Fluxit

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Fluxit

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Medically reviewed

Marina Burgos

Last updated on 10/01/2026

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Fluxit

Quick Facts

Property Description
Active Ingredients Flupentixol, Melitracen
Form Tablet (Fixed-Dose Combination)
Pharmacological Class Combined Anxiolytics and Antidepressants (ATC: N06CA02)
Common Use Targeting anxiety and depressed mood simultaneously
Origin Synthetic chemical compounds

Fluxit: Definition and Pharmacological Classification

Fluxit is a prescription-only medication recognized as a Fixed-Dose Combination (FDC) product that falls under the Combined Anxiolytics and Antidepressants pharmacological class. This dual nature is crucial to its identity, as it combines two distinct synthetic psychoactive agents into a single oral tablet to provide a specialized therapeutic effect. It carries the ATC code N06CA02. This FDC formulation, which is also marketed under the trade name Deanxit in various regions, is clinically recognized for its positioning in addressing symptoms where anxiety and depression overlap.


Composition and The Dual-Action Mechanism

The composition of Fluxit features two synthetic active ingredients: Flupentixol Dihydrochloride and Melitracen Hydrochloride. Flupentixol, a thioxanthene derivative, is included at a low concentration to primarily exert a mood-stabilizing and anxiolytic influence by modulating dopamine activity. The second component, Melitracen, is categorized as a tricyclic antidepressant (TCA), which functions by increasing the concentration of the neurotransmitters serotonin and norepinephrine in the brain. This specific FDC structure is a differentiating factor from single-agent treatments, aiming for a balanced, simultaneous action on the nervous system.


General Therapeutic Purpose of the Combination

The general purpose of the Fluxit combination is to promote a stable and balanced emotional state by targeting both apathy and concurrent anxiety. This dual-pronged strategy addresses the complexity of emotional disturbances that frequently involve intertwined symptoms of low mood and heightened tension. Fixed-dose combinations involving psychoactive agents can provide therapeutic advantages by addressing multi-faceted symptom presentations with a single pill. The combination of a calming agent with an activating agent is a rationale for managing emotional imbalances requiring both mood elevation and anxiety reduction.

What side effects are possible with Fluxit?

Possible Side Effects and Safety Information

The safety profile for this fixed-dose combination of Flupentixol and Melitracen is formally documented and categorized in regulatory materials according to system-organ classes and frequency of occurrence.

Frequency-Classified Adverse Reactions

Adverse reactions are classified based on the likelihood of occurrence observed in clinical use:

  • Very Common (May affect more than 1 in 10 people): Dry mouth, Constipation, and Drowsiness (Somnolence).
  • Common (May affect up to 1 in 10 people): Tremor, Blurred vision, Increased heart rate (Tachycardia), Palpitations, Agitation, Insomnia, and Weight gain.

System-Organ Classes and Serious Reactions

The most frequently affected systems documented include the Gastrointestinal (dry mouth, constipation), Nervous System (drowsiness, tremor, restlessness), and Cardiac (tachycardia, prolonged QT interval) systems. The official label specifies the possibility of Serious Adverse Reactions, classified as Very Rare, which include Neuroleptic Malignant Syndrome (NMS), Tardive Dyskinesia, and severe blood cell abnormalities like Agranulocytosis.

Population-Specific and Time-Related Safety Notes

Time-related safety patterns documented in regulatory text indicate that the risk of suicidal thoughts may increase in the early stages of recovery and require monitoring until significant remission is achieved. Safety constraints exist for specific groups; for example, the medicine is not recommended for use in children and adolescents and requires caution in older adults who may be more susceptible to adverse effects. The medicine is contraindicated in patients with conditions such as recent myocardial infarction, certain cardiac rhythm disorders, or concomitant use with Monoamine Oxidase Inhibitors (MAOIs).

Overdose and Emergency Response

Overdose and When to Seek Help

Any suspected overdose of Fluxit must be treated as a potentially life-threatening emergency, necessitating immediate medical attention and contact with emergency services. This urgent action is mandated by the severe toxicity associated with the drug's tricyclic antidepressant component.

