Cita S Plus Strip Of 10 Tablets

• As per CDSCO, the Cita S Plus tablet is used for the following:
• Treatment of the symptoms of comorbid depression (depression associated with other disorders)
• Treatment of anxiety disorder, panic disorder, and other mood disorders

• If you have any allergic reaction to the components of Cita S Plus tablets.
• If you have a history of alcohol addiction or drug/substance abuse, mental health disorder, depression, etc.
• If you are using other anti-anxiety or sedatives; they can interfere with Cita S Plus tablets and cause adverse reactions.
• If you have acute-angle glaucoma (an eye condition that causes high fluid pressure inside the eye); Cita S Plus tablets worsen the condition.
• If you have liver disease.
• If you have a seizure disorder and are on antiepileptic (anti-seizure) medication.

• Drowsiness and daytime sleepiness
• Dizziness or unsteadiness
• Dry mouth
• Nausea, especially in the first week or two
• Headache
• Sweating more than usual
• Difficulty sleeping, or vivid dreams
• Reduced interest in sex, difficulty reaching orgasm, or difficulty with erection
• Change in appetite or weight

• Tremor
• Problems with memory or concentration
• Constipation or loose motions
• Blurred vision

• Thoughts of harming yourself, or a sudden worsening of mood, agitation or restlessness. This matters most in the first weeks and after any dose change. Contact your doctor the same day.
• Agitation with a fast heartbeat, high temperature, muscle twitching, shivering or confusion, which can indicate too much serotonin activity.
• Very slow or shallow breathing, or being hard to rouse, particularly if an opioid painkiller or sedative has also been taken.
• Fainting, or a fast or irregular heartbeat.
• Unusual bruising or bleeding, or black stools.
• A rash with blistering, or swelling of the face, lips or throat.
• Low sodium, which can show as severe tiredness, confusion, muscle cramps or unsteadiness, and is more likely in older people.

Other General Warnings

• You are under 18 years of age; the Cita S Plus medicine's safety in children is not clearly established.
• You experience persistent side effects.
• You are an older adult over 65; this medicine can cause increased side effects due to slow metabolism.
• You have a respiratory disease; use this medicine with caution.
• You are using Ayurvedic or herbal medicines or supplements, notify your doctor as some can cause serious side effects when taken with Cita S Plus tablets.

• Take Cita S Plus tablets exactly in the dose and duration prescribed by the doctor.
• Do not take more than the recommended dose of this medicine, even if you do not notice its effects.
• Take the tablet as a whole with a glass of water; do not break or chew it.
• Do not take Cita S Plus tablets with other medications without informing your doctor.
• Do not use these tablets if their packaging is damaged.
• Do not suddenly stop using Cita S Plus tablets.
• Take this medicine with or without food. In case of any stomach issues, take it after meals.

• The antidepressant part usually takes a few weeks to show a real difference, while the calming part works sooner.
• Never stop it suddenly. Both ingredients need to be reduced gradually under medical supervision, and stopping clonazepam abruptly can cause serious withdrawal effects.
• Tell someone close to you that you have started it, and ask them to say something if they notice you becoming more agitated or withdrawn.
• Contact your doctor the same day if your mood drops sharply or you have thoughts of harming yourself, particularly in the first few weeks.
• Opioid painkillers such as codeine or tramadol, sleeping tablets, and other sedatives are the specific combination to avoid here together with clonazepam; they can slow breathing dangerously.
• Avoid driving until you know how it affects you. Drowsiness and slowed reactions are common at the start.
• Keep every follow-up appointment.

Overdose

Missed a Dose

• This tablet combines two medicines that target different parts of the same problem.
• Citalopram is a selective serotonin reuptake inhibitor. Nerve cells release serotonin to signal to one another and then reabsorb it; citalopram slows that reabsorption, so more serotonin stays available at the junction between cells. That gradually lifts mood and reduces anxiety, which is why it takes weeks rather than days to show its full effect.
• Clonazepam works faster and differently. It strengthens the action of GABA, the body’s own calming signal, which dampens overactivity in the nervous system and eases acute anxiety, tension, and sleeplessness. Because the body adapts to that calming effect over time, this part of the treatment is usually intended for the short term while the citalopram takes hold.

Interactions with other medicines

• Anti-anxiety and mood disorder medicines, such as linezolid, moclobemide, selegiline, etc., combined with the Cita S Plus tablet can cause severe reactions. They inhibit serotonin metabolism and can result in serotonin levels that are high enough to induce heart and neurotoxic Serotonin Syndrome.
• Do not use other antidepressant medicines like Fluoxetine, Paroxetine, etc., with Cita S Plus tablets. This combination can increase serotonin levels and cause serotonin toxicity with life-threatening side effects.
• Do not take other medicines that cause drowsiness (allergy and cold and cough medicine, opiates, and narcotic pain relievers) with Cita S Plus tablets. These medicines can increase the side effects of Cita S Plus tablets and cause extreme drowsiness.
• If you have bleeding issues or take blood thinners, use caution when taking Cita S Plus tablets, as this medicine increases the risk of bleeding in such persons.
• If you are already using antiepileptic medicines for seizure disorders, inform your doctor as these medicines can increase the side effects of Cita S Plus tablets.

Interactions with food items

• Try to avoid tyramine-rich food products like cheese, milk, beef, chicken liver, meat extract, avocados, bananas, canned figs, soybeans, and chocolate. This can result in a sudden and dangerous increase in blood pressure.
• Avoid eating grapefruit and its juice while on treatment with Cita S Plus tablets. This fruit can increase the levels of this medicine in the blood.