Fluwel 0.25 mg/20 mg Tablet
BestoChem Formulations India Ltd

prescription required

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In-stock 10 tablets in 1 strip
62.71

NOTICE: unsafe with : Alcohol

USED FOR:
Short term anxiety Depression

COMPOSITION:
Alprazolam (0.25mg) Fluoxetine (20mg)

Therapeutic Uses:
neuro cns

Related Warnings
CAUTION
Alcohol
CAUTION

Fluwel 0.25 mg/20 mg Tablet may cause excessive drowsiness and calmness with alcohol.

WEIGH RISKS VS BENEFITS
Pregnancy
WEIGH RISKS VS BENEFITS

Fluwel 0.25 mg/20 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
Lactation
CAUTION

Fluwel 0.25 mg/20 mg Tablet is probably unsafe to use during lactation. Limited human data suggest that the drug could represent a significant risk to the baby.

Driving

Fluwel 0.25 mg/20 mg Tablet may cause side effects which could affect your ability to drive.

Kidney

Fluwel 0.25 mg/20 mg Tablet is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Fluwel 0.25 mg/20 mg Tablet may not be needed in these patients. Please consult your doctor.

CAUTION
Liver
CAUTION

Fluwel 0.25 mg/20 mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Fluwel 0.25 mg/20 mg Tablet may be needed. Please consult your doctor.


Alprazolam   0.25mg

Uses of Alprazolam
Alprazolam is used in the treatment of short term anxiety.

How to use Alprazolam
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. Fluwel 0.25 mg/20 mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Fluwel 0.25 mg/20 mg Tablet works
Alprazolam 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.

Side Effects:

Common Sleepiness, Slurred speech, Memory impairment, Uncoordinated body movements, Dizziness, Dryness in mouth, Fatigue, Irritability, Constipation, Headache, Depression.

Expert advice for Alprazolam
If you are taking Alprazolam 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 Alprazolam, 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 Alprazolam is very high.

Frequently Asked Questions

Q. What is Alprazolam used for?
Alprazolam is used to relieve excess (moderate to severe) anxiety and to treat anxiety associated with depression. It is not to be used for mild anxiety associated with stress of day today life situations.

Q. Is Alprazolam safe?
Alprazolam is safe if used at prescribed doses for the prescribed duration as advised by your doctor.

Q. Is Alprazolam addictive (habit-forming)?
Yes, the use of Alprazolam has addictive potential. Its use is associated with risk of addiction for physical or psychological effects. The abrupt discontinuation of Alprazolam is therefore not advised to avoid serious withdrawal symptoms.

Q. Is Alprazolam an opioid?
No, Alprazolam is not an opioid, it belongs to a class of substances called benzodiazepines.

Q. Is Alprazolam an anti-depressant?
No, Alprazolam is not an anti-depressant. It is used to relieve excess anxiety and to treat anxiety associated with depression.

Q. Is Alprazolam a narcotic substance?
No, Alprazolam is not a narcotic substance. It belongs to the class of medicines known as benzodiazepines and is used for the treatment of anxiety.

Q. Can I take Alprazolam for a hangover?
No, Alprazolam is not indicated for managing a hangover. Rather, Alprazolam should not be taken with alcohol as both the substances can cause excessive sleep (sedation) and depress your brain.

Q. Can I take Alprazolam for anxiety?
Yes, Alprazolam is used to relieve excess (moderate to severe) anxiety and to treat anxiety associated with depression. It is not recommended for mild anxiety associated with stress of day today life situations.

Q. Can I take Alprazolam for heart palpitations?
No, Alprazolam is not indicated for the treatment of heart palpitations. However, it may help in reducing heart palpitations associated with anxiety. Alprazolam should always be taken only when advised by your doctor.

Q. Can I take Alprazolam for alcohol withdrawal?
No, Alprazolam is not indicated for the management of alcohol withdrawal.

