Feliz S Plus 5

FELIZ S PLUS 5 by TORRENT PHARMA

Name

Brand Name: FELIZ S PLUS 5 Manufacturer: Torrent Pharmaceuticals Ltd.

Composition

FELIZ S PLUS 5 contains a combination of two active ingredients:

• Clonazepam: 0.5 mg
• Escitalopram: 5 mg

Clonazepam is a benzodiazepine that works by increasing the effect of gamma-aminobutyric acid (GABA), a chemical messenger that helps calm the nerves and brain by suppressing abnormal activity of nerve cells. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) that increases serotonin levels in the brain, improving mood, behavior, and cognition.

Uses

FELIZ S PLUS 5 is primarily prescribed for the treatment and management of various mental health conditions:

• Anxiety disorders
• Comorbid depression and anxiety disorder
• Panic disorder
• Generalized anxiety disorder
• Depression
• Obsessive-compulsive disorder (OCD)

Dosage and Administration

FELIZ S PLUS 5 should be taken orally as prescribed by a doctor. It can be taken with or without food, but it is advisable to take it at the same time each day to maintain consistent medicine levels in the body. Do not crush, chew, or break the tablet. It is important to complete the full course of treatment as advised by the doctor and not to stop the medicine suddenly, as this may lead to withdrawal symptoms.

Side Effects

Common side effects may include:

• Nausea, headache, dizziness, drowsiness, fatigue
• Confusion, memory impairment
• Stomach upset, diarrhea, constipation
• Decreased libido (low sexual desire), sexual dysfunctions
• Sleeping problems (insomnia)
• Breathlessness
• Poor coordination of movements (ataxia, uncoordinated body movements)
• Increased or decreased appetite, weight changes
• Dry mouth, increased sweating
• Tremors, nervousness, restlessness
• Muscle pain, joint pain
• Increased salivation
• Slow heart rate

Serious side effects, though rare, can include suicidal thoughts or allergic reactions (skin rash, swelling of the face, difficulty breathing). Consult a doctor if any side effects persist or worsen.

Precautions

• Alcohol: Avoid consuming alcohol as it can increase the risk of side effects like drowsiness and dizziness.
• Driving & Machinery: Avoid driving or operating heavy machinery if experiencing dizziness or drowsiness.
• Pregnancy & Breastfeeding: Not generally recommended during pregnancy or breastfeeding unless clearly necessary and advised by a doctor, due to potential risks to the baby.
• Pediatric Use: Not recommended for patients below 18 years of age.
• Elderly Patients: Use with caution in older adults (above 65 years) as they may be more sensitive to effects, and dosage adjustments may be needed.
• Underlying Conditions: Use with caution in patients with severe liver impairment, kidney failure, diabetes, bleeding issues, respiratory disorders, heart diseases (e.g., abnormal heart rhythm, coronary heart disease), or a history of drug abuse or seizures.
• Drug Interactions: Inform your doctor about all other medications, including prescription drugs, over-the-counter medicines, and herbal supplements, especially Monoamine Oxidase Inhibitors (MAOIs), pimozide, certain pain relievers, sedatives, antihistamines, and antiepileptic medicines.
• Dependence: Prolonged use of clonazepam can lead to physical and psychological dependence. It is important to follow the doctor's instructions to avoid overdose or withdrawal symptoms.

Storage

Store in a cool and dry place, away from direct sunlight and moisture. Keep the medicine out of sight and reach of children and pets. It should generally be stored at room temperature, between 10ºC to 25ºC or below 30ºC.

Here are frequently asked questions about FELIZ S PLUS 5 by TORRENT PHARMA:

1. What is FELIZ S PLUS 5 used for?

FELIZ S PLUS 5 is a combination medicine primarily used to treat anxiety disorders, including generalized anxiety disorder, panic disorder, and sometimes comorbid depression. It helps manage symptoms like excessive worry, tension, restlessness, and sleep problems.

2. How does FELIZ S PLUS 5 work?

FELIZ S PLUS 5 contains two active ingredients: Clonazepam and Escitalopram. Clonazepam is a benzodiazepine that works by increasing the effect of gamma-aminobutyric acid (GABA), a chemical messenger in the brain that suppresses the abnormal activity of nerve cells, leading to a calming effect. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) that increases the levels of serotonin, another chemical messenger in the brain, which helps improve mood, behavior, and cognition.

3. What is the usual dosage for FELIZ S PLUS 5?

The dosage of FELIZ S PLUS 5 is individualized and should be taken exactly as prescribed by your doctor. It typically consists of Clonazepam (0.5 mg) and Escitalopram (5 mg). Your doctor will determine the appropriate dose and duration of treatment based on your medical condition and response to the medication. It can be taken with or without food, but it's advisable to take it consistently at the same time each day.

4. What are the possible side effects of FELIZ S PLUS 5?

Common side effects can include nausea, headache, dizziness, drowsiness, fatigue, confusion, sleeping problems (insomnia), stomach upset (constipation, diarrhea), dry mouth, decreased libido (low sexual desire), memory problems, and uncoordinated movements. More serious, but rare, side effects can include suicidal thoughts or allergic reactions. Consult your doctor if any side effects persist or worsen.

5. Is FELIZ S PLUS 5 safe during pregnancy or breastfeeding?

FELIZ S PLUS 5 is generally not recommended for use during pregnancy as there is definite evidence of risk to the developing baby. It should only be used if clearly necessary and advised by a doctor, especially in life-threatening situations where benefits outweigh potential risks. For breastfeeding mothers, FELIZ S PLUS 5 is probably unsafe, as limited human data suggests the drug may pass into breast milk and harm the baby. Your doctor may advise you to stop breastfeeding while taking this medication.

6. Can FELIZ S PLUS 5 be taken with other medications?

It's crucial to inform your doctor about all other medications, including prescription drugs, over-the-counter medicines, and herbal supplements, you are taking. FELIZ S PLUS 5 can interact with several medications. Combining it with other anti-anxiety or antidepressant medicines (especially MAO inhibitors like isocarboxazid, moclobemide, selegiline, or other SSRIs like fluoxetine, paroxetine), antihistamines, opiates, narcotic pain relievers, or muscle relaxants can increase the risk of severe side effects like serotonin syndrome or extreme drowsiness. It should also be used with caution if you are taking blood thinners due to an increased risk of bleeding.

7. What precautions should be taken while using FELIZ S PLUS 5?

Avoid consuming alcohol while taking FELIZ S PLUS 5, as it can increase the risk of side effects like drowsiness and dizziness. This medicine can cause drowsiness or sudden sleepiness, so avoid driving or operating heavy machinery until you know how it affects you. Caution is advised for patients with liver or kidney impairment, heart diseases, diabetes, or a history of seizures, glaucoma, or drug abuse. Do not stop taking the medicine abruptly, as this can cause withdrawal symptoms; your doctor will advise on gradual discontinuation.

8. What happens if a dose of FELIZ S PLUS 5 is missed?

If you miss a dose, take it as soon as you remember. However, if it's almost time for your next scheduled dose, skip the missed one and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one.

9. How should FELIZ S PLUS 5 be stored?

FELIZ S PLUS 5 should be stored in a cool and dry place, away from direct sunlight and moisture. Keep the medication in a tightly closed container and out of sight and reach of children and pets. It should generally be stored at room temperature (20-25°C).