Depex capsule is a medication used to treat depression, obsessive-compulsive disorder (OCD), panic disorder, bulimia nervosa, and premenstrual dysphoric disorder (PMDD). It is also used to prevent migraine headaches. The following are some common uses and indications of Depex Capsule:

  1. Major Depressive Disorder (MDD): Depex Capsule is commonly used to treat major depressive disorder, a condition characterized by persistent feelings of sadness, hopelessness, and a lack of interest or pleasure in activities.
  2. Obsessive-Compulsive Disorder (OCD): Depex capsule is also used for the treatment of obsessive-compulsive disorder, a mental health condition marked by recurrent, intrusive thoughts (obsessions) and repetitive behaviors (compulsions).
  3. Panic Disorder: Depex Capsule may be used to manage symptoms of panic disorder, which involves recurring and unexpected panic attacks, often accompanied by intense fear or discomfort.
  4. Bulimia Nervosa: It is approved for the treatment of bulimia nervosa, an eating disorder characterized by episodes of overeating followed by compensatory behaviors like vomiting or excessive exercise.
  5. Premenstrual Dysphoric Disorder (PMDD): Depex Capsule is sometimes prescribed to alleviate the emotional and physical symptoms of PMDD, a severe form of premenstrual syndrome (PMS).
  6. Generalized Anxiety Disorder (GAD): In some cases, Depex Capsule may be used to help manage symptoms of generalized anxiety disorder, which involves excessive worry or anxiety about a variety of situations.
  7. Social Anxiety Disorder (Social Phobia): It may be prescribed for social anxiety disorder, a condition characterized by intense fear or anxiety in social situations.
  8. Post-Traumatic Stress Disorder (PTSD): Depex Capsule may be used as part of the treatment plan for individuals with PTSD, especially when symptoms are severe.
  9. Binge Eating Disorder: It is approved for the treatment of binge eating disorder, which involves recurrent episodes of eating large amounts of food and feeling a lack of control over the eating.
  10. Body Dysmorphic Disorder (BDD): In some cases, Depex Capsule may be used to help manage symptoms of body dysmorphic disorder, a condition involving obsessive thoughts about perceived flaws in physical appearance.

Off-label Uses of Depex Capsule

  1. Eating Disorders (Other than Bulimia Nervosa and Binge Eating Disorder): Depex Capsule may be considered for other eating disorders, such as anorexia nervosa, although its use is not as established in these conditions.
  2. Premature Ejaculation: Depex Capsule has been used off-label to help delay ejaculation in cases of premature ejaculation. It’s important to note that other medications specifically approved for this purpose are also available.
  3. Chronic Pain Conditions: In some cases, healthcare providers may consider Depex Capsule as an adjunctive treatment for chronic pain conditions, especially if there is a significant psychological component to the pain.
  4. Autism Spectrum Disorder (ASD): Some studies have explored the use of Depex Capsule for symptom management in individuals with ASD, particularly in cases where there are co-occurring mood or anxiety symptoms.
  5. Tourette Syndrome: Depex Capsule may be considered for the management of tics and associated symptoms in individuals with Tourette syndrome.
  6. Depression in Children and Adolescents: Depex Capsule is approved for use in pediatric populations, but its use for depression in younger children may be considered off-label in certain cases.
  7. Vasomotor Symptoms of Menopause: Depex Capsule has been used off-label to help manage vasomotor symptoms (e.g., hot flashes) associated with menopause.
Depex Capsule Uses and Indications

What is Depex?

Depex is one of the leading brands of Fluoxetine, manufactured and marketed by Martin Dow Marker (Pvt) Ltd, Pakistan.

Depex Capsule’s Alternatives : Other Similar Brands

The following are some alternative brands of Depex and their manufacturers.

