SKIZORIL ER 12.5 Capsules

Uses and Benefits of SKIZORIL ER 12.5 Capsules (Clozapine 12.5mg)

Clozapine is used to treat severe, long-term mental illness, particularly schizophrenia that has not improved with other antipsychotic medicines.

WHAT THIS MEDICINE IS USED FOR

• Treatment-resistant schizophrenia
• Reducing hallucinations, delusions and disorganised thinking
• Sometimes used to reduce suicidal behaviour in schizophrenia or schizoaffective disorder, only as advised by a psychiatrist

HOW IT WORKS

• It blocks certain dopamine and serotonin receptors in the brain
• This helps correct the chemical imbalance that causes symptoms of psychosis
• Low starting doses like 12.5mg allow the body to adjust safely before increasing the dose

WHAT IT IS NOT USED FOR

• It is not a first-choice medicine for mild anxiety or depression
• It is not used for routine sleep problems
• It is not meant for occasional or as-needed use; it needs regular monitoring and blood tests

This medicine must only be started and monitored by a psychiatrist because of its serious side effect profile, including the risk of a drop in white blood cell count.

Side Effects of SKIZORIL ER 12.5 Capsules (Clozapine 12.5mg)

COMMON SIDE EFFECTS

• Drowsiness or sedation
• Increased saliva production, especially at night
• Dizziness
• Constipation
• Weight gain
• Fast heartbeat

LESS COMMON SIDE EFFECTS

• Blurred vision
• Low blood pressure on standing up
• Mild fever in the first weeks
• Difficulty concentrating
• Nausea

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Signs of infection like sore throat, fever, mouth ulcers (may indicate low white blood cell count)
• Severe constipation, stomach pain or bloating (risk of bowel blockage)
• Chest pain, breathlessness, irregular heartbeat (possible heart problems)
• Seizures or fits
• High fever, stiff muscles, confusion, sweating (possible neuroleptic malignant syndrome)
• Sudden difficulty breathing or swallowing

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

How to Use SKIZORIL ER 12.5 Capsules (Clozapine 12.5mg)

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually starting with a low dose like this one
• Swallow the tablet with water; it can be taken with or without food
• Do not increase or decrease the dose yourself
• Regular blood tests are required to check white blood cell counts, especially in the first months
• Avoid alcohol while taking this medicine as it can increase drowsiness

IF YOU MISS A DOSE

• Take it as soon as you remember, unless it is almost time for the next dose
• Do not double the dose to make up for a missed one
• If you miss doses for more than 2 days in a row, contact your doctor before restarting, as the dose may need to be adjusted again

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep out of reach of children
• Do not use after the expiry date printed on the pack

Safety Information and Precautions for SKIZORIL ER 12.5 Capsules (Clozapine 12.5mg)

This is a prescription-only medicine in India and must not be used without a doctor's supervision and regular blood monitoring.

DO NOT TAKE THIS MEDICINE IF YOU

• Have a history of low white blood cell count or bone marrow problems
• Have uncontrolled epilepsy
• Have severe heart, liver or kidney disease
• Are in a comatose state or have severe central nervous system depression
• Are allergic to clozapine or any other ingredient in the tablet

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have diabetes or a family history of it
• Have heart disease or low blood pressure
• Have prostate problems or difficulty passing urine
• Are pregnant, planning pregnancy, or breastfeeding
• Drink alcohol regularly or take other sedating medicines

MEDICINES THAT CAN INTERACT

• Other antipsychotics or sedatives, increasing drowsiness
• Medicines that also lower white blood cell count
• Strong CYP1A2 inhibitors or inducers such as certain antibiotics or smoking, which can change clozapine levels
• Blood pressure medicines, due to added risk of low blood pressure

FREQUENTLY ASKED QUESTIONS

Can I stop this medicine suddenly if I feel better?

No, stopping suddenly can cause relapse or withdrawal symptoms; any change must be done gradually under your doctor's guidance.

Why do I need regular blood tests with this medicine?

Blood tests check for a rare but serious drop in white blood cells, which is important to catch early.

Can this medicine be taken with other psychiatric medicines?

• Sometimes it is combined, but only under close doctor supervision due to interaction risks.
• Doctor ya pharmacist se salah lein.