Citalin Forte Tablets
By LINUX LABORATORIES
10 Tablet(s) in Strip
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Citalin Forte Tablets Description
Citalin Forte is a prescription medication. It is a combination of escitalopram (10mg) and clonazepam (0.5mg). Uses of Citalin Forte include the treatment of generalised anxiety disorders and depress
ion. It is important to note that it has habit-forming potential due to its mode of action. Careful monitoring while on this medication is required and necessary. It is also important to note that this medication should not be abruptly stopped as it may cause withdrawal effects in users, which may be serious. The medication should be taken as recommended by the doctor. The tablet should preferably be taken at the same time everyday for its best effect. This also decreases the chances of relapse. It is also recommended to complete the entire course of the medication as prescribed by the treating physician and not abruptly stop taking the drug.
Product Summary
| Offer Price | ₹102.85 |
| You Save | ₹18.15 (15% on MRP) |
| Contains | Clonazepam + Escitalopram |
| Uses | Treatment of anxiety disorder and depression |
| Side effects | Insomnia, Sexual dysfunction (primarily decreased libido, absence of orgasms, and male ejaculatory delay), Nausea, Increased sweating, Fatigue, Sleepiness (somnolence), Lethargy, Fatigue, Sedation, Drowsiness |
Check more medicines with composition as Clonazepam + Escitalopram
Uses of Citalin Forte Tablets
- Generalized anxiety disorder
- Depressive disorder
Contraindications of Citalin Forte Tablets
- The concomitant use of this medication with MAOI (monoamine oxidase inhibitors) like Selegiline, rasagiline, isocarboxazid etc., is strictly contraindicated as it may cause serotonin syndrome. In case of use of these medications, Citalin Forte should not be taken until after two weeks of stopping their use and vice versa, as it can be potentially fatal....
- Patients with severe liver disease must avoid taking Citalin Forte as the liver metabolises these medications. In severe liver disease, there may be decreased metabolisation resulting in increased concentrations of the drug and therefore excessive sedation and respiratory depression....
- Clonazepam is contraindicated in patients with acute narrow-angle glaucoma.
- Use cautiously in elderly patients.
- Use cautiously in patients at risk of falling and in debilitated patients.
Side effects of Citalin Forte Tablets
- Insomnia (difficulty sleeping)
- Sexual dysfunction (primarily decreased libido, absence of orgasms, and male ejaculatory delay)
- Nausea
- Increased sweating
- Fatigue
- Lethargy
- Motor impairment (impaired coordination, impaired balance, dizziness)
- Abrupt discontinuation of this medication can lead to withdrawal effects like dizziness, nausea, lethargy, irritability, anxiety, confusion, headache, sweating, tremors etc.
- Long term use may cause the user to develop tolerance.
Precautions and Warnings of Citalin Forte Tablets
Pregnancy
Q:
Can I take Citalin Forte during pregnancy?
A:
This medication is not recommended during pregnancy. Inform your doctor regarding your pregnancy or intention to conceive soon.
Breast Feeding
Q:
Can I take Citalin Forte while breastfeeding?
A:
This medication is generally not advised while breastfeeding. Discuss your breastfeeding status with your doctor for more information.
Driving
Q:
Can I drive if I have taken Citalin Forte?
A:
Driving and operating other heavy machinery while on this medication is not recommended as it may cause sedation and drowsiness.
Alcohol
Q:
Can I consume alcohol with Citalin Forte?
A:
Alcohol consumption while on this medication is contraindicated. Both alcohol and Clonazepam are CNS depressants and may cause increased sedation and other adverse effects, including life-threatening effects like respiratory depression and coma.
Other General Warnings
Talk to your doctor if
- Talk to your doctor regarding your use of any other medications taken regularly, as well as any other health issues you may be facing currently.
Mode of Action of Citalin Forte Tablets
How Does It Work?
Escitalopram belongs to a class of medications called Selective Serotonin Re-uptake Inhibitors (SSRIs). It works by acting on brain pathways that involve the chemical messenger or neurotransmitter called serotonin. It prevents the re-absorption of serotonin by nerves, a process called reuptake, causing serotonin accumulation.
