Informational only — Not medical advice. Always consult a licensed healthcare provider.

Community data Updated 2 months ago

Indications

Agorest is used to treat major depressive disorder in adults. It is particularly suited to patients who have not responded to, or cannot tolerate, selective serotonin reuptake inhibitors (SSRIs). It is also used to prevent relapse of depression.

⚠️ Always consult a registered physician before taking any medicine.

Pharmacology

Agomelatine is a melatonergic agonist (MT1 and MT2 receptors) and 5-HT2C antagonist. Binding studies indicate that agomelatine has no effect on monoamine uptake and no affinity for a, (3 adrenergic, histaminergic, cholinergic, dopaminergic and benzodiazepine receptors. Agomelatine resynchronises circadian rhythms in animal models of circadian rhythm disruption. Agomelatine increases noradrenaline and dopamine release specifically in the frontal cortex and has no influence on the extracellular levels of serotonin.

Pregnancy & Breastfeeding

Use in pregnancy: There's no clinical data yet on how agomelatine affects pregnant women, since human exposure hasn't been formally studied. Animal studies, however, haven't shown any direct or indirect harm to pregnancy, foetal or embryonal development, delivery, or development after birth. Even so, agomelatine should be prescribed to pregnant women only with caution.

Use in lactation: Whether agomelatine passes into human breast milk isn't known, though it and its breakdown products have been found in the milk of nursing rats. Because its effects on a breastfeeding baby haven't been established, breastfeeding should be stopped if treatment with agomelatine is judged necessary.

⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.

Dosage Reference

⚠️ Reference ranges from official sources only. Consult your doctor for personalized dosing.

Adults: The effective dose of agomelatine is 25 mg per day given once at bed time for two weeks and can be increased to 50 mg per day in patients with inadequate response. Night time dosing is recommended because agomelatine improves the quality of sleep without day time sedation. For oral administration with or without food. Most adult patients should take a dosage of 25 mg (one tablet) daily. It is usually taking prior to bed time. If no improvement is noticed after two weeks, the dosage can be increased to 50 mg (two tablets) daily.Children under 18 years: Should be given only on medical advice. Use in children and adolescents: Agomelatine is not recommended in the treatment of depression in patients <18 years since safety and efficacy of agomelatine have not been established in this age group. In clinical trials among children and adolescents treated with other antidepressants, suicide-related behavior (suicide attempt and suicidal thoughts), and hostility (predominantly aggression, oppositional behavior and anger) were more frequently observed compared to those treated with placebo.Use in the elderly: The efficacy and safety of agomelatine (25 to 50 mg/day) have been established in elderly patients with MDD (aged <75 years). As  efficacy has not been established in every elder patients aged >75 years agomelatine should not be used in this patient group.

Side Effects & Interactions

Side Effects

No side-effect data recorded yet.