Shine 25 MG Tablet

Prescribed for the treatment of depression and its symptoms, Shine 25 MG Tablet acts as a tricyclic antidepressant. It basically controls brain chemicals that are unbalanced in patients who suffer from mental illness and depression.

Before you start using Shine 25 MG Tablet ask your doctor more information about how it works and how the drug should be taken. The drug should not be used if you have suffered a heart attack recently. It is also not meant for consumption by breastfeeding mothers as the drug can pass into the milk and harm the baby.

You should take Shine 25 MG Tablet as per instructions on the prescription and guide that comes with the drug. Take the exact dose that has been prescribed to you. It can take about 4 weeks before your symptoms of depression show improvement.

It is advised that Shine 25 MG Tablet should not be stopped suddenly, as it can cause unpleasant withdrawal symptoms. If the need arises consult your doctor about stopping Shine 25 MG Tablet. The drug should be stored at room temperature and kept safe from light, heat as well as moisture.

Often causes drowsiness/sedation, resulting in the impaired performance of tasks requiring alertness (ie, operating machinery or driving). Sedative effects may be additive with other CNS depressants and/or ethanol. The degree of sedation is very high relative to other antidepressants.

May worsen psychosis in some patients or precipitate a shift to mania or hypomania in patients with bipolar disease. May cause hyponatremia/SIADH. May increase the risks associated with electroconvulsive therapy. This agent should be discontinued, when possible, prior to elective surgery. Therapy should not be abruptly discontinued in patients receiving high doses for prolonged periods.

Use with caution in hyperthyroid patients or those receiving thyroid supplementation. Use with caution in patients with hepatic or renal dysfunction and in elderly patients. Not for use in patients <12 years of age.

This medicine is primarily used to treat the following conditions:

• Depression

• Migraine Prevention

• Bedwetting

• Allergy

• Monoamine oxidase inhibitors

• Cisapride

• Heart Attack

Common side effects of this medicine are as follows:

• Restlessness

• Dizziness

• Insomnia

• Sedation

• Fatigue

• Anxiety

• Cognitive Impairment

• Seizures

• Drug-Induced Extrapyramidal Symptoms

• Urticaria

• Photosensitivity

• Weight Gain

• Constipation

• Urinary Retention

• Blurred Vision

• How long is the duration of effect?

  The effect of this medicine lasts for an average duration of 4-7 weeks after onset of action. However, it is subject to variation based on a patient's response to the medicine after administration.

• What is the onset of action?

  The effect of this medicine can be observed within 3-6 weeks of administration.

• Are there any pregnancy warnings?

  This medicine should be used by pregnant women only when the benefits outweigh the risk associated with usage. This medicine can cause harmful effects on fetus. Hence, you are advised to consult your doctor before taking this medicine.

• Is it habit forming?

  No habit forming tendencies were reported.

• Are there any breast-feeding warnings?

  This medicine should not be used by women who are breastfeeding. If it is absolutely necessary to take this medicine then you should stop breastfeeding. Consult your doctor before using this medicine.

• Is It safe with alcohol?

  It is advised that while taking this medicine, the patients either limit or completely restrict the consumption of alcohol. This is because the medication upon interaction with alcohol can induce symptoms such as excessive sweating, sleepiness, muscle stiffness and sudden alterations of pulse rate.

• Is it safe to drive while on this medicine?

  This medicine can cause side effects such as weakness, headache, blurred vision, seizures and drowsiness and is therefore not recommended that people drive while under this medication therapy.

• Does this affect kidney function?

  There is no information available as to how the medicine affects kidney functionalities.

• Does this affect liver function?

  There is no information available as to how the medicine affects liver functionalities.

Below is the list of medicines, which have the same composition, strength and form as Shine 25 MG Tablet , and hence can be used as its substitute.

• Tryptomer 25 MG Tablet

  Wockhardt Ltd

• Tadamit 25 MG Tablet

  Alkem Laboratories Ltd

• Triptova 25 MG Tablet

  Alkem Laboratories Ltd

• Centryp 25 MG Tablet

  Usv Ltd

• Cisakem 10 MG Tablet

  Alkem Laboratories Ltd

• Missed Dose instructions

  Take the missed dose as soon as you remember. However, if it is almost time for the next scheduled dose then the missed dose should be skipped.

