Exena S 25mg + 5mg

Exena S 25mg + 5mg — Uses and Benefits

This combination medicine is mainly used to treat depression accompanied by anxiety or nervous tension.

WHAT THIS MEDICINE IS USED FOR

• Depression associated with anxiety symptoms
• Mixed anxiety-depressive states
• Sleep disturbance linked to anxiety and low mood, when advised by a doctor

HOW IT WORKS

• Amitriptyline increases the levels of certain brain chemicals (serotonin and noradrenaline) that help improve mood
• Chlordiazepoxide calms the nervous system and reduces anxiety, restlessness, and tension
• Together they help relieve both the emotional low and the anxious feelings that often occur together

WHAT IT IS NOT USED FOR

• It is not a painkiller and should not be used for general body pain
• It is not meant for occasional stress or one-off nervousness
• It should not be used to induce sleep on its own, without a doctor's advice
• It is not suitable for children

How to Use Exena S 25mg + 5mg

HOW TO TAKE IT

• Take this medicine exactly as prescribed by your doctor, usually at bedtime or as directed
• Swallow the tablet with water; do not crush or chew unless your doctor says so
• Take it at the same time each day for best results
• Do not stop taking it suddenly without talking to your doctor, as this can cause withdrawal symptoms
• It may take a few weeks of regular use before you notice full benefit

IF YOU MISS A DOSE

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

STORAGE

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

Exena S 25mg + 5mg — Side Effects

COMMON SIDE EFFECTS

• Drowsiness or sedation
• Dry mouth
• Constipation
• Blurred vision
• Dizziness on standing up

LESS COMMON SIDE EFFECTS

• Weight gain
• Difficulty passing urine
• Low blood pressure
• Forgetfulness or trouble concentrating
• Increased sweating

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Irregular or fast heartbeat
• Severe confusion, hallucinations, or unusual behaviour
• Fainting or severe dizziness
• Yellowing of skin or eyes (signs of liver problems)
• Thoughts of self-harm or worsening depression
• Difficulty breathing, swelling of face or throat (allergic reaction)

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

Exena S 25mg + 5mg — Safety Information and Precautions

This is a prescription-only medicine in India and should be used only under a doctor's supervision.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to amitriptyline, chlordiazepoxide, or similar medicines
• Have had a recent heart attack
• Have severe liver disease
• Are recovering from acute alcohol intoxication
• Have a history of narrow-angle glaucoma
• Are pregnant or breastfeeding, unless specifically advised by your doctor

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have heart disease or irregular heartbeat
• Have a history of seizures
• Have urinary retention or an enlarged prostate
• Have a history of substance or alcohol dependence
• Have thyroid problems or diabetes
• Are elderly, as you may be more sensitive to side effects

MEDICINES THAT CAN INTERACT

• Other antidepressants, especially MAO inhibitors
• Sedatives, sleeping pills, or other benzodiazepines
• Alcohol, which increases drowsiness
• Blood pressure medicines
• Certain antifungal or antibiotic medicines

Always tell your doctor about all medicines, supplements, and herbal products you are taking.

FREQUENTLY ASKED QUESTIONS

Can I drink alcohol while taking this medicine?

No, alcohol should be avoided as it can increase drowsiness and other side effects significantly.

Will this medicine make me feel sleepy during the day?

It can cause drowsiness, especially when starting treatment, so avoid driving or operating machinery until you know how it affects you.

Can I stop taking it once I feel better?

• No, stopping suddenly can cause withdrawal symptoms; your doctor will guide you on tapering the dose gradually.
• Doctor ya pharmacist se salah lein.