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Placida Tablet

10 Tablet(s) in Strip
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  • Placida Tablet

Made by

MANKIND PHARMACEUTICALS LTD

Dosage

TABLET

Expiry

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General Information

Uses
Treatment of mild to moderate depression and anxiety
Therapy
Anti-depressant
Side effects
Drowsiness, dry mouth, constipation, vomiting, abdominal pain, nausea, flatulence, difficulty in breathing, myalgia, muscle rigidity, urinary retention, increased appetite, weight gain, and decreased libido.
Salt Content
Melitracen(10.0 Mg)+Flupentixol / Flupenthixol(0.5 Mg)
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Medical Description

Placida is a medication that contains a combination of two drugs, Flupentixol (0.5mg) and Melitracen (10mg), primarily used in the treatment of depression. Flupentixol belongs to a group of drugs called antipsychotics, whereas Melitracen is a tricyclic antidepressant. This combination at this particular dosage is used in the management of mild to moderate depression and anxiety. Flupentixol is a first-generation antipsychotics. This drug works by blocking dopamine and serotonin receptors in the brain. At low doses (0.5- 3mg), this drug shows anti-depressant effects. It has also shown to decrease thoughts of self-harm in users who have such tendencies in depression. Melitracen is a tricyclic antidepressant that acts on multiple brain pathways to increase levels of certain neurotransmitters, effectively decreasing the user’s symptoms. It acts by preventing the re-uptake of both serotonin as well as nor-adrenaline. It has both anti-depressant and anti-anxiety properties. Placida should be taken as per the physician's recommendation only. It is best to take the tablet at the same time every day as this ensures the best action of the medication, decreasing the chances of relapse of symptoms significantly. It is also recommended to complete the entire course of the medication as prescribed.

Uses

  • Mild to moderate depression
  • Anxiety
  • Asthenia (weakness)

Contraindications

  • Patients with the following problems must refrain from consuming this medicine:
  • Hypersensitivity
  • Circulatory collapse
  • Decreased level of consciousness due to any cause
  • Coma
  • Electroconvulsive therapy or severe depression requiring hospitalization
  • Not recommended for use in manic or excited states.
  • Patients with porphyrias (a kind of blood disorder where there is accumulation of a specific protein that is a byproduct of red blood cell metabolism)
  • Epilepsy
  • Patients with prolactin dependent tumors or breast cancer
  • Parkinson's disease
  • Narrow angle glaucoma
  • Patients with prostate enlargement
  • Thyroid disorders
  • Cardiac disease or arrhythmias
  • Severe respiratory disease
  • Kidney failure
  • Myasthenia gravis
  • Pheochromocytoma

Side effects

  • Drowsiness
  • Dry mouth
  • Increased appetite
  • Weight gain
  • Constipation
  • Vomiting
  • Acid regurgitation/ acid peptic disease
  • Diarrhea
  • Abdominal pain
  • Nausea
  • Flatulence
  • Extra pyramidal effects, especially in the initial phase of the treatment, such as rigidity, muscle spasms, slowness of movements, tremors, irregular movements etc.
  • Increased heart rate
  • Palpitations
  • Prolonged QT interval in ECG resulting in cardiac disorders like arrhythmias
  • Hypotension (fall in blood pressure)
  • Decrease in platelet, white blood cell counts
  • Difficulty in breathing (dyspnea)
  • Myalgia
  • Muscle rigidity
  • Retention of urine
  • Poor control of blood sugar levels in case of diabetics
  • Insomnia
  • Decreased libido
  • This drug is not recommended during pregnancy and breastfeeding.
  • Close monitoring for changes in behavior, suicidal thoughts or clinical worsening during the initial part of the treatment is recommended. Withdrawal should be gradual

Precautions and Warnings

Pregnancy

Pregnancy

This drug is not recommended during pregnancy. Inform your doctor regarding your pregnancy or your intention to conceive. Discuss with your treating physician regarding the requirement of this medication if it is prescribed

Breast Feeding

Breast Feeding

This medication is generally not advised while breastfeeding. Discuss your breastfeeding status with your doctor for more information.

Driving

Driving

Driving and operating of other heavy machinery while on this medication is not recommended as it may cause drowsiness and blurring of vision.

Alcohol

Alcohol

You must refrain from alcohol consumption while on this medication as mixing alcohol with this medication may cause increased sedation and other adverse effects.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • Do not consume alcohol while on this medication.
  • Driving and use of heavy machinery while on this medication is not recommended.
  • Give your doctor details about any other medicine you are taking at the time of prescribing Placida.

Directions for Use

  • This medication should be taken as prescribed by the treating physician.
  • It is recommended to take this medication on a regular schedule, i.e., at the same time every day for optimal pharmacological effects of this medication.
  • Swallow this medication as a whole. Do not crush, chew or break this tablet.
  • It is recommended to finish the full course of this medication as prescribed by your treating doctor. Abrupt stoppage of the drug can cause withdrawal side effects. Consult your doctor before stopping this medication.
  • It can be taken with or without food.

