Maprotiline (By mouth)

If you notice other side effects that you think are caused by this medicine, tell your doctor

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088

Introduction

Maprotiline (ma-PROE-ti-leen)

Treats depression and anxiety. This medicine is a tetracyclic antidepressant.

Brand Name(s)

When This Medicine Should Not Be Used

How to Use This Medicine

Tablet

• Your doctor will tell you how much to take and how often. Take this medicine exactly as ordered by your doctor.
• Do not stop taking maprotiline suddenly without first asking your doctor.
• This medicine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions. Ask your pharmacist for the Medication Guide if you do not have one.

If a dose is missed:

• Take the missed dose as soon as possible.
• If it is almost time for your next regular dose, wait until then to take the medicine and skip the missed dose.
• You should not use two doses at the same time.

How to Store and Dispose of This Medicine

• Store at room temperature in a closed container, away from heat, moisture, and direct light.
• Keep all medicine out of the reach of children.

Drugs and Foods to Avoid

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Do not drink alcohol while taking this medicine.
• Make sure your doctor knows if you are taking other medicines that could make you drowsy, such as sleeping pills, tranquilizers, cold and allergy medicines, and pain killers.

Warnings While Using This Medicine

• If you are pregnant or breastfeeding, talk to your doctor before taking this medicine.
• Make sure your doctor knows if you have had heart problems, overactive thyroid, glaucoma, or if you have trouble urinating.
• For some children and teenagers, this medicine can increase thoughts of suicide. All of the warnings in this leaflet are true for a child or teenager who is using this medicine. Tell your doctor right away if you start to feel more depressed. Also tell your doctor right away if you have thoughts about hurting yourself. Report any unusual thoughts or behaviors that trouble you, especially if they are new or get worse quickly. Make sure your caregiver knows if you have trouble sleeping, get upset easily, have a big increase in energy, or start to act reckless. Also tell your doctor if you have sudden or strong feelings, such as feeling nervous, angry, restless, violent, or scared. Let your doctor know if you or anyone in your family has bipolar disorder (manic-depressive) or has tried to commit suicide.
• Maprotiline may make you drowsy or dizzy. Be careful driving a car or operating machinery.

Possible Side Effects While Using This Medicine

Call your doctor right away if you notice any of these side effects:

• Skin rash, hives, or itching
• Seizures
• Irregular or rapid heartbeat
• Psychosis (delusions, paranoia)

If you notice these less serious side effects, talk with your doctor:

• Drowsiness, dizziness, or tiredness
• Nausea, upset stomach, dry mouth
• Constipation
• Trouble urinating
• Changes in vision such as trouble focusing
• Weight gain