Serotonin in the central nervous system plays a role in regulating mood, personality, and wakefulness, which is why blocking serotonin reuptake is beneficial in disorders such as major depression.
Clonazepam belongs to a group of agents called benzodiazepine. Benzodiazepines primarily act on the brain pathways to increase the action of a chemical messenger, otherwise known as a neurotransmitter called GABA (gamma-aminobutyric acid), which causes sedation, calming effects, muscle relaxation etc. These effects are used to treat anxiety and panic disorders in patients. Clonazepam also increases the levels of another neurotransmitter called serotonin in the brain by increasing its synthesis....
Directions for Use of Citalin Forte Tablets
- This medication should be taken as prescribed by the treating physician.
- It is recommended to take this medication on a regular schedule, i.e., at the same time every day, for optimal pharmacological effects of this medication.
- Swallow this medication whole. Do not crush, chew or break this tablet.
- It is recommended to finish the entire course of this medication as prescribed by your treating doctor.
- Abrupt stoppage of Citalin Forte can cause withdrawal side effects. Consult your doctor before stopping this medication.
- Driving/ use of heavy machinery is not advised while using this medication.
- Do not mix alcohol with this medication, as it can be life-threatening.
- This medication has habit-forming tendencies; hence it is recommended to follow the directions of your treating physician precisely and have a regular follow-up.
Interactions of Citalin Forte Tablets
Interactions with other medicines
- The medication levels are affected by other tablets that use the same enzymes for their metabolism. For example, carbamazepine, rifampin, and phenytoin.
- This medication should not be used with a specific group of medications called MAO inhibitors as it may cause a potentially fatal side effect called serotonin syndrome. This can cause headaches, confusion, nausea, and dizziness....
- Other medications contraindicated due to the possibility of inducing serotonin syndrome include- antidepressants, triptans, fentanyl, lithium, tramadol, tryptophan, buspirone, amphetamines.
- It may cause an increased risk of bleeding when used with aspirin, NSAIDs (painkillers), and other medications which affect blood clotting.
Interactions with food items
- There’s no known interaction of this tablet with food.
Storage and disposal of Citalin Forte Tablets
Store in a cool and dry place away from direct light and moisture.
Do not use the medicine after the date of expiry.
Keep the tablets away from children and pets.
Do not flush the medication down the toilet. Dispose of it with biomedical waste only....
Dosage of Citalin Forte Tablets
Overdose
The overdose of this medication can cause cardiac arrhythmias, sleepiness, double vision, respiratory depression, fall in BP, decreased heart rate, cardiac arrest, and coma. In case of a suspected overdose, visit an emergency room immediately for urgent intervention....
Missed a Dose
If you miss a dose of this tablet, it is advised to take it as soon as possible. If the duration missed is too long, and it is almost time for the next dose, it is recommended to skip the missed dose and go back to the regular schedule. Do not double the dose of the tablet....
Content Details
WRITTEN BY
REVIEWED BY
Dr. Bhavika Shah
MBBS, MD (Dermatology), DNB (Dermatology)
Frequently Asked Questions (FAQs)
Q: I have been having problems with ejaculation since starting this medication. Should I stop it?
A: Delayed ejaculation and low sexual desire are common side effects of this medication. Discuss with your treating physician regarding this for other options and treatment. Do not abruptly stop this medication without the explicit advice of your doctor.
Q: I have felt very drowsy ever since I started taking Citalin Forte. Can I stop it?
A: Drowsiness is a common side effect of Citalin Forte. If it is impairing your functioning, talk to your doctor for other options, as well as dose adjustment. Do not abruptly stop Citalin Forte without your doctor's directions, as it may cause withdrawal effects.
Q: I take tablets for itching because my doctor has prescribed them. Can I continue?
A: It is not advisable to take any tablet without consulting your doctor first. Always inform your doctor if you are on any regular medication.
References
View All
- Landy K, Rosani A, Estevez R. Escitalopram. [Updated 2021 Sep 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from:
- Lexapro (escitalopram).
- Basit H, Kahwaji CI. Clonazepam. [Updated 2021 Dec 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from:
- Klonopin tablets (Clonazepam).
Product Details
Brand
CITALIN FORTE
Expires on or After
27/06/2023
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.
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