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. Destres-Ech Tablet may be taken with or without food, but it is better to take it at a fixed time.
Destres-Ech Tablet is a combination of two medicines: Clonazepam and escitalopram which have anxiety-lowering and mood-enhancing effects. Clonazepam is a benzodiazepine (BZD) which increases the action of GABA, a chemical messenger that suppresses the abnormal activity of the nerve cells in the brain. Escitalopram is selective serotonin reuptake inhibitor (SSRI) which increases the levels of serotonin, a chemical messenger that improves mood.
Destres-Ech Tablet may cause excessive drowsiness and calmness with alcohol.
WEIGH RISKS VS BENEFITS
Destres-Ech Tablet is unsafe to use during pregnancy. There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
Destres-Ech Tablet is probably unsafe to use during lactation.
Limited human data suggest that the drug could represent a significant risk to the baby.
Destres-Ech Tablet may cause side effects which could affect your ability to drive.
Destres-Ech Tablet is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Destres-Ech Tablet may not be needed in these patients. Please consult your doctor. Use of Destres-Ech Tablet can cause excessive sleepiness in patients with end stage kidney disease.
Destres-Ech Tablet should be used with caution in patients with liver disease. Dose adjustment of Destres-Ech Tablet may be needed. Please consult your doctor.