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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Dec 7, 2024 | 2:18 PM IST

Zesnil 50mg Capsule is indicated for the management of fibromyalgia, a long-lasting condition that causes pain and tenderness throughout the body. It contains Milnacipran, which works by increasing the amount of natural substances, such as serotonin and norepinephrine, that help stop the movement of pain signals in the brain. Thereby it helps manage fibromyalgia. Sometimes, Zesnil 50mg Capsule may cause side effects such as nausea, vomiting, headache, constipation, dizziness, and dry mouth.

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Prescription drug

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Composition

MILNACIPRAN-50MG

Manufacturer/Marketer

Consern Pharma Ltd

Consume Type

ORAL

Return Policy

Not Returnable

for this medicine

About Zesnil 50mg Capsule

Zesnil 50mg Capsule belongs to the group of medicines known as selective serotonin and norepinephrine reuptake inhibitors (SNRIs) indicated for the management of fibromyalgia. Fibromyalgia is a long-lasting condition that causes pain and tenderness throughout the body.

Zesnil 50mg Capsule contains Milnacipran, which works by increasing the amount of natural substances, such as serotonin and norepinephrine, which help stop the movement of pain signals in the brain. Thereby, it helps manage fibromyalgia.

In some cases, Zesnil 50mg Capsule may cause side effects such as nausea, vomiting, headache, constipation, dizziness, and dry mouth. Most of these side effects may not require medical attention and resolve gradually over time. However, you are advised to talk to the doctor if any of the side effects persist or worsen.

Consult the doctor if you are pregnant or breastfeeding. Zesnil 50mg Capsule is not recommended for children as safety and effectiveness have not been established. Avoid consuming alcohol while on treatment with Zesnil 50mg Capsule. Keep the doctor informed about your health condition and medications to rule out any interactions/side effects.

Uses of Zesnil 50mg Capsule

Treatment of Fibromyalgia

Medicinal Benefits

Zesnil 50mg Capsule belongs to the group of medicines called selective serotonin and norepinephrine reuptake inhibitors (SNRIs) used to treat fibromyalgia. Zesnil 50mg Capsule contains Milnacipran, that works by increasing the amount of natural substances, such as serotonin and norepinephrine, which help stop the movement of pain signals in the brain. Thereby it helps manage fibromyalgia.

Directions for Use

Take Zesnil 50mg Capsule with or without food. However, taking it with food may improve the tolerability of the drug and decrease the chance of stomach upset. Swallow the medicine as a whole with a glass of water; do not chew or crush it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Zesnil 50mg Capsule

  • Nausea
  • Vomiting
  • Headache
  • Constipation
  • Dizziness
  • Dry mouth
  • Insomnia (sleep disorder)

Drug Warnings

Do not take Zesnil 50mg Capsule if you are allergic to any of its components. Inform the doctor if you have high blood pressure, seizures, irregular heartbeat, abnormal bleeding, inflamed or enlarged prostate, low sodium levels, liver or kidney problems, or if you have taken monoamine oxidase inhibitors in the last 14 days. Consult the doctor if you are pregnant or breastfeeding. This medicine is not recommended for children. Avoid consumption of alcohol during treatment with Zesnil 50mg Capsule. Let the doctor know if you take any other medications, including herbal supplements.

Drug Interactions

Drug-Drug Interactions: Inform the doctor if you are taking monoamine oxidase inhibitors (MAOI), serotonergic drugs (drugs used to treat depression), triptans (medicines used to treat migraine), catecholamines, CNS active drugs or cardiovascular agents.

Drug-Food Interactions: No interactions found/established.

Drug-Disease Interactions: Inform the doctor if you have high blood pressure, seizures, irregular heartbeat, abnormal bleeding, inflamed or enlarged prostate, low sodium levels, liver or kidney problems.

