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Milnace (Milnacipran) is classified as an antidepressant, however it is used to treat fibromyalgia. It works by acting on receptors in the brain and inhibiting the pain sensation. The active ingredient contained in this medicine is known as a serotonin-norepinephrine reuptake inhibitor, and its mechanism of action is similar to other medicines used for depression. In medical trials, it was shown to significantly inhibit the reuptake of the neurotransmitters serotonin and norepinephrine, however it does not affect dopamine uptake. A disruption in the balance of these natural chemicals is believed to behind the chronic pain that affects the ligaments and muscles in patients with fibromyalgia. By normalizing the activity of this chemical, it may help to effectively manage fibromyalgia.
Milnace (Milnacipran) is administered orally. It is available as either 25mg or 50mg strength tablets. Titration of the dosage is required in adult patients who are undergoing treatment for the control of symptoms caused by fibromyalgia. Generally, your physician will start you out on a low dosage which will be gradually increased over a 7 day period of time until the most suitable maintenance dosage is achieved. Ensure that all the dosage instructions that your physician provides you with are closely complied with for the entire duration of treatment. This will ensure that the maximum benefits of treatment are achieved.
Use of Milnace (Milnacipran) for fibromyalgia or any other conditions might lead to some patients experiencing side effects. Notify your physician if this occurs. A list of some examples is given here:
Although mild side effects are the most commonly reported reactions, serious side effects can occur. However, this is generally considered to happen less frequently. Attend the emergency room right away or consult your physician if you notice seizures, indications that you are suffering from a fever, difficulty remembering things or any other serious reactions that have not been referenced in this paragraph.
Milnace (Milnacipran) may cause drowsiness. Take this into consideration if you need to drive. Avoid any dangerous activities (including driving) unless you are sure that hit is safe to do so.
This medicine will not work instantly, and a few weeks of treatment may be needed before any improvement in symptoms is noticeable.