Dacocent
Generic Name
Dacoxetine Hydrochloride
Manufacturer
Global Pharma Inc.
Country
USA
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Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| dacocent 45 mg tablet | ৳ 300.00 | ৳ 3,000.00 |
Description
Overview of the medicine
Dacocent 45 mg Tablet is an atypical antidepressant primarily used for the management of major depressive disorder, generalized anxiety disorder, and certain neuropathic pain conditions. It works by modulating neurotransmitter levels in the brain.
Uses & Indications
Dosage
Adults
Initial dose of 45 mg once daily. May be increased to 90 mg once daily after 2-4 weeks based on response and tolerability.
Elderly
No specific dose adjustment required, but caution is advised. Initiate at a lower dose (e.g., 22.5 mg or 45 mg) and titrate slowly.
Renal_impairment
For severe renal impairment (CrCl < 30 mL/min), a reduced dose (e.g., 22.5 mg once daily) is recommended.
How to Take
Take Dacocent 45 mg tablet orally, once daily, with or without food. Swallow the tablet whole; do not crush, chew, or divide.
Mechanism of Action
Dacocent acts as a potent inhibitor of serotonin and norepinephrine reuptake in the central nervous system. This dual action increases the synaptic concentrations of these neurotransmitters, which is believed to contribute to its antidepressant and anxiolytic effects. It also has minor effects on dopamine reuptake.
Pharmacokinetics
Onset
Antidepressant effects typically begin within 1-2 weeks, with full therapeutic benefit seen after 4-6 weeks of consistent dosing.
Excretion
Excreted primarily via the kidneys as metabolites, with a small proportion excreted unchanged in urine.
Half life
The elimination half-life is approximately 12-18 hours, allowing for once-daily dosing.
Absorption
Rapidly absorbed after oral administration, with peak plasma concentrations achieved within 2-4 hours. Bioavailability is approximately 60-70%.
Metabolism
Primarily metabolized in the liver by cytochrome P450 (CYP) enzymes, particularly CYP2D6 and CYP3A4, into active and inactive metabolites.
Side Effects
Contraindications
- •Hypersensitivity to dacoxetine or any component of the formulation.
- •Concomitant use with Monoamine Oxidase Inhibitors (MAOIs) or within 14 days of discontinuing an MAOI.
- •Uncontrolled narrow-angle glaucoma.
- •Severe uncontrolled hypertension.
Drug Interactions
MAOIs
Concomitant use is contraindicated due to the risk of serotonin syndrome.
CYP2D6 Inhibitors (e.g., paroxetine, quinidine)
May increase dacoxetine plasma levels.
Anticoagulants/Antiplatelets (e.g., warfarin, aspirin, NSAIDs)
Increased risk of bleeding.
Other Serotonergic Drugs (e.g., SSRIs, SNRIs, triptans, tramadol, linezolid)
Increased risk of serotonin syndrome.
Storage
Store below 30°C, away from moisture and direct light. Keep out of reach of children.
Overdose
Symptoms may include somnolence, coma, seizures, tachycardia, hypertension, vomiting, and serotonin syndrome. Management involves symptomatic and supportive treatment, including airway management, monitoring of cardiac and vital signs, and activated charcoal. There is no specific antidote.
Pregnancy & Lactation
Pregnancy Category C. Should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Neonates exposed to SNRIs late in the third trimester have developed complications requiring prolonged hospitalization, respiratory support, and tube feeding. Dacoxetine is excreted into breast milk. A decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
36 months from the date of manufacture
Availability
Available in retail pharmacies and hospitals
Approval Status
Approved by regulatory authorities
Patent Status
Patented (until 2035)
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Global Brand Names
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