Advise patient to always take this medicine exactly as prescribed, and to check with the doctor if not sure.
The usual dose is 1 capsule of 50 mg in the morning and 1 capsule of 50 mg in the evening, preferably with a meal.
If patient suffers from renal insufficiency, the recommended dose is reduced according to the degree of alteration in renal function. In this case use the 25 mg capsules. Determine what dose is appropriate for the patient.
If patient feels that the effect of Milpran is too strong or too weak, advise patient to talk to the doctor or pharmacist.
Swallow the capsules with a glass of water preferably with food.
Duration: Treatment will usually last for several months.
Advise patient not to stop treatment even if he/she is feeling better. If necessary, treatment must be stopped gradually in accordance with the doctor's instructions (see "If patient stops taking Milpran" as follows and Side Effects).
If patient forgets to take Milpran: Do not take a double dose to make up for a forgotten dose.
Advise patient to ask the doctor or pharmacist if he/she has any further questions on the use of this product.
If patient stops taking Milpran: Advise patient not to stop taking Milpran unless prescribed. Since withdrawal symptoms may occur after the end of treatment, a gradual dose reduction is recommended. In general, the withdrawal symptoms are mild to moderate and self-limiting; however, in some patients, they may be severe in intensity and may be prolonged (2-3 months or more). Advise patient to ask the doctor or pharmacist if he/she has any further questions on the use of this product.