Esciram CL 0.5 mg/10 mg Tablet 
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NOTICE: unsafe with : Alcohol
USED FOR:
Short term anxiety
Depression
Alcohol withdrawal
COMPOSITION:
Clonazepam (0.5mg)
Escitalopram (10mg)
Therapeutic Uses:
neuro cns
CAUTION
Esciram CL 0.5 mg/10 mg Tablet may cause excessive drowsiness and calmness with alcohol.
WEIGH RISKS VS BENEFITS
Esciram CL 0.5 mg/10 mg Tablet is unsafe to use during pregnancy.There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
CAUTION
Esciram CL 0.5 mg/10 mg Tablet is probably unsafe to use during lactation. Limited human data suggest that the drug could represent a significant risk to the baby.
Esciram CL 0.5 mg/10 mg Tablet may cause side effects which could affect your ability to drive.
Esciram CL 0.5 mg/10 mg Tablet is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Esciram CL 0.5 mg/10 mg Tablet may not be needed in these patients. Please consult your doctor.Use of Esciram CL 0.5 mg/10 mg Tablet can cause excessive sleepiness in patients with end stage kidney disease.
CAUTION
Esciram CL 0.5 mg/10 mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Esciram CL 0.5 mg/10 mg Tablet may be needed. Please consult your doctor.
Uses of Clonazepam
Clonazepam is used in the treatment of short term anxiety, alcohol withdrawal and epilepsy.
How to use Clonazepam
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Esciram CL 0.5 mg/10 mg Tablet may be taken with or without food, but it is better to take it at a fixed time.
How Esciram CL 0.5 mg/10 mg Tablet works
Clonazepam is a benzodiazepine. It works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.
Common Sleepiness, Uncoordinated body movements, Slurred speech, Dizziness, Fatigue, Memory impairment, Irritability, Headache, Dryness in mouth, Depression, Constipation.
Expert advice for Clonazepam
If you are taking Clonazepam for the treatment of insomnia and anxiety, it should not be used more than 4 weeks. It may become less effective over the time. It causes sleepiness or drowsiness. If this happens to you, do not drive or use machinery. Avoid consuming alcohol when taking the Clonazepam, as it may cause excessive sleepiness or drowsiness. Inform your doctor if you are pregnant or planning to conceive or breastfeeding. Inform your doctor if you have ever been diagnosed with kidney or liver problems. The addiction / habit-forming potential of Clonazepam is very high.
Q. Can I take Clonazepam while taking a dietary supplement?
It depends on what kind of dietary supplement it is. Normally absorption of Clonazepam is not affected by food and other vitamins. Consult your doctor before you start taking the medication.
Q. Which medication is best, alprazolam or Clonazepam?
Both are equally effective as suggested in different research studies.
Q. What is the difference between clotiazepam and Clonazepam?
Clotiazepam is a benzodiazepine which has anxiolytic, sedative and antiepileptic property. It differs from other benzodiazepines (Clonazepam) in that the benzene ring is replaced by thiophene ring. Clinical use of clotiazepam is relatively low.
Q. Which medication is best, lorazepam or Clonazepam?
Both are equally effective as shown in the research studies.
Q. Which medication is best, diazepam or Clonazepam?
Both are equally effective as shown in the research studies.
Q. Can Clonazepam affect my sex drive?
There are few reports but it is not so common. Clonazepam does not affect the sexual drive in all the patients.
Q. Is Clonazepam a narcotic?
No. Clonazepam is not a narcotic. Narcotics are drugs with sleep inducing properties, usual derivatives of Opium like Heroin and Morphine.
Q. Is Clonazepam muscle relaxant?
Clonazepam is approved for the treatment of anxiety, alcohol withdrawal and epilepsy. Some research studies have shown it has got muscle relaxant properties.
Q. Can I take vitamin B along with Clonazepam?
There is no known major interaction found with vitamin B when taken with Clonazepam.
Q. Can I take vitamin C along with Clonazepam?
There is no known major interaction found with vitamin C when taken with Clonazepam.
Q. Can I take Clonazepam while I am on hepatitis C treatment?
The treatment of hepatitis C includes many drugs and the side effects depends on which drug you are prescribed.
