What is this medicine?
MILNACIPRAN (mil NA si pran) is used to treat the pain caused by fibromyalgia.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
- heart disease
- if you frequently drink alcohol containing drinks
- irregular heart beat
- kidney disease
- liver disease
- mania or bipolar disorder
- prostate problems
- suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member
- taken an MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate within 14 days
- an unusual or allergic reaction to milnacipran, levomilnacipran, other medicines, foods, or preservatives
- pregnant or trying to get pregnant
How should I use this medicine?
Take this medicine by mouth with a glass of water. You can take it with or without food. If it upsets your stomach, take it with food. Follow the directions on the prescription label. Do not take your medicine more often than directed. Do not stop taking this medicine suddenly except upon the advice of your doctor. Stopping this medicine too quickly may cause serious side effects or your condition may worsen.
A special MedGuide will be given to you by the pharmacist with each prescription and refill. Be sure to read this information carefully each time.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
Do not take this medicine with any of the following medications:
medicines called MAO Inhibitors like Nardil, Parnate, Marplan, Eldepryl
This medicine may also interact with the following medications:
amphetamine or dextroamphetamine
aspirin and aspirin-like medicines
medicines for blood pressure
medicines for migraine headache like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan
medicines that treat or prevent blood clots like warfarin, enoxaparin, and dalteparin
NSAIDS, medicines for pain and inflammation, like ibuprofen or naproxen
other medicines for depression, anxiety, or psychotic disturbances
St. John's wort, Hypericum perforatum