Nitoman (Tetrabenazine)

Do’s

• Before starting treatment with Nitoman and each time you refill your prescription, read the Medication Guide provided by your pharmacist.
• Nitoman should be taken by mouth with or without food as directed by your healthcare provider
• The usual starting dose of Nitoman is once a day in the morning. Your healthcare provider may gradually increase your dose to 2 or 3 times a day over several weeks.
• The dosage of Nitoman is based on your medical condition, response to treatment, and other medications you may be taking
• Take Nitoman regularly at the same time(s) each day to get the most benefit from it.
• If you stop taking Nitoman for several days and then start taking it again, you may need to slowly increase your dose until you reach the regular dose you had been taking. Follow your healthcare provider's directions on how to restart treatment.
• Report any lack of improvement or worsening of symptoms to your healthcare provider.

Common Side Effects:

• Drowsiness
• Dizziness
• Fatigue
• Restlessness
• Nausea
• Vomiting
• Diarrhea
• Dry mouth
• Increased appetite
• Weight gain
• Insomnia
• Anxiety
• Depression
• Agitation
• Parkinsonism-like symptoms (e.g., tremors, stiffness, slow movement)
• Akathisia (a feeling of inner restlessness)
• Orthostatic hypotension (low blood pressure upon standing)
• Abnormal liver function tests

This is not an exhaustive list of side effects. If you experience any unusual or persistent side effects while taking Nitoman, consult your healthcare provider for further evaluation and guidance.

Nitoman may cause or worsen depression. It is contraindicated in patients with a current episode or a history of clinical depression.

Nitoman should not be taken together with monoamine oxidase inhibitors (MAOIs). At least 14 days should elapse between the discontinuation of an MAOI and the initiation of treatment with Nitoman, as well as between the discontinuation of Nitoman and the initiation of treatment with an MAOI.

Nitoman may cause drowsiness and orthostatic hypotension (low blood pressure upon standing). Caution is recommended when driving or operating machinery.

This is not an exhaustive list of warnings and precautions associated with Nitoman. Other precautions may apply. Consult with your healthcare provider for personalized advice and information regarding the use of Nitoman.