinephrine)
- tricyclic antidepressants (e.g., amitriptyline, clomipramine, desipramine)
- "triptan" migraine medications (e.g., rizatriptan, sumatriptan)
- stop taking one of the medications,
- change one of the medications to another,
- change how you are taking one or both of the medications, or
- leave everything as is.
All material copyright MediResource Inc. 1996 – 2022. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/drug/getdrug/pms-Moclobemide