Cita S Plus Tablets
10 Tablet(s) in StripWe do not sell this product
Made by
CRESCENT FORMULATIONS PVT LTD
Dosage
TABLET
Expiry
Product Summary
| Salt Content | Citalopram(5.0 Mg)+Clonazepam(0.25 Mg) |
| Uses | Anxiety, Major depressive disorder, Panic disorder |
| Therapy | Anti-anxiety and anti-depressant |
| Side effects | Delayed ejaculation, Vomiting, Memory problems, Confusion, Depression, Drowsiness, Weight gain, Loss of appetite, Change in sexual desire |
Assurance
available
Regulated
Medical Description
Cita S Plus tablet is a prescription medication. Managing the symptoms of anxiety disorder, mood disorders, and comorbid depression are the most common uses of Cita S Plus tablets. It is a combination of two active components: Clonazepam and Escitalopram. Clonazepam is a tranquilliser (medicines that reduce anxiety and fear). Escitalopram is an antidepressant and helps stabilise mood.
Mood disorders such as anxiety and depression affect how one feels and drastically reduce the quality of life. The mode of action of Cita S Plus tablets is by reducing the excess activity of nerves in the brain and stabilising mood. The medicine also induces a calming effect and sedation. Drowsiness, tiredness, diarrhoea, stomach issues and slow heart rate are some side effects of Cita S Plus tablets.
Dose and duration of this medicine must be carefully monitored, especially in older adults and those with liver and kidney illnesses. The dose should also be monitored as it can cause dependency in the long term. It is vital to inform the doctor of the user's medical history and any medications being currently used to check for any interactions.
Uses
- 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
Contraindications
- 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.
Side effects
- Side effects of Cita S Plus tablets include:
- Drowsiness
- Tiredness
- Diarrhoea
- Stomach issues
- Slow heart rate
- Sexual dysfunctions
- Memory problems
- Uncoordinated movements
Precautions and Warnings
Pregnancy
Breast Feeding
Driving
Alcohol
Other General Warnings
Talk to your doctor if
- 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.
Directions for Use
- 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.
Storage and disposal
Store Cita S Plus tablets in a dry place at room temperature, away from heat and humidity. Keep Cita S Plus tablets away from children and pets. Do not use the tablets if the medicine packaging is broken or damaged. Check the expiration date before taking the tablets. Dispose of the packaging carefully after use.
Dosage
Overdose
Cita S Plus tablet overdose can cause dizziness, shakiness, sudden muscle movements, agitation, convulsion, nausea, vomiting, sodium or potassium electrolyte imbalance, sleep disturbances, confusion, hypotension, increased heart rate, diminished reflexes, and loss of consciousness. If you overdose on Cita S Plus tablets and experience any of these symptoms, immediately seek emergency medical treatment from a hospital nearby.
Missed a Dose
If you have missed a single dose of the Cita S Plus tablet, take it as soon as you remember. If you recall missing a dose when it's almost the time to take the next dose, skip the missed one and continue with your regular dosing schedule. Do not use them together, as this can lead to an overdose.
Mode of Action
How Does It Work?
Cita S Plus tablet contains Clonazepam and Escitalopram as its active ingredients.
Clonazepam belongs to the class of benzodiazepine medicines. It functions by increasing the action of a chemical messenger in the brain known as GABA (gamma-aminobutyric acid). GABA reduces the abnormal or excessive activity of nerve cells in the brain and is responsible for the sedation properties of the medicine. Cita S Plus tablets do not change GABA levels in the brain.
Escitalopram raises serotonin levels in the brain by preventing its reuptake by nerve cells. Serotonin is a natural chemical messenger responsible for stabilising mood, causing happy thoughts, etc. It can also aid in other functions like sleeping, eating, and digestion.
Interactions
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.
Frequently Asked Questions (FAQs)
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Manufacturer Details
Brand:CITA S PLUS
Vendor Details
Fulfillment Information: Cita S Plus Tablets will be delivered by a licensed retail pharmacy nearest to your location. Order acceptance and fulfillment are dependent upon the verification of your doctor's valid prescription (where applicable) and the current stock of this medicine.
References:
- Landy K. Escitalopram [Internet]. StatPearls [Internet]. U.S. National Library of Medicine; 2021 [cited 3 Mar 2022] -
- CDSCO [Internet]. Cdscoonline.gov.in. 2022 [cited 3 Mar 2022] -
- Clonazepam: Medlineplus Drug Information [Internet]. MedlinePlus. U.S. National Library of Medicine; [cited 3 Mar 2022] -
- Kakde RB, Satone DD. Spectrophotometric Method for Simultaneous Estimation of Escitalopram Oxalate and Clonazepam in Tablet Dosage Form [Internet]. Indian Journal of Pharmaceutical Sciences. Medknow Publications. 2009 [cited 3 Mar 2022] -
- Dar SA, Bhat BA, Jan MM. Addition of Benzodiazepines to Selective Serotonin Reuptake Inhibitors to Optimize Treatment of Depression: A Hospital-based Study [Internet]. International Journal of Research in Medical Sciences. [cited 3 Mar 2022] -
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Disclaimer
The information provided herein is supplied to the best of our abilities to make it accurate and reliable as it is published after a review by a team of professionals. This information is solely intended to provide a general overview on the product and must be used for informational purposes only. You should not use the information provided herein to diagnose, prevent, or cure a health problem. Nothing contained on this page is intended to create a doctor-patient relationship, replace or be a substitute for a registered medical practitioner's medical treatment/advice or consultation. The absence of any information or warning to any medicine shall not be considered and assumed as an implied assurance. We highly recommend that you consult your registered medical practitioner for all queries or doubts related to your medical condition. You hereby agree that you shall not make any health or medical-related decision based in whole or in part on anything contained in the Site. Please click here for detailed T&C.
