Agomelatine
Agomelatine Uses, Dosage, Side Effects, Mechanism of Action, How Long Does it Take to Work? Agomelatine is a brand name. Its generic name is Agomelatine.
Introduction
Agomelatine is an antidepressant drug prescribed to treat major depressive disorder. It works by acting on melatonin and serotonin receptors in the brain.Uses
Agomelatine is used for the treatment of major depressive disorder (MDD). It may also be used as an adjunct to other antidepressants or psychotherapies. Additionally, it may be prescribed to improve symptoms of melatonin deficiency.Mechanism of Action
Agomelatine has two main mechanisms of action: it is a melatonin receptor agonist and a serotonin 5-HT2C receptor antagonist. It works by binding to both melatonin MT1 and MT2 receptors, which can help reset the body's circadian rhythms. By blocking the serotonin 5-HT2C receptor, it helps inhibit the reuptake of serotonin. This can help improve symptoms of depression.How long does it take to work?
Agomelatine typically begins to take effect within 2 to 4 weeks, but may take up to 8 weeks to reach its maximum effect.Absorption
Agomelatine is rapidly and completely absorbed from the GI tract. Its peak concentration is reached within approximately 2 hours.Route of Elimination
Agomelatine is eliminated from the body by both renal and hepatic elimination. It is extensively metabolized by the liver before being eliminated in the urine and feces as metabolites.Dosage
Agomelatine is typically taken once daily, with or without food. The recommended starting dose is 25mg/day. If necessary, the dose may be titrated up to a maximum dose of 50mg/day.Administration
Agomelatine should be taken as a single dose at bedtime.Side Effects
Common side effects include dizziness, headache, nausea, vomiting, stomach pain, dry mouth, and fatigue.Toxicity
Agomelatine has a low potential for toxicity. It has not been associated with drug-related deaths in clinical trials.Precaution
Agomelatine should be used with caution in patients with bipolar disorder, as it may cause manic episodes. It should also be used with caution in patients with a history of seizures or in patients taking drugs that lower the seizure threshold.Interaction
Agomelatine may interact with other medications, including hormonal contraceptives, analgesics, antipsychotics, and antiepileptic drugs.Disease Interactions
Agomelatine may interact with certain medical conditions such as bipolar disorder, glaucoma, liver or kidney disease, and mania.Drug Interactions
Agomelatine may interact with other drugs, such as hypnotics, sedatives, antivirals, antifungals, diuretics, and anticoagulants.Food Interactions
Agomelatine may interact with certain foods and beverages. Patients should avoid drinking large amounts of alcohol and grapefruit juice while taking agomelatine.Pregnancy Use
Agomelatine should not be used during pregnancy, as safety and efficacy in pregnancy has not been established.Lactation Use
Agomelatine should be used with caution in breastfeeding mothers, as it may pass into breast milk.Acute Overdose
Agomelatine overdose may cause nausea, vomiting, stomach pain, confusion, dizziness, drowsiness, and seizures. Patients should seek immediate medical attention if they suspect an overdose.Contraindication
Agomelatine should not be used in patients with known hypersensitivity to the drug or any of its components.Use Direction
Patients should take agomelatine exactly as prescribed by the physician. The recommended starting dose is 25mg/day, and may be titrated up to a maximum dose of 50mg/day.Storage Condition
Agomelatine should be stored at room temperature, away from light and moisture.Volume of Distribution
Agomelatine has a large volume of distribution, which is approximately 8.1L/kg.Half-Life
The half-life of agomelatine is approximately 7.3 hours.Clearance
The clearance of agomelatine is approximately 1.5L/kg/hr.Here you find in details version of Agomelatine
Some Frequently Asked Questions About Agomelatine
What is Agomelatine?
Agomelatine is a melatonin receptor agonist, or more precisely, a selective agonist of MT1 and MT2 receptors. It is sold under various brand names, including Valdoxan, Melitor, and Thymanax. Agomelatine was first approved by the European Medicines Agency as an antidepressant in February 2009.
