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09 Oct 2019 | 05:15 PM (IST)
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Noc 40 mg Capsule


Overview

Introduction of Noc Capsule

Noc 40 mg Capsule is a prescription medicine used in the treatment of depression, anxiety disorder, phobia, post traumatic stress disorder, and obsessive-compulsive disorder. It works by increasing the levels of serotonin, a chemical messenger in the brain.

Noc 40 mg Capsule improves mood and physical symptoms of depression as well as relieves symptoms of panic and obsessive disorders. It is taken by mouth with or without food preferably in the morning as it keep will keep you awake in night. Take it at the same time each day to maintain consistent level of medicine in the blood. If you have missed a dose, take it as soon as you remember it. Do not skip any doses and finish the full course of treatment even if you feel better. It is important that this medication is not stopped suddenly without talking to doctor as it may cause agitation, anxiety, and dysphoria.

Noc 40 mg Capsule may cause side effects like vomiting, low sexual desire, erectile dysfunction, and stomach upset. Initially, this medicine may cause sudden drop in the blood pressure when you change positions, rise slowly if you have been sitting or lying down. It may even cause dizziness and sleepiness, do not drive or do anything that requires mental focus until you know how this medicine affects you. This medicine may cause weight loss, consult a dietitian for dietary supplement or try to increase your food portion. It is important to inform doctor if you develop any unusual changes in mood as it may lead to suicidal thoughts.

Noc Capsule side effects

Common
  • Rash
  • Panic attacks
  • Low sexual desire
  • Sleepiness
  • Ejaculation disorder
  • Nausea
  • Dryness in mouth
  • Indigestion
  • Abnormal dreams
  • Anxiety
  • Diarrhea
  • Weight loss
  • Erectile dysfunction
  • Tremor
  • Depression
  • Loss of appetite
  • Weakness
  • Influenza like syndrome
  • Sore throat
  • Nasal congestion
  • Sweating
  • Yawning

How to use Noc Capsule

Take this medicine in the dose and duration as advised by your doctor. Do not chew, crush or break it. Noc 40 mg Capsule may be taken with or without food, but it is better to take it at a fixed time.

How Noc Capsule works

Noc 40 mg Capsule is a selective serotonin reuptake inhibitor (SSRI) antidepressant. It works by increasing the levels of serotonin, a chemical messenger in the brain. This improves mood and physical symptoms in depression and relieves symptoms of panic and obsessive disorders.

Noc Capsule related warnings

Alcohol
UNSAFE
It is unsafe to consume alcohol with Noc 40 mg Capsule
Pregnancy
CONSULT YOUR DOCTOR
Noc 40 mg Capsule 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.
Lactation
CONSULT YOUR DOCTOR
Noc 40 mg Capsule is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
UNSAFE
Noc 40 mg Capsule may cause side effects which could affect your ability to drive.
Kidney
SAFE IF PRESCRIBED
Noc 40 mg Capsule is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Noc 40 mg Capsule may not be needed in these patients. Please consult your doctor.
Liver
CAUTION
Noc 40 mg Capsule should be used with caution in patients with liver disease. Dose adjustment of Noc 40 mg Capsule may be needed. Please consult your doctor.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Noc 40 mg Capsule
₹5.15/Capsule
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Expert Advice

  • It may be better for older people as it does not affect the heart.
  • Take it in the morning since it can keep you awake if taken late at night.
  • It may cause anxiety and agitation when you first start taking it.
  • It may cause weight loss and decreased appetite.
  • Don't drive or do anything requiring concentration until you know how Noc 40 mg Capsule affects you.
  • Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.
  • Inform your doctor if you experience decreased sex drive or difficulty having an orgasm.
  • The addiction/dependence potential of Noc 40 mg Capsule is very less.
  • Do not take Noc 40 mg Capsule if you are taking MAO inhibitors.
  • This medicine, when taken in combination with other drugs, leads to Serotonin syndrome. Avoid serotonergic drugs like triptans, lithium, and tramadol.
  • Do not stop taking medication suddenly without doctor consultation as that may lead to agitation, anxiety, and dysphoria.
     

Interaction with Drugs

Taking Noc with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Diabic, Glicla
SERIOUS
Brand(s): Stoin, Marantin
SERIOUS
Brand(s): Cizonil
SERIOUS
Brand(s): R Zep
SERIOUS
Brand(s): Imirise, Imikon
SERIOUS
Brand(s): Antep
SERIOUS
Brand(s): Euroglip, Pridex MG, Glimpee
SERIOUS
Brand(s): DLX, Dulok
SERIOUS

