Voxamin 100mg Tablet 1 Strip

✔️ Dosage & Administration

✔ Obsessive-Compulsive Disorder (OCD):

• Adults: 50 mg in the evening for 3–4 days, then increase if needed (max 300 mg/day, doses >150 mg should be divided).
• Children (Over 8 Years): Start with 25 mg/day, increase by 25 mg every 3–4 days (max 200 mg/day in divided doses).

✔ Depression:

• Adults: 50–100 mg daily in the evening, increase if needed (max 300 mg/day in divided doses).
• Children: Not recommended.

⚠ Always follow a doctor’s recommendation for dose adjustments.

Drug Interactions

🚫 Voxamin should NOT be used with:

• Monoamine Oxidase Inhibitors (MAOIs) – Risk of serotonin syndrome.
• Warfarin – May increase bleeding risk.
• Benzodiazepines (e.g., diazepam) – May increase sedation.
• Theophylline & Aminophylline – May increase toxicity risks.
• Tricyclic Antidepressants (TCAs) – Risk of serotonin toxicity.
• Alcohol – May enhance sedative effects.

⚠ Consult a doctor before combining Voxamin with any other medication.

✔️ Quick Suggestions:

✔ Regular monitoring is needed due to potential side effects like nausea, anxiety, sexual dysfunction, and cardiovascular changes.
✔ Avoid alcohol and certain medications (e.g., MAOIs, warfarin, benzodiazepines, TCAs).
✔ Pregnant or breastfeeding women should consult a doctor before use.

⚠ Never stop Voxamin abruptly—always taper under medical supervision to avoid withdrawal effects.

✔️ Side Effects

✔ Common Side Effects:

• Gastrointestinal Issues – Nausea, vomiting, diarrhea.
• Weight Changes – Anorexia with weight loss (though weight gain is also reported).
• Skin Reactions – Rash, urticaria, photosensitivity.
• Neurological Effects – Nervousness, headache, anxiety, insomnia.
• Sexual Dysfunction – Reduced libido, erectile dysfunction.

⚠ Serious Side Effects (Rare but Severe):

• Cardiovascular – Palpitations, tachycardia (or rarely, bradycardia), postural hypotension.
• Neurological – Confusion, ataxia.
• Liver Issues – Abnormal liver function tests.
• Hypersensitivity Reactions – Angioedema, myalgia, arthralgia.

🚨 Seek medical help immediately if you experience severe allergic reactions, severe dizziness, irregular heartbeat, or unusual bleeding.

✔️ Contraindications

🚫 Do NOT use Voxamin if:

• The patient is experiencing a manic episode.

✔️ Overdose Effects

🚨 Symptoms of Overdose:

• Severe nausea, vomiting, diarrhea
• Dizziness, drowsiness, confusion, or coma
• Heart Issues (tachycardia, bradycardia, hypotension)
• Convulsions (seizures)

✔ Management:

• No specific antidote is available.
• Treatment includes stomach emptying (gastric lavage) and activated charcoal.
• Supportive care for symptoms (IV fluids, heart monitoring, seizure management).

✔️ Use in Pregnancy & Lactation

⚠ Pregnancy & Breastfeeding:

• Avoid use during pregnancy and lactation unless absolutely necessary.
• Consult a doctor if you are pregnant or planning pregnancy while on Voxamin.

✔️ Precautions & Warnings

⚠ Use with caution in patients with:
✔ History of Mania or Seizures – May trigger manic episodes.
✔ Suicidal Tendencies – SSRIs can increase suicide risk in young adults.
✔ Cardiac Disease – Can cause changes in heart rate and blood pressure.
✔ Diabetes Mellitus – May affect blood sugar levels.
✔ Angle-Closure Glaucoma – Can worsen the condition.
✔ History of Gastrointestinal Bleeding – Increased bleeding risk.
✔ Liver & Kidney Disease – Dosage adjustments may be required.

✔️ Storage Conditions

✔ Store below 25°C in a cool, dry place, away from light.
✔ Keep out of reach of children.