Storage and disposal

Keep in a cool and dry place. Storage under 30’C

Quick Tips

  • Do not stop this medicine suddenly, even if you feel better or feel it is not working. Stopping abruptly can cause nausea, headache, sleep disturbance and a return of symptoms. Your doctor will reduce it in steps.
  • Allow time. Mood and anxiety symptoms usually take two to four weeks to improve, and the first change is often in sleep and appetite rather than mood.
  • Report any new or worsening restlessness, agitation, or thoughts of self-harm to your doctor urgently, particularly in the first few weeks or after a dose change.
  • Tell your doctor about any tremor, stiffness, slowness, restlessness in the legs, or involuntary movements of the face or tongue. The flupentixol component can cause movement-related effects that need acting on early.
  • Avoid alcohol and be careful about driving. Drowsiness is common, especially at the start and after any increase.
  • Take it at the same time each day as directed, and do not adjust the dose yourself if you feel it is not helping - tell your doctor instead.
  • Tell your doctor if you have heart disease, a heart rhythm problem, glaucoma, difficulty passing urine, epilepsy, liver disease, or are pregnant or breastfeeding.
  • Keep only what you need at home and store it out of reach. Melitracen belongs to the tricyclic group, which is dangerous in overdose and affects the heart rhythm, so an accidental or deliberate overdose is a medical emergency even if the person seems alert at first.

Dosage

Overdose

Overdose is characterized by extreme agitation, excitement, confusion, sleepiness, coma, convulsions, and hyperthermia or hypothermia, frequently succeeded by sedation. Extrapyramidal symptoms or respiratory and circulatory collapse may be observed. QT prolongation, ECG changes, cardiac arrest, and ventricular arrhythmias have been reported with large doses of Flupentixol. In case of overdose, symptomatic treatment should be initiated with airway management. In case of a suspected overdose, immediately rush the patient to the nearest medical centre for emergency management as it can be life threatening.

Missed a Dose

If you miss a dose of this tablet, it is advised to take it as soon as possible. If the duration missed is too long, and it is almost time for the next dose, it is recommended to skip the missed dose and go back to the regular schedule. Do not double the dose of the tablet.

Interactions

Interactions with other drugs

Interactions with food items

  • It is known to cause an increase in appetite and weight gain, and is thus recommended to consume a healthy, balanced diet.

Frequently Asked Questions (FAQs)

Not on your own. Stopping abruptly can cause withdrawal symptoms and a relapse, and treatment is usually continued for a period after you feel well to prevent the symptoms returning. Your doctor will taper it gradually when the time is right.
Tremor, muscle stiffness, slowness of movement, an inner restlessness that makes it hard to sit still, or involuntary movements of the face, lips or tongue. Report these promptly - they are more treatable the earlier they are recognised.
It is not addictive in the way a sedative such as a benzodiazepine is, and it does not cause craving. However, the body does adjust to it, which is why it must be reduced gradually rather than stopped suddenly.
Better not. Alcohol adds substantially to the drowsiness and impaired coordination this combination can cause, and it works against treatment for low mood and anxiety.
Contact your doctor without waiting for your next appointment, and seek urgent help if you have thoughts of harming yourself. A worsening of mood, agitation or restlessness in the early weeks is a recognised reason to review the treatment.
It is a medical emergency. Melitracen is a tricyclic, and this group is dangerous in overdose because it disturbs the heart's rhythm and can cause seizures, often with little warning and after a deceptively well period. Go to hospital immediately and take the pack, rather than waiting to see whether symptoms develop.
This medication is known to take up to 4-6 weeks for onset of action. Consult your treating physician regarding any queries regarding the use of this medication. It is not advisable to increase the dose of this medication on your own without the recommendation of your doctor.
Weight gain and drowsiness are common side effects of Placida. Your doctor can guide you on how to manage these symptoms. Please continue taking the tablet as advised until you consult your doctor. Can I drink alcohol occasionally while taking the tablet? I am not a regular drinker. No. Even occasional consumption of alcohol can be dangerous and should be avoided.

References:

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Manufacturer Details

Brand:PLACIDA

Manufacturer Name:MANKIND PHARMACEUTICALS LTD

Address:J.K.Print Packs (Pharma Division), C-14 To 17, Sara Industrial Estate Ltd. Vill Rampur, Selaqui, Distt. Dehradun 248197, Uttarakhand

Country of Origin:India

Vendor Details

Fulfillment Information: Placida Strip Of 10 Tablets will be delivered by a licensed retail pharmacy nearest to your location. Order acceptance and fulfillment are dependent upon the verification of your doctor's valid prescription (where applicable) and the current stock of this medicine.

In Case of Any Issues Contact Us

Email Id:care@pharmeasy.in

Phone Number:7666100300

Address:D-37/1, Opp. Sandoz, TTC Industrial Area, MIDC Industrial Area, Turbhe, Navi Mumbai, Maharashtra 400703

Disclaimer

The information provided herein is supplied to the best of our abilities to make it accurate and reliable as it is published after a review by a team of professionals. This information is solely intended to provide a general overview on the product and must be used for informational purposes only. You should not use the information provided herein to diagnose, prevent, or cure a health problem. Nothing contained on this page is intended to create a doctor-patient relationship, replace or be a substitute for a registered medical practitioner's medical treatment/advice or consultation. The absence of any information or warning to any medicine shall not be considered and assumed as an implied assurance. We highly recommend that you consult your registered medical practitioner for all queries or doubts related to your medical condition. You hereby agree that you shall not make any health or medical-related decision based in whole or in part on anything contained in the Site. Please click here  for detailed T&C.

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