Levomil 20 Capsule ER is used in the treatment of depression. This medicine helps by increasing the level of chemical messengers (serotonin and noradrenaline) in the brain that have a calming effect on the brain and relaxes the nerves, thus treating your depression.
Levomil 20 Capsule ER can be taken with or without food. It is advised to take this medicine at a fixed time each day to maintain a consistent level in the blood. If you miss any doses, take it as soon as you remember. Do not skip any doses and finish the full course of treatment even if you feel better. This medication mustn't be stopped suddenly as it may worsen your symptoms.
Some common side effects of this medicine include nausea, vomiting, insomnia (difficulty sleeping), constipation, decreased appetite, and sexual dysfunction. It may even cause dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. However, these side effects are temporary and usually resolve on their own in some time. Please consult your doctor if these do not subside or bother you.
Before taking this medicine, Inform your doctor if you have any problems with your kidneys, heart, liver or have a history of seizures (epilepsy or fits). Inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression or if you have any suicidal thoughts. Regular monitoring of blood pressure and heart rate is required while taking this medicine.
Depression is a mental health condition marked by persistent sadness, loss of interest in daily activities, fatigue, and difficulty concentrating. It can affect thoughts, emotions, and overall quality of life. Levomil 20 Capsule ER helps improve mood and restore emotional balance, reducing symptoms like sadness, low energy, and lack of motivation. This supports better mental well-being and daily functioning.
Side effects of Levomil Capsule ER
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Levomil
Insomnia (difficulty in sleeping)
Increased sweating
Dizziness
Sexual dysfunction
Nausea
Vomiting
Constipation
Decreased appetite
Anxiety
How to use Levomil Capsule ER
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Levomil 20 Capsule ER may be taken with or without food, but it is better to take it at a fixed time.
How Levomil Capsule ER works
Levomil 20 Capsule ER is serotonin-norepinephrine reuptake inhibitors (SNRIs). It works by restoring the level of serotonin and norepinephrine, natural substances in the brain, which helps in maintaining the mental level and improves your mood.
Safety advice
Alcohol
UNSAFE
It is unsafe to consume alcohol with Levomil 20 Capsule ER.
Pregnancy
CONSULT YOUR DOCTOR
Levomil 20 Capsule ER may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Information regarding the use of Levomil 20 Capsule ER during breastfeeding is not available. Please consult your doctor.
Driving
UNSAFE
Levomil 20 Capsule ER may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Levomil 20 Capsule ER should be used with caution in patients with kidney disease. Dose adjustment of Levomil 20 Capsule ER may be needed. Please consult your doctor.
Liver
CAUTION
Levomil 20 Capsule ER should be used with caution in patients with liver disease. Dose adjustment of Levomil 20 Capsule ER may be needed. Please consult your doctor.
What if you forget to take Levomil Capsule ER?
If you miss a dose of Levomil 20 Capsule ER, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
No substitutes found for this medicine
Quick tips
It may take 2 to 4 weeks for Levomil 20 Capsule ER to start working. Keep taking it as prescribed.
It may cause dizziness and sleepiness. Do not drive or do anything requiring concentration until you know how it affects you.
Avoid consuming alcohol when taking Levomil 20 Capsule ER as it may cause excessive drowsiness and increase the risk of liver damage.
It may cause an increase in blood pressure, especially during the first month of treatment. Monitor your blood pressure regularly.
It may cause a sensation of restlessness, especially when you first start taking it. Inform your doctor if this happens to you.
Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.
Do not stop taking the medication suddenly without talking to your doctor.
Levomil 20 Capsule ER helps in treating depression and anxiety.
It may also be used to treat nerve pain from diabetes and some other forms of chronic pain.
It may take 2 to 4 weeks for Levomil 20 Capsule ER to start working. Keep taking it as prescribed.
It may cause dizziness and sleepiness. Do not drive or do anything requiring concentration until you know how it affects you.
Avoid consuming alcohol when taking Levomil 20 Capsule ER as it may cause excessive drowsiness and increase the risk of liver damage.
It may cause an increase in blood pressure, especially during the first month of treatment. Monitor your blood pressure regularly.
It may cause a sensation of restlessness, especially when you first start taking it. Inform your doctor if this happens to you.
Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.
Do not stop taking the medication suddenly without talking to your doctor.
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Depression is a persistent state of sadness that is the result of interaction between one's inner biological and psychological state and gets triggered of with environmental stressors. Reactive depression is in response to a situation like loss, sickness, trauma etc. Endogenous depression occurs without any noticeable environmental stressors. Psychological symptoms include lack of interest, negative thinking, irritability, frustration, feeling demotivated etc. Somatic symptoms like fatigue/ weakness/ lack of sleep/ lack of appetite and other physical symptoms are common. Anxiety is common. In severe cases one may feel helpless and hopeless enough to wish for death or attempt suicide. Treatment includes physical and psychiatric work up following which medicines can be prescribed. In milder cases, psychotherapy or counselling is recommended.
Depression, anexity less sleep Chasing depression since last almost 9 years. But first depression episode was in 1998 immediately after recovering from maleria
Dr. Kirti Tandel
Psychiatry
Hello Mr. PATIENT is one of the most leading cause of morbidity worldwide. It is more prevalent than what it is thought to be. So I appreciate your fight against depression and may you stay healthy physically and mentally as well. Visit your psychiatrist regularly and have a good compliance with your medicines as well. Take care.
Please take tab Smritisagara rasa 1-0-1 after food for 1 month and kalyanakaGhrita 10 gram twice a day with warm water after food and Saraswatarishta 15 ml twice a day with 15 ml water after food and Tab mansasMitra vati 1-0-1 after food for 1 month.
Depression is a persistent state of sadness that is the result of interaction between one's inner biological and psychological state and gets triggered of with environmental stressors. Reactive depression is in response to a situation like loss, sickness, trauma etc. Endogenous depression occurs without any noticeable environmental stressors. Psychological symptoms include lack of interest, negative thinking, irritability, frustration, feeling demotivated etc. Somatic symptoms like fatigue/ weakness/ lack of sleep/ lack of appetite and other physical symptoms are common. Anxiety is common. In severe cases one may feel helpless and hopeless enough to wish for death or attempt suicide. Treatment includes physical and psychiatric work up following which medicines can be prescribed. In milder cases, psychotherapy or counselling is recommended.
Depression is a persistent state of sadness that is the result of interaction between one's inner biological and psychological state and gets triggered of with environmental stressors. Reactive depression is in response to a situation like loss, sickness, trauma etc. Endogenous depression occurs without any noticeable environmental stressors. Psychological symptoms include lack of interest, negative thinking, irritability, frustration, feeling demotivated etc. Somatic symptoms like fatigue/ weakness/ lack of sleep/ lack of appetite and other physical symptoms are common. Anxiety is common. In severe cases one may feel helpless and hopeless enough to wish for death or attempt suicide. Treatment includes physical and psychiatric work up following which medicines can be prescribed. In milder cases, psychotherapy or counselling is recommended.
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References
Levomilnacipran [FDA Label]. Irvine, CA: Allergan USA, Inc.; 2009 [revised 2017]. [Accessed 14 Mar. 2020] (online) Available from:
Bruno A, Morabito P, Spina E, et al. The Role of Levomilnacipran in the Management of Major Depressive Disorder: A Comprehensive Review. Curr Neuropharmacol. 2016;14(2):191-199. [Accessed 14 Mar. 2020] (online) Available from:
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