  • Prozac : Eli Lilly Pakistan (Pvt) Ltd.
  • Futine : Wilshire Laboratories (Pvt) Ltd, Pakistan.
  • Depricap : Nabiqasim Industries (Pvt) Ltd, Pakistan.
  • Flux : Hilton Pharmaceuticals (Pvt) Ltd, Pakistan.
  • Zauxit : Zafa Pharmaceutical Laboratories (Pvt) Ltd, Pakistan.
  • Cyconil : Global Pharmaceuticals, Pakistan.
  • Floxetin : Wilsons Pharmaceuticals, Pakistan.
  • Fluxine : Don Valley Pharmaceuticals (Pvt) Ltd, Pakistan.
  • Galaxy : Glitz Pharma, Pakistan.
  • Rize : Werrick Pharmaceuticals, Pakistan.

Depex : Available Formulations and Strengths

Presently, Depex is available in Capsule form.

  • Depex Capsule : 20mg strength.

Who Should Not Use Depex? – Contraindications

Depex capsules have specific contraindications, meaning there are situations or conditions where the medication should not be used.

  • Hypersensitivity or Allergy: Individuals with known hypersensitivity or allergy to Fluoxetine or any of the inactive ingredients in Depex Capsule should not use it.
  • Monoamine Oxidase Inhibitor (MAOI) Use: Depex Capsule should not be used within 14 days of discontinuing an MAOI or within 5 weeks of stopping Depex Capsule if switching from an MAOI. Concurrent use of Depex Capsule and MAOIs can lead to a potentially dangerous condition known as serotonin syndrome.
  • Pimozide Use: Depex Capsule is contraindicated in individuals taking pimozide, a medication used to treat certain psychiatric disorders.
  • Thioridazine Use: Concomitant use of Depex Capsule and thioridazine is contraindicated due to the risk of serious cardiac arrhythmias.
  • Linezolid or Methylene Blue: The use of linezolid or methylene blue in any form is contraindicated in individuals taking Depex Capsule due to the risk of serotonin syndrome.
  • Pregnancy and Breastfeeding: The safety of Depex Capsule during pregnancy and breastfeeding has not been well established. The potential risks and benefits should be carefully considered, and the medication should only be used if deemed necessary.
  • Children and Adolescents with Major Depressive Disorder: The use of Depex Capsule in children and adolescents for the treatment of major depressive disorder should be approached with caution and typically under the guidance of a pediatric specialist.
  • Severe Renal Impairment or End-Stage Renal Disease: Depex Capsule is contraindicated in individuals with severe renal impairment or end-stage renal disease.
  • Severe Hepatic Impairment: It should be used with caution or avoided in individuals with severe hepatic impairment.
  • Known QT Prolongation or Predisposition to Arrhythmias: Depex Capsule should be used with caution in individuals with known QT prolongation or those with factors that may increase the risk of arrhythmias.

What is the Recommended Daily Dosage of Depex Capsule?

Depex Capsule Dose for Major Depressive Disorder (MDD):

  • Adults: One Cap of 20mg, once daily in the morning.
    Your healthcare provider may adjust the dose based on your individual response.
  • Adolescents and Children (ages 8 to 18): 10 mg once daily, which may be increased to 20 mg once daily after a few weeks if needed.

Depex Capsule Dose for Obsessive-Compulsive Disorder (OCD):

  • Adults and Children: One Cap of 20mg, once daily, with potential dose adjustments based on individual response.

Depex Capsule Dose for Panic Disorder:

  • Adults: 10 mg once daily, with a potential increase to 20 mg once daily after a few weeks if needed.

Depex Capsule Dose for Bulimia Nervosa:

  • Adults: Three Caps of 20mg (60 mg), once daily.

Depex Capsule dose for Premenstrual Dysphoric Disorder (PMDD):

  • Adults: One Cap 20 mg once daily, starting on the first day of menstruation and continuing through the luteal phase.

How Depex Works?

Depex Capsule is a medication that belongs to the class of drugs known as selective serotonin reuptake inhibitors (SSRIs). Its primary mode of action involves altering the levels of a neurotransmitter called serotonin in the brain. Serotonin is a neurotransmitter that plays a role in many different functions in the body, including mood, sleep, appetite, and pain. It is thought that depression is caused by low levels of serotonin in the brain. By blocking the reuptake of serotonin, Depex Capsule helps to increase the levels of serotonin in the brain and improve the symptoms of depression.