Amisulpride

Cipla Ltd ,

سیپلا لمیٹڈ

Cizorest 50 Tablet ,

Cizorest 50 گولی

DRUG STATUS

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Approvals

US. FDA / uk mhra / ema / pdma

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Essential Medicine

WHO / India

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Use in Pregnancy

Not Advised / Caution

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Pharmaceutical Class

ama / pdma

Summary

  • Amisulpride is primarily used to treat schizophrenia and other psychotic disorders. It can also be used in lower doses to treat depression in patients who have not responded well to other antidepressants.

  • Amisulpride works by blocking dopamine receptors in the brain. This helps manage symptoms like hallucinations and emotional disturbances often seen in schizophrenia and depression.

  • The usual adult dosage of Amisulpride for schizophrenia is 400-800 mg per day, divided into two doses. For negative symptoms, lower doses of 50-150 mg per day may be used. It's generally taken orally, with or without food.

  • Common side effects of Amisulpride include drowsiness, insomnia, headache, weight gain and dry mouth. More significant adverse effects may include tremors, rigidity, restlessness, and endocrine issues like increased prolactin levels.

  • Amisulpride should be used with caution in patients with a history of heart conditions. It should also be avoided in severe liver or kidney impairment, and in pregnant or breastfeeding women unless absolutely necessary. Patients with neuroleptic malignant syndrome or tardive dyskinesia should not take this medication.

Indications and Purpose

How does Amisulpride work?

Amisulpride is a medicine that mainly affects the brain's emotion center, which helps reduce side effects like muscle stiffness. After taking a dose, the medicine shows up in your blood in two waves. About half of the medicine gets into your bloodstream. Your body doesn't break it down much, and it's mostly removed through your kidneys. It takes about 12 hours for half of it to leave your body. If you have kidney problems, your doctor might need to adjust your dose, but liver problems usually don't require a dose change.

How does Amisulpride work?

Amisulpride works by modulating dopamine receptors in the brain. It primarily acts as an antagonist at the D2 and D3 dopamine receptors. By blocking these receptors in certain areas of the brain, it helps to reduce the symptoms of psychosis and schizophrenia, such as delusions and hallucinations. At lower doses, it can also enhance dopamine release in areas of the brain involved in mood regulation, which helps in treating depression.

 

 

How does one know if Amisulpride is working?

The benefit of Amisulpride is evaluated through clinical assessments, including monitoring improvements in symptoms of schizophrenia, acute psychosis, and depression. Healthcare providers assess changes in mood, behavior, and cognitive function, as well as track reductions in positive and negative symptoms. Rating scales, such as the Positive and Negative Syndrome Scale (PANSS), are commonly used to measure the severity of symptoms. Regular follow-ups and side effect monitoring help determine the effectiveness and adjust the dosage if necessary.

 

 

How does one know if Amisulpride is working?

Amisulpride is a medicine that helps with mental health problems. For severe mental episodes, doctors might prescribe a high dose. For other symptoms, a lower dose is used. It's been tested mostly in adults, and older adults need to be careful as it can sometimes cause low blood pressure or drowsiness. Tests in animals didn't show any cancer risk, but high doses could affect a baby's growth during pregnancy. It hasn't been tested enough in teenagers or children.

Is Amisulpride effective?

Amisulpride is a medicine for schizophrenia. Schizophrenia causes problems like hearing or seeing things that aren't there (hallucinations), false beliefs (delusions), and trouble with thinking and emotions. This medicine helps with both the positive symptoms (like hallucinations and delusions) and negative symptoms (like feeling flat and withdrawn). The doctor will decide the right amount, which depends on the person and how well it's working. Higher doses are sometimes used for severe symptoms, while lower doses may be used for other symptoms.

Is Amisulpride effective?

Evidence supporting the effectiveness of Amisulpride comes from clinical studies that show it significantly reduces symptoms of schizophrenia and acute psychosis. Research has demonstrated its efficacy in controlling positive symptoms (delusions, hallucinations) and, at lower doses, improving mood in depression. Studies indicate that Amisulpride is well-tolerated and provides therapeutic benefits comparable to other antipsychotics with fewer side effects, such as sedation or weight gain, commonly seen with other medications in the same class.

