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MOCLOBEMIDE 150MG TABLETS

Active substance(s): MOCLOBEMIDE

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Manerix® 150mg Tablets
Moclobemide 150mg Tablets
(moclobemide)
Your medicine is known by one of the above names, but will be referred to
as Manerix throughout this:
Patient Information Leaflet
Please read all of this leaflet carefully before you start taking this
medicine.
• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you. Do not pass it on to others.
It may harm them even if their symptoms are the same as yours.
• If any of the side effects become serious or troublesome, or if you
notice any side effects not listed in this leaflet, please tell your doctor or
pharmacist.
In this leaflet:
1) What Manerix is and what it is used for
2) Before you take Manerix
3) How to take Manerix
4) Possible side effects
5) How to store Manerix
6) Further information
7) More information about your condition

1) What Manerix is and what it is used for
Manerix contains a medicine called moclobemide. This belongs to a group
of medicines called antidepressants.
Manerix is used to treat depression and social phobia. For further
information about these conditions, see Section 7.
Manerix works by increasing the levels of important chemical messengers
in your brain. This increase can help your depression or social phobia.

2) Before you take Manerix
Do not take Manerix if:
• You are allergic (hypersensitive) to moclobemide or any of the other
ingredients of Manerix (listed in Section 6: Further information).
• You have a severe mental problem which may make you confused,
lose contact with reality or become unable to think and judge clearly.
• You have a growth on one of your adrenal glands
(phaeochromocytoma).
• You are taking or have recently stopped taking any other medicines to
treat your depression or anxiety, such as fluoxetine, paroxetine or
clomipramine. See the section ‘Taking other medicines’.
• You are taking dextromethorphan, which is found in many cough
medicines. See the section ‘Taking other medicines’.
• You are taking pethidine (for pain relief). See the section ‘Taking other
medicines’.
• You are taking selegiline (for Parkinson’s disease). See the section
‘Taking other medicines’.
• Manerix is not suitable for children or adolescents
Do not take Manerix if any of the above applies to you. If you are not sure,
talk to your doctor or pharmacist before taking Manerix.
Take special care with Manerix
Check with your doctor or pharmacist before taking Manerix if:
• You have a ‘bi-polar disorder’, sometimes call manic depression.
• You have ever thought about, or tried to harm or kill yourself.
• You have an overactive thyroid.
• You have serious liver disease.
If any of the above apply to you, or if you are not sure, talk to your doctor
or pharmacist before you take Manerix.

Thoughts of suicide and worsening of your depression or anxiety
disorder
If you are depressed and/or have anxiety disorders you can sometimes
have thoughts of harming or killing yourself.
These may be increased when first starting antidepressants, since these
medicines all take time to work, usually about two weeks but sometimes
longer. You may be more likely to think like this if:
•You have previously had thoughts about killing or harming yourself.
•You are a young adult. Information from clinical trials has shown an
increased risk of suicidal behaviour in adults aged less than 25 years
with psychiatric conditions who were treated with an antidepressant. If
you have thoughts of harming or killing yourself at any time, contact
your doctor or go to a hospital straight away.
You may find it helpful to tell a relative or close friend that you are
depressed or have an anxiety disorder, and ask them to read this leaflet.
You might ask them to tell you if they think your depression or anxiety is
getting worse, or if they are worried about changes in your behaviour.
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently
taken any other medicines. This includes medicines
that you buy without a prescription and herbal medicines. This is because
Manerix can affect the way some medicines work.
Also some other medicines can affect the way Manerix works.
Do not take Manerix, and tell your doctor or pharmacist, if you are taking
the following:
• Other medicines for your depression or anxiety, such as fluoxetine,
paroxetine or clomipramine.
• Dextromethorphan, which is found in many cough medicines.
• Pethidine (for pain relief).
• Selegiline (for Parkinson’s disease).
Tell your doctor or pharmacist if you are taking any of the following
medicines:
• Cimetidine (used to treat stomach ulcers and acid indigestion or
reflux).
• Ephedrine, pseudoephedrine and phenylpropanolamine, found in
many cough and cold medicines.
• Morphine or fentanyl (for pain relief).
Taking Manerix with food and drink
Do not eat large quantities of foods containing tyramine when you are
taking Manerix. These include:
• Mature cheese
• Yeast extract
• Fermented soya bean products.
If you are not sure about this talk to your doctor or pharmacist before you
take Manerix.
Pregnancy and breast-feeding
Do not take Manerix if you are pregnant, trying to get pregnant or are
breastfeeding, unless your doctor has told you to.
Driving and using machines
Manerix is not likely to affect your ability to drive or use any tools or
machines. Talk to your doctor if you notice any effects that might affect
driving, or using tools or machines, particularly when you start taking
Manerix.
Important information about some of the ingredients of Manerix
This medicine contains lactose, which is a type of sugar. If you have been
told by your doctor that you cannot tolerate or digest some sugars (have
an intolerance to some sugars), talk to your doctor before taking this
medicine.

