Dermatological Preparations : Analgesics and Antipruritics
TICHD1“Ichderm cream” 50 mg/gm; 15 gm/tube
適應症：成人濕疹性皮膚炎（如異位性皮膚炎或單純性慢性苔癬）所致中度搔養症之短期治療。
Usual dose:
Anxiety-Depression:
Adult ( > 12 yrs): (very mild) 25-50 mg/day, (mild- moderate) 75 mg/day in single or divided doses, increase as needed; max. 300 mg/day.
Dose adjustment:
Geriatric: 25-50 mg/day.
Liver disease: begin with low initial doses.
Contraindication: glaucoma, urinary retention.
Precaution:
Concomitant use of MAOIs or use of doxepin within 14 days of MAOI discontinuation.
Adverse effect:
Common: weight gain, bloating symptom, constipation, xerostomia, dizziness, somnolence, blurred vision, urinary retention.
Serious: hypertension, hypotension, tachyarrhythmia, agranulocytosis, leukopenia, pancytopenia, purpuric disorder, thrombocytopenia, depression, worsening, suicidal thoughts, suicide.
Usual dose: applied qid, with at least 3-4 h intervals.
Adverse effect:
Agranulocytosis, depression, worsening, hypertension, hypotension, leukopenia, pancytopenia, purpuric disorder, suicidal thoughts, suicide, tachyarrhythmia, thrombocytopenic disorder.
健保使用規範：限成人使用，每次處方不超過七天。(88/6/1)