Q. Does Alprazolam reduce blood pressure?
Lowering of blood pressure is seen if you take more than prescribed dose of Alprazolam. Please consult your doctor if you experience excessive fall in blood pressure while you are taking Alprazolam.

Q. Does Alprazolam make you sleepy?
Yes, Alprazolam makes you sleepy. Sedation (sleepiness) is a very common side effect of Alprazolam. Please consult your doctor if you are prescribed Alprazolam and your work requires you to remain alerted or you drive yourself as it may affect your driving.

Q. Does Alprazolam expire?
Yes, Alprazolam like any other medicine has an expiry date and should not be used beyond the date mentioned on the package.

Q. Does Alprazolam cause weight gain?
Change in weight (both weight gain and weight loss) has been reported as a common side effect with Alprazolam. Please consult your doctor if you experience disproportionate change in weight when you are taking Alprazolam.

Q. Can the use of Alprazolam cause hair loss?
It has not been reported to cause hair loss. Talk to your doctor if you experience this while taking Alprazolam. As it could be due to some other underlying condition.

Q. Can I take Alprazolam with hydrocodone?
Alprazolam should not be taken with hydrocodone. Alprazolam belong to a class of medicines called benzodiazepines and hydrocodone belongs to the class of medicines called opioids. Both the classes cause sedation (increased tenedency to sleep) and respiratory depression (slow and difficult breathing). Please consult your doctor before taking the two medicines together.

Q. Can I take Alprazolam with paracetamol?
No, interactions have been reported between Alprazolam and paracetamol. However, this does not mean that no interactions exist. Please consult your doctor before taking the two medicines together.

Q. Can I take Alprazolam with prednisone?
Prednisolone may increase the metabolism (breakdown) of Alprazolam and hence decrease the levels of Alprazolam in the body which may decrease the effect of Alprazolam and a higher dose may be needed. Please consult your doctor before taking the two medicines together.

Q. Can I take Alprazolam with clonazepam?
Alprazolam should not be taken with clonazepam as both the medicines belong to the same class of medicines called benzodiazepines. When taken together, they can cause sedation (increased tenedency to sleep) and respiratory depression (slow and difficult breathing). Please consult your doctor before taking the two medicines together.

Q. Can I take Alprazolam with oxycodone?
Alprazolam should not be taken with oxycodone. Alprazolam belong to a class of medicines called benzodiazepines and oxycodone belong to the class of medicines called opioids. Both the classes cause sedation (increased tenedency to sleep) and respiratory depression (slow and difficult breathing). Please consult your doctor before taking the two medicines together.

Q. Can I take Alprazolam with tramadol?
Alprazolam should not be taken with tramadol. Alprazolam belong to a class of medicines called benzodiazepines and tramadol belong to the class of medicines called opioids. Both the classes cause sedation (increased tenedency to sleep) and respiratory depression (slow and difficult breathing). Please consult your doctor before taking the two medicines together.

Q. Can I take Alprazolam with ibuprofen?
No, interactions have been reported between Alprazolam and ibuprofen. However, this does not mean that no interactions exist. Please consult your doctor before taking the two medicines together.

Q. Can I take Alprazolam with sertraline?
No, interactions have been reported between Alprazolam and sertraline. However, this does not mean that no interactions exist. Please consult your doctor before taking the two medicines together.

Q. Can I take Alprazolam with buspirone?
No, interactions have been reported between Alprazolam and buspirone. However, this does not mean that no interactions exist. Please consult your doctor before taking the two medicines together.

Q. Can I take Alprazolam for the rest of my life?
No, Alprazolam should be taken only for a prescribed duration at prescribed doses as advised by your doctor.

Q. Can I take Alprazolam for pain?
No, Alprazolam is not indicated for the treatment of any kind of pain. It belongs to the class of benzodiazepines and is indicated for the treatment of anxiety.

Fluoxetine   20mg

Uses of Fluoxetine
Fluoxetine is used in the treatment of depression, anxiety disorder, phobia, post traumatic stress disorder and obsessive-compulsive disorder.

