Flumusa Forte Strip Of 10 Tabletss
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SYMBIOTIC DRUGS
Dosage
TABLET
Expiry
Product Summary
| Salt Content | Alprazolam(0.5 Mg)+Fluoxetine(20.0 Mg) |
| Uses | Treatment of Depression, obsessive-compulsive disorder, panic disorders |
| Therapy | Anti-depressant |
| Side effects | Dry mouth, diarrhoea, nausea, drowsiness, confusion, increased sweating, delayed ejaculation, erectile dysfunction, low sexual desire, headache, weight gain/loss. |
Assurance
available
Regulated
Medical Description
Flumusa Forte is a prescription medication used in the treatment of depression and associated anxiety. It is a combination of two medications, Fluoxetine (20 mg) and Alprazolam (0.5mg).
Depression is a condition characterised by a pervasive low mood. People present with complaints like feeling low, feelings of hopelessness and dread, decreased motivation, and loss of interest in daily routine, which can be debilitating. Multiple brain pathways and chemical messengers (chiefly serotonin, norepinephrine and dopamine) are indicated in depression. Anti-depressant medications target these neurotransmitters and pathways to help relieve the symptoms of depression.
Alprazolam is a benzodiazepine that produces calming, sedative effects on the brain, whereas Fluoxetine is a selective serotonin re-uptake inhibitor (SSRI) that regulates the chemical messenger - Serotonin.
The medication should be taken as recommended by the doctor. It should not be abruptly started or stopped, as it may cause withdrawal effects. Taking the tablet at the same time every day is advisable for maximum efficacy.
Uses
- Flumusa Forte is used in the management of:
- Major Depressive Disorder
- Obsessive-Compulsive Disorder
- Panic disorders
Contraindications
- It is contraindicated in patients with known fluoxetine, alprazolam or benzodiazepine hypersensitivity, or known allergies to any components in this medication.
- Patients with abnormal heart rhythms should not use this medication.
- It is contraindicated in patients with acute narrow-angle glaucoma.
- This medication is contraindicated in patients with myasthenia gravis.
- This medication should not be used in patients with conditions that cause respiratory insufficiency and obstructive sleep apnea syndrome.
- One should use it with caution in case of any history of substance abuse.
- It should be used with caution in those with liver and kidney disease.
- There is a US black box warning for use in children and young adults, as it can increase suicidal ideation.
Side effects
- Abnormal dreams
- Nervousness
- Restlessness
- Dry mouth
- Weight loss/gain
- Nausea
- Sleepiness, sedation
- Headache
Precautions and Warnings
Pregnancy
Breast Feeding
Driving
Alcohol
Other General Warnings
Talk to your doctor if
- You have a history of addiction or substance misuse.
- You are taking any other medications. The ingredients of this tablet may react with several other tablets that use the same pathway of metabolism in the body.
- It is known to cause both weight loss as well as weight gain. Hence, adjusting your dietary practices and exercising regularly while on this medication are beneficial.
Directions for Use
- This medication should be taken as prescribed by the treating physician.
- Patients are recommended to take this medication on a regular schedule at the same time every day for best results.
- Swallow this medication as a 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.
- This medication may require time for the onset of action. Do not increase the dose without explicit advice from your treating physician.
- Abrupt stoppage of the medicine can cause withdrawal side effects. Consult your doctor before stopping this medication.
- 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.
Storage and disposal
Store in a cool and dry place away from direct light and moisture. Do not use the medicine after the date of expiration. Keep the tablets away from children and pets. Do not flush the medication down the toilet. Dispose of it with biomedical waste only.
Dosage
Overdose
Symptoms of overdose include:
Fainting, somnolence (drowsiness), impairment of motor functions – dizziness, poor coordination, muscle weakness, loss of balance, low blood pressure (hypotension), shallow breathing (hypoventilation), coma, and even death.
In a case of an overdose with this medication, respiration, blood pressure, and pulse rate require monitoring. Intravenous fluids are necessary, and an adequate airway should be maintained. In case of a suspected overdose, rush the patient to a tertiary care centre with ICU facilities for further evaluation and treatment.
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.
Mode of Action
How Does It Work?
Fluoxetine is a Selective Serotonin Re-uptake Inhibitor (SSRI). It works by acting on brain pathways involving the chemical substance Serotonin. It prevents the re-absorption of serotonin by nerves that cause serotonin accumulation. Serotonin plays a role in regulating mood, personality, and wakefulness in the central nervous system. It has minimal effect in preventing re-uptake of nor-epinephrine and dopamine.
Alprazolam belongs to a class of medications called Benzodiazepines. These medicines primarily act on the brain pathways to increase the action of a chemical messenger, otherwise known as a neurotransmitter called GABA (gamma amino butyric acid). This results in sedation, calming effects, and muscle relaxation.
Interactions
Interactions with other medicines
- This medication should not be mixed with alcohol, opioids, or any other CNS depressant, as it can cause worsening of side effects such as sedation, respiratory depression and coma and can be dangerous.
- It should not be mixed with medications that cause the arrest of bleeding, such as aspirin, NSAIDs, heparin, warfarin, and other anti-coagulants as Fluoxetine in itself causes decreased activity of platelets. This may lead to bruising, nose bleeds, or internal bleeding.
- This medicine should not be used concomitantly or within 2 weeks of using Monoamine oxidase inhibitors (MAOIs) like Selegiline, Rasagiline, etc. It may cause serotonin syndrome - a potentially threatening life issue.
- The use of Fluoxetine with thioridazine, pimozide, or monoamine oxidase inhibitors, including linezolid or methylene blue, is also contraindicated.
- Patients who are taking other medications that increase serotonin levels should be educated regarding the risks.
- It should not be used with tablets that cause abnormal heart rhythms.
- It should not be used with medications that affect the activities of the enzymes involved in metabolising the components of this medicine. It can otherwise cause increased side effects.
- Inform your doctor regarding your current medications at the time of prescription of Flumusa Forte.
Interactions with food items
- This medication does not interact with food items.
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Manufacturer Details
Brand:FLUMUSA FORTE
Country of Origin:India
Vendor Details
Fulfillment Information: Flumusa Forte Strip Of 10 Tabletss 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:
- Label for PROZAC (fluoxetine)
- XANAX® alprazolam tablets, USP - CIV
- Sohel AJ, Shutter MC, Molla M. Fluoxetine. [Updated 2021 Jul 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-.
- George TT, Tripp J. Alprazolam. [Updated 2021 Jul 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-.
- Fluoxetine 20 mg Capsules - Summary of Product Characteristics (SmPC) - (emc)
- Xanax Tablets 250 micrograms - Summary of Product Characteristics (SmPC) - (emc)
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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.
