CILENTRA PLUS TABLET

Uses and Benefits of CILENTRA PLUS TABLET (ESCITALOPRAM + CLONAZAPAM)

This combination medicine is prescribed for the treatment of depression along with associated anxiety symptoms.

WHAT THIS MEDICINE IS USED FOR

• Depression accompanied by anxiety
• Generalised anxiety disorder along with low mood
• Short-term relief of anxiety symptoms while antidepressant effect builds up

HOW IT WORKS

• Escitalopram increases serotonin levels in the brain, improving mood over time
• Clonazepam acts on brain receptors to calm nervous activity and reduce anxiety quickly
• Together they help control both the emotional and physical symptoms of anxiety and depression

WHAT IT IS NOT USED FOR

• Not for everyday stress or mild nervousness without a doctor's diagnosis
• Not a first-choice or long-term treatment for insomnia alone
• Not meant for children unless specifically advised by a specialist
• Not for use in seizure disorders as a primary treatment
• Not to be self-prescribed for panic attacks without medical supervision

Side Effects of CILENTRA PLUS TABLET (ESCITALOPRAM + CLONAZAPAM)

COMMON SIDE EFFECTS

• Drowsiness or sleepiness
• Dizziness
• Nausea
• Dry mouth
• Fatigue or weakness

LESS COMMON SIDE EFFECTS

• Blurred vision
• Constipation or diarrhoea
• Reduced appetite
• Difficulty concentrating
• Changes in sexual desire

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Thoughts of self-harm or worsening depression
• Severe allergic reaction (swelling of face/lips, rash, difficulty breathing)
• Signs of serotonin syndrome (agitation, fast heartbeat, high fever, muscle stiffness)
• Extreme drowsiness, confusion, or trouble waking up
• Yellowing of skin or eyes (jaundice)
• Irregular heartbeat or fainting

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

How to Use CILENTRA PLUS TABLET (ESCITALOPRAM + CLONAZAPAM)

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually once daily
• Swallow the tablet with water; it may be taken with or without food
• Try to take it at the same time every day to maintain steady levels in the body
• Do not stop suddenly without consulting your doctor, as this can cause withdrawal symptoms
• Do not increase or decrease the dose on your own

IF YOU MISS A DOSE

• Take it as soon as you remember on the same day
• If it is almost time for your next dose, skip the missed one
• Do not take two doses together to make up for a missed one

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep out of reach of children
• Do not store in the bathroom or near a sink
• Discard expired medicine safely, do not flush it down the toilet

Safety Information and Precautions for CILENTRA PLUS TABLET (ESCITALOPRAM + CLONAZAPAM)

This is a prescription-only medicine in India and should be used strictly under medical supervision.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to escitalopram, clonazepam, or any other benzodiazepine
• Have severe liver disease
• Have a history of narrow-angle glaucoma
• Have severe breathing problems such as sleep apnea
• Are taking or have recently taken MAOI antidepressants

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have a history of seizures
• Have kidney or liver problems
• Are pregnant, planning pregnancy, or breastfeeding
• Have a history of substance abuse or dependence
• Have heart problems, including irregular heartbeat
• Are elderly, as you may be more sensitive to side effects

MEDICINES THAT CAN INTERACT

• Other antidepressants or MAOIs
• Other sedatives, sleeping pills, or opioid painkillers
• Blood thinners like warfarin
• Alcohol, which increases drowsiness and risk of side effects
• NSAIDs or aspirin, which may increase bleeding risk

FREQUENTLY ASKED QUESTIONS

Can I drink alcohol while taking this medicine?

No, alcohol should be avoided as it increases drowsiness and risk of serious side effects.

Is this medicine habit-forming?

Clonazepam can cause dependence with long-term use, so it should be taken only for the duration advised by your doctor.

How long does it take to work?

• Anxiety relief may be felt within days, but the full antidepressant effect of escitalopram can take a few weeks.
• Doctor ya pharmacist se salah lein.