 

 

What is Amisulpride used for?

Amisulpride is primarily used to treat schizophrenia and other psychotic disorders. It is also used in lower doses for the treatment of depression in patients who have not responded well to other antidepressants. It helps alleviate symptoms such as delusions, hallucinations, and mood disturbances.

 

 

What is Amisulpride used for?

Amisulpride is a medicine that helps people with schizophrenia. Schizophrenia causes problems with thinking, feeling, and behaving. This medicine helps with both the positive symptoms (like seeing or hearing things that aren't there, or having strange beliefs) and the negative symptoms (like feeling flat or withdrawn). It can also help with depression that sometimes goes along with schizophrenia.

Directions for Use

For how long do I take Amisulpride?

Amisulpride is a medicine, and how long you take it depends on how well it's working for you. Your doctor will decide. When you stop, you should do it slowly to avoid feeling sick.

How do I take Amisulpride?

Amisulpride is a medicine you take by mouth. For serious mental health problems causing unusual thoughts and behaviors, you might take a higher dose (400-800mg, sometimes up to 1200mg) spread throughout the day. If your main problem is a lack of emotion or motivation, a lower dose (50-300mg) is usually enough. You can take up to 400mg all at once, but bigger doses should be split into smaller amounts throughout the day. Eating a big meal with lots of carbs might affect how well the medicine works, but we don't know if that's a big deal. Fatty foods don't seem to matter.

How do I take Amisulpride?

Amisulpride can be taken with or without food. There are no specific food restrictions associated with this medication. It is important to take it exactly as prescribed by your doctor, typically in divided doses throughout the day. Ensure you follow the prescribed dosage and avoid stopping the medication abruptly without medical advice.

 

 

How long does it take for Amisulpride to start working?

  • Initial effects may appear within a few days to weeks.
  • Full benefits often take 4–6 weeks.

How long does it take for Amisulpride to start working?

  • Initial effects may appear within a few days to weeks.
  • Full benefits often take 4–6 weeks.

How should I store Amisulpride?

Amisulpride should be stored under the following conditions:

  • Keep it at room temperature, typically between 15°C to 25°C (59°F to 77°F).
  • Protect it from moisture and light.
  • Store it in its original packaging to maintain its stability.
  • Keep it out of reach of children.

 

How should I store Amisulpride?

You can store this medicine anywhere. No special fridge or cool place is needed.

What is the usual dose of Amisulpride?

Amisulpride is a medicine for adults with mental health problems. The amount given depends on the type of problem. For serious, sudden mental health issues, the doctor might start with a higher dose (400-800mg a day), possibly going up to 1200mg. If the problem is mostly about lacking energy or motivation, a lower dose (50-300mg a day) is used. It's not used for children and teens because there isn't enough information about its safety for them.

Warnings and Precautions

Can Amisulpride be taken safely while breastfeeding?

Amisulpride is a medicine that passes into breast milk in large amounts. We don't know exactly how much of the medicine the baby gets, but it's enough to make doctors think carefully. Mothers need to weigh the importance of breastfeeding against the need for the medicine. They might choose to stop breastfeeding or stop taking the medicine, depending on what's best for both the mother and the baby.

Can Amisulpride be taken safely while breastfeeding?

Amisulpride is excreted in breast milk, but the effects on a breastfeeding infant are not well-studied. Due to the potential for serious side effects, such as sedation or movement disorders, it is generally advised to avoid using Amisulpride while breastfeeding unless absolutely necessary. If the medication is required, a healthcare provider may recommend either discontinuing breastfeeding or using an alternative treatment.

 

 

Can Amisulpride be taken safely while pregnant?

Amisulpride is classified as a Category C drug for pregnancy by the FDA, which means that risk to the fetus cannot be ruled out. Animal studies have shown some adverse effects, but there are insufficient human studies to assess its safety fully. It should only be used during pregnancy if the potential benefit outweighs the risks to the fetus. Pregnant women should consult their healthcare provider before using Amisulpride.

