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What Are The Side Effects Of Clonotril Plus?

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Posted on Tue, 7 Apr 2015
Question: Sir,a l want to know the work of tablet clonotril-plus. What is the side effects of this. If I consume this drugs after some days can I withdraw this tablet. Now I am a BP patient.I am taking tablet Telvas-AM daily once at 8AM.Now lam suffering from Insommnia.Is their any alternative of clonotril-plus.Please,guide me.My e-mail is YYYY@YYYY .
doctor
Answered by Dr. Seikhoo Bishnoi (13 minutes later)
Brief Answer:
Yes the drug is safe to use and is used in anxiety and depressive disorders

Detailed Answer:
Hello thanks for asking from HCM for your health related queries

I can understand your concern. Clonotril Plus consists of two drugs one is Escitalopram and other is Clonazepam. Out of these drugs Escitalopram is an anti anxiety and anti depressant drug and Clonazepam is anti anxiety and a hypnotic drug. Both of these drugs are safe to use and are free of serious side effects.

Escitalopram may cause increased restlessness, anxiety, nausea, diarrhoea, dizziness, insomnia etc as common side effects. The anxiety and restlessness especially during first few days of therapy can be minimised by giving the drug with clonazepam or by starting with low doses. Over all the drug is safe and doesn't cause dependence. The drug should be tapered gradually over 4-6 weeks after continuous intake as this may cause withdrawal symptoms if stopped abruptly.

Clonazepam is a benzodiazepine drug. The drug is a safe drug but has potential to cause dependence, but if taken under proper prescription and with proper psychiatric consultation the drug is safe and can be tapered easily. Overall it is not advisable to take the drug regularly for more than 4 weeks.

Your main problem is of insomnia and probably its due to anxiety and the combination is right combination for your problems. As per my opinion you can take the drug without any fear. No risk of dependence and you can take the drug with Telvas AM also. Visit your psychiatrist regularly.

Thanks, hope this helps you. Please ask again for more doubts.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Seikhoo Bishnoi (1 hour later)
sir,referance to my first question Telvas-AM and clonotril-plus is pescribed to me by my consulting MD for my BP. But when I consulted to a psychiatrist he pescribed me tablet Oxetal-300 & Qutipin-50 both daily once for one month.By nature I am very talkative and jollynatured /fun loving person. My self history is as follows, I am HBs Ag +ve, and non diabetic. My family history is as follows, Excluding my father,my mother as well as all four brother (including me) and two sisters are HBs Ag +ve. Also,out of six member in our family,my mother as well as her all blood relatives are HBs Ag +ve and diabetic. My mother and my elder brother are diabetic since last 2004. So,please guide me wheather I take clonotril-plus or take the medecines pescribed by psychiatrist. Is the medicines pescribed by psychiatrist is safe for me,in feature can I withdraw the medecines pescribed by the psychiatrist ,what are the side effects .Please guide me. For referance, the medecines pescribed by the psychiatrist for me is for my Insommnia. Out of all above, can I take Atvan 1mg or Alprax 0.5mg for my insommnia problem by not taking or ignoring clonotril-plus or the medecines pescribed by the pschiatrist. Please guide me as a good wisher and obliged. With thanks,I remain.
doctor
Answered by Dr. Seikhoo Bishnoi (4 hours later)
Brief Answer:
Clonotril plus is safe and take the drug as per your prescription

Detailed Answer:
Hello again and thanks for asking a follow up question

First of all I would like to tell you that even if you are HbsAg positive but have normal liver functions even then you can take these drugs. These drugs are safe drugs and have minor side effects as I have mentioned in my last answer. You can take them without fear, as per your prescription.

These drugs will reduce your anxiety and you will feel better and this will improve your sleep. You can easily taper the doses of drug and you would not suffer any withdrawal. No need to worry.

As per my opinion you should avoid taking Ativan OR Alprax with this drug because the drug already consists of Clonazepam which is of same group as Alprax or Ativan. Taking these drugs simultaneously may result in significant sedation and increased risk of dependency and abuse potential.

I hope this helps you in making a decision. Still have more doubts please ask again.

Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Seikhoo Bishnoi (16 hours later)
Sir,first thanks for your 2nd consultation answer. To-day I visited to my consulting MD.To-day my BP is 116/77 mmHg,pulse is 78/min. To-day I consulted to my MD and told him that till now I have not taken clonotril-plus.And now my insommina problem is some what lesser then before by the virtue of spritualness.Now my consulting MD pescribed me,1-Telvas-AM one tab. in morning & 2-Tab. Nexito-plus one tab. at night for one month.Below l details you regarding my consumed drugs for my insommina problem till to-date. Took, From 27/02/2015 to 07/03 /2015 (9 days) - took Ativan-1mg at night. On 08/03/2015 - Clonotril-plus at night. On 14 /03/2015- Clonotril-plus at morning. On 16/03/2015-Alzolam-0•5mg at night. That's all I took till to-date for my insommnia problem. Now my insommnia problem is some what lesser then before by the virtue of spritualness. So,here please guide me wheather now I will take Nexito-plus or avoid it by continuting my mind in engaging spritual activities.Please guide me.With regards.I remain.
doctor
Answered by Dr. Seikhoo Bishnoi (6 hours later)
Brief Answer:
You should take the drug as per prescription.

Detailed Answer:
Hello thanks for asking again

As per my opinion you should take Nexito Plus as prescribed by your doctor. Though the problem of sleep has improved but still as per my opinion, taking the drug will result in improvement in your symptoms and anxiety. This will help you in sleep and you will not become dependent on this. Don't take drugs like Ativan without prescription that can make you dependent. Nexito plus and Clontril Plus both consists of same molecules, so if you have been given Nexito Plus you can take it.

Thanks
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5192 Questions

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What Are The Side Effects Of Clonotril Plus?

Brief Answer: Yes the drug is safe to use and is used in anxiety and depressive disorders Detailed Answer: Hello thanks for asking from HCM for your health related queries I can understand your concern. Clonotril Plus consists of two drugs one is Escitalopram and other is Clonazepam. Out of these drugs Escitalopram is an anti anxiety and anti depressant drug and Clonazepam is anti anxiety and a hypnotic drug. Both of these drugs are safe to use and are free of serious side effects. Escitalopram may cause increased restlessness, anxiety, nausea, diarrhoea, dizziness, insomnia etc as common side effects. The anxiety and restlessness especially during first few days of therapy can be minimised by giving the drug with clonazepam or by starting with low doses. Over all the drug is safe and doesn't cause dependence. The drug should be tapered gradually over 4-6 weeks after continuous intake as this may cause withdrawal symptoms if stopped abruptly. Clonazepam is a benzodiazepine drug. The drug is a safe drug but has potential to cause dependence, but if taken under proper prescription and with proper psychiatric consultation the drug is safe and can be tapered easily. Overall it is not advisable to take the drug regularly for more than 4 weeks. Your main problem is of insomnia and probably its due to anxiety and the combination is right combination for your problems. As per my opinion you can take the drug without any fear. No risk of dependence and you can take the drug with Telvas AM also. Visit your psychiatrist regularly. Thanks, hope this helps you. Please ask again for more doubts.