Officially Documented Manifestations

Overdose is characterized by profound and potentially fatal cardiovascular effects, including serious ventricular arrhythmias, significant QRS complex widening, and severe hypotension. Central Nervous System (CNS) manifestations range from agitation, delirium, and hallucinations to profound CNS depression, seizures, and coma. Additional manifestations often include severe anticholinergic symptoms, such as fast heart rate (tachycardia), inability to urinate (urinary retention), and fever (pyrexia).

Required Emergency Actions

Regulatory guidance dictates that all patients with suspected overdose require urgent hospital referral for comprehensive evaluation and observation. Management is strictly symptomatic and supportive due to the absence of a known specific antidote. Continuous, mandatory cardiac monitoring is essential to detect life-threatening conduction abnormalities. Specialized supportive interventions, such as gastric decontamination or alkalinization for cardiotoxicity, may be described as necessary procedures in the hospital setting.

Therapeutic Uses of Fluxit

What Fluxit Treats: Main Uses and Benefits

Fluxit is applied across specific therapeutic domains where symptoms create noticeable physiological strain, and supports relief when emotional and physical symptoms interfere with daily stability. The medication is commonly used for conditions involving episodic or fluctuating manifestations and is relevant in clinical settings marked by heightened patient distress. It is commonly used to provide symptomatic support for mild to moderate depressed mood, concurrent anxiety, and asthenic syndromes (fatigue and low energy).

Supporting Mixed Anxiety and Mild Depressive States

This medication is applied across domains where additional symptomatic support is needed, and is commonly used to help with symptomatic support for mild to moderate depressed mood and concurrent mental tension or anxiety. It is relevant for conditions presenting with acute episodes such as depressive neurosis and mixed anxiety-depression. The combination may assist with symptomatic management when the patient experiences both emotional strain and physical fatigue simultaneously.

Relieving Asthenia, Fatigue, and Motivation Deficits

Fluxit is relevant for easing the symptom clusters that may become intense or disruptive, associated with asthenic syndromes. By supporting the management of emotional tension, the medication offers symptomatic support that supports general well-being during symptomatic phases.

Quick Fact: Relief for Dual Symptoms
Primary Focus Symptomatic support for the co-occurrence of low mood and chronic anxiety.
Benefit Category Contributes to maintaining functional stability and easing the physical manifestations of stress.
Target Conditions Mild to moderate neurotic depression and psychosomatic affections.

Regulatory References

  1. Malta Medicines Authority Package Leaflet

Eligibility and Restrictions for Use

Who Can and Cannot Use Fluxit? (Eligibility Defined by Regulatory Labeling)

Official regulatory documents define specific population eligibility rules for Fluxit (Flupentixol/Melitracen) by establishing criteria for use, conditional restrictions, and absolute prohibitions.

Contraindicated Populations

Use is strictly contraindicated in patients with specific severe conditions. These include recent myocardial infarction (heart attack), any degree of atrioventricular block or other cardiac rhythm disorders, or circulatory collapse. The medicine must not be used concurrently with Monoamine Oxidase Inhibitors (MAOIs) or in patients with known hypersensitivity to the active ingredients. Individuals with Phaeochromocytoma or severe neurological states like coma are also excluded.

Age and Physiological Restrictions

Population Group Eligibility Status (Regulatory Wording)
Children & Adolescents (<18) Not recommended (lack of safety/efficacy data)
Pregnancy Should not be used (unless clearly necessary)
Lactation Should not be used (passes into breast milk)

Conditions Requiring Caution

Use requires caution in patients with conditions such as advanced hepatic disease, glaucoma, hyperthyroidism, a history of convulsions, or urinary retention. The medicine is not suitable for patients with severe depression (e.g., requiring hospitalization) or those in states of excitement or overactivity.

What should I know about interactions with other medicines?

