Ludiomil (Maprotiline)

You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Do not use LUDIOMIL if you have a seizure disorder, or if you have used an MAO inhibitor within the past 14 days. Serious, life-threatening side effects can occur if you take LUDIOMIL before the MAO inhibitor has cleared from your body.

Before taking LUDIOMIL, tell your doctor if you have liver or kidney disease, seizures, heart disease, a thyroid disorder, if you receive electroshock therapy, or if you have a history of heart attack, stroke, drug abuse, or suicidal thoughts.

It may take up to 3 weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 3 weeks of treatment.

Avoid drinking alcohol. It can increase some of the side effects of LUDIOMIL.

LUDIOMIL can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

You should not take this medication if you are allergic to LUDIOMIL, or if you have a seizure disorder.

Do not use LUDIOMIL if you have used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. Serious, life-threatening side effects can occur if you take LUDIOMIL before the MAO inhibitor has cleared from your body.

Before taking LUDIOMIL, tell your doctor if you are allergic to any drugs, or if you have:

• liver or kidney disease;
• if you are receiving electroshock therapy;
• seizures or epilepsy;
• a thyroid disorder;
• heart disease, heart rhythm disorder;
• a history of heart attack or stroke; or
• a history of drug abuse or suicidal thoughts.

If you have any of these conditions, you may not be able to use LUDIOMIL, or you may need a dosage adjustment or special tests during treatment.

This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

LUDIOMIL can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Older adults may be more sensitive to the side effects of this medication.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:

• seizure (convulsions);
• fast or pounding heart rate;
• confusion, hallucinations;
• unusual thoughts or behavior; or
• feeling like you might pass out.

Less serious side effects include:

• drowsiness, dizziness;
• loss of balance or coordination;
• numbness or tingling;
• blurred vision;
• ringing in your ears;
• nausea, stomach pain;
• constipation;
• dry mouth; or
• thirst.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

Cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety can add to sleepiness caused by LUDIOMIL. Tell your doctor if you need to use any of these other medicines while you are taking LUDIOMIL.

Avoid drinking alcohol. It can increase some of the side effects of LUDIOMIL.

LUDIOMIL can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

The following drugs can interact with LUDIOMIL. Tell your doctor if you are using any of these:

• guanethidine (Ismelin);
• medicines to treat psychiatric disorders, such as chlorpromazine (Thorazine), mesoridazine (Serentil), or thioridazine (Mellaril);
• a sedative such as Valium;
• cimetidine (Tagamet); or
• phenytoin (Dilantin).

This list is not complete and there may be other drugs that can interact with LUDIOMIL. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Take the regular tablet form of LUDIOMIL with water.

LUDIOMIL is usually taken once a day at bedtime. Follow your doctor's instructions.

It may take up to 3 weeks of using this medicine before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 3 weeks of treatment.

Store LUDIOMIL at room temperature, away from moisture and heat.

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include extreme drowsiness, fast heart rate, confusion, vomiting, blue lips or fingernails, and seizure (convulsions).

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.