Ixel

The information on this product's packaging is Turkish language only.

Uses
Ixel (Milnacipran) is used for fibromyalgia management and the treatment of neuropathic pain. It is in the SNRI (serotonin-norepinephrine reuptake inhibitor) class of medicines, which is the same family of drugs as other antidepressants. Some doctors have treated patients for depression with it. Although experts are not entirely sure of how it works for improving the symptoms of fibromyalgia and inhibiting pain, studies have determined that it acts in the brain and inhibits the neuronal reuptake of noradrenaline and serotonin.

It is not believed to significantly affect the uptake of other neurotransmitters. Because there is believed to be a link between unusual neurotransmitter activity and fibromyalgia, by acting on the neurotransmitters this medicine may help to relieve pain in the muscles and elsewhere in the body in patients with fibromyalgia. It has also been studied for other conditions, such as migraine, irritable bowel syndrome and chronic fatigue.

Dosage and Administration
Ixel (Milnacipran) is provided as 50mg strength capsules for oral administration. When you see your doctor, full instructions will be given to you with regard to the correct daily dosage. Usually, patients will be started out on a low dose, which will be gradually increased over a 7 day period until the target dosage is achieved. The capsules may be swallowed either with food or without it, however, some doctors have suggested that taking it with food could increase the patient's tolerability to the medicine. Never take more than the dosage recommended by your doctor.

Side effects
Treatment of fibromyalgia or any other medical conditions with Ixel (Milnacipran) might cause side effects, such as:

• Libido reduction
• Stomach discomfort
• Changes in body weight
• Dryness inside the mouth
• Vertigo, drowsiness or fatigue

Report all side effects to your doctor. Certain side effects may be of a serious reaction. Medical assistance will be needed straight away if this occurs. Examples include hallucinations, a painful sensation when urinating, memory problems, coughing blood, fever and other severe reactions that have not been listed here.

Precautions
If treatment is abruptly ceases, withdrawal symptoms (such as anxiety, insomnia and headaches) may occur. Should treatment need to be ceased, your doctor will gradually lower your dosage in order to avoid this.

Do not consume alcohol, as this could put you at an increased risk of damage to the liver.

Seek immediate emergency medical attention if you suffer an allergic reaction. Symptoms to watch for, which may be indicative of a reaction, include skin rashes, hives, swelling of the face or limbs, trouble breathing, and trouble swallowing.

Always use Ixel (Milnacipran) as you have been prescribed by your doctor. Never self-medicate or change your dosage without first consulting your doctor. The correct dosage can vary depending on your health, medical history, and the severity of the condition being treated.

This medication may not be safe for all patients. Before you begin using it always disclose the following to your doctor:

• If you are pregnant or breastfeeding.
• If you suffer from any allergies.
• If you suffer from any other health conditions or illnesses.
• If you are using any other medicine (including all non-prescription).
• If you are using any supplements, vitamins, or herbal products of any kind.