Etizola Plus 10 Tablet (Etizolam/Escitalopram Oxalate)

Description

Etizola Plus 10 Tablet is a combination medicine which may be used to treat central nervous system disorders like anxiety, insomnia (sleeplessness), depression, etc. Do not stop taking this medicine suddenly as it may cause withdrawal symptoms like mood changes, irritability, dizziness, numbness in the hands or feet, and difficulty in falling asleep.

Side effects

Major & minor side effects for Etizola Plus 10 Tablet
Drowsiness
Muscle weakness
Loss of balance control
Headache
Confusion
Slurred speech
Increase/decrease in libido (Increased or decreased sexual drive)
Uncontrolled shaking of arms or legs
Visual disturbances
Urinary retention/incontinence
Stomach discomfort and pain
Excessive salivation
Memory problems
Fast or irregular heartbeat
Reduced hunger
Constipation
Diarrhea
Dry mouth
Excessive air or gas in stomach
Decreased appetite
Joint pain

Uses of Etizola Plus 10 Tablet

What is it prescribed for?
Anxiety
This medicine may be used in the treatment of anxiety which is an illness characterized by excessive worry or tension that disturbs daily life.
Insomnia (Sleeplessness)
This medicine may be used for short-term management of insomnia characterized by an inability to sleep along with associated symptoms like fatigue, irritation and memory loss in patients who are suffering from anxiety or depression.
Depression
This medicine may be used to treat symptoms of depression such as feeling sad and irritable; changes in sleep, appetite, energy levels, concentration, etc.

Dosage

Etizola 0.25 Tablet
Etizola 0.5 Tablet
Etizola Beta 0.25mg/20mg Tablet
Etizola Beta 0.5 Tablet
Etizola Lite 0.25mg/5mg Tablet
Etizola Plus 10 Tablet
Etizola Plus 5 Tablet

When not to use?

Allergy
This medicine is not recommended for use in patients with a known allergy to etizolam, escitalopram, other SSRIs, or any other inactive ingredients present in the formulation.
Monoamine oxidase inhibitors
This medicine is not recommended for use in patients undergoing treatment with Monoamine Oxidase Inhibitors (MAOIs) such as selegiline, moclobemide, etc. There should be a time gap of at least 14 days between stopping treatment with MAOIs and beginning treatment with this medicine to avoid their interaction.
Pimozide
This medicine is not recommended for use in patients undergoing treatment with pimozide due to increased risk of heart rhythm disorders.
Myasthenia gravis
This medicine is not recommended for use if you have a neuromuscular condition where the muscles tire rapidly, causing severe weakness and other complications due to the increased risk of worsening of the patient’s condition.
Narrow angle glaucoma
This medicine is not recommended for use in patients with narrow-angle glaucoma due to the increased risk of worsening of the patient’s condition.
Porphyria
This medicine is not recommended for use if you have this rare disease of the blood due to the increased risk of worsening of the patient’s condition.

Warnings

Warnings for special population
Pregnancy
This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
Breast-feeding
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
General warnings
Suicidal tendencies
This medicine should be used with caution due to the increased risk of suicidal tendencies. Patients should be closely monitored for any change in mood or behavior. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
Impaired Liver/Kidney function
This medicine should be used with caution in patients with kidney or liver diseases due to the increased risk of adverse effects. Close monitoring of kidney/liver function is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
Drug Abuse
This medicine should be used with caution in patients with a known history of drug abuse. Chances of dependency are very high, especially if the intended use is for a long duration of time. Patients should be monitored closely for any changes in mood and behavior and any drug-seeking behavior; any such changes should be reported to the doctor immediately.
Use in the elderly
This medicine should be used with caution in the elderly and bedridden patients as the risk of adverse effects are higher than normal patients.
Personality disorder
This medicine should be used with caution in patients having personality disorders or Organic brain syndrome due to the increased risk of adverse effects. An alternative treatment option should be considered in some cases based on the clinical condition.
Withdrawal symptoms
Abrupt discontinuation of this medicine may increase the risk of adverse effects, especially if you have been using a high dose for a long duration. A gradual dose reduction is recommended to avoid these reactions. Do not stop the use of this medicine without consulting your doctor.
Use in Children
This medicine is not recommended for use in patients below 18 years of age since the safety and efficacy of use are not clinically established. However, your doctor may prescribe this medicine if the benefits significantly outweigh the risks. In such a case, the patient should be monitored closely for any adverse effects.
Diabetes
This medicine should be used with caution in patients with a known history of diabetes due to the increased risk of altered blood glucose levels. Close monitoring of blood glucose levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be necessary in some cases based on the clinical condition.
Bleeding disorders
This medicine may increase the risk of abnormal bleeding in some patients. This risk is especially higher in patients with a history of bleeding disorders and patients undergoing treatment with aspirin, NSAIDs, anticoagulants, etc. Report any unusual bleeding or bruising, blood in the stool, etc. to the doctor immediately. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.
Driving or Operating machinery
Use of this medicine may cause drowsiness or dizziness in some patients. It is advised that you do not perform any activities such as driving a vehicle or operating machinery if you experience any of these symptoms during treatment with this medicine.

Dosage

Missed Dose
Take the missed dose as soon as you remember. If it is almost the time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.
Overdose
Seek emergency medical treatment or contact the doctor in case of an overdose.

Interactions

All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol
Description
N/A
Instructions
Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of serious adverse effects. These side effects may include dizziness, drowsiness, difficulty concentrating, breathing difficulties, etc. Avoid performing activities that need high mental alertness like driving a vehicle or operating heavy machinery if alcohol and this medicine are used together.
Interaction with Medicine
Cetirizine
Cisapride
Clarithromycin
Clozapine
Ketoconazole
Metoclopramide
sulfonylureas
Diuretics
Disulfiram
Clonidine
Disease interactions
Glaucoma
This medicine should be used with caution in patients with a known history of glaucoma (increased intra-ocular pressure in the eye), due to the increased risk of worsening of the patient’s condition. Replacement with a suitable alternative should be considered based on the clinical condition.
Pulmonary insufficiency
This medicine should be used with caution in patients having a condition where a sufficient amount of blood is not reaching the lungs from the heart. The risk of severe to fatal breathing complications is high if this medicine is used in such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Liver Disease
This medicine should be used with extreme caution in patients suffering from liver diseases due to the increased risk of serious adverse effects. Close monitoring of liver function tests, appropriate dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition.
Depression
This medicine should be used with caution in patients with depression as it may worsen the symptoms. Close monitoring of symptoms like changes in the behavior and suicidal thoughts is necessary. Discontinue the medicine if symptoms persist.
Seizure disorders
This medicine should be used with extreme caution in patients with seizure disorders due to the increased risk of recurrent seizures. Treatment should be discontinued if the patient develops seizures or if there is an increase in the frequency of seizures in patients with a previous diagnosis of epilepsy. An alternative treatment option should be considered in such cases based on the clinical condition.
Food interactions
Consumption of grapefruit juice is not recommended during treatment with this medicine due to the increased risk of severe adverse effects.
Lab interactions
Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.

General Instructions

Take this medicine exactly as advised by your doctor. You may take this medicine with or without food. Do not take in larger amounts than advised/prescribed. Consult the doctor if you experience any undesirable side effects. Ensure that the treatment course is completed. Do not stop the use of this medicine without consulting your doctor.