Active Ingredient: Maprotiline
For this indication, competent medicine agencies globally authorize below treatments:
Oral, in total between 25 milligrams maprotiline and 150 milligrams maprotiline, daily.
During treatment with maprotiline the patient should be kept under medical surveillance.
The recommended dose range is between 75 and 150 mg daily. Depending on the severity of the symptoms, patient response and tolerance, the daily dose may start at 25 mg (one to three times daily) or 75 mg (once daily) then gradually titrated up to the effective dose. Daily doses above 150 mg are not recommended.
The dosage schedule should be determined individually and adapted to the patient’s condition and response, e.g. by increasing the evening dose while lowering the doses given during the day or, alternatively, by administering only one daily dose. The aim is to achieve a therapeutic effect using the lowest possible doses, particularly in patients who are still growing or elderly patients with an unstable autonomic nervous system, since these patients are generally more likely to experience adverse events.
In general, lower dosages are recommended. Initially, 10 mg 3 times daily or 25 mg once daily. If necessary, the daily dosage should be gradually increased in small increments up to 25 mg 3 times daily or 75 mg once daily, depending on tolerance and response.
Abrupt withdrawal or abrupt dose reduction should be avoided because of possible adverse reactions.
It should be swallowed whole with sufficient liquid.
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