Molindone HCL: Uses, indications and cautions when using

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Molindone HCL is used to treat certain mental disorders such as schizophrenia. This medication is not used to treat behavioral problems associated with dementia.

1. What does Molindone HCL do?

Molindone HCL helps you think more clearly, feel less anxious and participate in everyday life. Medications can reduce aggression and the desire to hurt yourself/others.
Molindone HCL can also help reduce hallucinations (such as hearing/seeing things that aren't there). This is a psychoactive drug (an antipsychotic type) that works by helping to restore the balance of certain natural substances in the brain such as dopamine.
Molindone HCL is indicated for the treatment of:
Schizophrenia Molindone HCL is contraindicated in the following cases:
Breast cancer A brain tumor High prolactin level Very low granulocyte count Low white blood cell count Level low neutrophil counts. Tardive dyskinesia, a disorder characterized by involuntary movements of the face, mouth, and tongue. Neuroleptic malignant syndrome, a condition characterized by fever, muscle stiffness, and confusion. Reduced lung function Stomach or intestinal obstruction Liver disease Coma Convulsions Drug-induced central nervous system depression. Dementia in the elderly

2. How to use Molindone HCL

Molindone HCL is to be taken by mouth with or without food as directed by your doctor, usually 1-4 times daily.
Molindone HCL dosage is calculated based on your medical condition and response to treatment. To reduce your risk of side effects such as drowsiness and tremor (tremor), your doctor may direct you to start this medication at a low dose and gradually increase your dose.
Molindone tablets contain small amounts of calcium, which can interfere with the absorption of some medications, especially if you take them at the same time. Drugs affected by Molindone HCL include quinolone antibiotics (such as ciprofloxacin, levofloxacin), tetracycline antibiotics (such as doxycycline, minocycline), levodopa, phenytoin, thyroid medications (such as levothyroxine), and osteoporosis drugs (bisphosphonates). as alendronate ). Ask your doctor how long to wait between medicines and when you should take them.
Take Molindone HCL regularly to get the most benefit from it. To avoid forgetting to take your medication, take it at the same time(s) each day. Do not stop taking Molindone HCL without consulting your doctor, as some of your conditions may get worse when this medicine is stopped suddenly.
Although you may notice some improvement in your symptoms soon after you start taking Molindone HCL, it may take weeks to months before you get the full benefits of this medicine.
Tell your doctor if your condition does not improve or if it gets worse after using Molindone HCL.

3. Side effects of Molindone HCL

While using Molindone HCL medicine, you may feel drowsy, dizzy, lightheaded, constipated, dry mouth or blurred vision. If any of these side effects persist or get worse, tell your doctor or yours right away.
Dizziness and lightheadedness can increase your risk of falling. Stand up slowly when getting up from a sitting or lying position while using Molindone HCL.
Molindone HCL can cause muscle/nervous system problems (extrapyramidal symptoms- EPS). Your doctor may need to prescribe medication to reduce these side effects. Tell your doctor right away if you notice any of the following side effects: Muscle stiffness, severe muscle spasticity/cramps (such as twisting neck, arching back, rolling eyes), restlessness, shaking (tremor), sluggishness/staggering gait, drooling/difficulty swallowing, mask-like expression.
Remember that your doctor gave you this medicine because he or she has judged that the benefit to you is greater than the risk of side effects. Many people use Molindone HCL and no serious side effects occur.
Tell your doctor right away if you have any serious side effects of Molindone HCL, including: Depression/suicidal thoughts, fainting, difficulty urinating, signs of infection (such as sore throat that doesn't go away, fever), symptoms of liver disease (such as nausea/vomiting that doesn't stop, loss of appetite, yellowing eyes or skin), severe stomach/abdominal pain.
Molindone HCL can cause a condition called tardive dyskinesia. In some cases, the condition can be permanent. Tell your doctor right away if you develop any uncontrollable unusual movements (especially of the face, mouth, tongue, arms, or legs).
In rare cases, molindone can increase levels of certain chemicals made by the body (prolactin). For women, an increase in prolactin can lead to unwanted lactation and difficulty getting pregnant. For men, there may be decreased libido, inability to produce sperm, or enlarged breasts. If you develop any of these symptoms, tell your doctor right away.
Rarely men may experience pain or an erection lasting 4 hours or more while using Molindone HCL. If this happens, stop using this medicine and get medical help right away.
Get medical help right away if you have any very serious side effects of Molindone HCL medicine, including: Convulsions.
Molindone HCL can rarely cause a very serious condition called neuroleptic malignant syndrome (NMS). Get medical help right away if you have any of the following symptoms: Fever, muscle stiffness/pain/softness/weakness, severe fatigue, severe confusion, sweating, fast/irregular heartbeat , dark urine, signs of kidney problems.
A very serious allergic reaction to Molindone HCL is very rare. However, if you notice any symptoms of a serious allergic reaction to Molindone HCL, including: Hives, itching/swelling (especially of the face/tongue/throat), trouble breathing, dizziness , get medical help right away.
Below are Molindone HCL side effects by likelihood.
Common side effects of Molindone HCL include:
Parkinson's tardive dyskinesia characterized by involuntary movements of the face, mouth, and tongue. Extrapyramidal disease Feeling restless, unable to sit still, Blurred vision, stuffy nose, Dry mouth, Constipation, Sweat reduction, Drowsiness, Headache, Nausea, Difficult or painful urination Less common side effects of Molindone HCL include:
Depression Function sexual abnormalities Standing hypotension Inability to get an erection Breast enlargement Breast milk production is not associated with childbirth or breastfeeding. Irregular menstruation. Rare side effects of Molindone HCL include:
Very low granulocyte count Low white blood cell count Low neutrophil count Malignant neuroleptic syndrome Hepatitis Allergic dermatitis Convulsions Skin rash Incontinence of urination Heatstroke Yellow eyes or skin due to bilirubin accumulation Abnormal muscle movements Fast heartbeat An unusual feeling of extreme happiness Hyperactive behavior This is not a complete list of possible side effects. release of the drug Molindone HCL. If you notice other side effects of Molindone not listed above, contact your doctor immediately for proper handling.