Q. Can Clonazepam cause euphoria?
No. Clonazepam does not cause euphoria. It causes sleepiness, dizziness etc.
Q. Can Clonazepam get you high?
Clonazepam does not make you feel high.
Q. Can Clonazepam be replaced with paroxetine?
No. both are different medication. Clonazepam is an antianxiety, anticonvulsant drug whereas Paroxetine is an antidepressant medication
Q. Can Clonazepam cause rash?
Clonazepam is not commonly known to cause a rash but hypersensitive individuals can develop a rash.
Q. Is Clonazepam the best choice for restless legs syndrome?
There are other treatment modalities for restless leg syndrome but among these benzodiazepine class of drug Clonazepam is most studied drug. It is not approved for restless leg syndrome but used off label.
Q. How is bupropion different than Clonazepam?
Bupropion is in the treatment of depression and for smoking cessation. Clonazepam is an anti-seizure and anti-anxiety medicine.
Q. Can I take Clonazepam along with zolpidem?
No. You should avoid taking these two medications together. They both induce sleep and taking them together can lead to increased sleepiness, decreased concentration, ataxia and abnormal co-ordination.
Q. Which medication is better, Clonazepam or clobazam?
Clobazam causes less sedation as compared to Clonazepam as seen in few research studies.In few studies, clobazam showed a good retention when given for a longer period whereas Clonazepam needs a dose escalation.
Q. Can I take Clonazepam along with fluoxetine?
You should avoid taking these two drugs together as they increase side effects like sleepiness, dizziness, drowsiness, confusion, and difficulty concentrating.
Q. Can I take Clonazepam while I am also taking antibiotics?
It depends on which antibiotics you are on treatment. Consult your doctor before starting these medications.
Q. Can I take Clonazepam along with escitalopram?
You should avoid taking these two drugs together as they increase side effects like sleepiness, dizziness, drowsiness, confusion, and difficulty concentrating.
Q. Which medication is better, Clonazepam or nitrazepam?
Both are equally effective as shown in the research studies.
Q. Can I take Clonazepam along with paracetamol?
Yes. You can take prescribed doses of paracetamol with Clonazepam. Inform your doctor if you have any allergy or liver problems before starting these medications.
Q. Which is stronger Clonazepam or oxazepam?
We could not find any direct studies comparing Clonazepam with oxazepam. However, oxazepam is an intermediate-acting benzodiazepine with a slow onset of action.
Q. Which medication is better Clonazepam or etizolam?
Etizolam is a short acting drug and its structure is a bit different from the benzodiazepines class of drugs. Both are used in inducing sleep and relieving anxiety however it depends.
Q. When does Clonazepam expire?
The expiry date of Clonazepam is given on the tablet strip and provided by the manufacturer.
Q. How does Clonazepam affect the brain?
Clonazepam works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.
Q. Can I take Clonazepam along with coffee?
Yes. There are no major interactions known between coffee and Clonazepam.
Q. What is the difference between Clonazepam and zopiclone?
Clonazepam is an anti-siezure, antianxiety medication. Zopiclone is a sedating drug from different class and it is only used for inducing sleep
Q. What is the difference between Clonazepam and olanzapine?
Clonazepam is an anti-seizure, antianxiety medication. Olanzapine is an atypical antipsychotic medication.
Q. Can Clonazepam cause low blood pressure?
Clonazepam is not known to cause low blood pressure commonly. It can cause palpitation in some patients.
Q. Can I use Clonazepam for sciatica?
No. Clonazepam is not a known medication for sciatica. It is an antiseizure, antianxiety medication.
Q. Can tremors be treated with Clonazepam?
Clonazepam is not an approved drugs for treatment of tremors. However, in some research studies, it has been shown Clonazepam is effective
Q. Can I use Clonazepam for nausea?
No. Clonazepam is not a medication for nausea. It is an antiseizure, antianxiety medication.
Q. Can I use Clonazepam for a headache?
No. Clonazepam is not a medication for a headache. It is an antiseizure, antianxiety medication.
Q. Can I use Clonazepam for vertigo?
No. Clonazepam is not a medication for vertigo. It is an antiseizure, antianxiety medication. However, few studies have shown its effectiveness in vertigo.
