Zytomil Tablet is used for the treatment and maintenance of depression (major depressive disorder) in adults and children 12-17 years.
This medicine is to be used for longer periods of time. Zytomil may be used for long-term treatment of social anxiety disorder and panic disorder with or without fear of places and situations (agoraphobia). Zytomil should be used as directed by the doctor even if you feel well, or even if you think that there is no need for you to use your medicine.
Talk to Your Doctor
Discuss with your doctor if you develop new symptoms. Discuss with your doctor if nervousness (agitation), irritability, unusual changes in behavior, and suicidal ideation. I
Avoid Alcohol
Avoid consuming alcohol together with Zytomil.
Lab Tests
Your doctor may request that specific lab tests be performed before you start using Zytomil Tablet. Your doctor may ask you to undergo Electrocardiogram test. If the patient has a stable heart disease, electrocardiography should be reviewed before starting the treatment with Zytomil because there are chances of developing a serious heart problem. Your doctor may request Electrolytes test. This test is performed to check the disturbance of electrolytes such as low level of potassium and magnesium. Low electrolytes levels increase the risk of life-threatening heart disease and these levels should be maintained before starting the treatment with Zytomil.
How to take Zytomil
Your dose and how often you take Zytomil will depend on the following factors:
patient's health
the health of the patient's kidneys
response to the medicine
Zytomil Dosage
Dosage for depression
Adult
Recommended: 10 mg once daily
Maximum: 20 mg daily
Children (children aged 12-17 years)
Recommended: 10 mg once daily
Maximum: 20 mg after 3 weeks of recommended dose
Older Adults (more than 65 years)
Initial: 5 mg once daily
Maximum: 10 mg daily
Dosage for severe anxiety
Adult
Recommended: 10 mg once daily
Maximum: 20 mg after one week of recommended dose
Dosage for panic disorder
Adult (with or without fear in open public space)
Recommended: 10 mg daily after one week of initial dose
Initial: 5 mg for the first week
Maximum: 20 mg daily
Dosage for social phobia
Adult
Recommended: 10 mg once daily, the dose may be decreased to 5 mg or increased to 20 mg daily depending on the patient's response
Maximum: 20 mg daily
Dosage for mental illness with repetitive behaviours
Adult (Obsessive-compulsive disorder)
Initial: 10 mg once daily
Maximum: 20 mg daily
Special Instructions
Abnormal liver function
10 mg daily dose of Zytomil is recommended for patients with abnormal liver function.
Abnormal functioning of kidneys
There is no dose adjustment recommended for patients with mild to moderate abnormal functioning of kidneys, but Zytomil should be taken with caution in patients with the severe abnormal functioning of kidneys.
Poor metabolizers of an enzyme (CYP2C19)
5 mg daily initial dose of Zytomil is recommended in patients with poor metabolizers of an enzyme (CYP2C19) for two weeks. The dose may be increased to 10 mg daily on the basis of the patient's response to the treatment.
Missed Dose
Take the missed dose as soon as you remember. Skip the missed dose if its time for next dose. Do not take a double dose to make up for the dose that you may have missed.
Overdose
What to do if you overdose on Zytomil?
In case of overdose, oxygen or artificial respiration should be given for breathing problems. Stomach emptying and use of charcoal, a substance that absorbs poisons from the stomach should be done. Carefully monitor heart and vital signs and also provide supportive care. Zytomil can be removed from the blood by artificial blood purifying techniques (dialysis and hemoperfusion), and excessive production of urine (diuresis), and patient's blood exchange.
Symptoms of an overdose of Zytomil
If you use too much of this medicine, it could lead to dangerous levels of the medicine in your body. In such cases, symptoms of an overdose may include:
abnormal heartbeat (torsade de pointes)
coma
dizziness
drowsiness
increased heartbeat
insomnia
low blood pressure
nausea
prolonged heartbeat (QT prolongation)
seizures
vomiting
If you think you have overdosed on Zytomil Tablet, call a poison control center immediately. You can look up the poison control center information from the Poison Center Finder at TabletWise.com.
