Clonazepam 0.25 mg + Escitalopram Oxalate 10 mg

Clonazepam 0.25 mg + Escitalopram Oxalate 10 mg — Uses and Benefits

This medicine is mainly used to treat anxiety disorders that occur along with depression.

WHAT THIS MEDICINE IS USED FOR

• Generalised anxiety disorder
• Anxiety associated with depression
• Panic-related symptoms as assessed by the doctor
• Short-term relief of severe anxiety while antidepressant treatment starts working

HOW IT WORKS

• Clonazepam enhances the calming effect of a brain chemical called GABA, reducing excess nerve activity that causes anxiety and restlessness
• Escitalopram increases the availability of serotonin in the brain, which helps improve mood and reduce anxious thoughts over time
• Together they provide fast symptom relief (from clonazepam) along with long-term mood stabilisation (from escitalopram)

WHAT IT IS NOT USED FOR

• It is not a painkiller
• It is not meant for occasional stress or normal day-to-day worry
• It should not be used for insomnia alone without a doctor's evaluation
• It is not a substitute for therapy or counselling in severe psychiatric illness

How to Use Clonazepam 0.25 mg + Escitalopram Oxalate 10 mg

HOW TO TAKE IT

• Take exactly as prescribed by your doctor, usually once daily
• Swallow the tablet with water; it can be taken with or without food
• Try to take it at the same time every day to maintain steady effect
• 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 the next dose, skip the missed one
• Do not take two doses together to make up for a missed dose

STORAGE

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

Clonazepam 0.25 mg + Escitalopram Oxalate 10 mg — Side Effects

COMMON SIDE EFFECTS

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

LESS COMMON SIDE EFFECTS

• Weight changes
• Reduced appetite
• Constipation or diarrhoea
• Sweating
• Difficulty concentrating
• Reduced sex drive

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Thoughts of self-harm or suicide
• Severe allergic reaction (rash, swelling of face/lips, breathing trouble)
• Unusual bleeding or bruising
• Signs of serotonin syndrome (fever, agitation, rapid heartbeat, stiff muscles)
• Severe confusion, slurred speech, or trouble breathing
• Yellowing of skin or eyes

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

Clonazepam 0.25 mg + Escitalopram Oxalate 10 mg — Safety Information and Precautions

This medicine is available only with a valid doctor's prescription in India.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to clonazepam, escitalopram, or any other ingredient
• Have severe liver disease
• Have untreated narrow-angle glaucoma
• Have severe breathing problems like sleep apnea
• Are taking or have recently taken MAOI antidepressants

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Are pregnant, planning pregnancy, or breastfeeding
• Have a history of depression, suicidal thoughts, or bipolar disorder
• Have kidney or liver problems
• Have a history of alcohol or drug dependence
• Have heart rhythm problems
• Are elderly, as lower doses may be needed

MEDICINES THAT CAN INTERACT

• Other sedatives, sleeping pills, or opioids (increased drowsiness, breathing risk)
• Other antidepressants, especially MAOIs and other SSRIs
• Blood thinners like warfarin
• Alcohol
• Certain migraine medicines (triptans)
• NSAIDs like ibuprofen (increased bleeding risk)

FREQUENTLY ASKED QUESTIONS

Can I drink alcohol while taking this medicine?

No, alcohol should be avoided as it increases drowsiness and sedation risk.

How long does it take to work for anxiety and depression?

Clonazepam works within hours, but escitalopram's full antidepressant effect may take several weeks.

Is this medicine habit-forming?

• Clonazepam can cause dependence with long-term use, so it should only be taken for the duration advised by your doctor.
• Doctor ya pharmacist se salah lein.