pristiq®Devenlafaxine一水合物识别识别名称商业:PRISTIQ®通用名称:Devenlafaxine琥珀酸琥珀酸一水合物演示pristiq®50mg包装中,具有7或28个受控释放释放的涂层压缩。pristiq®100mg包装,带有28个受控释放的片剂。管理道路:口服使用成人使用每种pristiq®片剂50毫克含有75.87毫克脱脂叶酸琥珀酸酯一水合物,相当于50毫克脱脂叶faxine。每种pristiq®片剂100毫克含有151.77毫克的单个滑膜devenlafaxine succinato,相当于100 mg devenlafaxine。赋形剂:氢化液,微晶纤维素,滑石,硬脂酸镁,opAdry®含有聚乙烯基醇,二氧化钛,二十二醇,二摩糖,滑石,氧化铁,氧化铁,黄铁氧化铁(Pristiq®50mg)和c lyeldee(pristiq®50 mg)和pristii(Pristiq®50mg)。
•日期药物停止了_______________。•如果目前接受心理治疗治疗,请在此处检查______。c。多种药物使用:个人是否同时使用多种药物?这包括增强疗法。圆圈所有使用的药物:选择性5-羟色胺再摄取抑制剂(SSRI):citalopram(celexa)Escitalopram(Lexapro)氟西汀(Prozac,sarafem)Sertraline(Zoloft)Serotonine(Zoloft)羟色胺和去甲肾上腺素的抑制剂抑制剂(snriq) (Cymbalta) venlafaxine (Effexor) Dopamine/norepinephrine-reuptake inhibitor (NDRI): buproprion (Wellbutrin) SR/ER formulations Other _________________________________________________________________ Note: Historic use of an antidepressant not on the above list does not exclude this pathway.D.不要发行/不要驾驶药物:是否曾经接受过:
S TEP T HERAPY P OLICY P OLICY : Antidepressants – Serotonin and Norepinephrine Reuptake Inhibitors Step Therapy Policy • Cymbalta ® (duloxetine HCl delayed-release capsules − Lilly, generic) • Desvenlafaxine extended-release tablets (Alembic /Ranbaxy [brand product]) • Drizalma Sprinkle ™ (duloxetine delayed-release capsules – Sun Pharma) • Effexor ® XR (venlafaxine HCl extended-release capsules – Wyeth, generic) • Fetzima ® (levomilnacipran HCl extended-release capsules – Forest) • Pristiq ® (desvenlafaxine succinate extended-release tablets – Wyeth, generic) • Savella ®(Milnacipran HCl片 - 森林)•Venlafaxine besylate延长释放片(Almatica)•Venlafaxine HCl片剂(仅使用仿制药)•Venlafaxine Hcl Extend-Release-Release片(通用)