How to use Fluoxetine
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. Fluwel 0.25 mg/20 mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Fluwel 0.25 mg/20 mg Tablet works
Fluoxetine 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.

Side Effects:

Common Nausea, Diarrhoea, Insomnia (difficulty in sleeping), Headache, Fatigue.

Expert advice for Fluoxetine
It can take 2-3 weeks for Fluoxetine to start working. Do not stop treatment suddenly as this may cause a stomach upset, flu-like withdrawal symptoms and sleep disturbance. Avoid consuming alcohol when taking the Fluoxetine, as it may cause excessive drowsiness and calmness. If your doctor asks you to stop Fluoxetine, you should reduce the dose slowly over 4 weeks. The addiction/dependence potential of Fluoxetine is very less. You may develop anxiety during initiation of therapy.

Frequently Asked Questions

Q. Is Fluoxetine a monoamine oxidase inhibitor (MAOIs)?
Fluoxetine is not a monoamine oxidase inhibitor (MAOIs). It is an antidepressant and belongs to a class of medications known as selective serotonin reuptake inhibitors (SSRIs).

Q. Does Fluoxetine cause sleepiness?
Somnolence (sleepiness) is a common side effect associated with the use of Fluoxetine. However, Fluoxetine can also cause other sleep problems like insomnia (inability to sleep) and abnormal dreams. Talk to your doctor in case you experience sleep problems while taking Fluoxetine.

Q. Does Fluoxetine cause constipation?
Fluoxetine has not been reported to cause constipation. Talk to your doctor if you experience constipation while taking Fluoxetine.

Q. Can I take fluoxetine with citalopram?
Fluoxetine and citalopram both increase the serotonin levels and when used together can increase the risk of serotonin syndrome (fever, muscle stiffness or tremor, confusion, irritability, and extreme agitation). ECG monitoring may also be required as there could be some changes in your heart rhythm (prolonged QTc interval). Talk to your doctor as you may need an alternative for one of these medicines.

Q. Is Fluoxetine a placebo?
Fluoxetine is not a placebo, it is an active drug, an antidepressant which belongs to the class of medications known as selective serotonin re-uptake inhibitors (SSRIs).

Q. Is Fluoxetine a stimulant?
Fluoxetine is not a stimulant. It is an antidepressant and belongs to a class of medications known as selective serotonin reuptake inhibitors (SSRIs)

Q. Can I take fluoxetine with diazepam?
Fluoxetine can be taken with diazepam. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.

Q. Does Fluoxetine cause weight gain?
Fluoxetine does not cause weight gain, rather it causes weight loss, which is a common side effect seen with its use. Weight loss is usually proportional to baseline body weight. Please consult your doctor if you experience a change in weight while taking Fluoxetine.

Q. Does Fluoxetine make you tired?
Fluoxetine can make you feel tired. Fatigue (extreme tiredness) is a very common side effect of Fluoxetine. Please consult your doctor if you experience excessive tiredness while taking it as the dose may need to be changed.

Q. Does Fluoxetine expire?
Yes, like any other medicine Fluoxetine has an expiry date. Please check the expiry date mentioned on the pack before taking the medicine.

Q. Does Fluoxetine help in anxiety?
Fluoxetine is used for the treatment of anxiety and other associated conditions like panic disorder, obsessive-compulsive disorder (OCD) and phobias. It also helps in depression associated with or without anxiety. Consult a doctor for the right treatment of your anxiety before starting any medicines.

Q. Does Fluoxetine cause acne?
Fluoxetine has not been reported to cause acne. Talk to your doctor if you develop acne while taking Fluoxetine.

Q. Does Fluoxetine work?
Fluoxetine works if taken for the right indication at prescribed doses for the prescribed duration as advised by your doctor.

Q. Does Fluoxetine cause a headache?
Headache is a very common side effect of Fluoxetine. Please consult your doctor if you experience excessive headache while taking Fluoxetine.

