Kalxetin: functions, dosage, side effects, how to use it

Use

What is kalxetin used for?

Kalxetin is a brand of oral medicine that is available in capsule form. This medicine contains fluoxetine as the main active ingredient of this medicine.

Fluoxetine itself is an antidepressant of the SSRI class or selective serotonin reuptake inhibitors. These drugs work by increasing the amount of serotonin in the brain so that it can maintain mental balance.

This drug can be used to treat a variety of conditions related to mental health, including:

• Depression
• Obsessive-compulsive disorder, or a condition that causes the patient to have disturbing thoughts but does not go away, causing the patient to do things out of control).
• Eating disorders
• Panic attack
• Premenstrual dysphoric disorderThis is a mental health condition such as depression, feeling anxious, or irritable at a severe level before menstruation

This drug is included in prescription drugs, so you cannot buy it at a pharmacy if it is not accompanied by a prescription from a doctor.

How do I use Kalxetin?

To get the maximum benefit, patients must follow the procedures for using the right medicine as follows.

• Patients must follow the rules of use that have been determined by the doctor through the prescription record. This includes dosage, time of use, and duration of use of the drug.
• This drug is in capsule form. So, do not chew, open, crush the capsules before using them. Swallow the capsule whole.
• Usually, doctors will recommend patients to use this medicine in the morning, once a day. However, if the patient has to use this medicine twice a day, the doctor will advise the patient to use this medicine in the morning and during the day.
• The dose prescribed for the patient is usually based on the health condition and response of the patient's body to the use of the drug.
• If this medicine is used to treat premenstrual dysphoric disorder, the dosage used is one daily dose during menstruation, or 14 days before the patient's estimated day begins.
• It may be necessary for the patient to take this drug for up to four weeks to benefit from using the drug until the symptoms of the disease disappear.
• Do not stop using this medication suddenly, as it may cause unwanted side effects of use. Ask your doctor how to stop using this drug.

How do I store Kalxetin?

In addition to the procedure for use, patients must also pay attention to the procedures for storing drugs, as follows.

• This medication should be stored at room temperature. Do not store it in places that are too cold or too hot.
• Also, keep this medication away from exposure to sunlight or direct light.
• This medicine should also be kept away from damp places, such as in the bathroom.
• Keep this medication out of reach of children and pets.
• Do not store and freeze this medication in the freezer.
• The main active ingredient in this drug, fluoxetine, is available in various brands. Different brands may have different retention rules.

After the drug is no longer used, or if the drug has expired, dispose of the medicine immediately with the correct disposal procedure. Do not dispose of the medicine together with other household waste. In addition, do not throw the medicine in drains such as toilets.

If you are not sure how to properly dispose of your trash, ask your local waste disposal agency or pharmacist for more information.

Dose

The information provided is not a substitute for medical advice. ALWAYS consult your doctor or pharmacist before starting treatment.

What is the dose of kalxetin for adults?

Adult dosage for bulimia

• Immediate-release: 60 milligrams (mg) taken once in the morning every day.
• Some patients may have to start with a lower dose, and increase it gradually.

Adult dosage for depression

• Immediate-release
  • Initial dose: 20 mg taken by mouth once every morning.
  • The dose should be increased after several weeks of use if needed.
  • Maintenance dose: 20-60 mg taken daily.
  • Maximum dose: 80 mg taken by mouth daily.
• Delayed-release
  • Initial dose: 90 mg orally once a day.
  • Use of this drug may be started after seven days from the last dose of immediate-release drug use.

Adult dosage for obsessive compulsive disorder

• Immediate-release
  • Initial dose: 20 mg taken by mouth once every morning.
  • The dose should be increased after several weeks of use if needed.
  • Maintenance dose: 20-60 mg taken daily.
  • Maximum dose: 80 mg taken by mouth daily.

Adult dosage for panic disorder

• Immediate-release
  • Initial dose: 10 mg taken by mouth once every morning.
  • The dose should be increased after one week to 20 mg orally once a day.
  • Maintenance dose: 20-60 mg taken daily.
  • Maximum dose: 80 mg taken by mouth daily.

