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Norep Plus H 0.25 mg/10 mg Tablet

Mankind Pharma Ltd

Composition for Norep Plus H 0.25 mg/10 mg Tablet

Prescription Required

Primary uses of Norep Plus H 0.25 mg/10 mg Tablet

Potentiallyunsafewith
Alcohol
NOT FOR SALE
We do not sell this product at present

Medicine Overview of Norep Plus H Tablet

Uses of Norep Plus H Tablet

Norep Plus H 0.25 mg/10 mg Tablet is used in the treatment of anxiety disorder.

Norep Plus H Tablet side effects

Common

Side Effects of Norep Plus H are Nausea, Vomiting, Diarrhoea, Confusion, Memory impairement, Uncoordinated body movements, Drowsiness, Tiredness, Delayed ejaculation, Anorgasmia (decreased orgasm), Low sexual desire.

How to use Norep Plus H 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. Norep Plus H 0.25 mg/10 mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Norep Plus H Tablet works

Norep Plus H 0.25 mg/10 mg 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.

In Depth Information on Norep Plus H Tablet

Norep Plus H Tablet related warnings
Special precautions for Norep Plus H Tablet
Alcohol
CAUTION
Norep Plus H 0.25 mg/10 mg Tablet may cause excessive drowsiness and calmness with alcohol.
Pregnancy
WEIGH RISKS VS BENEFITS
Norep Plus H 0.25 mg/10 mg 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.
Lactation
CAUTION
Norep Plus H 0.25 mg/10 mg Tablet is probably unsafe to use during lactation. Limited human data suggest that the drug could represent a significant risk to the baby.
Driving
Norep Plus H 0.25 mg/10 mg Tablet may cause side effects which could affect your ability to drive.
Kidney
Norep Plus H 0.25 mg/10 mg Tablet is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Norep Plus H 0.25 mg/10 mg Tablet may not be needed in these patients. Please consult your doctor.
Use of Norep Plus H 0.25 mg/10 mg Tablet can cause excessive sleepiness in patients with end stage kidney disease.
Liver
CAUTION
Norep Plus H 0.25 mg/10 mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Norep Plus H 0.25 mg/10 mg Tablet may be needed. Please consult your doctor.

Patient Concerns

Questions Related to Norep Plus H
Sir, my doctor had prescribed me pexti cr 12 .5 for my anxiety disorder. I had taken this medicine for 4 months and now my stopped this medication. After stopping it i feel moderately nauseated. My question is how long it will take to feel normal again?
Dr. Pushkar Mani
Diabetes Specialist
another month, take Ondem 4mg once daily in mornig
I m suffering from anxiety ,, prescribed me setarline 100 mg ( daxid) how long I can take this medicine ,, can I use it's low cost substitute ,, plz suggest
Dr. Jyoti Kapoor Madan
Psychiatrist
Maintenance phase after first episode of anxiety disorder lasts for 6 months,medicines are then gradually tapered off. Other substitutes are available but if you are better with it, it's better to continue because other antidepressant may or may not work adequately.
Dear sir! My heart beat grow every rapidly when i talk to opposite sex. When i go to talk to a girl i think this is wrong and people around me watching me and they will see me with a blam sight. In this way i am unable to have a girl friend so far. Presently i am following a beautiful girl which I want to talk but as i go to her my fear appears. Actually over my face some scars are existing which force me to think that I'm not handsome and a girl will ignore me. Please send suggestions. Thanks you.
Dr. Ambrish Dharmadhikari
Mental Wellness
It seems you are suffering from anxiety disorder. Try anxiety reducing exercise like deep breathing, relaxation techniques like yoga, regular exercise. If that doesn't help, you need to see psychiatrist.
My main problem is inferiarity complex i felt inferier in everything i have i am very afraid to face people i have stage fear i am comfort only with my family and best friends when i talk to someone else i felt like it will damage my image if there is any mistake i will be sad in very little things and i always think about it and become more sad what shall i do?
Dr. Jyoti Kapoor Madan
Psychiatrist
You seem to be suffering from anxiety disorder. It is characterised by feeling anxious and fearful in situations that are normally non threatening. Diagnosis of anxiety disorders is primarily clinical and psychiatric evaluation is aimed at exploring history of symptoms, precipitation factors, duration, severity, effect on routine life and familial or genetic link etc. Certain medical conditions related to Thyroid disorders, cardiac disorder, respiratory disorders, other endocrine disorders etc may mimic acute anxiety episodes which need to be ruled out before a diagnosis of anxiety is formalized. Management of the disorder can be done by various modalities. Psychotherapy- Relaxation Therapy and Cognitive Behaviour therapy are most common interventions for psychological treatment of Anxiety Disorders. Various techniques are available which can be individualized to the patient?s requirement by a trained clinical psychotherapist for optimum response. Pharmacotherapy- Medicines are aimed at reducing the nervous excitability which results from exposure to perceived threat.
Dear Sir/Madam, I have a problem since my childhood. Normally I am ok, but when get nervous to speak/face anybody, (like teacher, Interview Board members, stranger people) i stammers a lot, and inside my heart beat became very faster. I can't speak even a single word fluently. I have tried that time to stay calm & relux, but i dont know why it happens with me. That was not a great reason for me to became so hyper. But i was. And stammerd every word. Normally when I speak with my friends, family members, known people, i speak fluently, there is no lagging in my speaking. I don't know what type of problem is it? Is it for high anxiety? But why? Is there any solution for my problem?
Dr. Varun Mehta
Psychiatrist
Dear PATIENT apologies for the delayed replyYou could be suffering from social anxiety disorderThere's a solution to this problemYou need to consult a psychiatrist or psychologist who could help you deal with these problems
My heart beats rapidly increases at any day to day incidents eg i cant sleep at night i feel very uncomfortable how to cure my problemFeeling stressed all time
Dr. Jyoti Kapoor Madan
Psychiatrist
Get an ECG done during the increase in heart beat or get 24 hour holter monitoring done. If there are no rhythm disturbances, psychiatric treatment is instituted for Anxiety Disorder.
Suffering from anxiety disorder with mild depressiMedicines are : zosert 50 - 1.5 tab per day, zapiz : 0.5 a day. Have to take BP meds and for dyslipidemia. How to get rid of from zapiz because there is a dependence on that ? Prescribe please.
Dr. Jyoti Kapoor Madan
Psychiatrist
Reduce zapiz by 0.25 mg for a few weeks and then further by half. If you feel anxious, sertraline dose may need to be adjusted.

