Esta Plus Tablets
Esta Plus Tablets Description
Esta plus tab is a combination medication of two active ingredients, clonazepam and escitalopram. It belongs to a group of medicines used to treat psychiatric disorders like clinical depression and
anxiety disorders. Depression is a condition causing emotional and physical problems that may lead to feelings of sadness and loss of interest in the activities that were once enjoyed. It also causes difficulty in sleeping, anger, and loss of energy. Esta plus brings about certain changes in the chemical messengers in the brain leading to a reduction in abnormal activity in the nerve cells, thus making the patient calmer and less anxious. It also increases the levels of hormones/chemical messengers (Serotonin) in your brain tissues that are responsible for the elevation of mood and happy feelings. Esta plus tablets can be taken orally with water with/without food. It is not recommended for patients below the age of 18. Esta plus can cause side effects like rapid heart rate, dizziness, confusion, and seizures. Esta plus tab carries the risk of forming dependency habits and sexual dysfunction after prolonged use. Stopping it abruptly causes withdrawal symptoms like confusion, sleep problems, and uncontrolled muscle movements.
Product Summary
Offer Price | ₹91.96 |
You Save | ₹12.54 (12% on MRP) |
Contains | Clonazepam + Escitalopram |
Uses | Depression, anxiety, bipolar disorder |
Side effects | Confusion, dizziness, seizures, sleep disturbances, sexual dysfunction |
Uses of Esta Plus Tablets
- Esta plus is used in the treatment of clinical depression and anxiety-related disorders. It is also used for the treatment of panic disorders and bipolar disorder.
Contraindications of Esta Plus Tablets
Side effects of Esta Plus Tablets
- Esta plus may cause side effects like
- Common:
- Rapid heart rate
- Dizziness fatigue
- Confusion
- Seizure, uncontrolled muscle movements
- Reduced urination, urinary retention
- Less common:
- Nervousness
- Dry mouth
- Sleep problems
- Decreased sexual interest
Precautions and Warnings of Esta Plus Tablets
Pregnancy
Breast Feeding
Driving
Alcohol
Other General Warnings
- Talk to your doctor if :
- You experience persistent side effects, and they seem to worsen over time.
- You want to stop taking Esta plus tab.
- You do not see any progress from the use of Esta plus.
- You develop an allergy to Esta plus tab (rashes, hives, swelling on the hands or face).
- You have missed a dose or doses of the medication.
- You experience any other medical issues that arise after you start taking Esta plus.
Mode of Action of Esta Plus Tablets
How Does It Work?
Directions for Use of Esta Plus Tablets
- Esta plus comes in a strip of 10 tablets. It has to be taken orally along with water with/without food.
- The time of the dose is prescribed by the physician, and it is usually advised to take medicine at the same time every day.
- Do not chew or crush the tablet into powder form.
- It is advised to check the expiry date before you start the medication.
- Please inform your doctor in case of any missed doses/doses.
- Do not change or increase/decrease the dose without speaking to your physician.
- Stopping Esta plus tab abruptly, especially after prolonged use, can cause withdrawal symptoms like sleep disturbances, fatigue, and increased tendency of seizures.
Interactions of Esta Plus Tablets
Interactions with other medicines
- Esta plus should not be given along with/given with caution if you are on:
- NSAIDs/painkillers like Aspirin as it may increase the risk of bleeding episodes.
- Esta plus tab, when taken along with monoamine oxidase inhibitors like isocarboxazid, phenelzine, selegiline, can lead to an increased risk of serotonin syndrome; therefore, a 14 days gap is advised between stopping one medicine and starting the other....
- When taken along with anti-anxiety medicines like Buspirone, it can cause complications like excess sweating, nervousness, insomnia, increased heart rate, and agitation.
- Taking it along with pain medications like tramadol, sumatriptan, and rizatriptan can reduce the efficacy of Esta plus tab.
- Antifungals like ketoconazole and itraconazole and antivirals like ritonavir can increase levels of clonazepam in the blood.
- Esta plus should not be taken along with other benzodiazepines (antidepressants) like carbamazepine, phenytoin as they can cause breathing issues when taken together.
- Medications that cause drowsiness should not be prescribed along with Esta plus like Opioids (codeine), anti-allergy (cetirizine), painkillers like morphine, and sleep medications like Zolpidem.
Interactions with food items
- Esta plus tab does not show adverse reactions to any food. It is not advised to consume alcohol while on therapy with Esta plus tab as it may increase the severity of side effects like dizziness, fatigue, and clouded thinking....
Storage and disposal of Esta Plus Tablets
Dosage of Esta Plus Tablets
Overdose
- Overdose of Esta plus tablets can be accidental due to missed doses, improper dosage, or intentional overuse.
- Overdose of Esta plus tablets can cause confusion, seizures, and uncontrolled muscle movements. It can cause serotonin syndrome (shivering, muscle stiffness, rapid heart rate, and fever), which happens due to excess accumulation of serotonin in the body. If not handled properly, it can lead to coma or be fatal....
- All patients on Esta plus tablets should be regularly monitored.
- Any cases of overdose of Esta plus tablets should be immediately reported to the emergency unit of your nearest healthcare provider.
Missed a Dose
Content Details
Dr. Divya Rohra
MBBS
Dr. Jagruti Jain
M.B.B.S., M.D., D.N.B., General Medicine
Frequently Asked Questions (FAQs)
Q: When will Esta plus tab start working for me?
Q: Can I consume coffee while I am on the Esta plus tab?
- Caffeine does not seem to interfere with the efficacy of Esta plus tablets; therefore, consuming coffee is allowed within dietary limits.
References
- Clonazepam: Bullous dermatosis in an elderly patient: case report. (2013). Reactions Weekly, 1440(1), 13–13
- Clonazepam (Klonopin). (n.d.). Nami.Org. Retrieved February 21, 2022, from
- Escitalopram: Galactorrhoea: case report. (2014). Reactions Weekly, 1526(1), 60–60.
- Rosa, T. F. da, Machado, C. de S., Serafin, M. B., Bottega, A., Coelho, S. S., Foletto, V. S., Rampelotto, R. F., Lorenzoni, V. V., Mainardi, A., & Hörner, R. (2021). Repurposing of escitalopram oxalate and clonazepam in combination with ciprofloxacin and sulfamethoxazole-trimethoprim for treatment of multidrug-resistant microorganisms and evaluation of the cleavage capacity of plasmid DNA. Canadian Journal of Microbiology, 67(8), 599–612.
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