4. Measures to prevent side effects of Molindone HCL

Before taking Molindone HCL, tell your doctor if you are allergic to this medicine and any other allergies if any. Molindone HCL products may contain inactive ingredients that may cause allergic reactions or other problems.
Before using Molindone HCL, tell your doctor your medical history, especially of: Blood problems (such as low white blood cell count), certain eye diseases (disease). glaucoma), heart problems (such as slow/fast/irregular heartbeat, low blood pressure), slow bowel movements (such as chronic constipation, bowel obstruction), liver disease, confusion brain disorder/tumor/trauma, drug/alcohol/stimulant abuse, breast cancer, Parkinson's disease, a certain serious reaction to antipsychotic drugs (neuroleptic malignant syndrome- NMS), difficulty urinating.
Molindone HCL can make you dizzy, drowsy, or blur your vision, and alcohol and marijuana can make you more dizzy or drowsy. Do not drive, use machines, or do anything that requires alertness or clear vision while using Molindone HCL, until you can do so safely.
Before surgery, tell your doctor or dentist that you are being treated with Molindone HCL
Molindone can make you sweat less, making you more likely to have a heat stroke. Avoid doing things that can make you overheated, such as strenuous work or exercise in hot weather, or using a hot tub.
When the weather is hot, you should drink plenty of water and dress lightly. If you get too hot, quickly find a cool place to cool down and rest. Get medical help right away if you have a fever that doesn't go away, mental/mood changes, headache, or dizziness.
Older adults may be more sensitive to the side effects of Molindone HCL, especially somnolence, dizziness, lightheadedness, extrapyramidal symptoms (EPS), and tardive dyskinesia (TD). Drowsiness, dizziness, and lightheadedness can increase your risk of falling.
For women during pregnancy, this medicine should be used only when clearly needed. Babies born to mothers who have used Molindone HCL during the last 3 months of pregnancy may rarely develop symptoms including muscle stiffness or tremors, drowsiness, trouble breathing, or constant fussiness. If you notice any of these symptoms in your newborn, especially during their first month, talk to your doctor right away.
Because mental problems such as schizophrenia can be serious if left untreated, do not stop taking Molindone HCL unless directed by your doctor. If you are planning a pregnancy, are pregnant or think you may be pregnant, discuss with your doctor right away the benefits and risks of using this medicine during pregnancy.
It is not known whether Molindone HCL passes into breast milk, so women who are breastfeeding should consult their doctor before using the medicine.

5. Molindone HCL drug interactions

Drug interactions can change the way Molindone HCL works or increase your risk of serious side effects. You should therefore tell your doctor about all medications you take (including prescription/nonprescription drugs and herbal products). Do not start, stop, or change the dose of any medicine during treatment with Molindone HCL, without your doctor's approval.
Tell your doctor if you are taking other products that also cause drowsiness, such as an opioid pain reliever, a cough suppressant (such as codeine, hydrocodone), alcohol, marijuana, a sleeping or anti-anxiety medication (such as alprazolam). lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or antihistamines (such as cetirizine, diphenhydramine).

6. What to do if you overdose or forget to take Molindone HCL?

If you or someone else has overdosed on Molindone HCL and has severe symptoms such as fainting or difficulty breathing, call 911 immediately. Molindone HCL overdose symptoms may include: Slow/shallow breathing, inability to wake up (coma).
If you miss a dose of Molindone HCL, take it as soon as you remember. If you remember when it is almost time for your next dose, skip the missed dose. Use your next dose of Molindone HCL at the usual time, do not take a double dose to make up for a previously missed dose.

7. How to store Molindone HCL

Store Molindone HCL at room temperature, away from light and moisture, do not store in the bathroom, keep the medicine away from children and pets. Dispose of this medication appropriately when it has expired or is no longer needed by you.

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Reference source: webmd.com