Moclobemide

Table of contents

  • Brand Names
  • Chemistry
  • Pharmacologic Category
  • Mechanism of Action
  • Therapeutic Use
  • Pregnancy and Lactation Implications
  • Contraindications
  • Warnings and Precautions
  • Adverse Reactions
  • Caution and personalized dose adjustment in patients with the following genotypes
  • Other genes that may be involved
  • Substrate of
  • Inhibits
  • Drug Interactions
  • Nutrition/Nutraceutical Interactions
  • Dosage
  • Pharmacokinetics and Pharmacodynamics
  • Special Considerations

Brand Names

Europe

Austria: Aurorix, Moclobemid; Belgium: Aurorix, Moclobemide; Bulgaria: Aurorix, Moclobemide; Czech Republic: Apo-Moclob, Aurorix; Denmark: Aurorix, Moclobemid, Moclostad; Finland: Aurorix, Moclobemid; France: Moclamine; Germany: Aurorix, Deprenorm, Moclobemid, Moclobeta, Moclodura, Rimoc; Greece: Aurorix; Hungary: Aurorix, Maorex, Mocrim; Ireland: Manerix; Luxembourg: Aurorix, Moclix; Malta: Manerix, Moclobemide; Netherlands: Aurorix, Moclobemide; Poland: Aurorix, Mobemid, Moclobemid, Mocloxil, Moklar; Portugal: Aurorix, Moclobemide, Zorix; Slovakia: Aurorix, Moclobemid; Slovenia: Aurorix; Spain: Manerix, Moclobemida; Sweden: Aurorix, Moclobemid; UK: Manerix, Moclobemide.

North America

Canada: Manerix, Moclobemide.

Latin America

Brazil: Aurorix; Mexico: Aurorex, Demobal.

Drug combinations

Chemistry

Moclobemide: C~13~H~17~ClN~2~O~2~. Mw: 268.74. (1) Benzamide, 4-chloro-N-[2-(4-morpholinyl)ethyl]-; (2) p-Chloro-N-(2-morpholinoethyl)benzamide. CAS-71320-77-9 (1987).

Pharmacologic Category

Antidepressants; Monoamine Oxidase Inhibitors, Reversible. (ATC-Code: N06AG02).

Mechanism of action

Inhibits metabolism (deamination) of serotonin, norepinephrine, and dopamine, leading to increased concentrations of these neurotransmitters; this may account for antidepressant activity of drug.

Therapeutic use

Symptomatic relief of depressive illness.

Pregnancy and lactiation implications

Safety not established, use only if benefits outweigh risks. Enters breast milk (use caution during lactation).

Unlabeled use

Contraindications

Hypersensitivity to moclobemide or any component of the formulation. Uncontrolled hypertension. Hepatic disease. Confusional states. Concurrent use of sympathomimetics (and related compounds), MAOIs, meperidine, tricyclic antidepressants, serotonergic drugs (including SSRIs). General anesthesia, local vasoconstrictors. Spinal anesthesia (hypotension may be exaggerated). Patients under 18 years of age.

Warnings and precautions

Suicidal thinking/behavior possible. Use with caution in hepatic impairment, pheochromocytoma, renal impairment, thyrotoxicosis, and in patients receiving concurrent buspirone. Effects may be potentiated when used with other sedative drugs or ethanol. Severe reactions may occur if MAOIs and serotonergic agents (including SSRIs) are used concurrently.

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