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16 Oct 2019 | 01:31 PM (IST)
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AP Cobal 0.25mg/10mg Tablet


Overview

Introduction

AP Cobal 0.25mg/10mg Tablet is a prescription medicine used to treat anxiety. It calms the brain by decreasing the abnormal and excessive activity of the nerve cells. It also blocks the action of certain chemical messengers on the heart and blood vessels. This reduces heart rate and blood pressure.


AP Cobal 0.25mg/10mg Tablet should not be taken with food, especially protein-rich food. However, it is advisable to take it at the same time each day as this helps to maintain consistent level of medicine in the body. Take this medicine in the dose and duration advised by your doctor as it has high habit-forming potential. If you miss a dose of this medicine, take it as soon as you remember. Finish the full course of treatment even if you feel better. It is important not to stop taking this medicine suddenly as it may cause withdrawal symptoms. Avoid consuming alcohol while taking this medicine as this may reduce its effectiveness.

Some common side effects of this medicine include memory impairment, slow heart rate, fatigue, depression, sleep disturbances, nightmares, cold extremities and confusion. It may also cause dizziness and sleepiness. So, do not drive or do anything that requires mental focus until you know how this medicine affects you. It may cause weight gain or weight loss depending upon person to person. To prevent weight gain, you can eat a healthy balanced diet, avoid snacking with high-calorie food and exercise regularly. On the other hand, weight loss can be managed by increasing food portions and consulting a dietitian. Caution should be taken in impaired liver and kidney disease.

Uses of AP Cobal Tablet

Side effects of AP Cobal Tablet

Common
  • Confusion
  • Drowsiness
  • Memory impairment
  • Slow heart rate
  • Tiredness
  • Uncoordinated body movements
  • Nightmare
  • Cold extremities

How to use AP Cobal Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. AP Cobal 0.25mg/10mg Tablet is to be taken empty stomach.

How AP Cobal Tablet works

AP Cobal 0.25mg/10mg Tablet is a combination of two medicines: Alprazolam and Propranolol. Alprazolam is a benzodiazepine. It works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in brain. Propranolol is a beta blocker which blocks the action of certain chemical messengers on the heart and blood vessels. This reduces heart rate, blood pressure, and strain on the heart.

Safety Advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with AP Cobal 0.25mg/10mg Tablet.
Pregnancy
CONSULT YOUR DOCTOR
AP Cobal 0.25mg/10mg Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Breastfeeding
CONSULT YOUR DOCTOR
AP Cobal 0.25mg/10mg Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
UNSAFE
AP Cobal 0.25mg/10mg Tablet may cause side effects which could affect your ability to drive.
AP Cobal 0.25mg/10mg Tablet may cause visual disturbances, hallucinations, fatigue, mental confusion, dizziness or tiredness. This may affect your driving ability.
Kidney
SAFE IF PRESCRIBED
AP Cobal 0.25mg/10mg Tablet is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of AP Cobal 0.25mg/10mg Tablet may not be needed in these patients. Please consult your doctor.
Liver
CAUTION
AP Cobal 0.25mg/10mg Tablet should be used with caution in patients with liver disease. Dose adjustment of AP Cobal 0.25mg/10mg Tablet may be needed. Please consult your doctor.
Regular monitoring of blood pressure is advisable for dose adjustment.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
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Patient Concerns

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I have hyperacidity pitta gas due to which i have high blood pressure and anxiety disorder some time whwn there is no gas my bp comes normal doctor has given me telpress ct 40 how can the bp come in control and all report are normalMy bp was 160/100
Dr. Aanchal Maheshwari
Ayurveda
Take avipattikar churan 1 spoon twice with water before meal, kaam dudha ras 1 tab twice, brahmi vati 2 tablet twice with water
sir if i mastribute 2 times per day i got nervou and muscle tightness sleepinessand eyes was paining (litle bit) and i have anxiety disorder using tabs from 20 days
Dr. Pranay Gandhi
Sexologist
1.stop smoking and alcohol 2.join a gym and reduce weight. Do weight lifting exercises. 3.tablet sildenafil or viagra 1 tablet 1 hour before sexual activity. 4.Get tested so that u don?t have any of the following causes: 1.heart diseases 2. diabetes 3.neurological problems 4.hormonal problems 5.drug side effects
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Disclaimer: 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
References
  1. Alprazolam. Sandwich, Kent: Pfizer Limited; 1982 [revised Jan. 2019]. [Accessed 22 Apr. 2019] (online) Available from:External Link
  2. Propranolol. Barnstaple, UK: Actavis; 2018. [Accessed 22 Apr. 2019] (online) Available from:External Link
  3. Alprazolam. Kalamazoo, Michigan: Pharmacia & Upjohn Company. [Accessed 22 Apr. 2019] (online) Available from:External Link
  4. Drugs.com. Propranolol Pregnancy and Breastfeeding Warnings. [Accessed 22 Apr. 2019] (online) Available from:External Link
Manufacturer/Marketer Address
III Floor SIDCO Garment Complex, Guindy, Chennai 600 032, India
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