Mental Health

“Mental health is a sickness just like diabetes and heart problems.”

- Betty Jordan

Antidepressants

SSRI’s

Zytomil

SCHEDULING STATUS S5

PROPRIETARY NAME, STRENGTH AND PHARMACUETICAL FORM
ZYTOMIL 10 mg (film coated tablet)
ZYTOMIL 20 mg (film coated tablet)

Please read this patient information leaflet carefully before using ZYTOMIL tablets

  • Keep this information.  You may need to read it again.
  • If you have any further questions, please ask your doctor or your pharmacist.
  • ZYTOMIL has been prescribed for you personally and you should not share your medicine with other people.  It may harm them, even if their symptoms are the same as yours.

WHAT ZYTOMIL CONTAINS

Active ingredient:

ZYTOMIL 10 mg: Each coated tablet contains escitalopram oxalte equivalent to 10 mg escitalopram.

ZYTOMIL 20 mg: Each coated tablet contains escitalopram oxalte equivalent to 20 mg escitalopram.

Inactive ingredients:

Colloidal Silicon Dioxide, Croscarmellose Sodium, Hydroxypropyl Methylcellulose, Magnesium Stearate, Microcystaline Cellulose PH102/112, Polyethylene Glycol 400, Talc, Titanium Dioxide. Sugar free.

WHAT ZYTOMIL IS USED FOR

ZYTOMIL is used for:

  • Major depression
  • Panic disorders

BEFORE YOU USE ZYTOMIL

Do not take ZYTOMIL:

  • If you are allergic (hypersensitive) to escitalopram or any of the ingredients in the formulation (see “WHAT ZYTOMIL CONTAINS”).
  • If you are taking any other medication for depression such as monoamine oxidase inhibitors (MAOI).  At least 14 days should elapse between stopping such medication and starting with ZYTOMIL.
  • If you are born with or have had an episode of abnormal heart rhythm (seen as ECG; an examination to evaluate how the heart is functioning).
  • If you take medicines for heart rhythm problems or that may affect the heart’s rhythm.
  • If you are pregnant or breastfeeding, do not take ZYTOMIL.
  • ZYTOMIL must not be used by children under the age of 18 years.

Take special care with ZYTOMIL:

  • If you are an elderly person.
  • If you have liver or kidney impairment.
  • If you get seizures (epilepsy) or have a history thereof.
  • If you have pre-existing slow heart rate.
  • If you suffer or have suffered from heart problems or have recently had a heart attack.
  • If you are a diabetic (high blood sugar).
  • If you have suicidal thoughts.

Taking ZYTOMIL tablets with food or drink:
The ZYTOMIL tablets can be taken with or without food.

Using other medicines with ZYTOMIL:

  • Consult with your doctor or pharmacist or healthcare professional if you need to take any other medicines for advice. If you are taking other medicines on a regular basis, including complementary or traditional medicines, the use of ZYTOMIL with these medicines may cause undesirable interactions.
  • Consult your doctor or pharmacist before taking such medicines.
  • Do not take any other medications to treat depression (for example monoamine oxidase inhibitors, imipramine, other serotonergic medicines and moclobemide) without consulting your doctor as they may interact with ZYTOMIL.
  • Do not use alcohol while taking ZYTOMIL.
  • ZYTOMIL may interact with medicines used to treat blood clotting such as warfarin, consult your doctor if you are or have to use such medications.
  • Medications used to treat heart burn or stomach ulcer such as cimetidine interacts with the breakdown of escitalopram, and the dose of ZYTOMIL should be changed. 

Pregnancy and Breastfeeding
DO NOT use ZYTOMIL if you are pregnant or suspect that you are pregnant.  Contact your doctor immediately. 

DO NOT use ZYTOMIL if you are breastfeeding.

Driving and using machinery:
ZYTOMIL may impair your ability to drive and use machinery, do take care if you feel dizzy, tired or drowsy while using ZYTOMIL.

HOW TO TAKE ZYTOMIL

The recommended dosage of ZYTOMIL is one tablet once a day either in the morning or the evening with or without food.

The dose of ZYTOMIL will be different for different patients and may depend on a number of things, including what the medicine is being used for, and whether or not other medicines are also being taken.  If you have any questions about the proper dose of ZYTOMIL, ask your doctor.

If you take more ZYTOMIL than you should:
In the event of overdose, your doctor will treat the symptoms of the side effects which may include increasing tiredness, weakness, sedation, dizziness, tremor, nausea, somnolence and increase heart rate. 

If you forget to take your ZYTOMIL:
Take the missed dose as soon as possible.  However, if it is almost time for your next dose, continue to take the next tablet at the usual time.

Do not stop taking your medication abruptly.  Your doctor will prescribe the gradual lowering of the dose.

POSSIBLE SIDE EFFECTS

ZYTOMIL as all other medicines may have side effects. Not all side effects reported for this medicine are included in this leaflet.

Should your general health worsen while taking this medicine, please consult your doctor, pharmacist or other health care professional for advice.

Check with your doctor if any of the following side-effects continue or are bothersome:

Frequent

  • Abnormal heart rate, tremor
  • Sweating
  • Weight changes
  • Nausea, constipation, diarrhoea, dyspepsia (disturbed digestion and/or bloatedness), dry mouth
  • Sleep disturbances, restlessness, tiredness, dizziness, weakness
  • Urinary disorders
  • Headache

Other side effects may include:

  • Agitation, confusion, impaired concentration, mania , convulsions (seizures)
  • Nasal congestion
  • Yawning

STORAGE AND DISPOSAL OF ZYTOMIL

  • Store at or below 25 °C. Protect from light.
  • Keep blisters in outer carton until required for use.
  • Keep bottles tightly closed.
  • KEEP ALL MEDICINES OUT OF REACH AND SIGHT OF CHILDREN.
  • Do not dispose of unused medicine in drains and sewerage systems (e.g. toilets)

PRESENTATION OF ZYTOMIL

ZYTOMIL is packed into hard, silver-coloured aluminium foil / clear transparent PVC/PE/PVDC film blister strips of 3 x 10 tablets each inside an outer cardboard box.

ZYTOMIL is also packed into white, HDPE bottles with a desiccant and a white PP screw cap with 30 tablets inside.

IDENTIFICATION OF ZYTOMIL

ZYTOMIL 10 mg:  White, oval, coated tablet, debossed with “E” and “C” divided by a score on one side and “10” on the other side.

ZYTOMIL 20 mg:  White, oval, coated tablet, debossed with “E” and “C” divided by a score on one side and “20” on the other side.

REGISTRATION NUMBER

ZYTOMIL 10 mg:  RSA  42/1.2/0912  NAM   NS3  10/1.2/0479

ZYTOMIL 20 mg:  RSA  42/1.2/0914  NAM   NS3  10/1.2/0481

NAME AND ADDRESSOF REGISTRATION HOLDER

Pharma Dynamics (Pty) Ltd
1st Floor Grapevine House, Steenberg Office Park
Silverwood Close
Westlake, 7945
Cape Town, South Africa

5

DATE OF PUBLICATION

30 April 2010
Version: PD9062A

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