Patient Concerns

Questions Related to Noc

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I have compulsive thoughts and cleanliness phobia also I take 1hr 10 min while bathing. Please suggest way to improve.
Dr. Jyoti Kapoor Madan
Psychiatrist
Obsessive-Compulsive Disorder (OCD) is a common, chronic and long-lasting disorder in which a person has uncontrollable, reoccurring thoughts (obsessions) and behaviors (compulsions) that he or she feels the urge to repeat over and over. It's a neurochemical disturbance in brain and worsens due to stressful environment. OCD is typically treated with medication, psychotherapy or a combination of the two.
social phobia,,,social anxiety disorder,,,obsessive-compulsive disorder,,lack of self-confidence,self-esteem,,,no interest in social world.why not delivery in bathinda-151001? and m an unemployed, my parents don't give money easily for medicine,they think m just completely normal and say to me to not take medicine.m patient of social anxiety disorder,social phobia,obsessive-compulsive disorder. i take clonazepam .25, ession 150,betacap tr 40, tynept od 12.5, frext 50 is there any facility of free drugs under any private or government scheme thus i can live my life in a better way :(
Dr. Varun Mehta
Psychiatrist
Well, PATIENT can understand the problems you are facingThere is no hospital in India that delivers medicationsThere are few online portals that provide medicationsI am not sure if there is a government hospital nearby that provides free medicationsBut you can make a visit to Ranchi and we can work in adjusting your medications that would be convenient to you
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Do you have any questions related to Noc 40 mg Capsule?

FAQs

Q. Is Noc a selective serotonin re−uptake inhibitor (SSRI)?

Noc is an antidepressant drug and belongs to the class of selective serotonin re−uptake inhibitors (SSRIs). In adults, this medicine is used to treat major depressive episodes, eating disorder (bulimia nervosa) and obsessive-compulsive disorder (OCD). In children and adolescents aged eight years and above, it is used to treat moderate to severe major depressive disorder. Consult a doctor if you think you are suffering from depression as the treatment should always be taken as advised by a doctor.

Q. Is Noc a monoamine oxidase inhibitor (MAOIs)?

Noc is not a monoamine oxidase inhibitor (MAOIs). It is an antidepressant and belongs to a class of medications known as selective serotonin reuptake inhibitors (SSRIs).

Q. Does Noc cause sleepiness?

Somnolence (sleepiness) is a common side effect associated with the use of Noc. However, Noc can also cause other sleep problems like insomnia (inability to sleep) and abnormal dreams. Talk to your doctor in case you experience sleep problems while taking Noc.

Q. Does Noc cause constipation?

Noc has not been reported to cause constipation. Talk to your doctor if you experience constipation while taking Noc.

Q. Can I take fluoxetine with citalopram?

Fluoxetine and citalopram both increase the serotonin levels and when used together can increase the risk of serotonin syndrome (fever, muscle stiffness or tremor, confusion, irritability, and extreme agitation). ECG monitoring may also be required as there could be some changes in your heart rhythm (prolonged QTc interval). Talk to your doctor as you may need an alternative for one of these medicines.

Q. Is Noc a placebo?

Noc is not a placebo, it is an active drug, an antidepressant which belongs to the class of medications known as selective serotonin re-uptake inhibitors (SSRIs).

Q. Is Noc a stimulant?

Noc is not a stimulant. It is an antidepressant and belongs to a class of medications known as selective serotonin reuptake inhibitors (SSRIs)

Q. Can I take fluoxetine with diazepam?

Fluoxetine can be taken with diazepam. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.

Q. Does Noc cause weight gain?

Noc does not cause weight gain, rather it causes weight loss, which is a common side effect seen with its use. Weight loss is usually proportional to baseline body weight. Please consult your doctor if you experience a change in weight while taking Noc.

Q. Does Noc make you tired?

Noc can make you feel tired. Fatigue (extreme tiredness) is a very common side effect of Noc. Please consult your doctor if you experience excessive tiredness while taking it as the dose may need to be changed.

Q. Does Noc expire?

Yes, like any other medicine Noc has an expiry date. Please check the expiry date mentioned on the pack before taking the medicine.

Q. Does Noc help in anxiety?

Noc is used for the treatment of anxiety and other associated conditions like panic disorder, obsessive-compulsive disorder (OCD) and phobias. It also helps in depression associated with or without anxiety. Consult a doctor for the right treatment of your anxiety before starting any medicines.

Q. Does Noc cause acne?

Noc has not been reported to cause acne. Talk to your doctor if you develop acne while taking Noc.

Q. Does Noc work?

Noc works if taken for the right indication at prescribed doses for the prescribed duration as advised by your doctor.

Q. Does Noc cause a headache?

Headache is a very common side effect of Noc. Please consult your doctor if you experience excessive headache while taking Noc.

Q. Does Noc cause nausea?

Nausea is a very common side effect of Noc. Please consult your doctor if you experience excessive nausea while taking Noc.

Q. Can I take Noc for life?

You should take Noc only for the duration as advised by your doctor. Also, you should not stop the medicine without consulting your doctor.

