S Citadep Plus Tablet
By CIPLA LIMITED
10 Tablet(s) in Strip
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S Citadep Plus Tablet Description
S Citadep Plus is a prescription medication mainly used to treat comorbid depression & anxiety disorders. It contains Clonazepam and escitalopram as their active ingredient. S Citadep Plus helps the
relaxing mood by lowering the excess activity of nerves in the brain. It also has sedative effects, which relieve anxiety and improve sleep. Depression is a mood disorder characterised by episodes of sadness, loss of interest, mood swings, hopelessness etc. At the same time, anxiety is characterised by episodes of excessive, unrealistic worry and fear that can interfere with daily activities. S Citadep Plus should only be taken after a doctor’s consultation. The dose of S Citadep Plus should be carefully monitored. This medicine has many side effects, especially in older patients and persons with liver and kidney disorders. Do not stop its consumption suddenly as it may lead to withdrawal side effects.
Product Summary
| Offer Price | ₹53.24 |
| You Save | ₹13.31 (20% on MRP) |
| Contains | Clonazepam(0.5 Mg) + Escitalopram Oxalate(5.0 Mg) |
| Uses | Treatment of Anxiety Disorder and Comorbid Depression |
| Side effects | Nausea, Fatigue, Confusion, Drowsiness, Increased sweating, Insomnia, Sexual dysfunction. |
| Therapy | ANTI-ANXIETY AND ANTI-DEPRESSANT |
Check more medicines with composition as Clonazepam(0.5 Mg) + Escitalopram Oxalate(5.0 Mg)
Uses of S Citadep Plus Tablet
- As per CDSCO, S Citadep Plus is used for
- Treatment of Comorbid Depression (depression associated with other disorders)
- Treatment of Anxiety Disorder
Contraindications of S Citadep Plus Tablet
- If you are allergic to any active component of S Citadep Plus, i.e. Clonazepam, Escitalopram.
- If you are already taking Monoamine Oxidase Inhibitors (MAOIs)- linezolid, methylene blue, Selegiline, antipsychotic medicine-pimozide, anti-anxiety or sedative medications.
- If you are diagnosed with acute angle glaucoma (an eye condition that increases the fluid pressure in the eyes).
- If you have a seizure disorder and taking antiepileptic (anti-seizure) medications.
- If you have liver or kidney disease.
- If you have respiratory issues.
- If you have a severe heart condition.
- If you are pregnant or breastfeeding.
Side effects of S Citadep Plus Tablet
- Nausea
- Fatigue
- Confusion
- Drowsiness
- Increased Sweating
- Insomnia
- Sexual dysfunction
Precautions and Warnings of S Citadep Plus Tablet
Pregnancy
Q:
Can I take S Citadep Plus during pregnancy?
A:
S Citadep Plus is not recommended during pregnancy. Some clinical research data have shown harmful effects of the medicines on the developing baby inside the womb. Pregnant women are advised to take S Citadep Plus only if it is recommended by their doctor or in some life-threatening condition. The doctor will weigh the benefits vs risks before prescribing these medications.
Breast Feeding
Q:
Can I take S Citadep Plus while breastfeeding?
A:
No, S Citadep Plus is not recommended during breastfeeding as it may pass into breast milk and can affect the baby. Consult your doctor and discuss the potential risks and benefits of taking this tablet.
Driving
Q:
Can I drive if I have taken S Citadep Plus?
A:
Consumption of S Citadep Plus may cause side effects that could hamper your ability to drive. These medications may decrease your alertness, affect your vision, and cause dizziness while driving. Therefore, it’s better to avoid driving if you are experiencing these side effects.
Alcohol
Q:
Can I consume alcohol with the S Citadep Plus?
A:
Avoid taking alcohol with S Citadep Plus as it exaggerates the severity of side effects like drowsiness, confusion, sedation, blurred vision, lethargy etc. It may also interfere with medicine efficacy.
Other General Warnings
Talk to your doctor if
- You have any allergic reactions after taking S Citadep Plus.
- You experience sudden mood or behaviour changes.
- You experience recurrent suicidal ideation or self-harming thoughts.
- You notice a sudden loss of vision.
- You feel there is a worsening of the symptoms.
- You have trouble breathing or talking.
- If you have a mild or severe liver or kidney disease history, this medicine may need a dose adjustment.
- You are taking medication for other conditions or any health supplements.
Mode of Action of S Citadep Plus Tablet
How Does It Work?
S Citadep Plus contains two active ingredients - Clonazepam-0.5mg and Escitalopram-5mg. Clonazepam is a benzodiazepine class of medicine that acts as a GABA-A receptor agonist. GABA (Gamma Amino Butyric Acid) is an inhibitory neurotransmitter. By binding to the GABA-A receptor, it enhances the inhibitory effects of GABA, resulting in sedative, anti-anxiety, and muscle relaxant properties and thus, relieving anxiety and depression symptoms.
Escitalopram is an antidepressant. Serotonin is a natural chemical messenger responsible for controlling behavioural processes such as mood, fear, anger, appetite, memory etc. It belongs to the Selective Serotonin Reuptake inhibitors (SSRIs) class of medicine. It works by preventing the reuptake of a chemical messenger called serotonin, which results in an increased level of serotonin in the brain....
