Nitoman (tetrabenazine) may not be suitable for everyone. Before starting treatment, discuss your complete medical history with your healthcare provider to ensure the medication is safe and appropriate for you.
Depression and Suicidal Thoughts
Nitoman may increase the risk of depression, worsening depression, or suicidal thoughts and behaviors in some people. This risk may be higher in individuals who have a history of depression, mental illness, or previous suicidal thoughts.
Tell your healthcare provider immediately if you or your caregivers notice:
- New or worsening depression
- Changes in mood or behavior
- Feelings of hopelessness
- Anxiety or agitation
- Thoughts of self-harm or suicide
Regular monitoring is important while taking Nitoman, especially during the first few months of treatment or after a dose change.
Liver Disease
Tell your healthcare provider if you have liver disease or a history of liver problems before taking Nitoman. Liver impairment can affect how the medication is processed and may increase the risk of side effects.
Drowsiness and Dizziness
Nitoman may cause:
- Drowsiness
- Dizziness
- Fatigue
- Reduced alertness
Until you know how the medication affects you, avoid driving, operating machinery, or performing activities that require concentration and alertness.
Drug Interactions
Nitoman can interact with other medications, including certain antidepressants and medications that affect serotonin or dopamine levels in the brain.
Before starting treatment, tell your healthcare provider about all prescription medications, over-the-counter products, vitamins, and herbal supplements you take. This can help prevent potentially harmful drug interactions.
Pregnancy and Breastfeeding
If you are pregnant, planning to become pregnant, breastfeeding, or planning to breastfeed, discuss this with your healthcare provider before taking Nitoman.
Nitoman may not be recommended during pregnancy or breastfeeding because it could potentially affect the developing baby or nursing infant.
Heart Conditions
Tell your healthcare provider if you have:
- Heart disease
- A history of abnormal heart rhythms
- A family history of certain heart rhythm disorders
Nitoman may affect heart rhythm in some people. Your healthcare provider may recommend additional monitoring during treatment if you have underlying heart conditions.
Parkinson-Like Symptoms
In some people, Nitoman may worsen or trigger symptoms similar to Parkinson’s disease, including:
- Muscle stiffness
- Tremors
- Slowed movements
- Difficulty walking or maintaining balance
Contact your healthcare provider if you notice any new or worsening movement problems during treatment.
Older Adults
Older adults may be more sensitive to the effects of Nitoman and may have a higher risk of side effects such as dizziness, drowsiness, falls, or low blood pressure. Additional monitoring may be recommended.
Low Blood Pressure
Nitoman may cause a drop in blood pressure, especially when moving from a sitting or lying position to standing. This can lead to:
- Dizziness
- Lightheadedness
- Fainting
To reduce this risk, stand up slowly and give your body time to adjust. If you feel dizzy, sit or lie down until the feeling passes.
Regular follow-up appointments are important while taking Nitoman so your healthcare provider can monitor your symptoms, adjust your dose if needed, and watch for potential side effects.
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