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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Nov 10, 2024 | 7:20 PM IST
PTM-Sure 450 mg Tablet is used to prevent and treat mood disorders like mania and bipolar disorder. It contains Lithium, which helps to treat mental disorders by increasing the activity of chemical messengers in the brain, thereby suppressing the excessive and abnormal activity of nerve cells in the brain and helping in stabilizing a person's mood. Some people may experience loss of appetite, dizziness, dry mouth, taste change, diarrhoea, blurred vision, slurred speech, shaky movements, increased thirst, and urination. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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Prescription drug

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Composition

LITHIUM-450MG

Manufacturer/Marketer

Brainwave Healthcare Pvt Ltd

Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Jan-27

for this medicine

About PTM-Sure 450 mg Tablet

PTM-Sure 450 mg Tablet is used to prevent and treat mood disorders like mania and bipolar disorder. Mania is a mental condition that causes intense excitement, high energy, and delusions (misbeliefs). Bipolar disorder is a mental condition associated with extreme mood swings ranging from the hyper stage of mania to low-mood depression.

PTM-Sure 450 mg Tablet contains Lithium that helps to treat mental disorders by increasing the activity of chemical messengers in the brain, thereby suppressing the excessive and abnormal activity of nerve cells in the brain and helping in stabilizing a person’s mood.

Take PTM-Sure 450 mg Tablet as prescribed. Your doctor will advise how often you take PTM-Sure 450 mg Tablet based on your medical condition. Some people may experience loss of appetite, dizziness, dry mouth, taste change, diarrhoea, blurred vision, slurred speech, shaky movements, increased thirst, and urination. Most of these side effects of PTM-Sure 450 mg Tablet do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are known to be allergic to PTM-Sure 450 mg Tablet or any other medicines, please tell your doctor. If you are pregnant or breastfeeding, it is advised to consult a doctor before using PTM-Sure 450 mg Tablet . Regular blood tests are recommended while taking PTM-Sure 450 mg Tablet to monitor the levels of lithium in blood. If you have fits, kidney or heart problems, thyroid, persistent headache, vision problems, and if you are planning or have had weight loss surgery, please inform your doctor before taking PTM-Sure 450 mg Tablet .

Uses of PTM-Sure 450 mg Tablet

Treatment of Bipolar disorder, Mania.

Medicinal Benefits

PTM-Sure 450 mg Tablet is a mood stabilizer that is used to prevent and treat mood disorders such as mania and bipolar disorder. PTM-Sure 450 mg Tablet contains Lithium that helps to treat mental disorders by increasing the activity of chemical messengers in the brain, thereby suppressing the excessive and abnormal activity of nerve cells in the brain and helping in stabilizing a person’s mood. Thus, PTM-Sure 450 mg Tablet relaxes nerves and calms the mood, which helps in having a better social life and enables one to do daily activities comfortably.

Directions for Use

Take PTM-Sure 450 mg Tablet as prescribed by your doctor.

Storage

Store in a cool and dry place away from sunlight

Side Effects of PTM-Sure 450 mg Tablet

  • Loss of appetite
  • Dizziness
  • Dry mouth
  • Taste change
  • Diarrhoea
  • Blurred vision
  • Slurred speech
  • Shaky movements
  • Increased thirst and urination

Drug Warnings

Regular blood tests are recommended while taking PTM-Sure 450 mg Tablet to check lithium levels in blood. If you are pregnant or breastfeeding, please inform your doctor before taking PTM-Sure 450 mg Tablet . If you have hypothyroidism (underactive thyroid gland), please inform your doctor before taking PTM-Sure 450 mg Tablet as it may cause low thyroid levels. If you notice decreased amount of urine, dark, reddish urine, muscle pain or weakness, inform your doctor immediately as it may be due to a serious condition called rhabdomyolysis (muscle tissue breakdown) which may lead to kidney problems.

Drug Interactions

Drug-Drug Interaction: PTM-Sure 450 mg Tablet may have interaction with high blood pressure-lowering medicines (ramipril, lisinopril, methyldopa, amlodipine, diltiazem), pain killers (ibuprofen, diclofenac, celecoxib, indomethacin), asthma drugs (theophylline), antipsychotics (olanzapine, haloperidol, clozapine, sertindole), fits related drugs (phenytoin, clonazepam, carbamazepine), heart-related medicines (quinidine, amiodarone, propafenone, ranolazine, procainamide, disopyramide, ajmaline, cibenzoline, hydroquinidine, azimilide, ibutilide, sotalol, dofetilide), antidepressants (paroxetine, amitriptyline, fluoxetine), antibiotics (trimethoprim, spectinomycin, co-trimoxazole, metronidazole, tetracyclines).