3) How to take Manerix
Always take Manerix exactly as your doctor has told you. You should
check with your doctor if you are not sure.
Manerix is not suitable for children or adolescents.
Take your tablets at the end of a meal.
Swallow each tablet with a drink of water.
Depression:
• The usual starting dose is 300 mg a day, split into two doses.
• Your doctor will adjust the dose up or down to find the right dose for
you.
• The maximum dose is 600 mg a day.

Reporting side effects
If you get any side effects, talk to your doctor, pharmacist or nurse. This
includes any possible side effects not listed in this leaflet. You can also
report side effects directly via the Yellow Card Scheme at:
www.mhra.gov.uk/yellowcard. By reporting side effects you can help
provide more information on the safety of this medicine.

5) How to store Manerix






Keep all medicines out of the sight and reach of children.
Do not store above 30°C. Store in a dry place.
Do not take Manerix after the expiry date printed on the pack.
If your doctor decides to stop your treatment, take any leftover tablets
back to the pharmacy.
If your tablets appear discoloured, or show any other signs of
deterioration, take them to your pharmacist who will advise you.
Medicines should not be disposed of via wastewater or household
waste. Ask your pharmacist how to dispose of medicines that are no
longer required. This will help to protect the environment.

Social phobia:
• The usual starting dose is 150 mg twice a day for three days.
• Your doctor will increase the dose to 300 mg twice a day.



People with severe liver disease:
Your doctor will decide the right dose for you. This will usually be lower
than the doses stated above.

6) Further information

If you take more Manerix than you should
If you take more Manerix than you should or someone else takes your
medicine by mistake, talk to a doctor or go to a hospital straight away.
Take the medicine pack with you.
If you forget to take Manerix
• If you forget to take a dose, take it as soon as you remember.
• If it is nearly time for the next dose, skip the missed dose.
• Do not take a double dose to make up for a forgotten dose.
If you stop taking Manerix
Even when you start to feel better, you should keep taking your tablets for
as long as your doctor tells you to. Do not stop taking this medicine
without talking to your doctor first.

What Manerix contains
Each film-coated tablet contains 150mg of the active ingredient
moclobemide.
Manerix 150mg tablets also contains the following ingredients: lactose,
maize starch, povidone, sodium starch glycollate, magnesium stearate,
methylhydroxypropyl cellulose, ethylcellulose, polyethylene glycol 6000,
talc, titanium dioxide (E171) and yellow iron oxide (E172).
What Manerix looks like and contents of the pack
Manerix is available as a pale yellow, oblong film-coated tablets marked
150 on one side and a score line on the reverse.
Manerix 150mg tablets are available as blister packs of 30 or 100 tablets.
PL 10383/0515

POM

4) Possible side effects

Who makes and repackages your medicine?
This product is manufactured by Cenexi SAS, Rue Marcel and Jacques
Gaucher, 52, Fontenay Sous Bois, France. Procured from within the EU
and repackaged by the Product Licence Holder: Primecrown Ltd, 4/5
Northolt Trading Estate, Belvue Road, Northolt, Middlesex, UB5 5QS.

Like all medicines Manerix can cause side effects, although not everyone
will get them.

7) More information about your condition

Allergic reactions:
If you have an allergic reaction, stop taking Manerix and see a doctor
straight away. The signs may include:
• Swelling of your throat, face, lips and mouth. This may make it difficult
to breathe or swallow.
• Sudden swelling of your hands, feet or ankles.
• A raised, itchy skin rash (hives), itchy skin or flushing.

What is depression?
The signs of this problem (condition) can include extreme feelings of
sadness, low mood, tearfulness, worry, changes in sleep pattern (such as
difficulty sleeping) or difficulty enjoying life as you used to. If these feelings
affect your everyday life or last for a long time it is important to get help
from your doctor. Depression
is a common medical problem affecting around one in four women and one
in ten men at some time in their lives.

If you have any further questions on the use of this medicine, ask your
doctor or pharmacist.

Other possible side effects:
• Trouble sleeping.
• Feeling nervous, twitchy (restless), anxious or bad-tempered (irritable).
• Feeling confused and lost (disorientated).
• Pins and needles or numbness of your hands and feet.
• Feeling dizzy.
• Headache.
• Dry mouth.
• Changes to your eyesight (vision).
• Feeling sick or being sick.
• Diarrhoea or constipation.
• Not enough sodium in your blood. Signs of this may be feeling sleepy,
confused or having fits (seizures).
• Changes to your liver (shown up in a blood test).

What is social phobia?
Social phobia is a common medical problem that can affect both men and
women. The signs of this condition are an extreme fear of being seen
doing something embarrassing or humiliating. This can cause problems
even when taking part in simple social activities such as eating, drinking,
speaking, meeting people and going to parties. People with this condition
will be too afraid to take part in social occasions.
Leaflet date: 20.07.2015
Manerix is a registered trademark of Meda AB, Sweden.

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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