Butriptyline


Concise Prescribing Info
Indications/Uses
Depression.
Dosage/Direction for Use
Adult : PO 25 mg 3 times/day. Max: 150 mg daily.
Dosage Details
Oral
Depression
Adult: As hydrochloride: Initially, 25 mg tid. Max: 150 mg daily.
Contraindications
Recent MI, arrhythmias, severe liver disease, manic phase. Lactation.
Special Precautions
CV disease, history of epilepsy, hepatic impairment, hyperthyroidism, pheochromocytoma, history of mania, psychoses, close-angle glaucoma, history of urinary retention, concurrent electroconvulsive therapy, diabetes. Pregnancy. Elderly and child. Porphyria. Avoid abrupt withdrawal. May cause drowsiness; do not drive or operate machinery.
Adverse Reactions
Marked antimuscarinic effects, CV effects. Nausea, sweating, tremor, hypersensitivity reactions, behavioral disturbances, sexual dysfunction, blood sugar changes, increased appetite or wt gain. Testicular enlargement, gynecomastia, galactorrhea. Convulsion, movement disorders, dyskinesias. Fever and blood disorders.
Drug Interactions
Plasma conc and effects may be enhanced by concomitant use of cimetidine, diltiazem, disulfiram, methylphenidate, ritonavir and verapamil. Side-effects may be increased by adrenaline, amiodarone, general anesthetics, SSRIs, antihistamines, antimuscarinics, antipsychotics, anxiolytics and hypnotics, clozapine, disopyramide, diuretics, flecainide, MAOIs, moclobemide, moxifloxacin, nefopam, nicorandil, noradrenaline,phenothiazine, pimozide, procainamide, propafenone, quinidine, selegiline, sibutramine, sotalol, terfenadine, thioridazine and tramadol. Clonidine, barbiturates, nitrates and primidone are reduced while effects of baclofen, opioid analgesics and thyroid hormones are enhanced with concomitant use. Carbamazepine and rifampicin may increase metabolism while its effects may be antagonized by estrogens. Alcohol.
Potentially Fatal: Concomitant use with brimonidine, entacapone, artemether with lumefantrine or sibutramine should be avoided.
Action
Description: Butriptyline, similar to amitriptyline, exert its antidepressant action by blocking the neuronal re-uptake of noradrenaline and serotonin. It is one of the less sedating tricyclics.
MIMS Class
Disclaimer: This information is independently developed by MIMS based on Butriptyline from various references and is provided for your reference only. Therapeutic uses, prescribing information and product availability may vary between countries. Please refer to MIMS Product Monographs for specific and locally approved prescribing information. Although great effort has been made to ensure content accuracy, MIMS shall not be held responsible or liable for any claims or damages arising from the use or misuse of the information contained herein, its contents or omissions, or otherwise. Copyright © 2020 MIMS. All rights reserved. Powered by MIMS.com
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