Frequently asked questions about Norep Plus H Tablet

Frequently asked questions about Norep Plus H Tablet

Q. Can the Norep plus h cause sleepiness or drowsiness?
Norep plus h may make you feel drowsy or you may fall asleep suddenly during your routine activities like watching television, talking, eating or riding in a car. You might not feel drowsy or have any other warning signs before you suddenly fall asleep. Do not drive a car, operate machinery, work at heights, or participate in potentially dangerous activities at the beginning of your treatment until you know how the medication affects you. Inform your doctor if you experience such symptoms.
Q. Are there any important warning related to Norep plus h?
Your behavior or mood may change in unexpected ways when you take Norep plus h. You may experience new or worsening depression, thoughts of harming or killing yourself, or planning or trying to do so. You may experience extreme worry, agitation, panic attacks, difficulty in falling asleep or staying asleep, aggressive behavior, irritability, acting without thinking, severe restlessness, and frenzied abnormal excitement. Be sure that your family or caregiver knows which symptoms may be serious so that they can call the doctor if you are unable to seek treatment on your own. Your healthcare provider will want to see you often while you are taking Norep plus h, especially at the beginning of your treatment. Be sure to visit your doctor as advised.
Q. Are there any medications to avoid while taking Norep plus h?
Norep plus h may increase the risk of serious or life-threatening breathing problems (respiratory depression) or coma if used along with certain medications. Tell your doctor if you are taking or plan to take certain opiate medications for cough or pain such as codeine, hydrocodone, codeine, fentanyl, hydromorphone, meperidine, methadone, morphine, oxycodone, and tramadol. Drinking alcohol or using street drugs during your treatment with Norep plus h may also increase the risk of these serious, life-threatening side effects. Call your doctor immediately or seek emergency medical care immediately if there is unusual dizziness, lightheadedness, extreme sleepiness, slowed or difficult breathing, or unresponsiveness. Be sure that your caregiver or family members know which symptoms may be serious so that they can call the doctor or emergency medical care if you are unable to seek treatment on your own.
Q. Can I take a higher dose of this medicine than recommended?
No, do not take higher than the recommended dose of Norep plus h. This can lead to increased chances of serious life-threatening side effects and toxicity. If you are experiencing increased severity of your symptoms that is not relieved by the recommended doses, please consult your doctor for re-evaluation.
Q. Does Norep plus h expire?
Yes, Norep plus h does expire. Please check the expiry date written on the pack of this medicine. Do not use Norep plus h after the expiry date.
Q. Any special instruction regarding storage and disposal of Norep plus h?
Keep Norep plus h in a container that is tightly closed and out of children's reach. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them.
Q. What is Norep plus h?
Norep plus h is a combination of two medicines: Clonazepam and Escitalopram. This medicine is used to treat anxiety and mood disorders. Clonazepam works by decreasing abnormal electrical activity in the brain. Escitalopram works by increasing the amount of serotonin, a natural substance in the brain that helps to improve mood.
Q. Can I stop taking Norep plus h when my symptoms are relieved?
No, you should not stop taking Norep plus h even if you feel well. Continue taking your medicine as advised. Your doctor may lower your dose gradually if your symptoms are improving.

Substitutes for Norep Plus H 0.25 mg/10 mg Tablet

Nexito LS Tablet
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Rexipra LS 0.25mg/10mg Tablet
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