برانزا

الاستخدامات

الانفعالات الحادة, الحلقة الاكتئابية الحادة, اضطراب ثنائي القطب 1, الاضطراب ثنائي القطب المصحوب بنوبات هوس أو مختلطة, هذيان, الطفيل الوهمي, متلازمة جيل دي لا توريت, اضطراب اكتئابي حاد, حلقة متكررة, حلقة الهوس الاكتئابي المختلط, اضطراب ما بعد الصدمة (PTSD), ذهان, انفصام فى الشخصية, حلقة الهوس الحادة

Content

• برانزا
• الاستخدامات
• جرعات وطرق الاستعمال
• آثار جانبية
• احتياطات
• التفاعلات
• الحمل والرضاعة
• جرعة مفرطة
• تفاعل الطب الآخر
• موانع
• حالة التخزين

جرعات وطرق الاستعمال

برانزا جرعات وطرق الاستعمال

The recommended starting dose for pranza odt is 10 mg/day, administered as a single daily dose without regard to meals. Daily dosage may subsequently be adjusted on the basis of individual clinical status within the range of 5-20 mg daily. An increase to a dose greater than the routine therapeutic dose of 10 mg/day i.e. to a dose of 15 mg/day or greater, is recommended only after appropriate clinical reassessment.

Children: pranza odt has not been studied in subjects under 18 years of age.

Elderly patients (age 65 and over): starting dose 5 mg/day

Patients with hepatic and/or renal impairment: starting dose 5 mg/day 

When more than one factor is present which might result in slower metabolism (female gender, geriatric age, non-smoking status), consideration should be given to decreasing the starting dose. Dose escalation, when indicated, should be conservative in such patients.

آثار جانبية

Very common undesirable effects are somnolence and weight gain. Besides increased appetite, elevated glucose levels, elevated triglyceride levels, dizziness, akathisia, Parkinson's disease, dyskinesia, orthostatic hypotension, mild and transient anticholinergic effects including constipation and dry mouth, asthenia, edema and photosensitivity reaction etc. may be observed.

احتياطات

pranza odt should be used cautiously in patients who have a history of seizures or have conditions associated with seizures. pranza odt should be used cautiously in patients with low leukocyte and/or neutrophil counts for any reason, drug induced bone marrow depression/toxicity caused by radiation therapy or chemotherapy, hypereosinophilic conditions, impaired hepatic function, and patients using hepatotoxic medicines, centrally acting drug and medicines know to increase QT interval, especially in the elderly. Patients should be cautioned about operating hazardous machinery, including motor vehicles.

التفاعلات

Drugs that induce CYP1A2 or glucoronyl transferase enzymes (omeprazole, rifampicin), inhibitor of CYP1A2 (fluvoxamine), centrally acting drugs, antihypertensive agents.

الحمل والرضاعة

pranza odt should be used in pregnancy only if the potential benefits justify the potential risk to the foetus. So, patients should be advised to notify their physician if they become pregnant or intend to become pregnant during treatment with pranza odt. There is no report to show teratogenecity. Patients should not breast feed if they are taking pranza odt.

موانع

This is contraindicated in those patients with a known hypersensitivity to pranza odt as well as in patients with known risk for narrow-angle glaucoma.

Concomitant illness: pranza odt in patients with concomitant illness is limited, caution is advised when prescribing for patients with prostatic hypertrophy, or paralytic ileus and related conditions.

Neuroleptic Malignant Syndrome (NMS): If a patient develops signs and symptoms indicative of NMS, or presents with unexplained high fever without additional clinical manifestations of NMS, all antipsychotic medicines, including olanzapine must be discontinued.

تحذير خاص

جرعة مفرطة

Symptoms: Tachycardia, agitation/aggressiveness, dysarthria, extrapyramidal symptoms, reduced level of consciousness ranging from sedation to coma. 

Management: Symptomatic and supportive treatment. Gastric lavage and admin of activated charcoal may be effective.

التفاعلات

حالة التخزين

Store below 30˚ C. Protect from light and moisture. Keep out of the reach of children.