Nopres: functions, dosage, side effects, how to use

Use

What is Nopres used for?

Nopres is a type of oral medicine in the form of caplets or tablet capsules. This medicine contains fluoxetine as its main active ingredient. Fluoxetine itself is a class of antidepressant drugs selective serotonin reuptake inhibitors or SSRI.

This class of drugs works by increasing the activity of a chemical in the brain called serotonin. The presence of this substance can help maintain mental balance.

Nopres is used to treat several conditions related to the mental health of patients, such as the following.

• Depression
• Obsessive-compulsive disorder (OCD), which is a condition that causes sufferers to have thoughts and fears that don't go away. As a result, the patient will take certain actions as a result of the fear he experiences.
• Eating disorders, for example bulimia
• Panic attack
• Premenstrual dysphoric disorder (PMDD), which is the mood swings that women usually experience before their menstrual cycle. However, this condition is more severe and can lead to depression and anxiety.

This drug is included in the types of prescription drugs. That is, you can only buy it at a pharmacy if it is accompanied by a prescription from a doctor.

How to use Nopres?

Follow the following procedures for using Nopres so that you can get the maximum benefits.

• You are advised to follow the prescribing notes given by your doctor, including the dosage and the rules for taking the medication. This dose is usually determined by your doctor based on your health condition, and how your body responds to treatment.
• This medicine may be used before or after meals.
• You will usually be prescribed by your doctor to use it once a day. If you often find it difficult to sleep, it is better to use this medicine in the morning.
• For certain conditions, it can take a while for you to finally feel better. However, if you feel this medication is not working at all to treat your condition, tell your doctor.
• If you want to treat PMDD, the dose is usually given once daily during your period, or 14 days before the estimated time your menstrual cycle starts. Ask your doctor which dosage is suitable for your condition.
• Do not stop using this drug suddenly. The reason is, you may experience side effects of stopping the drug. Therefore, it is better to ask the right way to stop using this drug.

How to store this drug?

Here are the procedures for storing drugs that you should know.

• Store this medication at room temperature. That is, don't store it in places that are too hot or too cold.
• It is not recommended to store this medicine in a humid place such as in the bathroom.
• Keep this medication away from exposure to sunlight or direct light.
• It is not recommended to store this drug in the freezer until it freezes.
• Keep this medication out of reach of children and pets.
• The main active ingredient of this drug, fluoxetine, is available in a variety of brands. Different brands may have different storage procedures.

In the meantime, you should throw away the medicine if it is no longer used or if the medicine has expired. However, you still have to follow the proper and safe drug disposal procedures, especially for environmental health.

For example, do not dispose of medicinal waste together with other household waste. You are also not allowed to flush medicinal waste in the toilet or other sewer.

If you are not sure how to dispose of the correct medicine, ask your pharmacist or staff from your local waste disposal agency about how to safely dispose of the medicine.

Dose

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

What is the dosage of Nopres for adults?

The following is the recommended dosage of Nopres for adults

Adult dosage for bulimia

• 60 milligrams (mg) taken by mouth once every morning.

Adult dosage for depression

• Initial dose: 20 mg orally once a day in the morning.
• The dose will be increased after using the initial dose after a few weeks only if there is no change in your condition.
• Maintenance dose: 20-60 mg orally once a day.
• Maximum dose: 80 mg taken by mouth once a day.

Adult dosage for obsessive-compulsive disorder

• Initial dose: 20 mg orally once a day in the morning.
• The dose will be increased after using the initial dose after a few weeks only if there is no change in your condition.
• Maintenance dose: 20-60 mg orally once a day.
• Maximum dose: 80 mg taken by mouth once a day.

Adult dosage for panic disorder

• Initial dose: 10 mg orally once a day.
• The dosage can be increased up to 20 mg after using the initial dose for one week.
• Maintenance dose: 20-60 mg orally once a day.
• Maximum dose: 60 mg taken daily.

Adult dosage for premenstrual dysphoric disorder

• Dosage if it occurs continuously: 20 mg taken once a day while menstruating.
• Occasional dose if only: 20 mg orally once daily for 14 days before the estimated time your menstrual cycle starts.
• Maintenance dose: 20-60 mg taken daily
• Maximum dose: 80 mg taken by mouth daily.

What is the dosage of Nopres for children?

Children's dosage for depression

For ages 8-18 years:

• Initial dose: 10-20 mg orally once a day.
• The daily dose of 10 mg can be increased to 20 mg after the dose has been used for one week.

Dosage for children with lower body weight:

• Initial dose: 10 mg orally once a day.
• The dose can be increased to 20 mg per day if the initial dose has been used after a few weeks but the condition does not improve immediately.
• Maintenance dose: 10-20 mg orally once a day.

Child dosage for obsessive-compulsive disorder

For ages 7-17 years:

• Initial dose: 10 mg orally once a day.
• The dose may be increased to 20 mg per day if the initial dose has been used after two weeks.
• Maintenance dose: 20-60 mg orally once a day.
• Maximum dose: 60 mg taken by mouth once a day.

Dosage for children with lower body weight:

• Initial dose: 10 mg orally once a day.
• This dose may be increased after a few weeks of use if the condition does not improve immediately.
• Maintenance dose: 20-30 mg orally once a day.
• Maximum dose: 60 mg taken by mouth once a day.

In what doses is this drug available?

Nopres is available as a caplet or tablet capsule with a strength of 20 mg.

Side effects

What side effects might occur if using Nopres?

By deciding to take Nopres, you mean that you understand that the use of this drug also has a risk of side effects. These risks are usually mild to serious health conditions.

