Feliz S Plus Tablet

FELIZ S PLUS TABLET by TORRENT PHARMACEUTICALS LTD

Name

• Brand Name: Feliz S Plus Tablet
• Manufacturer: Torrent Pharmaceuticals Ltd.

Composition Feliz S Plus Tablet is a combination medicine containing two active ingredients:

• Clonazepam: A benzodiazepine (typically 0.5 mg) that works by increasing the effect of gamma-aminobutyric acid (GABA), a chemical messenger that suppresses abnormal nerve cell activity in the brain, producing a calming effect.
• Escitalopram: A selective serotonin reuptake inhibitor (SSRI) (typically 10 mg or 5 mg) that increases serotonin levels in the brain, thereby improving mood, behavior, and cognition.

Uses Feliz S Plus Tablet is primarily prescribed for the management and treatment of:

• Anxiety disorders
• Comorbid depression (depression associated with other disorders)
• Panic disorder
• Generalized anxiety disorder
• Obsessive-Compulsive Disorder (OCD)
• May also help improve sleep quality by alleviating anxiety and depression symptoms.

Dosage and Administration

• Feliz S Plus Tablet should be taken exactly as prescribed by a doctor.
• It can be taken with or without food.
• It is advised to take the tablet at the same time each day to maintain consistent levels of medicine in the body.
• Swallow the tablet whole with a glass of water; do not crush, chew, or break it.
• Do not stop taking this medicine abruptly, as it can lead to withdrawal symptoms. Any discontinuation should be gradual and under medical supervision.

Side Effects Common side effects may include:

• Nausea, headache, dizziness, confusion, drowsiness, fatigue
• Sleeping problems, breathlessness, poor coordination of movements
• Stomach upset, diarrhea, constipation, dry mouth
• Decreased libido (low sexual desire), delayed ejaculation, difficulties achieving orgasm
• Memory problems, restlessness, anxiety, abnormal dreams, tremors
• Increased or decreased appetite, increased sweating, weight changes
• Pain in muscles and joints, yawning, prickling of the skin

Serious side effects that require immediate medical attention include:

• Thoughts of killing or harming oneself (suicidal thoughts)
• Allergic reactions (e.g., skin rash, swelling of the face, difficulty breathing)
• Signs of heart problems (e.g., breathlessness, chest pain, swelling of ankles)
• Convulsions

Precautions

• Allergy: Contraindicated in patients with known allergy to escitalopram, clonazepam, other SSRIs, or benzodiazepines.
• Pregnancy and Breastfeeding: Generally not recommended during pregnancy due to potential risks to the fetus and during breastfeeding as it may pass into breast milk. Consult a doctor.
• Alcohol: Avoid alcohol consumption as it can increase side effects such as drowsiness and dizziness.
• Driving and Operating Machinery: This medicine can cause dizziness, drowsiness, and impaired judgment. Avoid driving or operating heavy machinery until you know how it affects you.
• Children and Adolescents: Not recommended for individuals under 18 years of age.
• Elderly Patients: Use with caution, as older adults may be more sensitive to its effects; dose adjustments may be necessary.
• Medical Conditions: Inform your doctor if you have liver disease, kidney disease, heart conditions (especially abnormal heart rhythm), diabetes, a history of seizures, glaucoma, bleeding disorders, or respiratory problems.
• Drug Interactions: Inform your doctor about all other medications, including herbal supplements, as Feliz S Plus can interact with various drugs, including other antidepressants (MAOIs, SSRIs), antipsychotics, pain relievers, and sedatives.
• Risk of Dependence: Clonazepam can lead to physical and psychological dependence, especially with prolonged use. Follow prescribed dosage and duration strictly.

Storage

• Store in a cool and dry place, away from direct sunlight.
• Keep out of sight and reach of children.
• Maintain storage temperatures between 10ºC and 25ºC or below 30ºC.
• Protect from moisture and light.

What is Feliz S Plus Tablet used for?

Feliz S Plus Tablet is a prescription medicine primarily used to treat anxiety disorders, panic disorder, and comorbid depression (depression associated with other disorders). It helps manage symptoms such as excessive worry, tension, restlessness, tiredness, difficulty concentrating, irritability, and sleep problems often associated with these conditions. It can also aid in controlling panic attacks and improving sleep quality.