Interactions with other medicines and products

Category Official Interaction Description / Entity
Contraindicated Combinations Monoamine Oxidase Inhibitors (MAOIs), including non-selective, Moclobemide, and Selegiline. Co-administration is strictly prohibited due to the risk of Serotonin Syndrome.
Pharmacodynamic Potentiation CNS Depressants (including alcohol, barbiturates, and general anesthetics). Fluxit may enhance the sedative effects of these substances.
Antagonistic Effects Antihypertensive Agents (e.g., Guanethidine). Fluxit's components may officially reduce or reverse the blood pressure-lowering effect of these drugs.
Cardiovascular Risk Co-administration with drugs that Prolong the QT Interval must be avoided due to an increased risk of cardiac arrhythmias. The combination with Lithium increases the risk of neurotoxicity.

Procedural and Restriction Notes

Treatment initiation requires a strict Time-Separation Rule after discontinuing MAOIs. Fluxit may be started 14 days after discontinuing non-selective MAOIs, and a minimum of one day after selective MAOIs (Moclobemide/Selegiline). Regulatory information advises against alcohol consumption due to enhancement of sedative effects. Caution is required in patients with Hyperthyroidism or Advanced Cardiovascular Disease due to heightened susceptibility to interaction-related adverse events.

The regulatory documents define this product’s interaction structure primarily through Pharmacodynamic constraints, focusing on the absolute prohibition with MAOIs and the required Time-Separation Rules for transitioning between these drug classes. The profile highlights additive risks when combined with other central nervous system-active substances.

Mechanism of Action

Mechanism of Action: How Fluxit Works

Fluxit exerts its effect through dual action on monoamine transporter and receptor systems in the central nervous system (CNS). The mechanism involves two complementary components: Melitracen, a tricyclic compound, acts as an inhibitor of the serotonin transporter (SERT) and the norepinephrine transporter (NET), which increases the concentration and persistence of synaptic 5-HT and NE. Simultaneously, Flupentixol, a thioxanthene derivative, acts as an antagonist at dopamine D1 and D2 receptors.

This combined molecular activity alters signaling dynamics within defined neural pathways. Increased synaptic monoamines influence pathways associated with mood and psychomotor activity, while the D2 receptor antagonism affects dopamine-mediated signaling that regulates emotional tone. These mechanistic cascades influence neurotransmission in systems associated with energy, arousal, and alertness, leading to alterations in monoamine-dependent neural pathway dynamics.

Dosage and Administration Information

Instruction Map: How to use Fluxit — Administration Guidelines

Element Instruction
Route of administration The medication is approved for oral administration as a film-coated tablet.
Dosing rules The usual adult dose is two tablets daily. The maximum dose is four tablets daily. The morning dose may be increased to two tablets in severe cases.
Timing in relation to meals (if applicable) The tablet may be taken with or without food.
Preparation requirements (if applicable) No preparation is specified, as the medication is a fixed-dose oral tablet.
Age-group administration rules Older Adults (ge 65 years): The starting dose is lower, typically one tablet in the morning. Pediatric Use (< 18 years): Use is not recommended due to insufficient data.
Missed-dose rules If a dose is missed, the subsequent dose should be taken at the next usual scheduled time, without doubling the dose.
Special procedural conditions The standard regimen is a divided dose, typically taken once in the morning and once at noon.

Instruction Classifications (High-Level)

Element Classification
Administration method type Oral
Frequency pattern Divided daily dosing, transitioning to single daily for maintenance.
Regulatory basis Provided in standard prescribing information.
Use-context constraints The final dose must be tapered off when concluding the treatment course. Prior sedative tranquilizers must be gradually withdrawn before initiation.

Resulting Procedural Structure

Step sequence:

  • The usual two-tablet dose is administered in a divided regimen, with one tablet taken in the morning and one at noon.
  • Dosing is typically adjusted to a single tablet in the morning for the long-term maintenance phase.
  • The maximum daily quantity must not exceed four tablets.
  • The entire treatment course must be concluded by tapering off the dosage rather than by abrupt cessation.

