Antidepressant , Anxiolytic
Dosage form and packaging:
Each box contains 50 Coated tablets
Antidepressant (Mild to moderate depression)
Mild to moderate depression ( and pediatric depression ) , Premenstrual syndrome , Menopausal symptoms , Fatigue or loss of energy , Pediatric nocturnal incontinence , Anxiety , Improvement of “ sleep quality “ , Improvement of cognitive ability , Seasonal affective disorder .
Nervoxin is effective in the treatment of mild to moderate depression .
The efficacy of Hypericum (2 × 0.5 mg Hypericin) , Imipramine (150 mg) , and Fluoxetine (2 × 10 mg) , was found to be equivalent to both mild and moderate episodes , however the overall rate of side effects is more favourable for Hypericum ext. Serotonin reuptake inhibition and monoamine oxidase inhibition have been reported. The antidepressant mechanism of hypericum extract’s action may be due to effects on many neurotransmitters including serotonin, norepinephrine , dopamine , L- glutamate and GABA . There may be some central nervous system effects related to treatment of depression including improvement of mental performance, concentration, memory and receptivity. The drug not only prevents a further reduction in cognitive ability of depressed patients, but also improves it. The drug does not appear to change alertness or have sedative effect. Hypericum ext. reduces anxiety symptoms (tension, worry, irritability, muscle tightness, bruxism and insomnia), The anxiolytic effect of the drug maybe due to benzodiazepine receptor activation. A notable improvement in symptoms of depression, anxiety, restlessness and psychogetative disorders in children (ages 1 to 12 years) is noted within 2 to 6 weeks. Treatment is well tolerated and no adverse effects are reported . Marked improvement of subjective and physical symptoms of menopause was observed in pre – and post menopausal women following a 12- week treatmet with the drug. the average total MRS (Menopause Rating Scale) score- including changes in libido , dryness of vagina , and urinary complaints- fell from marked intensity of symptoms to slight intensity . Hypericum significantly reduces symptoms of premenstrual syndrome after one cycle of treatment .
Slow wave sleep (sleep stages 3 and 4) increases from 1.5% to 6% within 4 weeks. This increase has been postulated by several investigators to be a significant contributor to the antidepressant effect of the drug .
Hypericum perforatum ( St. John’s wort ) Standardised Ext : 400 mg ( equivalent to 500 mcg hypericin )
Other constituents are: pseudohypericin , hyperforin , quercitrin , rutin , biflavonoids , chlorogenic acid , condensed tannins , etc.
ADMINISTRATION AND DOSAGE
Adults: 1 to 2 tablets daily, with meal. Children (6-12 years old): under medical supervision, half the adult dose.
٭In general, a range of 200 to 1000 mcg/day of hypericin is recommended.
Avoid use of the drug after organ transplants, during pregnancy, with other antidepressant, and with protease -1 inhibitors. Caution is advised if patient take the medications metabolized by cytochrome p450, tyramine- containing foods, and have a previous history of photosensitization.
Hypericum ext. has a particularly high level of clinical safety and good tolerability. Only few adverse effects noted such as: mild gastrointestinal disturbances (nausea, diarrhoea or constipation), head ache or allergic reactions, and in rare cases restlessness.
CONTRAINDICATIONS & PRECAUTIONS
Caution is advised if patient take the medications metabolized by cytochrome p450, tyramine- containing foods, and have a previous history of photosensitization.
If you take Iron supplements, you should take Nervoxin 2 hours from these supplements.
PREGNANCY AND LACTATION
Avoid taking during pregnancy . It is not recommended in lactation , as there are insufficient data.
Store below 30˚C and protect from moisture and light.
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5- Hoffmann J., Kuhle-d . Therapia von depreciven zustanden mit hypericin , zallg Med 1979 ; 55 : 776-82 .
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7- Kalb R , Trautmann – Sponsel RD, Kieser M. Efficacy and tolerability of Hypericum extract ws 5572 versurs placebo in mildly to moderately depressed patients. A randomized double-blind multicenter clinical trial. Pharmacopsychiatry 2001 ; 34:96-103 .
8- Philipp- M,Kohnen R,Hiller K-O. Hypericum extract versus imipramin or placebo in patients with moderate depression : randomized multicentre study of treatment for eight weeks . Br Med J 1999 ; 319:1534-9 .
9- Harrer G, Hubner W-D , podzuweit H. Effectiveness and tolerance of the hypericum extract LI 160 compared to maprotiline :A multicenter double – blind study. J Geriatr psychiatry Neurol 1994 ;7 (Suppl.1) :S 24-S 28 .
10- Schrader E, Meier B, Brattstrom A. Hypericum treatment of mild – moderate depression in a plaebo – controlled study . A prospective , double – blind , randomized , placebo – controlled , multicentre study . Human psychopharmacol 1998;13:163-9.