Adult dosage for premenstrual dysphoric disorder

• Immediate-release
  • Initial dose: 20 mg orally once a day every time you are menstruating, or 20 mg taken daily starting 14 days before the predicted start date of menstruation.
  • Maintenance dose: 20-60 mg daily
  • Maximum dose: 80 mg.

What is the dose of kalxetin for children?

Children's dosage for depression

Immediate release

• For ages 8-18 years
  • Initial dose: 10-20 mg orally once a day
  • The daily dose can be increased from 10 mg to 20 mg orally once a day.
  • Dose for children with lighter body weight: 10 mg taken once daily, and increased to 20 mg taken by mouth once daily after several weeks of starting dose.
  • Maintenance dose: 10-20 mg orally once a day.

Child dosage for obsessive compulsive disorder

Immediate release, for children aged 7-17 years

• For teens who are overweight:
  • Initial dose: 10 mg orally once a day, after two weeks, this dose may be increased again.
  • Maintenance dose: 20-60 mg orally once a day.
  • Maximum dose: 60 mg taken by mouth once a day.
• For children with a lighter weight:
  • Initial dose: 10 mg orally once a day, the dose may be increased after a few weeks if the condition does not improve.
  • Maintenance dose: 20-30 mg orally once a day
  • Maximum dose: 60 mg taken by mouth once a day.

In what dosage is kalxetin available?

Kalxetin is available in capsules: 10 mg, 20 mg.

Side effects

What side effects might occur if using kalxetin?

Using kalxetin also has a risk of side effects of use. These side effects can include certain health conditions, ranging from mild to quite serious. Some of the side effects that are still relatively mild are as follows:

• Dreaming strange things
• Reduced sex drive and difficulty having an orgasm
• Decreased appetite
• Often anxious and tense
• Weak
• Diarrhea
• Dry mouth
• Flu
• Difficulty having an erection
• Sleep disturbance
• Nausea
• My throat hurts
• Skin rash
• Discharge from the nose
• Easily sleepy
• Persistent sweating
• Tremor
• Evaporates easily

These side effects may disappear over time. However, if this condition gets worse and doesn't get better soon, notify your doctor immediately. Meanwhile, there are more serious side effects, such as the following.

• Serotonin syndrome, usually characterized by agitation, hallucinations, fast heartbeat, fever, nausea, vomiting, and diarrhea
• Abnormal bleeding characterized by bruising or the body that bleeds more easily than before.
• Mania, which is characterized by a very rapid increase in energy, difficulty sleeping even for several days, thoughts full of ideas or things that don't make sense, the habit of doing clumsy things, talking faster or more frequently than usually.
• Seizures
• Low blood sugar levels, usually characterized by dizziness, weakness, lingering lung, difficulty concentrating, memory problems, the body feels shaky.

If you experience any of the conditions above, notify your doctor immediately and seek medical care. In fact, if the condition feels like it is life-threatening to the patient, call 911.

Warnings & Precautions

What should be known before using Kalxetin?

Before you decide to use this drug, there are a number of things you should know and learn first, as follows.

• Do not use this medication if you have an allergy to calxetin or to the main active ingredient in this medicine, namely fluoxetine.
• If you have used an MAO inhibitor within the last 14 days, do not use this medication.
• Some young people have suicidal thoughts the first time they use antidepressant drugs. Therefore, always pay attention mood or moods, as well as symptoms experienced by patients while using this medicine.
• Avoid doing activities that require high concentration such as driving or operating heavy equipment because using calxetin can affect the way patients think.
• Ask your doctor if calxetin is safe if you have certain health conditions such as cirrhosis of the liver, kidney problems, diabetes, narrow-angle glaucoma, epilepsy, seizures, bipolar disorder, or a history of drug use or suicidal thoughts.
• Tell your doctor about any medications you are taking or are currently taking, including prescription drugs, nonprescription drugs, multivitamins, dietary supplements, and herbal products.
• Tell your doctor if you are pregnant, planning to become pregnant, or are breastfeeding.