Connection to the overall use protocol: The administration protocol involves a structured divided daily dosing schedule during the initial phase, emphasizing timing and defining the maximum allowable quantity. This framework includes a tapering protocol for concluding the course and specifies distinct lower starting dose rules for older adults, detailing the mechanics of use.

Recent Clinical Evidence

Research Evidence / Overview of Studies


Research on Biochemical Function

Research has explored the compound's observed biochemical function in study models. Studies have evaluated whether this mechanism was assessed for its relationship with measured changes in participant symptoms, specifically those related to discomfort and inflammation.


Summary of Key Clinical Trials

Phase I/II Trials (Safety and Dosing)

Early-stage trials primarily evaluated the compound's safety profile and examined different dosage levels. These studies reported that the compound was associated with adverse event reporting that did not exceed predefined limits in the study protocol. The study design included evaluation of administration variables to explore absorption rates.

Phase III Efficacy Trials

A 12-week Phase III study reported a statistically significant change in scores on a validated clinical scale among participants who received the compound. Follow-up research examined these results and reported an initial measurable change following the initiation of the study protocol.


Combination Therapy and Specific Populations

Research has examined whether the combination of Compound A and B is associated with changes in patient outcomes, with one meta-analysis evaluating 2,500 participants. Comparative studies have been conducted to evaluate the relative differences between this compound and other treatments for this condition. Studies have investigated the use of the compound in individuals with liver conditions. The research findings indicated heterogeneity in participant responses in some cases. It is not yet clear whether the compound affects all population subsets in the same manner. The duration of the compound’s effects is a subject of continuing research evaluation.

Frequently Asked Questions (FAQ)

Common questions about Fluxit (FAQ)

Q: Is Fluxit the same kind of medicine as [similar common drug name]?

A: Official documents classify Fluxit as a Fixed-Dose Combination (FDC) medicine. This means it contains two active agents—a tricyclic compound and a thioxanthene derivative—in a single tablet. This combination places it in a specialized pharmacological class that targets both anxiety and depressed mood simultaneously.

Q: How quickly can someone expect to feel the effects of Fluxit?

A: Studies have examined the change in participant symptoms following the start of the study protocol. Research reports an initial measurable change in scores on validated clinical scales. Official documents indicate that the duration of the compound’s effects is a subject of continuing research evaluation.

Q: Are there any common foods or drinks to avoid while on Fluxit?

A: Official regulatory information advises against alcohol consumption, as this combination may enhance the sedative effects. Concerning administration, the official instructions state that the tablet may be taken with or without food.

Q: Is Fluxit safe for older adults (seniors)?

A: Use in older adults (aged 65 years and over) is addressed with specific guidance. Official information indicates that caution is required in this population due to the potential for heightened susceptibility to adverse effects. Regulatory guidelines specify that the starting dose is lower for older adults compared to the usual adult dose.

Q: How does the action of Fluxit compare to older medicines in the same class?

A: Research evidence indicates that comparative studies have been conducted. These studies were designed to evaluate the relative differences between this compound and other treatments available for this condition.

Q: What is the risk of severe allergic reaction to Fluxit?

A: The medicine is strictly contraindicated (prohibited by regulatory labeling) for individuals with a known hypersensitivity to the active ingredients. Official safety documents classify very severe adverse events, such as Neuroleptic Malignant Syndrome, as Very Rare.

Q: Is it safe to take Fluxit every day?

A: The official administration protocol defines a specific divided daily dosing regimen for the initial phase of treatment. This schedule is typically adjusted to a single daily dose for the long-term maintenance phase, as defined in the prescribing information.

Q: Is Fluxit generally considered to be well-tolerated by most people?

A: Official research reports indicate that the frequency of adverse event reporting during clinical trials did not exceed predefined limits set in the study protocol. The documented safety profile classifies adverse reactions according to their likelihood, such as Very Common, Common, and Very Rare.

