Milnacipran HCl Oral tablet
What is this medicine?
MILNACIPRAN (mil NA si pran) is used to treat the pain caused by fibromyalgia.
How should I use this medicine?
Take this medicine by mouth with a glass of water. You can take it with or without food. If it upsets your stomach, take it with food. Follow the directions on the prescription label. Do not take your medicine more often than directed. Do not stop taking except on your doctor's advice.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
chest pain, fast or irregular heartbeat
fever or chills, sore throat
hallucination, loss of contact with reality
increase in blood pressure
redness, blistering, peeling or loosening of the skin, including inside the mouth
suicidal thoughts or other mood changes
talking fast and having excited feelings or actions that are out of control
trouble passing urine or change in the amount of urine
unusual bleeding or bruising
unusually weak or tired
yellowing of the eyes, skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
change in sex drive or performance
What may interact with this medicine?
Do not take this medicine with any of the following medications:
linezolid medicines called MAO Inhibitors like Nardil, Parnate, Marplan, Eldepryl methylene blue tryptophan
This medicine may also interact with the following medications:
amphetamine or dextroamphetamine aspirin and aspirin-like medicines clonidine digoxin epinephrine furazolidone lithium medicines for blood pressure medicines for migraine headache like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan medicines that treat or prevent blood clots like warfarin, enoxaparin, and dalteparin NSAIDS, medicines for pain and inflammation, like ibuprofen or naproxen other medicines for depression, anxiety, or psychotic disturbances procarbazine St. John's wort, Hypericum perforatum tramadol
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
Where should I keep my medicine?
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
if you frequently drink alcohol containing drinks
irregular heart beat
mania or bipolar disorder
suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member
taken an MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate within 14 days
an unusual or allergic reaction to milnacipran, other medicines, foods, or preservatives
pregnant or trying to get pregnant
What should I watch for while using this medicine?
Visit your doctor or health care professional for regular checks on your progress. If you have been taking this medicine for some time, do not suddenly stop taking it. You must gradually reduce the dose to avoid side effects. Ask your doctor or health care professional for advice.
Patients and their families should watch out for depression or thoughts of suicide that get worse. Also watch out for sudden or severe changes in feelings such as feeling anxious, agitated, panicky, irritable, hostile, aggressive, impulsive, severely restless, overly excited and hyperactive, or not being able to sleep. If this happens, especially at the beginning of treatment or after a change in dose, call your health care professional.
This medicine can cause an increase in blood pressure or a faster heart beat. Check with your doctor or health care professional.
You may get drowsy, dizzy or have blurred vision. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may increase dizziness or drowsiness. Avoid alcoholic drinks.
This medicine can make your mouth dry. Chewing sugarless gum, sucking hard candy and drinking plenty of water will help.