Directions for Use of S Citadep Plus Tablet
- Take the S Citadep Plus Tablet as per the doctor’s prescription.
- S Citadep Plus can be taken with or without food or as prescribed. In case of any stomach illness, take it after meals.
- Take S Citadep Plus preferably at the same time every day to maintain its constant level in the body.
- Do not break/crush the tablet or chew this medicine; take it as a whole with a glass of water.
- Do not take S Citadep Plus with other medications; consult your doctor first.
- Don’t stop taking S Citadep Plus in between, as it may lead to withdrawal side effects.
- Don’t exceed the dosage on your own without consulting a doctor.
Interactions of S Citadep Plus Tablet
Interactions with other medicines
- Avoid consuming S Citadep Plus with cola drinks, chocolates and caffeine-containing drinks like tea and coffee as it can result in serotonin syndrome (characterised by high blood pressure, confusion, and muscle rigidity). You should also avoid tyramine-rich beverages like cheese, milk, beef, chicken liver, meat extract, soybeans and grapefruit....
Interactions with food items
- Many medicines can interact with S Citadep Plus, making it less effective or increasing side effects. So, it is necessary to tell your doctor about all the prescription medicines you take.
- S Citadep Plus should not be used concomitantly or within two weeks of using Monoamine oxidase inhibitors (MAOIs) like isocarboxazid, linezolid, methylene blue, Selegiline, Rasagiline, etc. It is potentially life-threatening....
- Concomitant use of S Citadep Plus with antidepressant-like Clomipramine, Desipramine, Imipramine, Amitriptyline, Amoxapine, etc.; opioids and other CNS depressants is contraindicated, as it may cause respiratory depression, coma and death....
- S Citadep Plus Interaction with metoprolol can lead to excessive bradycardia (slow heart rate).
- S Citadep Plus interaction with antipsychotics (pimozide, haloperidol), tricyclic antidepressants and antihistamines can prolong QT interval on Ecg and may alter heart rhythm.
- S Citadep Plus interaction with NSAIDs, Aspirin, and other medications which affect coagulation can increase the risk of bleeding and bruises.
- S Citadep Plus may also interact with herbal medicine like St john’s wort can lead to life-threatening side effects.
Storage and disposal of S Citadep Plus Tablet
Store S Citadep Plus away from sunlight. Make sure it is kept at room temperature in a cool and dry area. Medication should be kept away from children and pet animals in a closed or locked cabinet. Keep the medicine within its original packaging.
Do not flush S Citadep Plus down into the toilet or throw them into the dustbin. Medicines disposed of in this manner may contaminate the environment. Properly dispose of this medicine when it is expired or no longer required....
Dosage of S Citadep Plus Tablet
Overdose
Overdose of S Citadep Plus can lead to side effects like irregular heartbeat, low blood pressure, slowing of heart rate, sleepiness, double vision, difficulty breathing, cardiac arrest, ECG changes (change in heart functioning), and coma. If you experience any of these symptoms or have taken an overdose of this medicine, immediately seek emergency medical treatment from a nearby hospital....
Missed a Dose
If you missed a dose of your S Citadep Plus, take it as soon as you remember. If you recall missing a dose when it is 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 overdose side effects....
Content Details
WRITTEN BY
Dr. Zishan Ahmad
Final year MBBS Student
REVIEWED BY
Dr. Vijay Y
MBBS, MD in Clinical Pharmacology
Frequently Asked Questions (FAQs)
Q: What are the signs of withdrawal symptoms related to abruptly stopping the consumption of S Citadep Plus?
A: Abrupt stoppage of consumption of S Citadep Plus causes withdrawal symptoms such as agitation, nausea, tremor, confusion, diarrhoea, vomiting, and sweating. Therefore it is essential to consult your doctor before stopping the consumption of the S Citadep Plus, as doses need to be tapered slowly to avoid undesirable side effects.
Q: Can S Citadep Plus be used for all age groups, especially children or the elderly?
A: Generally, S Citadep Plus is not recommended for children below ten years of age since the safety and efficacy of this medicine are not clinically established for this age. Also, this medicine should be used with caution in elderly patients because they may have other illnesses.
Q: Does taking S Citadep Plus affect my sexual life?
A: S Citadep Plus can cause decreased sexual drive, problems getting an erection and ejaculating, and difficulty achieving orgasm in women. These side effects usually tend to resolve on their own after a couple of weeks. However, if you experience these side effects for a longer duration, consult your doctor.
References
View All
- Dar S, Bhat B, Jan M. Addition of benzodiazepines to selective serotonin reuptake inhibitors to optimize treatment of depression: a hospital based study [Internet]. 2022 [cited 21 March 2022].
- Escitalopram: an antidepressant [Internet]. nhs.uk. 2022 [cited 21 March 2022].
- Drugs H. Escitalopram: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2022 [cited 21 March 2022]
- Drugs H. Clonazepam: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2022 [cited 21 March 2022]
- DailyMed - ESCITALOPRAM OXALATE tablet [Internet]. Dailymed.nlm.nih.gov. 2022 [cited 21 March 2022]
- CDSCO [Internet]. Cdscoonline.gov.in. 2022 [cited 21 March 2022].
Product Details
Brand
S CITADEP PLUS
Expires on or After
19/06/2023
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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