Sir since last 10 years, me suffered from depression, so doctors have prescribed me - szetalo plus -10, I am taking it regularly til date, sometimes half and sometimes 1 full tablet at night, I was ok with that medicine, but suddenly from 10 day's I am again feeling uncomfortable, nausea, dizziness, headache, upset mood, unhappy, lost interest in all works, sleeplessness sometimes also at night, I am taking 1 beer regularly at night since 2 year's, but from 2 day's - I quit it completely and taking szetalo plus 10 - daily 1 tablet, feel ok type after alcohol quitting, but not feel always good, now sleep well from 2 day's, but not feel completely good, can you suggest to me why it's happening, from 3 day's I am not taking alcohol, but still facing sometimes the symptoms, kindly guide me how can I recovered quickly, I am taking szetalo plus 10 and inderal as doctor prescribed me.

Dr. Prof Jagadeesan M SPsychiatrist19yrs exp

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Szetalo plus contains escitalopram and clonazepam. Escitalopram can be taken long time, but the clonazepam part needs to be withdrawn and stopped. As it is a benzodiazepine and cause long term harm. Also periodic review is needed while on these. Also alcohol, even if it's beer is a cms depressant and can worse the depressive disorder on a longer run. It is a challenge to tackle these issues. So consult an astute psychiatrist for revision of your prescription, stop your regular beer consumption too. Good luck.  

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Dr. Sampath VPsychiatrist17yrs exp

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The symptoms you're experiencing could be related to various factors, including your depression, the medication you're taking, alcohol consumption, or other underlying health issues. Abruptly quitting alcohol after regular use can sometimes lead to withdrawal symptoms, which may include nausea, dizziness, headache, and mood changes. It's possible that these symptoms are a result of alcohol withdrawal. Regarding your medication, szetalo plus 10 is a combination of escitalopram (an antidepressant) and clonazepam (a sedative). Abruptly stopping the medication or changing the dosage without medical supervision can also cause withdrawal-like symptoms and a recurrence of depressive symptoms. Inderal (propranolol) is a beta-blocker primarily used to treat high blood pressure and certain heart conditions. It's important to follow the prescribed dosage and not make any changes without consulting your doctor. To address your concerns and symptoms, it's crucial to reach out to your healthcare provider as soon as possible. They will be able to evaluate your situation, review your medication regimen, and suggest any necessary adjustments. They may also consider alternative treatment options or refer you to a mental health specialist for further evaluation. In the meantime, it can be helpful to engage in self-care practices such as maintaining a regular sleep schedule, eating a balanced diet, exercising regularly, and practicing relaxation techniques like deep breathing or meditation. These lifestyle changes can support your overall well-being and potentially alleviate some symptoms. Remember, it's important to consult with a healthcare professional for personalized advice based on your specific circumstances.  

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