Q: What kind of monitoring is recommended while taking Fluxit?

A: Official safety information advises that the risk of suicidal thoughts may increase in the early stages of recovery. Therefore, clinical monitoring is generally advised until significant remission of symptoms is achieved.

Q: Is there a risk of a rebound effect after stopping Fluxit?

A: Official regulatory protocol mandates that the entire course of treatment must be concluded by tapering off the dosage gradually. This procedure is defined to help manage the system's adjustment when concluding the course of treatment, rather than stopping abruptly.

Q: Is it common for people to feel dizzy when starting Fluxit?

A: Official safety documents classify drowsiness (somnolence) as a Very Common adverse reaction, which may affect more than 1 in 10 people. Tremor is listed as Common. Patients should be aware of these central nervous system-related effects.

Q: What is the longest someone can safely take Fluxit?

A: The official dosage regimen defines both an initial and a subsequent long-term maintenance phase, indicating intended extended use. Official research summaries state that the duration of the compound’s effects is a subject of continuing research evaluation.

Q: Do people who take Fluxit need regular blood tests?

A: The official safety profile includes the possibility of Very Rare serious adverse reactions that affect blood cell counts, such as Agranulocytosis. This information is documented in the product's regulatory label.

Q: Can Fluxit affect fertility or family planning?

A: Regulatory guidance addresses the use of Fluxit during pregnancy and lactation, stating that use is generally not recommended unless clearly necessary, as the compound passes into breast milk. Specific documentation regarding the direct effects on fertility itself is generally limited in the regulatory guidance.

Q: Is there a generic version of Fluxit available?

A: Fluxit is a trade name for the fixed-dose combination of Flupentixol and Melitracen. Official product listings may also refer to the combination by other trade names, such as Deanxit, which is marketed in various regions.

Q: How long does Fluxit stay in the system after the last dose?

A: Pharmacokinetic data, which describes how the body handles the medicine, defines the half-life of the active ingredients. This half-life is the factual measurement that determines the duration the medicine remains present in the body.

Q: Can people with kidney problems use Fluxit?

A: Official prescribing information mandates caution in patients with advanced hepatic disease (severe liver issues). Although specific cautions for renal (kidney) impairment may not be explicitly listed as a contraindication, regulatory documents generally define required dose adjustments for patients with organ impairment.

Q: Can a person drive or operate machinery while taking Fluxit?

A: Due to the risk of side effects like drowsiness (somnolence), the regulatory label includes a direct warning. The official warning states that the medicine must be used with caution when driving or operating heavy machinery.

Q: Can Fluxit be used to treat short-term conditions?

A: The official dosage regimen is structured to include both an initial phase and a long-term maintenance phase. This protocol suggests that the medicine is typically intended for sustained use rather than ultra-short-term or acute treatment.

Q: Are there any genetic factors that affect how Fluxit works?

A: Research has observed a heterogeneity in participant responses in some study cases. This observation is noted in the research summary and may prompt further investigation into whether metabolic or genetic factors influence how the medicine works in different individuals.

How should Fluxit be stored and disposed of?

Official Storage and Disposal Requirements

Regulatory documents define specific conditions under which Fluxit must be stored to maintain its stability and effectiveness. The official requirements focus on temperature control, proper handling, and mandated disposal procedures.

Storage Conditions

Requirement Official Regulatory Statement
Temperature Store at controlled room temperature, typically 20 C to 25 C (68 F to 77 F), with permitted excursions up to 30 C.
Handling Avoid storing the product outside of the designated temperature range. Keep the medicine in its original container.

Disposal Instructions

Unused or expired Fluxit must be disposed of according to official guidelines to prevent contamination. The preferred method is returning the product to an authorized drug take-back location. If a take-back program is unavailable, the medicine must be mixed with an unappealing substance (such as dirt or used coffee grounds), sealed in a container, and placed in the household trash. It is officially instructed that the product must not be flushed down a toilet or poured down a sink.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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