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What is Nitoman (Tetrabenazine) used for?

Tetrabenazine (brand name Nitoman) is used to treat movement disorders, particularly involuntary movements or tics. It's often prescribed for conditions like Huntington's disease, where it helps reduce abnormal movements, such as jerking or writhing. It may also be used to treat tics in conditions like Tourette syndrome.
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Nitoman (Tetrabenazine) Information

How should I take Nitoman (Tetrabenazine)?

Nitoman (Tetrabenazine) is a medication used to treat movement problems like those caused by Huntington's disease or tics. Your doctor will start you on a low dose, usually around 12.5 mg per day, and gradually increase it to find the right dose for you. 

The typical dose can range from 25 mg to 50 mg per day. The medication comes in tablet form and can be taken with or without food, although taking it with food might help if it upsets your stomach. 

It's important to take your medication exactly as your doctor prescribes and at the same time every day. If you miss a dose, follow your doctor's advice on what to do—don’t take two doses at once. 

Regular check-ups are necessary to see how the medication is working and adjust the dose if needed. Make sure to tell your doctor about any other medications or supplements you take, as Nitoman can interact with some drugs. Also, avoid alcohol while taking this medication. 

Always follow your doctor's instructions and ask if you have any questions about your treatment.

What are the common side effects of Nitoman (Tetrabenazine)?

Some known common side effects of Nitoman (Tetrabenazine) include:

  • Dizziness
  • Irritability
  • Somnolence
  • Balance disorder
  • Dysphagia
  • Nausea
  • Drowsiness
  • Anxiety
  • Depression
  • Hyperprolactinemia
  • Binding to melanin-containing tissues
  • Clinical worsening and adverse effects
  • Neuroleptic malignant syndrome
  • Fatigue
  • Parkinsonism


This is not a complete list of side effects and others may occur. Call your doctor for medical advice if you experience any unusual symptoms.

What are the Drug Interactions of Nitoman (Tetrabenazine)?

The list provided below includes drugs that are recognized to interact with Nitoman (Tetrabenazine). However, it is important to note that this is not an exhaustive compilation of all potential drug interactions.

  • Topamax (topiramate)
  • Zofran (ondansetron)
  • Wellbutrin (bupropion)
  • Celexa (citalopram)
  • Lasix (furosemide)
  • Lyrica (pregabalin)
  • Lexapro (escitalopram)
  • Ventolin (albuterol)
  • Seroquel (quetiapine)
  • Klonopin (clonazepam)
  • Ingrezza (valbenazine)
  • Valium (diazepam)
  • Ativan (lorazepam)
  • MiraLAX (polyethylene glycol 3350)
  • Cogentin (benztropine)
  • Depakote (divalproex sodium)
  • Cymbalta (duloxetine)
  • Effexor XR (venlafaxine)
  • Zoloft (sertraline)

To ensure your safety and prevent any adverse interactions, it is crucial to disclose all of your current medications, including prescription medications and OTC products, to your doctor. They will assess the potential interaction and determine whether it is beneficial to use both drugs together or if adjustments need to be made to your treatment plan.

What is the recommended dosage of Nitoman (Tetrabenazine)?

The recommended dosage of Nitoman (Tetrabenazine) can vary depending on the condition being treated and individual response. However, a general starting dose for adults is typically 12.5 mg once or twice daily. The dosage may be gradually increased by 12.5 mg per week until the desired effect is achieved, with a maximum dose of 50 mg per day. Always follow your doctor's instructions and guidance for the correct dosage.

How much does Nitoman cost in Canada?

Starting price of Nitoman 25mg Tablet in Canada

- 112 tabs - $1581.53 USD ($14.12 per tab)

Scroll up to see the specific pricing for each product, which is available in various strengths for both brand-name and generic options.

How much does Generic Tetrabenazine cost in Canada?

Starting price of Tetrabenazine 25mg Tablet in Canada

- 100 tabs - $333.59 USD ($3.34 per tab)

Scroll up to see the specific pricing for each product, which is available in various strengths for both brand-name and generic options.

Nitoman (Tetrabenazine) FAQs

How long does it take for Tetrabenazine to start working?

Tetrabenazine typically starts to work within 1 to 2 weeks, but it may take up to 4 weeks to feel the full effects. The time it takes can vary depending on the individual.

Can Tetrabenazine be used for treating Huntington's disease?

Yes, Tetrabenazine can be used to treat Huntington's disease. It helps manage the movement problems, such as jerky or involuntary movements (chorea), that are common in Huntington's. However, it does not cure the disease, it only helps reduce symptoms. Always use it under a doctor's supervision due to possible side effects.

Can Tetrabenazine be used for chorea?

Yes, Tetrabenazine can be used to treat chorea. It is a medication that helps reduce the abnormal movements associated with conditions like Huntington's disease or other causes of chorea. However, it should only be used under a doctor's supervision due to possible side effects.

Can Tetrabenazine be used for tic disorders?

Yes, Tetrabenazine can be used to treat tic disorders. It helps reduce the frequency and severity of tics. However, it should only be prescribed by a doctor because it can have side effects.

How often do I need to see a doctor while on Tetrabenazine?

While taking tetrabenazine, you should see your doctor regularly to monitor your progress and check for any side effects. Typically, doctors recommend visits every few weeks when starting the medication, and then less frequently once your dose is stable. Your doctor will guide you on how often to schedule appointments based on your specific condition and response to the medication.

Disclaimer: The information provided here is intended to provide basic information on this medication and is not intended to replace the medical advice provided by a certified medical professional. Any prescription drug use needs to be approved by your doctor. Do not avoid or ignore any advice provided by your physician in favor of what is written here. Always consult with a pharmacist or doctor before taking this medication and seek counselling if you have any questions or concerns about your medication.