Brintellix

Brintellex treats depression. It may take several weeks before you feel the full benefit of this medication.

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Brintellix Cautionary Labels

Uses of Brintellix

Reviewed: October 1, 2013
Updated: 

Brintellex is a prescription medication used to treat major depressive disorder (MDD).

This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.

Brintellix Drug Class

Brintellix is part of the drug class:

Side Effects of Brintellix

Serious side effects have been reported with Brintellex. See the “Brintellex Precautions” section.

Common side effects of Brintellex include the following:

  • Nausea
  • Constipation 
  • Diarrhea
  • Vomiting
  • Dry mouth
  • Dizziness
  • Sexual Dysfunction

This is not a complete list of Brintellex side effects. Ask your doctor or pharmacist for more information.

Tell your doctor if you have any side effect that bothers you or that does not go away.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

 

Brintellix Interactions

Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take:

  • medications that block a protein in the body (CYP2D6) such as bupropion, quinidine (Qualaquin), fluoxetine (Prozac,Sarafem), amitriptyline (Elavil, Amitril, Amitid), and paroxetine (Paxil)
  • medications that increase the activity of the CYP pathway such as carbamazepine (Tegretol, Equetro, Carbatrol), phenobarbital, phenytoin (Dilantin), rifampin (Rifadin), St John's wort, and nimodipine (Nimotop)

This is not a complete list of Brintellex drug interactions. Ask your doctor or pharmacist for more information.

Brintellix Precautions

Serious side effects have been reported with Brintellex including the following:

  • Hypersensitivity. Tell your healthcare provider right away if you have some or all of the following symptoms of hypersensitivity.
    • chest pain
    • swelling of the face, eyes, lips, tongue, arms, or legs
    • difficulty breathing or swallowing
    • rash
  • Angioedema. Tell your healthcare provider right away if you have signs or symptoms of angioedema, which include the following:
    • swelling of face, eyes, lips, tongue, larynx and extremities
    • difficulty in swallowing or breathing
    • hoarseness (having difficulty making sounds when trying to speak)
  • Low levels of salt (sodium) in your blood. Symptoms of this may include the following:
    • headache
    • difficulty concentrating
    • memory changes
    • confusion
    • weakness and unsteadiness on your feet
  • Serotonin syndrome. Tell your healthcare provider right away if you have signs or symptoms of serotonin syndrome, which include the following:
    • agitation, hallucinations, coma or other changes in mental status
    • problems controlling your movements or muscle twitching
    • fast heartbeat
    • high or low blood pressure
    • sweating or fever
    • nausea or vomiting
    • diarrhea
    • muscle stiffness or tightness
  • Abnormal bleeding. Tell your healthcare provider right away if you have signs or symptoms of bleeding.
  • Suicide risk. Tell your healthcare provider right away if you have sudden changes in mood, behavior, thoughts, or feelings, which may include the following:
    • attempts to commit suicide
    • acting aggressive, being angry or violent
    • thoughts about suicide or dying
    • new or worse depression
  • Hypomania (manic episodes). Tell your healthcare provider right away if you have any of the following signs or symptoms:
    • greatly increased energy
    • severe problems sleeping
    • racing thoughts
    • reckless behavior
    • unusually grand ideas
    • excessive happiness or irritability
    • talking more or faster than usual

Brintellex can cause dizziness. Do not drive or operate heavy machinery until you know how Brintellex affects you.

Do not take Brintellex if you:

  • are allergic to Brintellex or to any of its ingredients
  • take a monoamine oxidase inhibitor (MAOI). Ask your healthcare provider or pharmacist if you are not sure if you take an MAOI, including the antibiotic linezolid
  • if you stopped taking an MAOI in the last 14 days

Brintellix Food Interactions

Medications can interact with certain foods. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. In the case of Brintellex, there are no specific foods that you must exclude from your diet when receiving this medication.

Inform MD

Before taking Brintellex, tell your doctor about all of your medical conditions. Especially tell your doctor if you:

  • are allergic to Brintellex or to any of its ingredients
  • have liver problems
  • have or had seizures or convulsions
  • have mania or bipolar disorder (manic depression)
  • have low salt (sodium) levels in your blood
  • have or had bleeding problems
  • drink alcohol
  • have any other medical conditions
  • are pregnant or plan to become pregnant. It is not known if Brintellex will harm your unborn baby.
  • are breastfeeding or plan to breastfeed. It is not known if Brintellex passes into breast milk. Talk to your healthcare provider about the best way to feed your baby if you take Brintellex.

Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements.

 

 

Brintellix and Pregnancy

Tell your doctor if you are pregnant or plan to become pregnant.

The FDA categorizes medications based on safety for use during pregnancy. Five categories - A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy.

Brintellex falls into category C. In animal studies, pregnant animals were given this medication and had some babies born with problems. No well-controlled studies have been done in humans. Therefore, this medication may be used if the potential benefits to the mother outweigh the potential risks to the unborn child.

 

 

Brintellix and Lactation

Tell your doctor if you are breastfeeding or plan to breastfeed.

It is not known if Brintellex crosses into human milk. Because many medications can cross into human milk and because of the possibility for serious adverse reactions in nursing infants with use of this medication, a choice should be made whether to stop nursing or stop the use of this medication. Your doctor and you will decide if the benefits outweigh the risk of using Brintellex.

Brintellix Usage

Take Brintellex exactly as prescribed.

Brintellex comes in tablet form and is taken usually once a day.

Take Brintellex with or without food.

Avoid drinking alcohol while taking Brintellex.

If you miss a dose, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and take your next dose at the regular time. Do not take two doses of Brintellex at the same time.

Brintellix Dosage

Take this medication exactly as prescribed by your doctor. Follow the directions on your prescription label carefully.

The dose your doctor recommends may be based on the following:

  • other medical conditions you have
  • other medications you are taking
  • how you respond to this medication
  • how well you can metabolize Brintellex

The recommended dose of Brintellex for the treatment of major depressive disorder (MDD) is 20 mg/day.

 

Brintellix Overdose

If you take too much Brintellex, call your healthcare provider or local Poison Control Center, or seek emergency medical attention right away.

Other Requirements

  • Store Brintellex at room temperature between 59°F to 86°F (15°C to 30°C).
  • Keep Brintellex and all medicines out of the reach of children.

Brintellix FDA Warning

WARNINGS: Suicidality and Antidepressant Drugs

Antidepressants increased the risk of suicidal thoughts and behavior in children, adolescents, and young adults in short-term studies. These studies did not show an increase in the risk of suicidal thoughts and behavior with antidepressant use in patients over age 24; there was a trend toward reduced risk with antidepressant use in patients aged 65 and older.
In patients of all ages who are started on antidepressant therapy, monitor closely for worsening, and for emergence of suicidal thoughts and behaviors. Advise families and caregivers of the need for close observation and communication with the prescriber.
Brintellex has not been evaluated for use in pediatric patients.