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Fliban is a unique medication that contains flibanserin 100 mg, a multifunctional serotonin agonist/antagonist approved by the U.S. FDA to treat female sexual interest/arousal disorder (FSIAD). This chronic disorder is characterized by low sexual desire that causes distress or interpersonal difficulty and cannot be explained by other medical, psychiatric or relationship problems. Fliban works by modulating neurotransmitters in the brain, reducing inhibitory serotonin activity while increasing dopamine and norepinephrine to restore healthy sexual desire.

The recommended dose of Fliban is one tablet taken once nightly at bedtime. Taking it at bedtime helps minimise the risk of dizziness, low blood pressure and fainting that can occur when rising from a seated or lying position. Do not take more than one tablet in 24 hours and continue for at least eight weeks before evaluating whether it is working. Because flibanserin is metabolised in the liver, it should not be used in patients with hepatic impairment. Grapefruit juice and potent CYP3A4 inhibitors (such as certain antifungals, antibiotics and HIV protease inhibitors) may raise flibanserin levels and should be avoided.

It is important not to consume alcohol while taking Fliban. Combining flibanserin and alcohol can cause severe hypotension and syncope. Common side effects include dizziness, sleepiness, nausea, fatigue, dry mouth and insomnia. Rarely, it may cause low blood pressure or fainting. Patients should stop treatment if they experience persistent dizziness or low blood pressure. This medicine is not for use by men or by postmenopausal women, and it should not be taken during pregnancy or breastfeeding. If a dose is missed, skip it and resume the regular bedtime schedule; do not double the dose. Always inform your healthcare provider of all medications you are taking to avoid interactions.

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