Habit Forming

No

Diet & Lifestyle Advise

  • Eat a balanced diet rich in fresh fruits, vegetables, whole grains, healthy fats, low-fat dairy, and lean protein.
  • Avoid saturated fats and processed or fried food.
  • Limit the amount of sugar and salt in your diet.
  • Foods that trigger symptoms should be avoided.
  • Maintain a moderate weight by eating a healthy diet.

Special Advise

  • Consult the doctor immediately if you have thoughts of harming yourself or ending your life.
  • Seek medical attention if you experience extreme worry, panic attacks, agitation, difficulty falling asleep or staying asleep, aggressive behaviour, irritability, acting without thinking, severe restlessness, and frenzied, abnormal excitement. 
  • If you are due to undergo any surgery or dental treatment, inform the person doing the tests that you are taking Zesnil 50mg Capsule.

Disease/Condition Glossary

Fibromyalgia: It is a long-lasting condition that causes pain and tenderness throughout the body. It is generally accompanied by fatigue, altered sleep, mood and memory. Symptoms include widespread muscle pain and tenderness, muscle stiffness, fatigue, headache, irritable bowel syndrome, low mood, and frustration.

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Alcohol

Unsafe

Avoid consuming alcohol while on treatment with Zesnil 50mg Capsule.

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Pregnancy

Caution

Milnacipran belongs to pregnancy category C. Zesnil 50mg Capsule should be used during pregnancy only if the benefits outweigh the risks.

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Breast Feeding

Caution

Caution should be exercised while administering Zesnil 50mg Capsule to nursing women.

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Driving

Caution

Zesnil 50mg Capsule may cause drowsiness and may affect your judgment, thinking, and movements. Avoid driving or operating machinery until you know how this medication affects you.

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Liver

Caution

Please consult your doctor if you have liver problems. Caution should be exercised in patients with severe liver impairment.

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Kidney

Caution

Dose adjustment may be needed in patients with severe renal impairment. It should be used with caution in patients with moderate kidney impairment. This medicine is not recommended for patients with end-stage renal disease.

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Children

Unsafe

Zesnil 50mg Capsule is not recommended for children below 17 years as the safety and effectiveness have not been established.

Country of origin

India
Other Info - ZE12582

Author Details

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FAQs

Zesnil 50mg Capsule is used to treat Fibromyalgia.
Zesnil 50mg Capsule works by increasing the amount of natural substances, such as serotonin and norepinephrine, which help prevent the movement of pain signals in the brain. Thereby, it helps manage fibromyalgia.
Zesnil 50mg Capsule may cause high blood pressure (hypertension). Regular monitoring of pulse rate and blood pressure prior to initiation and during treatment is recommended.
Do not discontinue the medicine without consulting your doctor. The doctor may reduce the dose gradually as stopping Zesnil 50mg Capsule suddenly may cause withdrawal symptoms like mood changes, agitation, irritability, dizziness, confusion, tiredness, headache, numbness or tingling in the hands or feet, anxiety, difficulty falling asleep or staying asleep, abnormal excitement, seizures, or ringing in the ears. Consult the doctor if you experience these symptoms.
Zesnil 50mg Capsule may cause angle-closure glaucoma. The doctor may advise an eye examination before you start taking Zesnil 50mg Capsule. Consult the doctor immediately if you experience eye pain, nausea, swelling or redness in or around the eye, and changes in vision, such as seeing coloured rings around lights.
No, Zesnil 50mg Capsule does not have any habit-forming or addictive potential.
Zesnil 50mg Capsule is generic and not a controlled substance.
Weight loss may occur as a side effect of Zesnil 50mg Capsule. If you experience any unexpected changes or unusual symptoms during treatment, contact your doctor immediately.
Zesnil 50mg Capsule causes side effects such as nausea, vomiting, headache, constipation, dizziness, dry mouth and insomnia (sleep disorder). Most of these side effects do not require any medical requirements as they will gradually reduce over time. Contact a doctor if these side effects persist for longer durations.

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