Drug-Food Interaction: PTM-Sure 450 mg Tablet may interact with caffeine. Therefore, reduce the intake of caffeine including coffee, tea or herbal medicines as it may decrease the effect of PTM-Sure 450 mg Tablet . Also, avoid alcohol intake as it may increase side effects such as drowsiness, dizziness or difficulty in concentrating. Intake of sodium may also alter lithium levels. Hence, maintain a constant dietary intake of salt.

Drug-Disease Interaction: If you have fits, kidney or heart problems, thyroid, persistent headache, vision problems, Brugada syndrome (a hereditary syndrome affecting the heart), hypothyroidism (low thyroid levels) and low sodium levels, inform your doctor before taking PTM-Sure 450 mg Tablet .

Drug-Drug Interactions Checker List

  • RAMIPRIL
  • LISINOPRIL
  • METHYLDOPA
  • AMLODIPINE
  • DILTIAZEM
  • IBUPROFEN
  • DICLOFENAC
  • CELECOXIB
  • INDOMETHACIN
  • THEOPHYLLINE
  • OLANZAPINE
  • HALOPERIDOL
  • CLOZAPINE
  • SERTINDOLE
  • PHENYTOIN
  • CLONAZEPAM
  • CARBAMAZEPINE
  • QUINIDINE
  • AMIODARONE
  • PROPAFENONE
  • RANOLAZINE
  • PROCAINAMIDE
  • DISOPYRAMIDE
  • HYDROQUINIDINE
  • IBUTILIDE
  • SOTALOL
  • DOFETILIDE
  • PAROXETINE
  • AMITRIPTYLINE
  • FLUOXETINE
  • TRIMETHOPRIM
  • SPECTINOMYCIN
  • METRONIDAZOLE
  • TETRACYCLINE

Habit Forming

No

Diet & Lifestyle Advise

  • Avoid low-sodium diet as it may increase lithium levels in blood and cause adverse effects.
  • Limit the intake of caffeine as it may reduce the effectiveness of PTM-Sure 450 mg Tablet .
  • Do regular exercise and maintain a stable weight as PTM-Sure 450 mg Tablet may cause weight gain.
  • Drink plenty of water to avoid dehydration and try to drink same amount of water everyday as any major changes in quantity may affect lithium levels.
  • Avoid consumption of alcohol as it may increase drowsiness.

Special Advise

  • Regular blood tests are advised every week while taking PTM-Sure 450 mg Tablet to monitor the levels of lithium in blood. When lithium levels are constant, blood tests may be done for every 3 months.

  • Drink constant amount of water daily and maintain a constant sodium intake as any major changes in these two may alter the levels of lithium in blood.

 

Disease/Condition Glossary

Mania: It is a mental condition which causes intense excitement, high energy and delusions (misbeliefs). Mania may occur due to lack of sleep or changes in sleep patterns, high levels of stress and alcohol intake. Seek medical help immediately if you have any self-harming or suicidal thoughts. Bipolar disorder, also called manic depression, is a mental condition associated with extreme mood swings ranging from manic highs to depressive lows. The symptoms of bipolar disorder include mania (high energy and excitability) and depression (loss of interest, hopelessness, low energy). Bipolar disorder involves lifelong treatment.

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Alcohol

Unsafe

You are recommended to avoid consumption of alcohol with PTM-Sure 450 mg Tablet as it may increase the risk of side effects such as drowsiness, dizziness or difficulty in concentrating.

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Pregnancy

Unsafe

PTM-Sure 450 mg Tablet is a Category D pregnancy drug and is not recommended for use during pregnancy as it may cause harm to the unborn baby.

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Breast Feeding

Unsafe

Avoid breastfeeding while taking PTM-Sure 450 mg Tablet as it may be excreted in breast milk and cause adverse effects in the baby.

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Driving

Unsafe

PTM-Sure 450 mg Tablet may cause dizziness, drowsiness or other severe adverse effects. Therefore, avoid driving if you feel drowsy or dizzy after taking PTM-Sure 450 mg Tablet .

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Liver

Safe if prescribed

PTM-Sure 450 mg Tablet is safe to use in patients with Liver diseases/conditions if prescribed by a doctor.

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Kidney

Caution

Take PTM-Sure 450 mg Tablet with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required. PTM-Sure 450 mg Tablet is not recommended for patients with severe kidney problems.

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Children

Caution

PTM-Sure 450 mg Tablet is generally not recommended for children below 12 years. However, PTM-Sure 450 mg Tablet may be used in children above 7 years for treating bipolar I disorder only if prescribed by a doctor.