• Overdose instructions

  Contact a doctor immediately if an overdose is suspected. Symptoms of overdose may include a change in pulse rates, severe drowsiness, confusion, vomiting, hallucinations, convulsions, and fainting. Immediate medical intervention may be required if the overdose symptoms are severe.

• India

• United States

• Japan

The exact mechanism of action for Shine 25 MG Tablet is not established. However, it is believed to act by preventing the reuptake of neurotransmitters namely norepinephrine and serotonin. These chemicals are imbalanced in people with depression.

Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.

• Interaction with Alcohol

  You should restrict or minimize the use of alcohol while taking this medicine. Symptoms like sleepiness, excessive sweating, muscle stiffness and change in pulse should be reported to the doctor on priority.

• Interaction with Lab Test

  The patient taking this medicine may show false positive blood glucose test. Kindly inform your doctor before under going any pathological tests.

• Interaction with Medicine

  Cisapride

  Report the use of either of the medicines to the doctor. You may require a dose adjustment and clinical safety monitoring while taking these medicines together. Any heart-related complications like palpitation, change in pulse rate, dizziness and excessive sweating should be reported immediately.

  Clozapine

  Report the use of either of the medicine to the doctor as the risk of adverse effects on the heart is very high if these medicines are administered together. You may require a dose adjustment and clinical safety monitoring while taking them together. In some cases, your doctor may prescribe an alternative medicine that does not interact with Clozapine.

  Fluoxetine

  Report the use of either of the medicine to the doctor. The risk of adverse effects like sleepiness, dry mouth, vision disturbances, confusion etc is very high while these medicines are administered together. Your doctor may prescribe an alternate medicine that does not interact with Shine 25 MG Tablet.

  Linezolid

  Report the use of Shine 25 MG Tablet to the doctor before receiving Linezolid. The risk of adverse effects like confusion, hallucinations, convulsions and coma are very high if these medicines are administered together. Your doctor may ask you to stop the use of Shine 25 MG Tablet before the use of Linezolid.

  Ondansetron

  Report the use of either of the medicine to the doctor. The risk of adverse effects on the heart is very high while these medicines are administered together. Suitable dose adjustment and clinical safety monitoring may be required in such cases.

  Selegeline

  Report the use of either of the medicine to the doctor. The risk of adverse effects is very high if these medicines are administered together. You should wait for 14 days after stopping Selegeline and then start using Shine 25 MG Tablet and vice versa. Contact your doctor if you experience symptoms like hallucination, convulsions, changes in blood pressure etc.

  Phenylephrine

  Report the use of either of the medicine to the doctor. You may require a dose adjustment and more frequent monitoring of blood pressure when these medicines are administered together. It is advised to not use these medicines together except when they are very urgently required.

• Interaction with Disease

  Heart Diseases

  Shine 25 MG Tablet should be used with caution in patients suffering from heart disease like heart failure, stroke, heart block etc. A fall in blood pressure, change in pulse, dizziness and other associated complications should be reported to the doctor. It is advised to not take this medicine if the patient has recently suffered a heart attack.

  Pheochromocytoma

  Shine 25 MG Tablet should be administered with extreme caution in patients suffering from Pheochromocytoma, the risk of severe to fatal change in blood pressure is very high. Suitable dose adjustment and clinical monitoring of the symptoms is recommended in such cases.

  Seizure Disorders

  Shine 25 MG Tablet should be used with caution in patients having a seizure disorder. Seizures may be caused due to a disease, some other medicine, head injury in the past etc. Using this medicine can cause more frequent and severe episodes of seizures.

  Diabetes

  Shine 25 MG Tablet should be used with caution if you have diabetes as the risk of changes in blood sugar levels are very high. You should get your blood sugar levels checked more frequently while using this medicine.

  Glaucoma

  Shine 25 MG Tablet should be used with caution if you have glaucoma. Use of this medicine can worsen the symptoms of both closed and open angle glaucoma.

• Interaction with Food

  Information not available.