Mirtakem 7.5Mg Tablet

• As per CDSCO and USFDA, Mirtakem tablets are antidepressant medicines used to manage all types of depression.

• If you are allergic to any component of this tablet.
• If you are already using different antidepressants such as MAO inhibitors for the last 14 days.
• If you have agranulocytosis (low white blood cells). This medicine can increase the chance of infection.
• If you were diagnosed with angle-closure glaucoma, an eye condition associated with increased fluid pressure inside the eye, this medicine worsens the condition.
• If you have self-harming or suicidal thoughts.
• If you have uncontrolled hypertension.
• If you have acute mania and are diagnosed with bipolar disorder.
• If you have severe heart disease such as a recent heart attack, heart rhythm problem such as long QT syndrome.
• If you have severe renal or liver impairment.
• If you have a history of seizure disorder.
• If you have low sodium levels (hyponatremia).

• Constipation
• Changes in appetite or weight
• Weakness or tiredness
• Dizziness or lightheadedness
• Decreased ability to concentrate or remember things
• Dry mouth
• Changes in sexual desire or ability

Other General Warnings

• You are over 65 years; slow metabolism in older persons increases the risk of side effects of Mirtakem tablets.
• You take herbal or Ayurvedic products or supplements; some of these can cause adverse effects when combined with Mirtakem tablets.
• You experience mood changes or thoughts of self-harming. Seek medical help immediately.
• You have planned for a surgery or a dental procedure.
• You have high blood pressure.
• You have a heart, liver or kidney disease.
• You are using medicines that increase serotonin levels.

• Take the Mirtakem tablet precisely in the prescribed dose and the duration.
• Do not increase the dose of Mirtakem tablets by yourself, even if you do not notice its effects.
• Try to swallow the whole tablet with a glass of water; do not break or chew it.
• You can take Mirtakem tablets with or without food.
• Do not use this medicine if its packaging is already open or damaged.
• Do not abruptly stop taking Mirtakem medication, as it can have side effects.
• It's better not to take it with other medicines without informing your doctor.

Overdose

Missed a Dose

Interactions with other medicines

• Taking Mirtakem tablets along with other antidepressant medications such as linezolid, diazepam, fluoxetine, etc., can cause severe adverse reactions.
• Using high doses of opioid painkillers, such as tramadol, with Mirtakem tablets can cause extreme drowsiness and other side effects.
• Combining Mirtakem tablets with blood thinners like aspirin, warfarin, etc., can increase the risk of abnormal bleeding. Monitor INR (it is a test for bleeding) while using them.
• Inform your doctor if you are using certain antibiotics, HIV medicines, etc., before starting your Mirtakem regime.
• Cimetidine can increase the levels of Mirtakem tablets, which can cause side effects.
• Mirtakem tablets can interact with many other medicines. Inform your doctor of all current treatments and medication before taking Mirtakem tablets.

Interactions with food items

• Try to avoid grapefruit and its juice as it can increase the levels of this medicine in the body and cause side effects.
• Also, try to avoid too much coffee or caffeine-related products and drinks. It can interfere with the effects of this medicine. It can also increase serotonin levels in the body, leading to severe side effects.