✅ Product Benefits

1. Dual therapeutic use — Approved for treating depressive symptoms in adults and nocturnal enuresis in children aged ≥7 years (bed-wetting) 

2. Established pharmacology — Acts by inhibiting reuptake of norepinephrine and serotonin, improving mood and emotional balance 

3. Flexible dosing regimens — Depression dosing starts at 75 mg daily (divided), with gradual titration to 150–200 mg (up to 300 mg in hospital settings). Pediatric enuresis dosing is weight and age‑based at bedtime, typically up to a 3-month course with tapering 

4. Well-known safety profile — Common side effects include dry mouth, dizziness, sedation, urinary retention, constipation, weight changes, blurred vision; serious risks include arrhythmias, seizures, hypotension, mania, and confusion, especially in the elderly or those with cardiac conditions .

5. Cautions and contraindications — Avoid with MAO inhibitors (14-day gap required), use with caution in cardiovascular disease, glaucoma, urinary retention, epilepsy, and history of suicide risk. Increase monitoring in elderly and in those with hepatic or renal impairment 

6. Pregnancy & lactation considerations — Category D in pregnancy. Use only if benefit outweighs potential risk to fetus; excreted in breast milk; monitoring required if used in breastfeeding women 

7. Affordable and widely accessible — Priced around ৳5 per tablet (৳50 per strip of 10) in Bangladesh, with broad availability across local pharmacies