Country of origin

India

Manufacturer/Marketer address

A-37, Phase 2, Pocket A, Industrial Area, Mangolpuri S Block, New Delhi, Delhi 110034
Other Info - PTM0002

Author Details

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FAQs

PTM-Sure 450 mg Tablet is used to prevent and treat mood disorders like mania and bipolar disorder. It works by increasing the activity of chemical messengers in the brain, thereby suppressing the excessive and abnormal activity of nerve cells in the brain and helping to stabilize a person’s mood.
No, you are not recommended to take PTM-Sure 450 mg Tablet with fluoxetine or other antidepressants such as paroxetine and sertraline as co-administration of these medicines may increase the risk of a rare and serious condition known as serotonin syndrome. If you experience blurred vision, increased heart rate, hallucination, fits, confusion, muscle stiffness or spasm, vomiting, nausea, diarrhoea, excessive sweating, stomach cramps, fever, shaking or shivering, please consult a doctor immediately. However, before using PTM-Sure 450 mg Tablet with any other medicines, you are advised to contact your doctor.
PTM-Sure 450 mg Tablet is not recommended for hypothyroid (underactive thyroid gland) patients as it may increase the risk of low levels of thyroid hormone. Therefore, if you have hypothyroidism, please inform your doctor before taking PTM-Sure 450 mg Tablet . Also, thyroid levels are checked generally before starting treatment with PTM-Sure 450 mg Tablet so that if the levels are too low, PTM-Sure 450 mg Tablet is not advised.
Yes, PTM-Sure 450 mg Tablet may cause weight gain but it is not necessary for everyone taking PTM-Sure 450 mg Tablet to experience this side effect. However, in order to avoid gaining weight while taking PTM-Sure 450 mg Tablet , you are advised to do regular exercise and avoid high-calorie drinks. Instead take non-alcoholic drinks, herbal tea and lemon water.
It is advised to inform your doctor if you are planning or had weight loss surgery as the dose may be adjusted accordingly based on lithium levels in blood.
Yes, PTM-Sure 450 mg Tablet may cause dehydration especially if you have low sodium levels in the body or consume too much alcohol. However, if you notice dark, strong smelling urine or decrease in urination, it indicates that you are dehydrated and may affect lithium levels in blood. Therefore, you are recommended to drink plenty of fluids while taking PTM-Sure 450 mg Tablet to avoid dehydration.
No, you are not recommended to stop taking PTM-Sure 450 mg Tablet without consulting your doctor as it may worsen the condition or cause recurring symptoms. Therefore, take PTM-Sure 450 mg Tablet for as long as your doctor has prescribed it and if you experience any difficulty while taking PTM-Sure 450 mg Tablet , please consult your doctor so that the dose may be gradually reduced.
PTM-Sure 450 mg Tablet may cause side effects such as slurred speech, confusion, mood changes, bloating, or lightheadedness. If these side effects persist or worsen, please consult your doctor.
PTM-Sure 450 mg Tablet takes some time to show improvement in your symptoms but it varies from person to person. This is because each patient reacts differently to particular medication. It may take 1 to 3 weeks or longer for you to see the full effects of PTM-Sure 450 mg Tablet . Continue taking PTM-Sure 450 mg Tablet even if you are not improving and consult your doctor.
Yes, PTM-Sure 450 mg Tablet can cause drowsiness or sleepiness. If you feel dizzy or sleepy, avoid driving or using machines or performing any tasks that require your attention.
Yes, PTM-Sure 450 mg Tablet may cause kidney problems. PTM-Sure 450 mg Tablet is not advised in patients who already have severe kidney impairment. Before starting treatment with PTM-Sure 450 mg Tablet , your doctor will recommend blood tests to see if your kidney function is normal. During treatment with PTM-Sure 450 mg Tablet , any gradual or sudden changes in kidney function, may indicate that the treatment needs re-evaluation.
PTM-Sure 450 mg Tablet should only be started if sufficient facilities are available for evaluating PTM-Sure 450 mg Tablet levels as increased blood levels of PTM-Sure 450 mg Tablet is related to PTM-Sure 450 mg Tablet toxicity. Even at dose which is effective for treatment, PTM-Sure 450 mg Tablet toxicity can occur. Therefore, your doctor may closely monitor your PTM-Sure 450 mg Tablet levels weekly until stabilization is reached, then weekly for one month and then every month after that.
Take PTM-Sure 450 mg Tablet with or without food or as advised by the doctor. Swallow it as whole with a glass of water. Do not break, crush or chew it.
Some medicines decrease PTM-Sure 450 mg Tablet levels in blood which means that it will not work well. These include caffeine, theophylline (for asthma), medicines containing sodium bicarbonate, or a special group of diuretics (water tablets) called carbonic anhydrase inhibitors and urea (used to treat skin conditions). Therefore, please inform your doctor about the medicines you are taking before starting PTM-Sure 450 mg Tablet to avoid drug interactions.

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