Q. Does Fluoxetine cause nausea?
Nausea is a very common side effect of Fluoxetine. Please consult your doctor if you experience excessive nausea while taking Fluoxetine.

Q. Can I take Fluoxetine for life?
You should take Fluoxetine only for the duration as advised by your doctor. Also, you should not stop the medicine without consulting your doctor.

Q. How long can I take Fluoxetine for?
You should take Fluoxetine only for the duration as advised by your doctor. You should not stop the medicine without consulting your doctor.

Q. Can I take fluoxetine with paracetamol?
Fluoxetine can be taken with paracetamol, however, when taken together paracetamol can increase the antidepressant effect of fluoxetine. Talk to your doctor before taking the two medicines as there could be other effects of using the two medicines together.

Q. Can I take fluoxetine with amitriptyline?
Fluoxetine may possibly change the blood levels of amitriptyline. Your doctor may need to lower the dose of amitriptyline when administered with fluoxetine. Talk to your doctor before taking these two medicines together.

Q. Can I take fluoxetine with alcohol?
Fluoxetine when taken with alcohol, does not increase the effects of alcohol, however, it may affect your judgment or coordination and make you dizzy. Talk to your doctor regarding the use of alcohol when you are taking fluoxetine.

Q. Can I take fluoxetine with lorazepam?
Fluoxetine can be taken with lorazepam. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.

Q. Can I take fluoxetine with omeprazole?
Fluoxetine may increase the level or effect of omeprazole by decreasing its metabolism. Consult a doctor before taking the two medicines together.

Q. Can I take Fluoxetine with birth control?
Fluoxetine can be taken with birth control pills. No drug-drug interactions have been reported between the two. However, this does not mean that interactions cannot occur. Please consult your doctor before taking the two medicines together.

Q. Can I take fluoxetine with amoxicillin?
Fluoxetine can be taken with amoxicillin. No drug-drug interactions have been reported between the two. However, interactions can occur. Consult a doctor before taking the two medicines together.

Q. Can I take fluoxetine with ibuprofen?
Fluoxetine, when given with ibuprofen, may increase the risk of gastric side effects. Consult a doctor before taking the two medicines together.

Q. Can I take Fluoxetine with phentermine?
Fluoxetine. when given with phentermine, may increase the effects of phentermine like nervousness, anxiety, restlessness. There could also be an increased risk of serotonin syndrome (fever, muscle stiffness or tremor, confusion, irritability, and extreme agitation). The reason for an increase in toxicity is not clear. Please consult your doctor before taking the two medicines together.

Q. Can I take fluoxetine with tramadol?
Fluoxetine when taken along with tramadol, can lead to an increased risk of serotonin syndrome (fever, muscle stiffness or tremor, confusion, irritability, and extreme agitation). Consult a doctor before taking the two medicines together.

Q. Is Fluoxetine safe?
Fluoxetine is safe if taken for prescribed duration in prescribed doses as advised by your doctor.

Q. Is Fluoxetine addictive?
Fluoxetine is not addictive in nature. No habit forming potential has been seen with its use. Always follow your doctor's advice regarding the duration of its use.

Q. Is Fluoxetine safe in pregnancy?
There have been some reports showing an increased risk of birth defects affecting the heart in babies when the mother took Fluoxetine during the first few months of pregnancy. When taken during the last three months of pregnancy, it may increase the risk of a serious condition in babies, called persistent pulmonary hypertension of the new born (PPHN), making the baby breathe faster and appear bluish. These symptoms usually begin during the first 24 hours after the baby is born. So, it is advisable not to use Fluoxetine during pregnancy. If you are pregnant or you are planning to have a baby, ask your doctor for advice before taking this medicine.

Q. Is Fluoxetine a controlled substance?
Fluoxetine is not a controlled substance. It's a prescription medicine and is available on providing a valid prescription.

Q. Can I take fluoxetine with naproxen?
Fluoxetine, when given with naproxen, may increase the risk of gastric side effects. Consult a doctor before taking the two medicines together.