Question 1

What is this medicine for, and how does it work?

Accepted Answer

This is a serotonin and norepinephrine reuptake inhibitor (SNRI). It increases serotonin and norepinephrine levels in the brain. It's used to treat depression.

Question 2

When and how should this medicine be taken?

Accepted Answer

• May take with or without food • Take at same time each day • Do not crush or chew • Take with full glass of water

Question 3

When should this medicine not be used?

Accepted Answer

• With MAO inhibitors • In suicidal tendencies • In uncontrolled hypertension • During pregnancy

Question 4

What precautions should be taken before using this medicine?

Accepted Answer

• May increase risk of suicidal thoughts in young adults • May cause increased sweating and hot flashes • May cause difficulty urinating • Do not stop suddenly - taper off under doctor's guidance

Question 5

Is it safe to use this medicine during pregnancy?

Accepted Answer

• Limited data on use in pregnant women • Consider risks of untreated depression • Monitor for neonatal complications if used late in pregnancy

Question 6

Can this medicine be used while breastfeeding?

Accepted Answer

• May increase risk of suicidal thoughts in young adults • May cause increased sweating and hot flashes • May cause difficulty urinating • Do not stop suddenly - taper off under doctor's guidance

Question 7

Is this medicine suitable for children and elderly?

Accepted Answer

• Safety and effectiveness not established in pediatric patients. • No overall differences in responses between elderly and younger subjects.

Question 8

What should be done if a dose is missed?

Accepted Answer

• If you miss a dose, take it as soon as you remember. • However, if it's almost time for your next dose, skip the missed dose. • Never take two doses together. • For once-daily dosing: If you remember on the same day, take the dose. • For twice-daily dosing: If more than 8 hours until your next dose, take the missed dose. • Take your next dose at the regular time. • If you're unsure, contact your doctor or pharmacist.

Question 9

What should be done in case of an overdose?

Accepted Answer

• Symptoms: Hypertension, serotonin syndrome. • Treatment: Control blood pressure, cyproheptadine.

Question 10

What should be done if side effects are experienced?

Accepted Answer

• Common side effects: Erectile dysfunction, constipation, heart rate increase, urinary problems, high blood pressure • What to do: Monitor blood pressure; Report sexual problems; Take as scheduled; Regular check-ups; Stop taking the medication and seek medical advice if any severe side effect or unusual symptoms occur.

Question 11

What is Cipran 80mg used for?

Accepted Answer

Cipran 80mg (Levomilnacipran) is a pharmaceutical medicine manufactured by Renata Limited in Bangladesh. It is primarily prescribed for Major Depressive Disorders.

Question 12

What is the active generic component of Cipran?

Accepted Answer

The active ingredient in Cipran is Levomilnacipran, belonging to the Serotonin-Norepinephrine Reuptake Inhibitor (SNRI) drug class.

Question 13

What is the retail price of Cipran 80mg in Bangladesh?

Accepted Answer

The official retail price of Cipran 80mg (Extended Release (ER) Capsule) is ৳35.00 in Bangladesh (prices may vary slightly by pack size and authorized pharmacy).

Question 14

What is the recommended dosage for Cipran?

Accepted Answer

Standard adult dosage: Oral – 20 mg (by mouth once daily). Pediatric dosage: Tablet – No approved pediatric dosage available. Always consult a registered physician for individualized dosage adjustments based on clinical assessment.

Question 15

Is Cipran safe during pregnancy and breastfeeding?

Accepted Answer

Cipran is classified under Pregnancy Category "Not Assigned". Always consult your healthcare provider or OB/GYN before taking this medication during pregnancy or lactation.

Question 16

What are the common side effects of Cipran?

Accepted Answer

**More than 10%**; Nausea (17%) **1-10%**; Erectile dysfunction, dose-related (6-10%);Constipation (9%);Tachycardia (6%);Urinary hesitation, dose-related (4-6%);Palpitations (5%);Vomiting (5%);Hyperhidrosis (2%);Increase

Clinical Information	Administration Information
Age: Adult Condition: Initial	Dose: Oral – 20 mg Frequency: by mouth once daily Duration: 2 days
Age: Adult Condition: Maintenance	Dose: Oral – 40 mg Frequency: by mouth once daily

Clinical Information	Administration Information
Condition: Renal impairment Mild (Creatinine Clearance 60-89 mL/minute)	Dose: Not specified Note: No dosage adjustment required
Condition: Renal impairment Moderate (Creatinine Clearance 30-59 mL/minute)	Dose: Maintenance Dose – Not to exceed 80 mg/day Frequency: once daily

Drug Name	Risk Factors
MAOIs (Phenelzine, Tranylcypromine, Selegiline, Moclobemide), linezolid, IV methylene blue	Contraindicated use
Strong CYP3A4 inhibitors	May increase levomilnacipran levels

Medicine Overview

Indication

What is this medicine for, and how does it work?

When and how should this medicine be taken?

When should this medicine not be used?

What precautions should be taken before using this medicine?

Is it safe to use this medicine during pregnancy?

Can this medicine be used while breastfeeding?

Is this medicine suitable for children and elderly?

What should be done if a dose is missed?

What should be done in case of an overdose?

What should be done if side effects are experienced?

Adult Dose

Child Dose

Renal Dose

Drug Interaction

Disease Interaction

Pregnancy

Data Sources