What is the brand name of Agomelatine?
Agomelatine is sold under various brand names, including Valdoxan, Melitor, and Thymanax.
What is Agomelatine used for?
Agomelatine is primarily used as an antidepressant, but may also be prescribed for insomnia, bipolar disorder, and adjunctive therapy in major depression.
What are the side effects of Agomelatine?
Common side effects of Agomelatine may include headache, nausea, dizziness, difficulty sleeping, fatigue, diarrhea, and dry mouth. It may also cause increased sweating and weight gain or loss.
How does Agomelatine work?
Agomelatine works by activating two melatonin receptors in the brain, which helps to reset the body's circadian rhythms and stabilize mood. It is also believed to increase serotonin production, which can improve mood, reduce anxiety, and enhance cognitive function.
Is Agomelatine safe?
Agomelatine has been approved as a safe treatment for depression in adults by the European Medicines Agency and the Food and Drug Administration (FDA). However, like any medication Agomelatine can have side effects and should be taken as prescribed.
How long does it take for Agomelatine to work?
The effect of Agomelatine can be felt in as little as 1 week, but it may take up to 8 weeks to experience the full effect. The length of time it takes for Agomelatine to work can vary depending on the individual.
Can Agomelatine be used to treat anxiety?
Agomelatine is primarily used to treat depression, but it may also be used to treat anxiety associated with depression. However, it is important to consult your doctor before using it to treat anxiety.
Does Agomelatine cause weight gain?
Agomelatine may cause some people to experience weight gain. If you experience weight gain while taking Agomelatine, talk to your doctor about how to manage it.
Is Agomelatine addictive?
No, Agomelatine is not addictive and does not cause physical dependence. However, as with any medication, if Agomelatine is discontinued too quickly it may cause withdrawal symptoms.
Is Agomelatine available in the US?
Yes, Agomelatine is approved by the FDA and is available in the US.
Is Agomelatine safe during pregnancy?
Agomelatine has not been studied in pregnant women. Therefore, it is recommended that pregnant women should avoid Agomelatine or speak to their doctor before taking it.
What is the dosage of Agomelatine?
The recommended dose of Agomelatine for adults is 25 to 50mg once a day in the evening, taken with or without food. The dose should be adjusted for people aged 65 or older.
Can Agomelatine be taken with alcohol?
It is not recommended to take Agomelatine with alcohol. Alcohol can increase the risk of side effects such as drowsiness.
Can Agomelatine be taken with other antidepressants?
Yes, Agomelatine can be taken with other antidepressants. However, it is important to speak to your doctor before combining any medications.
Is Agomelatine costly?
The cost of Agomelatine depends on several factors, such as the dosage, the brand, and your insurance coverage. It is recommended to talk to your insurance provider to learn more about the cost.
Is Agomelatine a sleeping pill?
No, Agomelatine is not a sleeping pill. It is an antidepressant, but it may also be prescribed for insomnia.
Can Agomelatine cause headaches?
Yes, Agomelatine may cause headaches in some people. It is recommended to speak to your doctor if you experience persistent headaches while taking Agomelatine.
Can Agomelatine cause insomnia?
Agomelatine has been associated with difficulty sleeping, but it is not usually prescribed for insomnia. If you experience difficulty sleeping while taking Agomelatine, speak to your doctor.
Can Agomelatine be taken with other medications?
Yes, Agomelatine can be taken with other medications, but it is important to talk to your doctor before combining any medications.
Can Agomelatine be taken with antianxiety medications?
Yes, Agomelatine can be taken with antianxiety medications, but it is important to talk to your doctor before combining any medications.
Can Agomelatine be taken for long-term treatment?
Yes, Agomelatine can be taken for long-term treatment. If you are considering taking Agomelatine for a long period of time, it is important to speak to your doctor about the potential risks and benefits.
What is the most common side effect of Agomelatine?
