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Overview

Fluwel 0.25 Mg/20 Mg Tablet

Manufacturer :  BestoChem Formulations India Ltd
Medicine Composition :  Alprazolam, Fluoxetine
Prescription vs OTC : Prescription by Doctor required

About Fluwel 0.25 Mg/20 Mg Tablet

It is an effective drug prescribed to patients who have panic disorders and anxiety disorders as a result of depression. The drug controls the levels of certain unbalanced chemicals released by the brain in patients who suffer from depression.

It is a part of a group of medicines that go by the name of benzodiazepine. This class of drugs works in a way through which they calm the brain and the central nervous system, preventing panic attacks.

    What are the uses of Fluwel 0.25 Mg/20 Mg Tablet

    • Depression

    What are the contraindications of Fluwel 0.25 Mg/20 Mg Tablet ?

    What are the side effects of Fluwel 0.25 Mg/20 Mg Tablet ?

    Key highlights of Fluwel 0.25 Mg/20 Mg Tablet

    • How long is the duration of effect?

      This medication is excreted in urine and the effect lasts for a duration of 44 hours for an immediate-release tablet and 52 hours for an extended-release tablet / disintegrating tablet.

    • What is the onset of action?

      The peak effect can be observed in 1 to 2 hours for an immediate release tablet, 1.5 to 2 hours for a disintegrating tablet and 9 hours for an extended release tablet.

    • Are there any pregnancy warnings?

      This medication is not recommended for pregnant women. Use only if clearly required under the supervision of the doctor.

    • Is it habit forming?

      Habit forming tendency has been reported

    • Are there any breast-feeding warnings?

      This medication is known to excreted through human breast milk. It is not recommended for breastfeeding women.

    What are the substitutes for Fluwel 0.25 Mg/20 Mg Tablet ?

    Below is the list of medicines, which have the same composition, strength and form as Fluwel 0.25 Mg/20 Mg Tablet , and hence can be used as its substitute.

    What are the dosage instructions?

    • Missed Dose instructions

      If you miss a dose of this medication, take the missed dose as soon as you remember. If it’s almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.

    • Are there any overdose instructions?

      Seek emergency medical treatment or contact the doctor in case of an overdose.

    How does this medication work?

    This medication, like other benzodiazepines, has a high affinity for the benzodiazepine binding site in the brain. It facilitates the inhibitory neurotransmitter action of gamma-aminobutyric acid, which mediates both pre- and postsynaptic inhibition in the central nervous system (CNS)

      What are the interactions of Fluwel 0.25 Mg/20 Mg Tablet ?

      Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.

        test
      • Interaction with Alcohol

        Acute alcohol intoxication

        Consumption of alcohol with this medicine is not recommended as it increases the risk of depression and breathlessness.
      • Interaction with Lab Test

        Lab

        Information not available.
      • Interaction with Medicine

        Cetirizine

        Use of this medication with cetirizine or levocetirizine should be avoided if possible. Do not operate heavy machinery if you are using these medicines. Appropriate dose adjustments or replacement of the medicine should be made under the doctor's supervision.

        Metoclopramide

        Use of this medication with metoclopramide should be avoided if possible. Do not operate heavy machinery if you are using these medicines. Appropriate dose adjustments or replacement of the medicine should be made under the doctor's supervision.

        Opioids

        Opioids like morphine, codeine, tramadol, hydrocodone or any cough preparations containing these medicines should be avoided when you are on this medication or other benzodiazepines. Appropriate dose adjustments are to be made if coadministration is needed and monitoring of sedation, breathlessness, and hypotension is necessary.

        Azole antifungal agents

        Azole antifungal agents like ketoconazole and itraconazole should be avoided when you are this medication due to the risk of increased concentrations of the medicine in the body which may cause increased sedation and changes in ECG. Inform the doctor if you are receiving these medicines when you are prescribed with this medication. If coadministration is needed then alternative medicines like lorazepam and oxazepam could be considered.

        Antihypertensives

        You may experience hypotensive effects like dizziness, lightheadedness if these medicines are used together. Regular monitoring of blood pressure is necessary. Appropriate dose adjustments or replacement of this medication should be made under the doctor's supervision.
      • Interaction with Disease

        Glaucoma

        This medication is known to increase the fluid pressure inside the eye. It is contraindicated in acute narrow-angle glaucoma which is an eye disorder.

        Seizure Disorders

        The sudden stop of this medication may cause withdrawal effects and can precipitate seizures. Dose should be reduced gradually. Do not stop taking this medicine without consulting the doctor.
      • Interaction with Food

        Grape fruit juice

        Grapefruit juice should be consumed with this medication. Alternatively, you can consume orange juice which does not affect this medication.

      FAQs about Fluwel 0.25 Mg/20 Mg Tablet

      • Ques : What is Fluwel 0.25 Mg/20 Mg Tablet?

        Ans : This is a combination medication that has Alprazolam and Fluoxetine as active ingredients. It is a part of a group of medicines that go by the name of benzodiazepine.

      • Ques : How long do I need to use Fluwel 0.25 Mg/20 Mg Tablet before I see improvement in my condition?

        Ans : This medication should be consumed, until the complete eradication of the disease. Thus it is advised to use, till the time directed by your doctor. Also taking this medication longer than it was prescribed, can cause an inadequate effect on the patient's condition.

      • Ques : At what frequency do I need to use Fluwel 0.25 Mg/20 Mg Tablet?

        Ans : The duration of effect for this medicine is dependent on the severity of the patient’s condition. Therefore the frequency of usage of this medication will vary from person to person. It is advised to follow the proper prescription of the doctor, directed according to the patient's condition.

      • Ques : Should I use Fluwel 0.25 Mg/20 Mg Tablet empty stomach, before food or after food?

        Ans : This medication is advised to be consumed orally. The salts involved in this medication react properly if it is taken after having food. If you take it on an empty stomach, it might upset the stomach. Please consult the doctor before using it.

      • Ques : What are the instructions for the storage and disposal of Fluwel 0.25 Mg/20 Mg Tablet?

        Ans : This medication contains salts which are suitable to store only at room temperature, as keeping this medication above or below that, can cause an inadequate effect. Protect it from moisture and light. Keep this medication away from the reach of children.

      Disclaimer : The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

      Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

      Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.
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      Written ByDrx Hina FirdousPhD (Pharmacology) Pursuing, M.Pharma (Pharmacology), B.Pharma - Certificate in Nutrition and Child CarePharmacology
      Reviewed By
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      Reviewed ByDr. Garima SharmaMBBS, Master in Healthcare Administration, Diploma in Occupational HealthGeneral Physician
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