Q. Can insomnia be treated with Clonazepam?
Yes. Though Clonazepam is not approved for treatment of insomnia. Clonazepam is used off-label for the treatment of sleep disorders.
Q. Can I use Clonazepam for depression?
No. Clonazepam is not a medication for depression. It is an antiseizure and antianxiety medication. There are the different class of drugs for treating depression.
Q. Can I use Clonazepam in pain management?
No. Clonazepam is not a medication for management of pain disorders. It is an antiseizure and antianxiety medication. There are the different class of drugs for treating pain. Few studies have failed to prove the effectiveness of Clonazepam in pain management.
Q. What is the good time to take Clonazepam?
It is given mostly at night as it causes sedation.
Uses of Escitalopram
Escitalopram is used in the treatment of depression, anxiety disorder, phobia, post traumatic stress disorder and obsessive-compulsive disorder.
How to use Escitalopram
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Esciram CL 0.5 mg/10 mg Tablet may be taken with or without food, but it is better to take it at a fixed time.
How Esciram CL 0.5 mg/10 mg Tablet works
Escitalopram is a selective serotonin reuptake inhibitor (SSRI) antidepressant. It works by increasing the levels of serotonin, a chemical messenger in the brain. This improves mood and physical symptoms in depression and relieves symptoms of panic and obsessive disorders.
Common Nausea, Headache, Diarrhoea, Fatigue.
Expert advice for Escitalopram
It can take 2-3 weeks for Escitalopram to start working. Do not stop treatment suddenly as this may cause a stomach upset, flu-like withdrawal symptoms and sleep disturbance. If your doctor asks you to stop Escitalopram, you should reduce the dose slowly over 4 weeks. Avoid consuming alcohol when taking the Escitalopram, as it may cause excessive drowsiness and calmness. The addiction/dependence potential of Escitalopram is very less. You may develop anxiety during initiation of therapy.
Q. How does Escitalopram work?
Escitalopram works by increasing the levels of serotonin, a chemical messenger in the brain. This improves mood and physical symptoms in depression and relieves symptoms of panic and obsessive disorders.
Q. Can I take Escitalopram with coffee?
There is usually no significant effect of taking coffee with Escitalopram but a very high quantity of consumption of coffee may cause restlessness and anxiety.
Q. Is Escitalopram addictive?
No. Escitalopram is not addictive. Its abrupt discontinuation may cause some withdrawal symptoms. But still is not addictive as there is no drug-seeking behaviour and it has no abuse liability.
Q. Why does Escitalopram cause nausea?
Escitalopram increases the activity of serotonin a chemical which is also involved in the vomiting process so makes the person nauseating.
Q. Why does Escitalopram make me tired?
Tiredness is usually associated with depression. Escitalopram can alter the sleep quality and can make the person feel tired most of the time.
Q. Can I use Escitalopram for a migraine?
Escitalopram is not approved for the treatment of a migraine. It is used in the treatment of depression, anxiety disorder, phobia, post-traumatic stress disorder and obsessive-compulsive disorder.
Q. Can I use Escitalopram for bipolar disorder?
Escitalopram should not be used for the treatment of bipolar disorder as it can aggravate the problem. Only in few cases, it can be used that too with caution with other drugs if depression is the more persistent feature of person's bipolar illness. But the person should be very regular with drugs prescribed for the mania part also called mood stabilisers.
Q. Does Escitalopram cause hair loss?
There are some case reports of hair loss with the use of Escitalopram. It is very infrequent and it usually stops after the discontinuation of the drug. It can be very distressing for a person, especially for the females. So a person should tell his doctor if he is having hair loss with the use of Escitalopram.
Q. Can I use Escitalopram for sleep problem?
Escitalopram may itself cause sleep disorders. So it is not recommended for the sleep problem.
Q. Can I use Escitalopram for obsessive-compulsive disorder (OCD)?
Escitalopram can be used for the treatment of obsessive-compulsive disorder (OCD) but there are better alternatives available, in case they don't work then Escitalopram can be used. Although it is prescribed in a higher dose and for longer duration in case of OCD in comparison to depression.
Q. Which is better medication, Escitalopram or sertraline?
Escitalopram is the safest drug in its class. Sertraline can be used in case Escitalopram doesn't work for depression. However, setraline can be preferred in case of obsessive-compulsive disorder (OCD).