Q. How long can I take Noc for?

You should take Noc only for the duration as advised by your doctor. You should not stop the medicine without consulting your doctor.

Q. Can I take Noc for hot flushes?

Noc is not used for the treatment of hot flushes. It is used for the treatment of depression and belongs to a group of medicines called selective serotonin re−uptake inhibitors (SSRI) antidepressants.

Q. Can I take fluoxetine with paracetamol?

Fluoxetine can be taken with paracetamol, however, when taken together paracetamol can increase the antidepressant effect of fluoxetine. Talk to your doctor before taking the two medicines as there could be other effects of using the two medicines together.

Q. Can I take fluoxetine with amitriptyline?

Fluoxetine may possibly change the blood levels of amitriptyline. Your doctor may need to lower the dose of amitriptyline when administered with fluoxetine. Talk to your doctor before taking these two medicines together.

Q. Can I take fluoxetine with alcohol?

Fluoxetine when taken with alcohol, does not increase the effects of alcohol, however, it may affect your judgment or coordination and make you dizzy. Talk to your doctor regarding the use of alcohol when you are taking fluoxetine.

Q. Can I take fluoxetine with lorazepam?

Fluoxetine can be taken with lorazepam. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.

Q. Can I take fluoxetine with omeprazole?

Fluoxetine may increase the level or effect of omeprazole by decreasing its metabolism. Consult a doctor before taking the two medicines together.

Q. Can I take Noc with birth control?

Noc can be taken with birth control pills. No drug-drug interactions have been reported between the two. However, this does not mean that interactions cannot occur. Please consult your doctor before taking the two medicines together.

Q. Can I take fluoxetine with amoxicillin?

Fluoxetine can be taken with amoxicillin. No drug-drug interactions have been reported between the two. However, interactions can occur. Consult a doctor before taking the two medicines together.

Q. Can I take fluoxetine with ibuprofen?

Fluoxetine, when given with ibuprofen, may increase the risk of gastric side effects. Consult a doctor before taking the two medicines together.

Q. Can I take Noc with phentermine?

Noc. when given with phentermine, may increase the effects of phentermine like nervousness, anxiety, restlessness. There could also be an increased risk of serotonin syndrome (fever, muscle stiffness or tremor, confusion, irritability, and extreme agitation). The reason for an increase in toxicity is not clear. Please consult your doctor before taking the two medicines together.

Q. Can I take fluoxetine with tramadol?

Fluoxetine when taken along with tramadol, can lead to an increased risk of serotonin syndrome (fever, muscle stiffness or tremor, confusion, irritability, and extreme agitation). Consult a doctor before taking the two medicines together.

Q. Is Noc safe?

Noc is safe if taken for prescribed duration in prescribed doses as advised by your doctor.

Q. Is Noc addictive?

Noc is not addictive in nature. No habit forming potential has been seen with its use. Always follow your doctor's advice regarding the duration of its use.

Q. Is Noc safe in pregnancy?

There have been some reports showing an increased risk of birth defects affecting the heart in babies when the mother took Noc during the first few months of pregnancy. When taken during the last three months of pregnancy, it may increase the risk of a serious condition in babies, called persistent pulmonary hypertension of the new born (PPHN), making the baby breathe faster and appear bluish. These symptoms usually begin during the first 24 hours after the baby is born. So, it is advisable not to use Noc during pregnancy. If you are pregnant or you are planning to have a baby, ask your doctor for advice before taking this medicine.

Q. Is Noc a controlled substance?

Noc is not a controlled substance. It's a prescription medicine and is available on providing a valid prescription.

Q. Is Noc a narcotic?

Noc is not a narcotic substance. It belongs to a group of medicines called selective serotonin re−uptake inhibitors (SSRI) antidepressants.

Q. Is Noc a benzodiazepine?

Noc is not a benzodiazepine. It belongs to a group of medicines called selective serotonin re−uptake inhibitors (SSRIs) antidepressants.

Q. Can I take fluoxetine with naproxen?

Fluoxetine, when given with naproxen, may increase the risk of gastric side effects. Consult a doctor before taking the two medicines together.

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Disclaimer: 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
References
  1. Stahl SM, editor. Fluoxetine. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 247-52.
  2. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 563-70.
  3. Fluoxetine hydrochloride. Dublin, Ireland: Endo Ventures Limited; 2017 [revised 25 Jul. 2017]. [Accessed 25 Jan. 2019] (online) Available from:External Link
  4. Drugs.com. Fluoxetine. [Accessed 25 Mar. 2019] (online) Available from:External Link
  5. Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 20 Mar. 2019] (online) Available from:External Link
  6. Central Drugs Standard Control Organisation (CDSCO). [Accessed 25 Mar. 2019] (online) Available from:External Link
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Orchid Towers', #313, Valluvar Kottam High Road, Nungambakkam, Chennai - 600 034, Tamil Nadu, India
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