How does Feliz S Plus Tablet work?

Feliz S Plus Tablet contains two active ingredients: Clonazepam and Escitalopram. Clonazepam is a benzodiazepine that works by increasing the action of gamma-aminobutyric acid (GABA), a chemical messenger in the brain that helps suppress abnormal nerve cell activity, thereby producing a calming and sedating effect. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) that increases the levels of serotonin, another natural chemical messenger in the brain responsible for stabilizing mood, improving behavior, and promoting happy thoughts. The combination helps reduce excess nerve activity and stabilize mood.

What is the usual dosage of Feliz S Plus Tablet?

Feliz S Plus Tablet should be taken exactly as prescribed by your doctor regarding dose and duration. It is generally advised to take the tablet as a whole with a glass of water, with or without food, but preferably at the same time each day to maintain a consistent level of medicine in the body. The specific dosage (e.g., 0.5mg Clonazepam + 10mg Escitalopram or 0.5mg Clonazepam + 5mg Escitalopram) will depend on the patient's condition, age, and medical history. Do not exceed the advised dosage.

What are the possible side effects of Feliz S Plus Tablet?

Common side effects of Feliz S Plus Tablet include drowsiness, tiredness, dizziness, confusion, nausea, vomiting, diarrhea, stomach issues, slow heart rate, memory problems, uncoordinated movements, decreased sexual desire (libido), delayed ejaculation, and difficulty achieving orgasm. Some individuals may experience headache, dry mouth, increased or decreased appetite, and increased sweating. More serious but rare side effects can include suicidal thoughts, severe allergic reactions, and heart-related problems.

Is Feliz S Plus Tablet safe during pregnancy or breastfeeding?

Feliz S Plus Tablet is generally considered unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. Your doctor may only prescribe it in emergency, life-threatening situations if the potential benefits outweigh the risks. It is also probably unsafe during breastfeeding, as limited human data suggests the medicine may pass into breast milk and potentially harm the baby. Always consult your doctor before taking this medicine if you are pregnant, planning pregnancy, or breastfeeding.

Can Feliz S Plus Tablet be taken with other medications?

Feliz S Plus Tablet can interact with various medications, leading to severe side effects. It should not be taken with other anti-anxiety medications, sedatives, or other antidepressants (like Fluoxetine, Paroxetine, or MAO inhibitors such as linezolid, moclobemide, selegiline) as this can significantly increase serotonin levels, potentially causing serotonin syndrome, which can be life-threatening. Additionally, caution is advised with medicines that cause drowsiness (e.g., antihistamines, cough/cold medicine, opioid pain relievers), blood thinners (due to increased bleeding risk), and certain antipsychotics. Always inform your doctor about all medications, supplements, and herbal remedies you are currently taking to avoid potential interactions.

What precautions should be taken while using Feliz S Plus Tablet?

Avoid consuming alcohol while taking Feliz S Plus Tablet, as it can increase drowsiness and other side effects. Do not drive or operate heavy machinery if you experience drowsiness, slow reflexes, lightheadedness, or blurred vision. Inform your doctor if you have liver disease, kidney disease, heart disease, diabetes, a history of seizures, bipolar disorder, schizophrenia, glaucoma, or a history of alcohol or substance abuse. This medicine has a potential for habit formation and should not be stopped suddenly, as it can cause withdrawal symptoms. Report any unusual changes in mood or suicidal thoughts to your doctor immediately.

What happens if a dose of Feliz S Plus Tablet is missed?

If you miss a dose of Feliz S Plus Tablet, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one, as this can lead to an overdose.

How should Feliz S Plus Tablet be stored?

Feliz S Plus Tablet should be stored in a dry place at room temperature, away from heat and humidity, and out of the sight and reach of children and pets. Keep it in its original packaging and check the expiration date before use. Dispose of unused medicine safely.

How long can I use Feliz S Plus Tablet?

Feliz S Plus Tablet is a prescription medicine, and its dose and duration of use should be carefully monitored by your doctor. It should be used precisely for the duration recommended, as long-term use can lead to physical dependency and may cause side effects like suicidal thoughts. Do not stop taking the medicine suddenly, even if you feel better, as this can cause withdrawal symptoms. Your doctor may gradually reduce your dose if your symptoms improve.