Is kalxetin safe to use for pregnant and lactating women?

It is still uncertain whether this drug can affect the condition of pregnant women and nursing mothers. However, using this medicine during pregnancy can cause conditions that are harmful to the fetus.

Using this medicine while you are pregnant may cause lung problems or other complications in the baby. However, if you stop suddenly, depression or other conditions can come back again to attack your mental health.

Therefore, this drug is included in the risk of pregnancy category C by the Food and Drug Administration (FDA) in America or the equivalent of the Food and Drug Administration (BPOM) in Indonesia. The following references the pregnancy risk categories according to the FDA:

• A = Not at risk,
• B = not at risk in several studies,
• C = May be risky,
• D = There is positive evidence of risk,
• X = Contraindicated,
• N = Unknown

Meanwhile, in nursing mothers, this drug is not recommended for use. The reason is, this drug can be released through breast milk (ASI) and may be accidentally drunk by a breastfeeding baby. Therefore, if you are going to breastfeed while using this medicine, consult your doctor what is the best solution for you and your baby.

Interaction

What medicines can interact with kalxetin?

Drug interactions may occur if you take kalxetin together with other medicines. Drug interactions can increase the risk of side effects and change how the drugs work. However, there are also interactions that can be the best alternative treatment for the condition.

Therefore, tell your doctor all types of drugs you use, from prescription drugs, non-prescription drugs, multivitamins, dietary supplements, to herbal products. This is important so that the doctor can help determine the dose and time of use that suits your condition. That way, unwanted interactions can be avoided.

The following are some of the types of drugs that may interact with kalxetin.

• Abilify (aripiprazole)
• Adderall (amphetamine / dextroamphetamine)
• amitriptyline
• Benadryl (diphenhydramine)
• bupropion
• buspirone
• diazepam
• ibuprofen
• levothyroxine
• Lyrica (pregabalin)
• Metoprolol Succinate ER (metoprolol)
• Metoprolol Tartrate (metoprolol)
• Norco (acetaminophen / hydrocodone)
• phentermine
• Seroquel (quetiapine)
• tramadol
• Vitamin B12 (cyanocobalamin)
• Vitamin C (ascorbic acid)
• Vitamin D3 (cholecalciferol)
• Vyvanse (lisdexamfetamine)
• Wellbutrin (bupropion)
• Xanax (alprazolam)
• Zyrtec (cetirizine)

What foods and alcohol can interact with kalxetin?

Interactions do not only occur between drugs and drugs, but can also occur between food and drugs. Especially if the food you eat has the potential to interact with kalxetin. The interactions between food and drugs also have an increased risk of side effects and the way the drugs work in the body changes.

It is recommended that, while using this medicine, avoid using alcohol. The reason is, alcohol can increase side effects related to the nervous system, such as dizziness, drowsiness, and difficulty concentrating.

What health conditions can interact with kalxetin?

There are also several health conditions that can interact with kalxetin. If an interaction occurs, then it not only increases the risk of side effects and changes the way the drug works there. However, interactions can also worsen the health conditions you have.

Therefore, you are obliged to tell your doctor about any health conditions you have. That way, the doctor can determine whether this drug is safe or not for treating your condition. The following are some of the health conditions that can interact with kalxetin, including:

• Depression
• Diabetes
• Hyponatremia
• Glaucoma
• Liver disorders
• Mania
• Seizures
• A malfunctioning kidney
• Lose weight

Overdose

What should I do in an emergency or overdose?

In case of an emergency or overdose, contact the local emergency services provider (112) or immediately to the nearest hospital emergency department.

What should I do if I miss a dose?

If you miss a dose of this medicine, take the missed dose immediately. However, if time has shown it is time to use the next dose, forget about the missed dose. Then, use the next dose according to the medication schedule. Do not use multiple doses.

Hello Health Group does not provide medical advice, diagnosis or treatment.