Q. Which is better medication, Escitalopram or citalopram?
Escitalopram is more effective than citalopram for major depression. Although some studies have shown that there is no difference among two in case of effectiveness but some recent studies have shown Escitalopram to be superior to citalopram for major depression.
Q. Can I take Escitalopram with diphenhydramine?
It is better to avoid diphenhydramine with Escitalopram. Diphenhydramine can aggravate side effects of Escitalopram and can cause dizziness, confusion and difficulty in concentrating.
Q. Can I take Escitalopram with aspirin?
It is usually avoided as it can increase the chances of bleeding.
Q. Can I take Escitalopram with Ibuprofen?
No. Combined these two drugs may increase the chances of bleeding especially in persons already on a blood thinner. Nasal bleeding is usually the first symptom.
Q. Can I take Escitalopram with methylphenidate?
It is better to avoid methylphenidate with Escitalopram. Because methylphenidate can increase the blood levels of Escitalopram and its effects and rarely can cause a serious condition called serotonin syndrome with symptoms like anxiety, restlessness, extreme changes in heart rate and blood pressure, blurred vision, incoordination, nausea, vomiting, diarrhoea.
Q. Can Escitalopram be given with lisdexamfetamine?
It is better to avoid this combined therapy of lisdexamfetamine with Escitalopram, it leads to increased anxiety, restlessness and sometimes serotonin syndrome. Serotonin syndrome includes vomiting, diarrhoea, extreme changes in blood pressure and even seizure may occur. It can be life-threatening.
Q. Can I take Escitalopram with alprazolam?
It is better to avoid the combination, it can lead to increased dizziness, confusion and difficulty in concentrating. Please consult your doctor before taking these two medicines together.
Q. Can I take Escitalopram with clonazepam?
It is better to avoid the combination, it can lead to increased dizziness, confusion and difficulty in concentrating. Please consult your doctor before taking these two medicines together.
Q. Can Escitalopram be used with hydrocodone?
It is better to avoid the combination, it can lead to increased dizziness, confusion and difficulty in concentrating. Please consult your doctor before taking these two medicines together.
Q. Can I take Escitalopram with dextromethorphan?
You should not take Dextromethorphan with Escitalopram. It can lead to the seotonin syndrome. Before taking any medications with Escitalopram, your should consult with your doctor.
Q. Can I take Escitalopram and paracetamol?
Yes. There is no known interaction between Escitalopram and paracetamol.
Q. How does Escitalopram differ from fluoxetine?
Escitalopram and fluoxetin belongs to same class of medicine called as selective serotonin reuptake inhibitor (SSRI).
Q. How doses Escitalopram differ from amitriptyline?
Escitalopram is a newer drug belongs to class selective serotonin reuptake inhibitor (SSRI) while amitryptiline is an older drug belonging to class tricyclic antidepressants (TCA). Both drugs are almost equally effective for treating depression but Escitalopram has much lesser side effects in comparison to amitryptiline and so preferred over amitryptiline for the treatment of depression.
Q. How does Escitalopram differ from imipramine?
Escitalopram is much safer than imipramine and is preferred in most of the conditions over imipramine. However, imipramine can be preferred in bed-wetting in children.
Q. What would happen if I stop taking Escitalopram?
You may experience withdrawal symptoms which can be in the form flu like symptoms, anxiety, suicidal thoughts, nausea or sleep problems. These symptoms usually last for one to two weeks. Do not stop taking this medicine without consulting your doctor.
Q. When and How to stop Escitalopram?
You should consult your doctor before stopping the treatment. It would depend on the number and severity of depressive episodes.The dose should be tapered slowly to prevent intense withdrawal symptoms.
Q. Is Escitalopram a benzodiazepine?
No. Escitalopram is not a benzodiazepine. Benzodiazepines decrease the anxiety and induce sleep. Escitalopram belongs to the class of selective sertonin reuptake inhibitor (SSRI). It may cause insomnia and restlessness initially as the side effect which usually goes away with time.
Q. Is Escitalopram a narcotic?
No. Escitalopram is not a narcotic drug. Narcotics are drugs with sleep inducing properties, usual derivatives of Opium like Heroin and Morphine.
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