 

 

Can Amisulpride be taken safely while pregnant?

Amisulpride is a medicine not safe to use during pregnancy. There's not enough information to know if it's safe for the baby, and studies in animals show problems. Babies born after the mother took amisulpride in late pregnancy might get sick. If you're breastfeeding, talk to your doctor. The medicine might pass into your breast milk, so you need to consider the risks and benefits.

Can I take Amisulpride with other prescription drugs?

Amisulpride can interact with other medicines. Taking it with clozapine might make amisulpride levels in your blood higher. Be careful combining it with drugs that affect your heart rhythm, some allergy medicines, other mental health drugs, or malaria drugs. It may lessen the effects of certain Parkinson's medications. Don't take it with levodopa. Alcohol or sedatives can make amisulpride's effects stronger. Blood pressure medicines can make your blood pressure drop too much. Talk to your doctor about all your medicines to avoid problems.

Can I take Amisulpride with other prescription drugs?

Amisulpride can interact with several prescription drugs. Key interactions include:

  1. Antipsychotics and other dopamine antagonists: Combined use can increase the risk of extrapyramidal symptoms (movement disorders) or sedation.
  2. Medications that prolong the QT interval: These, such as antiarrhythmic drugs (e.g., amiodarone), can increase the risk of cardiac arrhythmias, particularly torsades de pointes.
  3. Antihypertensives: Amisulpride may enhance the effects of blood pressure-lowering medications, increasing the risk of hypotension.
  4. Levodopa: Antagonistic effects with Amisulpride can reduce the efficacy of Levodopa in treating Parkinson's disease.
  5. Drugs affecting the CYP450 system: Amisulpride is metabolized minimally by the CYP450 enzymes, but caution should still be taken when combining with drugs that alter enzyme activity, such as ketoconazole or ritonavir.

 

Can I take Amisulpride with vitamins or supplements?

Most vitamins and supplements are safe, but avoid combining it with stimulants or sedatives without consulting your doctor.

Can I take Amisulpride with vitamins or supplements?

Most vitamins and supplements are safe, but avoid combining it with stimulants or sedatives without consulting your doctor.

Does Amisulpride affect appetitie

It may increase appetite, contributing to potential weight gain.

Does Amisulpride affect mood?

Amisulpride can improve mood in some cases (e.g., for dysthymia), but may also cause irritability or emotional blunting in others.

Does Amisulpride affect sleep?

Amisulpride is a medicine that can sometimes make it hard to sleep. If you have trouble sleeping while taking it, talk to your doctor. If you need to stop taking Amisulpride, don't stop suddenly. Slowly reducing your dose will help avoid problems like insomnia.

Does Amisulpride cause headaches?

Amisulpride is a medicine. Sometimes, rarely, it can cause headaches that might actually be a sign of a harmless growth on the brain called a pituitary tumor. If you get a headache while taking amisulpride, especially if you also have blurry vision or trouble seeing things at the edges, see your doctor right away. They might need to do a scan to check your brain.

Does Amisulpride cause stomach upset?

It may cause mild nausea or upset stomach in some individuals.

Does Amisulpride cause weight gain?

Amisulpride can sometimes make you gain weight. If you notice yourself gaining weight while taking this medicine, talk to your doctor.

Does Amisulpride interfere with sexual function?

Yes, it may cause sexual side effects like reduced libido or erectile dysfunction due to its effects on dopamine and prolactin.

Does Amisulpride limit driving?

Amisulpride can make you sleepy and blurry-eyed. If this happens, don't drive.

Does Amisulpride make it hard to think or concentrate?

Cognitive impairment, such as difficulty concentrating, can occur, especially during dose adjustments.

Does Amisulpride make people tired or drowsy?

Yes, drowsiness is a common side effect, especially when starting treatment.

Is Amisulpride safe for the elderly?

Amisulpride is a medicine that can cause low blood pressure and drowsiness, especially in older people. Older adults with kidney problems may need a lower dose. It's also important to know that it can increase the risk of death for older people with dementia who have mental problems.