The most common side effect of Agomelatine is headache. Other common side effects include nausea, dizziness, difficulty sleeping, fatigue, diarrhea, and dry mouth.
Can Agomelatine cause dry mouth?
Yes, Agomelatine may cause dry mouth in some people. If you experience dry mouth while taking Agomelatine, talk to your doctor about how to manage it.
Can Agomelatine cause drowsiness?
Yes, Agomelatine may cause drowsiness in some people. If you experience drowsiness while taking Agomelatine, do not drive or operate machinery until it is safe to do so.
Can Agomelatine be taken with other antidepressants?
Yes, Agomelatine can be taken with other antidepressants. However, it is important to speak to your doctor before combining any medications.
How long can Agomelatine be taken for?
Agomelatine can be taken for long-term use. However, the risks and benefits should be weighed before continuing use for a long period of time. It is important to discuss this with your doctor.
Can Agomelatine be taken with antihistamines?
Yes, Agomelatine can be taken with other medications, including antihistamines. However, it is important to speak to your doctor before combining any medications.
Can Agomelatine have an effect on fertility?
Agomelatine has not been studied in people who are trying to get pregnant or are at risk of infertility. If you are trying to get pregnant or are at risk of infertility, it is important to discuss this with your doctor before taking Agomelatine.
Can Agomelatine be taken for anxiety?
Agomelatine is primarily used to treat depression, but it may also be used to treat anxiety associated with depression. However, it is important to consult your doctor before using it to treat anxiety.
Can Agomelatine be taken with anti-anxiety medications?
Yes, Agomelatine can be taken with other medications, including anti-anxiety medications. However, it is important to speak to your doctor before combining any medications.
Can Agomelatine cause insomnia?
Agomelatine has been associated with difficulty sleeping, but it is not usually prescribed for insomnia. If you experience difficulty sleeping while taking Agomelatine, speak to your doctor.
What is the recommended dose of Agomelatine?
The recommended dose of Agomelatine for adults is 25 to 50mg once a day in the evening, taken with or without food. The dose should be adjusted for people aged 65 or older.
Can Agomelatine be taken with other medications?
Yes, Agomelatine can be taken with other medications, but it is important to talk to your doctor before combining any medications.
Can Agomelatine interact with other medications?
Yes, Agomelatine can interact with other medications, both prescription and over-the-counter. It is important to tell your doctor and pharmacist about all the medications you are taking to avoid potential interactions.
Can Agomelatine cause liver damage?
Agomelatine is not known to cause liver damage. However, it is important to speak to your doctor if you experience any symptoms of liver damage, such as dark urine, yellowing of the skin, or loss of appetite.
Can Agomelatine be taken with antidepressants?
Yes, Agomelatine can be taken with other antidepressants. However, it is important to speak to your doctor before combining any medications.
How does Agomelatine affect the brain?
Agomelatine works by activating two melatonin receptors in the brain, which helps to reset the body's circadian rhythms and stabilize mood. It is also believed to increase serotonin production, which can improve mood, reduce anxiety, and enhance cognitive function.
Can Agomelatine be taken while breastfeeding?
Agomelatine has not been studied in breastfed infants and should be avoided during breastfeeding. It is important to discuss the risks and benefits with your doctor before taking Agomelatine while breastfeeding.
Can Agomelatine cause weight loss?
Yes, Agomelatine may cause some people to experience weight loss. If you experience weight loss while taking Agomelatine, talk to your doctor about how to manage it.
Can Agomelatine cause memory problems?
Agomelatine has been associated with memory problems, but it is not a common side effect. If you experience memory problems while taking Agomelatine, speak to your doctor.
Can Agomelatine be taken with other psychiatric medications?
Yes, Agomelatine can be taken with other psychiatric medications, but it is important to talk to your doctor before combining any medications.
Can Agomelatine be taken for bipolar disorder?
Yes, Agomelatine has been approved for the treatment of bipolar disorder and may be prescribed to help manage symptoms. However, it is important to speak to your doctor before taking Agomelatine for bipolar disorder.