Flupentixol and Melitracen tablet is indicated in-

• Anxiety
• Depression
• Apathy
• Psychogenic depression.
• Depressive neurosses.
• Masked depression.
• Psychosomatic affections accompanied by anxiety and apathy.
• Menopausal depressions.
• Dysphoria and depression in alcoholics and drug addicts.

Adults: Usually 2 tablets orally daily in the morning and noon. In severe cases, the morning dose may be increased to 2 tablets.

Elderly patients: 1 tablet in the morning.

Maintenance dose: Usually 1 tablet orally in the morning. In cases of insomnia or severe restlessness, additional treatment with a sedative in the acute phase is recommended.

• The immediate recovery phase after myocardial infarction.
• Defects in bundle-branch conduction.
• Untreated narrow-angle glaucoma.
• Acute alcohol, barbiturate and opiate intoxications.
• This tablet should not be given to patients who have received an MAO-inhibitor within two weeks.
• Not recommended for excitable or overactive patients since its activating effect may lead to exaggeration of these characteristics.

In the recommended doses side effects are rare. These could be transient restlessness and insomnia.

Overdose Effects

In cases of overdosage the symptoms of intoxications by melitracen, especially of anticholinergic nature, dominate. More rarely extrapyramidal symptoms due to flupentixol occur. Symptomatic and Supportive. Gastric lavage should be carried out as soon as possible and activated charcoal may be administered. Measures aimed at supporting the respiratory and cardiovascular systems should be instituted. Epinephrine (adrenaline) must not be used for such patients. Convulsions may be treated with diazepam and extrapyramidal symptoms with biperiden.

If previously the patient has been treated with tranquillizers with sedative effect these should be withdrawn gradually.

Pregnancy & Lactation

This tablet should preferably not be given during pregnancy and lactation.