Although mild, here are some side effects that are quite common:

• Nausea
• Headache
• Insomnia
• Diarrhea
• The body feels tired and weak

The side effects mentioned above are not very serious and the child goes away with time. However, if you feel that your condition is not getting better soon or is getting worse, tell your doctor.

There are also serious, but less common, side effects, such as:

• The chest hurts as if it is pressed
• Short or short breaths
• Painful erections for hours, even when you're not having sex.
• Large amounts of bleeding, such as nosebleeds that don't stop within 10 minutes.
• Headaches, inability to focus, memory problems, unable to think clearly, seizures, and loss of body balance. Usually this condition is caused by low sodium levels in the body.
• The desire to self-harm or commit suicide.
• Euphoria, excessive enthusiasm, or the body feels like it can't be still and wants to move on.
• Vomiting blood, coughing up blood, bloody urine, bloody stool. Usually this is a sign that there is bleeding in the intestine.
• Bleeding gums for no reason or gums that are bleeding and getting bigger.
• Weight gain or decrease before you even do anything.
• There are changes when you menstruate, such as bleeding that is quite severe, or bleeding between two menstrual cycles.
• Sufficiently serious allergic reaction (anaphylactic).

Warnings & Precautions

What should be known before using Nopres?

Before you decide to use Nopres, you are advised to know and learn the following things.

• Do not use this medicine if you have an allergy to Nopres or the main active ingredient in this medicine, namely fluoxetine.
• Ask if this medication is safe to use for you, especially if you have other health conditions such as cirrhosis of the liver, kidney problems, diabetes, angle closure glaucoma, seizures, epilepsy, bipolar disorder, a history of drug abuse, or you have had suicidal thoughts.
• If you have suicidal thoughts while using this medicine you should have your condition checked regularly.
• This medicine may cause drowsiness. Don't do activities that require focus and concentration, such as driving or operating machinery.
• Tell your doctor any antidepressant you are taking, including Celexa, Cymbalta, Desyrel, Effexor, Lexapro, Luvox, Oleptro, Paxil, Pexeva, Symbyax, Viibryd, or Zoloft.
• Tell your doctor all types of medicines you use, ranging from prescription drugs, non-prescription drugs, multivitamins, dietary supplements, herbal products.
• Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

Is this drug safe to use for pregnant and lactating women?

You are not advised to use Nopres if you are pregnant or breastfeeding. The reason is, if consumed while pregnant, SSRI antidepressants can cause lung problems or other complications in the baby at birth.

However, if you suddenly stop using the drug, depression may come back. Therefore, it is important that you tell your doctor if you suddenly become pregnant. Do not start or stop using this medication while pregnant without advice from your doctor.

This drug is included in the risk of pregnancy category C according to 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, this drug can also be released from breast milk (ASI) if it is consumed by breastfeeding mothers. As a result, this drug may be accidentally consumed by a nursing infant.

To avoid this possibility, you should first consult with your doctor about the potential benefits and risks of using the drug.

Interaction

What medicines can interact with Nopres?

Drug interactions may occur if Nopres is taken together with other medicines. If an interaction occurs, there is a chance that the risk of side effects increases and the way the drug works changes. However, the interactions that occur may also be the best treatment alternatives for your condition.

According to WebMD, the following are drugs that may interact with the fluoxetine in Nopres:

• anticoagulant (warfarin)
• NSAID drugs (ibuprofen, naproxen)
• antiplatelet drug (clopidogrel)
• MAO inhibitors (isocarboxazid, procarbazine, tranylcypromine)
• anti-arrhythmic drugs (propafenone, flecainide)
• tricyclic antidepressants (desipramine, imipramine)
• antihistamines (cetirizine, diphenhydramine)
• sedatives (alprazolam, diazepam)

To avoid unwanted interactions, you should tell your doctor about all the types of drugs you use, from prescription, non-prescription drugs, multivitamins, dietary supplements, to herbal products. Do not start, stop, or change the dose without your doctor's permission.

What foods and alcohol can interact with nopres?

Apart from drugs, there are also foods that can interact with drugs. Therefore, there are drugs that should not be used in conjunction with certain foods. The problem is, if there is an interaction between drugs and food, the risk of side effects will increase.

When using nopres, you are not advised to consume alcohol, because alcohol can increase the side effects of using drugs. Talk to your doctor first about what foods to avoid when using nopres.

What health conditions can interact with nopres?

Not only food and drugs can interact with nopres, there are several health conditions that can affect or be affected by the use of this drug.

It is important for you to tell your doctor about any diseases or health conditions you have. That way, your doctor can determine whether this drug is safe or not to use for you.

The following are some of the health conditions that may interact with nopres.

• Bipolar disorder
• Bleeding disorders
• Diabetes
• Glaucoma
• Hyponatremia (low levels of sodium in the blood)
• Mania or history
• Seizures, or history
• Heart attack or stroke
• Heart failure
• Heart rhythm disturbances
• Hypokalemia (low levels of potassium in the blood)
• Hypomagnesia (low levels of magnesium in the blood).
• Liver disorders

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.

Symptoms of overdose from taking too much Nopres include:

• Dazed
• Couldn't provide a response
• Dizzy
• Heartbeat becomes fast or irregular
• Fever
• Fainting
• Coma

What should I do if I miss a dose?

If you miss a dose of this medicine, take the missed dose immediately. However, if by the time you remember it is close to the time to use the next dose, forget the missed dose and use the next dose according to the schedule for using the drug. Don't double the dose.

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