Is it safe to drink alcohol while taking Amisulpride?

No, alcohol can increase drowsiness and other side effects of Amisulpride. Avoid alcohol while on this medication.

Is it safe to drink coffee or tea while taking Amisulpride?

Yes, moderate consumption of coffee or tea is generally safe, but excessive caffeine may increase anxiety or jitteriness.

Is it safe to drink coffee or tea while taking Amisulpride?

Yes, moderate consumption of coffee or tea is generally safe, but excessive caffeine may increase anxiety or jitteriness.

Is it safe to exercise while taking Amisulpride?

Yes, regular exercise is safe and beneficial. Monitor for dizziness or fatigue, especially if starting or adjusting your dose.

Is it safe to exercise while taking Amisulpride?

Yes, regular exercise is safe and beneficial. Monitor for dizziness or fatigue, especially if starting or adjusting your dose.

What are Amisulpride possible harms and risks?

Amisulpride can cause some common, usually mild side effects like shakiness, stiffness, trouble moving, drooling, restlessness, and movement problems. It can also raise a hormone level, sometimes causing breast milk production in women, missed periods, breast growth in men, breast pain, and sexual problems. Other common side effects include trouble sleeping, feeling anxious or agitated, blurry vision, constipation, nausea, vomiting, dry mouth, low blood pressure, and weight gain. Rare but serious side effects include dangerously low white blood cells, a serious reaction affecting the nervous system, heart rhythm problems that can be life-threatening, blood clots, pituitary gland tumors, and withdrawal symptoms in babies born to mothers taking the drug.

What are Amisulpride possible harms and risks?

Amisulpride can cause some common, usually mild side effects like shakiness, stiffness, trouble moving, drooling, restlessness, and movement problems. It can also raise a hormone level, sometimes leading to breast milk production, missed periods, breast growth in men, breast pain, and sexual problems. Other common side effects include trouble sleeping, feeling anxious or restless, blurry vision, constipation, nausea, vomiting, dry mouth, low blood pressure, and weight gain. Rarely, but seriously, it can cause a dangerously low white blood cell count, a severe reaction called neuroleptic malignant syndrome, heart rhythm problems, blood clots, and benign brain tumors. Stop taking the medicine gradually to avoid unpleasant withdrawal symptoms.

What are Amisulpride possible harms and risks?

The most common side effects of Amisulpride include drowsiness, insomnia, headache, weight gain, and dry mouth. More significant adverse effects may include extrapyramidal symptoms (EPS) such as tremors, rigidity, and akathisia (restlessness). Endocrine issues, like increased prolactin levels, can lead to galactorrhea (milk production), amenorrhea (absence of menstruation), or sexual dysfunction. Tardive dyskinesia (involuntary movements) and QT prolongation (heart rhythm abnormalities) are rare but serious risks. Monitoring for these side effects is essential.

 

 

Who should avoid taking Amisulpride?

Amisulpride is a medication with several important cautions. It shouldn't be used by people allergic to it, those with certain tumors (related to a hormone called prolactin), a rare adrenal gland tumor (pheochromocytoma), children who haven't gone through puberty, or if you're also taking levodopa. Serious side effects are possible, including a rare but dangerous condition called Neuroleptic Malignant Syndrome (NMS), high blood sugar, severe liver problems, seizures, and heart rhythm problems. Older adults, people with Parkinson's disease, heart problems, or a high risk of stroke should be extra careful if they take it. Pregnant or breastfeeding women need to talk to their doctor before using this medication.

Who should avoid taking Amisulpride?

Amisulpride should be used with caution in patients with a history of cardiac arrhythmias or heart conditions due to the risk of QT prolongation. It is contraindicated in individuals with pheochromocytoma (a rare adrenal gland tumor) or a history of hypersensitivity to the drug. It should also be avoided in severe liver or kidney impairment. Pregnant or breastfeeding women should only use Amisulpride if absolutely necessary, as it can affect the fetus and infant. Patients with neuroleptic malignant syndrome (NMS) or tardive dyskinesia should not take this medication. Close monitoring is advised for those at risk of developing these conditions.

 

 

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