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Abbott India Limited - Sachet - 6 G
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Dosulepin (Dothiepin) Hydrochloride 25 mg
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Prothiaden 25 Tablet is used for treatment of depression (especially with anxiety); may be used for depressive illness as prescribed by a psychiatrist/physician.
Prothiaden 25 Tablet contains Dosulepin (Dothiepin) Hydrochloride 25 mg. It belongs to the Tricyclic antidepressant (TCA) class of medicines.
Dosulepin is a tricyclic antidepressant (TCA). It increases levels of serotonin and noradrenaline in the brain by inhibiting their reuptake, helping improve mood and reduce anxiety symptoms. It also has anticholinergic and sedative effects which may contribute to some side effects.
Take by mouth as directed by the doctor, usually once daily at night or in divided doses. Can be taken with or without food; taking at bedtime may reduce daytime drowsiness. Swallow whole with water; do not stop suddenly without medical advice.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
Take it as soon as you remember. If your next dose is almost due, skip the one you missed — never take two doses together to catch up.
An overdose of this medicine can cause fits, dangerous heart rhythm disturbance and coma, and is particularly dangerous with the older tricyclic medicines. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Prothiaden are mild and settle as the body gets used to the medicine. The ones reported most often are:
Stop the medicine and get help at once for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
Prescription Schedule H medicine. May cause drowsiness—avoid driving/operating machinery until you know the effect. Risk of suicidal thoughts/behaviour particularly in young adults at start or dose changes—seek urgent help if worsening mood or self-harm thoughts occur. Use with caution in heart disease, arrhythmias, recent myocardial infarction, epilepsy, liver impairment, glaucoma, urinary retention/prostatic hypertrophy, and elderly (falls/confusion). Do not use with MAO inhibitors or within 14 days of stopping them. Taper gradually to avoid withdrawal symptoms.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Must not be combined with a monoamine oxidase inhibitor, or started within the gap your doctor specifies after one.
MAO inhibitors (contraindicated), alcohol and other CNS depressants (increased sedation), other antidepressants/serotonergic drugs (risk of serotonin syndrome), QT-prolonging drugs (arrhythmia risk), antiarrhythmics, anticholinergics, antihypertensives (additive hypotension), cimetidine (may increase levels), enzyme inducers like carbamazepine/phenytoin (may reduce levels), tramadol (seizure/serotonin risk)
Store below 25°C in a cool, dry place. Protect from light and moisture. Keep out of reach of children.

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Compiled from the manufacturer's prescribing information and the sources below, and reviewed by a registered pharmacist. It does not replace your own doctor's advice.