Savella (Milnacipran HCl Tablets) Patient Information: Missed a Dose and What Should I Avoid at RxList

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May 27, 2012

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Fibromyalgia is a chronic condition that causes pain, stiffness, and tenderness of the muscles, tendons, and joints. Fibromyalgia is also characterized by restless sleep, awakening feeling tired, chronic fatigue, anxiety...

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Savella Patient Information including If I Miss a Dose

What happens if I miss a dose (Savella)?

Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose.

What happens if I overdose (Savella)?

Seek emergency medical attention if you think you have taken too much of this medication. Overdose symptoms may include confusion, dizziness, slow heart rate, weak pulse, fainting, and slow breathing (breathing may stop).

What should I avoid while taking milnacipran (Savella)?

Avoid drinking alcohol while taking milnacipran. Alcohol may increase the risk of damage to your liver.

Milnacipran 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.

What other drugs will affect milnacipran (Savella)?

Cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety can add to sleepiness caused by milnacipran. Tell your doctor if you regularly use any of these medicines.

Talk to your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), indomethacin, piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others. Taking any of these drugs with milnacipran may cause you to bruise or bleed easily.

Tell your doctor about all other medications you use, especially:

a blood thinner such as warfarin (Coumadin);
clonidine (Catapres, Clorpres);
a diuretic (water pill);
digoxin (digitalis, Lanoxin);
epinephrine (Epi-Pen);
lithium (Lithobid, Eskalith);
tramadol (Ultram);
tryptophan (sometimes called L-tryptophan);
migraine headache medicine such as almotriptan (Axert), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, Treximet), or zolmitriptan (Zomig); or
an antidepressant such as citalopram (Celexa), duloxetine (Cymbalta), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), paroxetine (Paxil), or sertraline (Zoloft).

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

Where can I get more information?

Your pharmacist can provide more information about milnacipran.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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