Zotipax 50mg Tablet is used in the treatment of schizophrenia (a mental disorder that can result in hallucinations or delusions and also adversely affects a person’s ability to think and behave) and mania.

Zotipax 50mg Tablet may be taken with or without food, preferably at the same time, each day. Take this in the dose and duration as advised by your doctor and if you have missed a dose, take it as soon as you remember. It is important that this medication is not stopped suddenly without talking to your doctor as it may worsen your symptoms.

However, discontinue this medicine immediately if you experience neuroleptic malignant syndrome, characterized by fever, muscle rigidity, and altered consciousness or seizures. While taking this medicine your doctor may advise for regular monitoring of liver function.

Some common side effects of this medicine include headache, dryness in the mouth, anxiety, insomnia (difficulty sleeping), and agitation. Initially, this medicine may cause a sudden drop in blood pressure when you change positions, so it is better to rise slowly if you have been sitting or lying down. It also causes dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. This medicine may increase your weight but, modifying your lifestyle by having a healthy diet and exercising regularly can reduce this side effect.

You should be cautious while using this medicine as it may increase the risk of developing diabetes, so it is better to monitor glucose regularly. Inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or suicidal thoughts while taking this medicine.

Uses of Zotipax Tablet

Benefits of Zotipax Tablet

In Mania

Mania means extremely excited or elevated mood. Zotipax 50mg Tablet helps calm the mood and relax the nerves. This stabilises the mood and prevents the symptoms of mania from recurring again. Taking Zotipax 50mg Tablet will ensure that you have a better social life and are able to do daily activities more comfortably.

In Schizophrenia

Schizophrenia is a mental disorder in which a person’s thinking ability, feelings and behavior become abnormal. Zotipax 50mg Tablet helps restore the chemical imbalances in the brain that are responsible for such changes. It improves thoughts, behavior and enhances the quality of life.

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Side effects of Zotipax Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Zotipax

Headache
Dryness in mouth
Sleepiness
Anxiety
Weight gain
Insomnia (difficulty in sleeping)
Agitation
Sweating
Blurred vision
Depression
Constipation
Increased heart rate

How to use Zotipax 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. Zotipax 50mg Tablet may be taken with or without food.

How Zotipax Tablet works

Zotipax 50mg Tablet is an atypical antipsychotic. It works by modulating the action of certain chemical messengers in the brain that affect thoughts.

Safety advice

Alcohol

CAUTION

Alcohol should be used with caution while taking Zotipax 50mg Tablet.

Pregnancy

CONSULT YOUR DOCTOR

The safety of Zotipax 50mg Tablet during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.

Breast feeding

CONSULT YOUR DOCTOR

Information regarding the use of Zotipax 50mg Tablet during breastfeeding is not available. Please consult your doctor.

Driving

UNSAFE

Zotipax 50mg Tablet may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Zotipax 50mg Tablet may cause sedation and/or impair mental alertness and this may affect your ability to drive.

Kidney

CAUTION

Zotipax 50mg Tablet should be used with caution in patients with kidney disease. Dose adjustment may be needed.

Liver

CAUTION

Zotipax 50mg Tablet should be used with caution in patients with liver disease. Dose adjustment may be needed.

What if you forget to take Zotipax Tablet?

If you miss a dose of Zotipax 50mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

All substitutes

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

No substitutes found for this medicine

Quick tips

Take it at the same time every day to help you remember to take it.
You may be monitored with ECG, electrolytes, and liver function tests before you start treatment with this medicine and while increasing the dose.
To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
Use caution while driving or doing anything that requires concentration as Zotipax 50mg Tablet can cause dizziness and sleepiness.
It may increase your weight, blood sugar and cholesterol. Eat healthy, exercise regularly and monitor your blood levels regularly.
Inform your doctor if you develop any unusual changes in mood or behavior, new or worsening depression, or suicidal thoughts or behavior.
Do not stop taking Zotipax 50mg Tablet without talking to your doctor first as it may cause a worsening of symptoms.

Fact Box

Chemical Class

Dibenzothiepins

Habit Forming

Therapeutic Class

NEURO CNS

Action Class

Atypical Antipsychotics

Interaction with drugs

Taking Zotipax with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Domperidone (Oral Route) Life-threatening

Do not consume Domperidone with Zotepine. Concomitant use may affect heart rhythm and can be fatal.

Amiodarone (Injection Route) Severe

Factors such as old age, chronic heart issues, or low potassium levels may more frequently cause disturbance in heart rhythm, and your doctor may consider ECG monitoring in their p... More

Amiodarone (Oral Route) Severe

Factors such as old age, chronic heart issues, or low potassium levels may more frequently cause disturbance in heart rhythm, and your doctor may consider ECG monitoring in their p... More

Hydroxyzine (Oral Route) Severe

Do not consume Hydroxyzine with Zotepine. Concomitant use may affect heart rhythm and can be fatal.

Artemether (Injection Route) Severe

Factors such as old age, chronic heart issues, or low potassium levels may more frequently cause disturbance in heart rhythm, and your doctor may consider ECG monitoring in their p... More

View all drug interactions

Patient concerns

I am suffering from mania .what should i do.

Dr. Vikas Sharma

Neurology

Show. To psychiatric

Suffering from Depression and Mania, what should be done

Dr. Jyoti Kapoor Madan

Psychiatry

Bipolar Affective Disorder is a chronic problem caused by Neuro chemical disturbance in brain. It is characterised by excessive mood swings leading to disruption in routine life. Treatment is with mood stabilizer medicines and antipsychotic medicines which may need to continue throughout life. Please see a psychiatrist for further guidance.

I an suffering from mania what should i do.

Dr. Jyoti Kapoor Madan

Psychiatry

Mania is a component of Bipolar Affective Disorder. Bipolar Affective Disorder is a chronic problem caused by Neuro chemical disturbance in brain. It is characterised by excessive mood swings leading to disruption in routine life. Treatment is with mood stabilizer medicines and antipsychotic medicines which may need to continue throughout life. Please see a psychiatrist for further guidance.

suffering from schizophrenia plz help

Dr. Jyoti Kapoor Madan

Psychiatry

Schizophrenia is a chronic problem caused by Neuro chemical disturbance in brain. It is characterised by fear, odd experiences and distorted thought pattern. Treatment is with antipsychotic medicines which may need to continue throughout life. Coping with a mental disorder as serious as schizophrenia can be challenging, both for the person with the condition and for friends and family. Here are some ways to cope: 1. Learn about schizophrenia. Education about the disorder can help motivate the person with the disease to stick to the treatment plan. Education can help friends and family understand the disorder and be more compassionate with the person who has it. 2. Join a support group. Support groups for people with schizophrenia can help them reach out to others facing similar challenges. Support groups may also help family and friends cope. 3. Stay focused on goals. Managing schizophrenia is an ongoing process. Keeping treatment goals in mind can help the person with schizophrenia stay motivated. Help your loved one remember to take responsibility for managing the illness and working toward goals. 4. Ask about social services assistance. These services may be able to assist with affordable counselling services, job placements and other daily activities. 5. Learn relaxation and stress management. The person with schizophrenia and loved ones may benefit from stress-reduction techniques such as meditation, yoga or tai chi. Please see a psychiatrist for further guidance.

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Tata 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 everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. 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

Stahl SM, editor. Zotepine. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 763-67.
Central Drugs Standard Control Organisation (CDSCO). [Accessed 19 Mar. 2019] (online) Available from: