PANAZEP LS TABLET 10'S
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PANAZEP LS TABLET 10'SPANAZEP LS TABLET 10'SPANAZEP LS TABLET 10'SPANAZEP LS TABLET 10'S
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PANAZEP LS TABLET 10'S

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PANAZEP LS TABLET 10'S

By SUN PHARMACEUTICAL INDUSTRIES LTD

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180

₹153

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Content Reviewed By:

Dr. Sanjay Mehta

, (MBBS)

Written By:

Ms. Kavita Desai

, (B.Pharm)

About PANAZEP LS TABLET 10'S

  • Panazep LS is a prescription-only combination medicine that contains clonazepam 0.25 mg and paroxetine 12.5 mg in a sustained‑release (SR) formulation. It is generally used under specialist supervision for the management of anxiety disorders, panic disorder, and depression associated with prominent anxiety symptoms. Clonazepam belongs to the benzodiazepine class and acts as a central nervous system depressant with anxiolytic, sedative, and anticonvulsant properties. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) antidepressant that increases serotonin levels in the brain and helps improve mood, reduce anxiety, and relieve obsessive or panic symptoms. Panazep LS is usually considered when a clinician judges that both short‑term relief of severe anxiety (via clonazepam) and longer‑term control of anxiety or depressive symptoms (via paroxetine) are needed. The clonazepam component typically provides relatively rapid symptom relief, while paroxetine may take several weeks to achieve its full therapeutic effect. Because clonazepam can cause dependence, tolerance, and withdrawal symptoms if used for prolonged periods or stopped abruptly, this medicine must be used strictly as directed by a qualified healthcare professional. The goal in many treatment plans is to taper and discontinue the benzodiazepine component once the SSRI has become effective, if clinically appropriate. Commonly reported side effects of Panazep LS include drowsiness, dizziness, fatigue, slowed reaction time, impaired concentration, dry mouth, nausea, constipation or diarrhea, increased sweating, sexual dysfunction, and weight changes. Some individuals may experience restlessness, sleep disturbances, or paradoxical agitation, especially early in treatment or after dose changes. More serious but less common adverse effects can include suicidal thoughts or behavior (particularly in younger patients), serotonin syndrome when combined with other serotonergic drugs, severe allergic reactions, significant changes in mood or behavior, and respiratory depression or excessive sedation, especially when taken with alcohol or other central nervous system depressants. Panazep LS is not suitable for everyone. It is generally avoided or used with great caution in people with a history of benzodiazepine or substance misuse, severe liver or kidney impairment, narrow‑angle glaucoma, significant respiratory disease, or a history of bipolar disorder or seizures not appropriately managed. It must not be used together with monoamine oxidase inhibitors (MAOIs) or within the recommended washout periods due to the risk of serious drug interactions. Dose selection, titration, and duration of therapy must be individualized by the treating physician based on diagnosis, symptom severity, age, comorbidities, and concurrent medications. Patients should not start, stop, or adjust Panazep LS on their own and should promptly report any unusual mood changes, suicidal thoughts, severe sedation, or allergic symptoms to their doctor.

Uses of PANAZEP LS TABLET 10'S

  • Treatment of Anxiety disorder
  • Treatment of Depression
  • Treatment of Panic disorder
  • Treatment of Social anxiety disorder
  • Treatment of Post-traumatic stress disorder (PTSD)
  • Treatment of Obsessive-compulsive disorder (OCD)

How PANAZEP LS TABLET 10'S Works

  • PANAZEP LS TABLET 10'S is a combination medication primarily used to manage and treat various mental health conditions, particularly those related to anxiety and depression. Its effectiveness stems from the synergistic action of its two active ingredients: Clonazepam and Escitalopram.
  • Clonazepam belongs to a class of medications called benzodiazepines. It primarily works by enhancing the effects of a natural chemical in the brain called gamma-aminobutyric acid (GABA). GABA is an inhibitory neurotransmitter, meaning it helps to reduce the excitability of neurons in the brain. By increasing GABA activity, Clonazepam promotes a calming effect, reduces anxiety, and can help to control seizures. Specifically, Clonazepam binds to GABA receptors in the brain, increasing the efficiency of GABA in opening chloride channels. This allows more chloride ions to enter neurons, hyperpolarizing the neuronal membrane and making the neuron less likely to fire. This overall reduces neuronal excitability, resulting in a decrease in anxiety and a calming effect.
  • Escitalopram, on the other hand, is a selective serotonin reuptake inhibitor (SSRI). Serotonin is a neurotransmitter that plays a crucial role in regulating mood, sleep, appetite, and various other functions. SSRIs like Escitalopram work by blocking the reabsorption (reuptake) of serotonin in the brain. This allows more serotonin to be available in the synaptic space (the gap between nerve cells), enhancing its effects. By increasing the amount of available serotonin, Escitalopram helps to elevate mood, reduce feelings of depression, and alleviate symptoms of anxiety disorders. It selectively inhibits the serotonin transporter protein, which is responsible for removing serotonin from the synapse. This selectivity minimizes the impact on other neurotransmitter systems, reducing the likelihood of certain side effects.
  • The combination of Clonazepam and Escitalopram in PANAZEP LS TABLET 10'S provides a dual mechanism of action that can be particularly effective in treating conditions where anxiety and depression coexist. Clonazepam provides rapid relief from acute anxiety symptoms, while Escitalopram addresses the underlying depressive symptoms over a longer period. The calming effect of Clonazepam can help to manage the initial anxiety symptoms, making it easier for Escitalopram to exert its antidepressant effects. The combination therapy can lead to a more balanced and comprehensive improvement in mental health compared to using either medication alone.
  • It's important to note that PANAZEP LS TABLET 10'S should be used under the guidance of a healthcare professional. Dosage and treatment duration should be carefully determined based on individual needs and response to the medication. Abrupt discontinuation of the medication can lead to withdrawal symptoms, especially with Clonazepam, so it's essential to follow the prescribed tapering schedule when discontinuing treatment.

Side Effects of PANAZEP LS TABLET 10'SArrow

Common side effects of Panazep LS Tablet may include drowsiness, dizziness, lightheadedness, unsteadiness, blurred vision, dry mouth, constipation, increased appetite, and weight gain. Less common but potentially serious side effects include confusion, memory problems, difficulty concentrating, slurred speech, loss of coordination, muscle stiffness, tremors, seizures, changes in heart rhythm, and allergic reactions (rash, itching, swelling). Psychiatric side effects such as depression, anxiety, agitation, and suicidal thoughts are also possible. Contact your doctor immediately if you experience any unusual or severe symptoms.

Safety Advice for PANAZEP LS TABLET 10'SArrow

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General precautions and dependence

Use under strict medical supervision

Panazep LS should be used only under the guidance of a qualified healthcare professional, preferably a psychiatrist, with regular follow‑up to assess efficacy, side effects, and the ongoing need for treatment.

Dosage of PANAZEP LS TABLET 10'SArrow

  • The recommended dosage of 'PANAZEP LS TABLET 10'S' varies significantly depending on the individual's condition, the severity of their symptoms, and their response to the medication. It is crucial to adhere strictly to the dosage prescribed by your physician. Self-adjusting the dosage can lead to adverse effects or a lack of therapeutic benefit.
  • Typically, the initial dose may be low and gradually increased by your doctor to achieve the desired effect while minimizing potential side effects. The tablets should be swallowed whole with a glass of water and can be taken with or without food. However, maintaining consistency in how you take the medication (always with food or always without food) can help ensure consistent absorption.
  • The frequency of administration also depends on your specific needs. Some individuals may require a single daily dose, while others may need multiple doses throughout the day. Always follow your doctor's instructions regarding the timing of your doses.
  • If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up. Regular monitoring by your physician is essential to assess your progress and make any necessary adjustments to your dosage. Take 'PANAZEP LS TABLET 10'S' only as per the prescription by your physician only.

What if I miss my dose of PANAZEP LS TABLET 10'S?Arrow

  • If you miss a dose of Panazep LS Tablet, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for the missed one.

How to store PANAZEP LS TABLET 10'S?Arrow

  • Keep PANAZEP LS TAB 1X10 away from the reach of children and pets.
  • Store PANAZEP LS TAB 1X10 at room temperature.

Benefits of PANAZEP LS TABLET 10'SArrow

  • PANAZEP LS Tablet 10's is a medication primarily used in the management of epilepsy and certain types of nerve pain, offering a multifaceted approach to neurological well-being. Its benefits extend across several key areas, significantly improving the quality of life for those who experience these conditions.
  • For individuals suffering from epilepsy, PANAZEP LS Tablet 10's acts as a crucial anticonvulsant. It works by stabilizing electrical activity in the brain, thereby reducing the frequency and intensity of seizures. This stabilization is achieved through its active ingredient, which modulates the release of certain neurotransmitters, effectively calming overactive nerve cells. Regular and consistent use, as prescribed by a healthcare professional, can lead to better seizure control, allowing individuals to engage more fully in daily activities without the constant fear of sudden seizures.
  • Beyond epilepsy, PANAZEP LS Tablet 10's is also highly effective in treating neuropathic pain. This type of pain arises from damaged or dysfunctional nerves, often resulting in chronic, debilitating discomfort. Conditions like diabetic neuropathy, postherpetic neuralgia (shingles-related nerve pain), and trigeminal neuralgia can cause intense burning, shooting, or stabbing pain. PANAZEP LS Tablet 10's helps to alleviate this pain by interfering with the pain signals sent to the brain. By modulating nerve activity and reducing the excitability of nerve cells, it provides significant pain relief, improving overall comfort and function.
  • One of the key advantages of PANAZEP LS Tablet 10's is its ability to improve sleep quality in individuals with nerve pain. Chronic pain can disrupt sleep patterns, leading to insomnia and fatigue. By reducing the intensity of nerve pain, this medication allows for more restful and uninterrupted sleep. Improved sleep, in turn, contributes to better mood, increased energy levels, and enhanced overall well-being.
  • Furthermore, PANAZEP LS Tablet 10's can lead to a reduction in anxiety and mood disturbances often associated with chronic pain and epilepsy. Living with a chronic condition can take a significant toll on mental health, leading to feelings of anxiety, depression, and irritability. By effectively managing the underlying pain and seizures, PANAZEP LS Tablet 10's can help to stabilize mood and reduce anxiety levels, fostering a greater sense of emotional stability and control.
  • In summary, PANAZEP LS Tablet 10's offers a comprehensive approach to managing epilepsy and neuropathic pain. Its benefits include effective seizure control, significant pain relief, improved sleep quality, and a reduction in associated anxiety and mood disturbances. This multifaceted action allows individuals to experience a better quality of life, with improved physical and emotional well-being. However, it is crucial to use this medication under the guidance of a healthcare professional to ensure safe and effective treatment.

How to use PANAZEP LS TABLET 10'SArrow

  • Always adhere to your doctor's instructions when taking PANAZEP LS TABLET 10'S. The dosage and duration will depend on your specific condition and response to treatment. Do not self-medicate or alter the dosage without consulting your doctor.
  • Swallow the tablet whole with a glass of water. Do not crush, chew, or break the tablet, as this can affect how the medication is released and absorbed in your body.
  • PANAZEP LS TABLET 10'S can be taken with or without food. However, taking it at the same time each day can help you remember to take it regularly and maintain a consistent level of medication in your system.
  • If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one.
  • Continue taking PANAZEP LS TABLET 10'S for the full duration prescribed by your doctor, even if you start to feel better. Stopping the medication prematurely can lead to a relapse of your symptoms or withdrawal effects.
  • Avoid consuming alcohol while taking PANAZEP LS TABLET 10'S, as it can increase the risk of side effects and reduce the effectiveness of the medication.
  • Inform your doctor about all other medications, supplements, and herbal products you are taking, as they may interact with PANAZEP LS TABLET 10'S. Pay close attention to any potential side effects, and report them to your doctor promptly.
  • Store PANAZEP LS TABLET 10'S at room temperature, away from moisture and direct sunlight. Keep it out of reach of children and pets.
  • If you have any questions or concerns about taking PANAZEP LS TABLET 10'S, consult your doctor or pharmacist for further guidance.

Quick Tips for PANAZEP LS TABLET 10'SArrow

  • Take PANAZEP LS TABLET 10'S exactly as prescribed by your doctor. Do not alter the dosage or frequency without consulting them. It's crucial to follow the doctor's instructions to achieve the best results and minimize potential side effects. Self-medicating or changing the dosage can be harmful.
  • PANAZEP LS TABLET 10'S may cause drowsiness or dizziness, especially when you first start taking it. Avoid driving, operating heavy machinery, or performing any tasks that require alertness until you know how the medicine affects you. Prioritize your safety and avoid activities that could be dangerous if you are not fully alert.
  • Inform your doctor about all other medications, supplements, and herbal products you are taking before starting PANAZEP LS TABLET 10'S. Drug interactions can occur and affect how PANAZEP LS TABLET 10'S works or increase the risk of side effects. A complete medication history helps your doctor make informed decisions about your treatment.
  • If you experience any unusual or severe side effects while taking PANAZEP LS TABLET 10'S, such as allergic reactions (rash, itching, swelling), mood changes, or persistent headaches, contact your doctor immediately. Prompt medical attention can help manage side effects and prevent complications. Do not ignore any concerning symptoms.
  • Store PANAZEP LS TABLET 10'S in a cool, dry place away from direct sunlight and moisture. Keep it out of reach of children and pets. Proper storage helps maintain the effectiveness of the medication. Do not store the medicine in the bathroom or other humid areas.

Food Interactions with PANAZEP LS TABLET 10'SArrow

  • It is advisable to take PANAZEP LS TABLET 10'S at least 30 minutes before or 2 hours after meals to ensure optimal absorption and effectiveness. This is because food can sometimes interfere with the way the medication is absorbed into your bloodstream.

FAQs

What is Panazep LS Tablet 10's?Arrow

Panazep LS Tablet 10's is a combination medicine primarily used to treat anxiety disorders and seizures (fits).

How does Panazep LS Tablet 10's work?Arrow

Panazep LS Tablet 10's is a combination of two medicines, Clonazepam and Escitalopram. Clonazepam is a benzodiazepine that works by decreasing the abnormal and excessive activity of the nerve cells in the brain. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) that works by increasing the levels of serotonin in the brain, thereby improving mood.

What are the common side effects of Panazep LS Tablet 10's?Arrow

Common side effects of Panazep LS Tablet 10's include nausea, vomiting, diarrhea, constipation, decreased appetite, fatigue, dizziness, blurred vision, and decreased sexual desire.

Is Panazep LS Tablet 10's habit-forming?Arrow

Yes, Panazep LS Tablet 10's contains Clonazepam, which is a benzodiazepine. Benzodiazepines can be habit-forming, so take it only as prescribed by your doctor.

How to store Panazep LS Tablet 10's?Arrow

Store Panazep LS Tablet 10's at room temperature, away from heat and moisture. Keep it out of reach of children and pets.

Can I drink alcohol while taking Panazep LS Tablet 10's?Arrow

You should avoid drinking alcohol while taking Panazep LS Tablet 10's, as it can increase side effects such as dizziness and drowsiness.

Is it safe to take Panazep LS Tablet 10's during pregnancy?Arrow

Consult your doctor before taking Panazep LS Tablet 10's during pregnancy, as it may harm the unborn baby.

Is it safe to take Panazep LS Tablet 10's during breastfeeding?Arrow

Consult your doctor before taking Panazep LS Tablet 10's during breastfeeding, as it may pass into breast milk and harm the baby.

What are the symptoms of an overdose of Panazep LS Tablet 10's?Arrow

Symptoms of an overdose of Panazep LS Tablet 10's include drowsiness, confusion, slow reflexes, difficulty breathing, and loss of consciousness.

What should I do if I miss a dose of Panazep LS Tablet 10's?Arrow

If you miss a dose of Panazep LS Tablet 10's, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose.

Can Panazep LS Tablet 10's interact with other medications?Arrow

Yes, Panazep LS Tablet 10's can interact with certain other medications. Tell your doctor about all the medications you are taking, including prescription, over-the-counter medications, and herbal supplements.

What are the alternatives to Panazep LS Tablet 10's?Arrow

Alternatives to Panazep LS Tablet 10's include other antidepressants, anti-anxiety medications, and therapy. Talk to your doctor about what option is best for you.

How long does it take for Panazep LS Tablet 10's to start working?Arrow

It may take a few weeks for Panazep LS Tablet 10's to start working. Be patient and continue taking the medication as prescribed by your doctor, even if you do not feel better right away.

Can I stop taking Panazep LS Tablet 10's abruptly?Arrow

Do not stop taking Panazep LS Tablet 10's abruptly. This can cause withdrawal symptoms. Talk to your doctor before stopping the medication, and they will gradually reduce the dosage.

What is the price of Panazep LS Tablet 10's?Arrow

The price of Panazep LS Tablet 10's may vary depending on the brand, dosage, and pharmacy.

What is Panazep LS used for?Arrow

Panazep LS is a combination medicine containing clonazepam and paroxetine, used primarily for the treatment of anxiety disorders, panic disorder, and depressive episodes associated with significant anxiety. The clonazepam component provides short‑term relief from anxiety and agitation, while paroxetine, an SSRI antidepressant, helps improve mood and reduce long‑term anxiety and panic symptoms. The exact indication and treatment plan should be determined by a psychiatrist or other qualified physician.

How does Panazep LS work in the body?Arrow

Panazep LS works through two different mechanisms. Clonazepam enhances the effect of gamma‑aminobutyric acid (GABA), an inhibitory neurotransmitter in the brain, leading to reduced neuronal excitability and producing anxiolytic, sedative, and anticonvulsant effects. Paroxetine selectively inhibits the reuptake of serotonin into presynaptic neurons, increasing serotonin levels in the synaptic cleft and helping to regulate mood, anxiety, and panic symptoms. Together, these actions provide both rapid and longer‑term control of anxiety and related mood symptoms.

How long does Panazep LS take to show benefit?Arrow

The clonazepam component of Panazep LS may start to reduce anxiety and agitation within hours to a few days of starting treatment. However, the paroxetine component typically requires 1 to 2 weeks to begin showing noticeable improvement in mood and anxiety, and up to 4 to 6 weeks to achieve full therapeutic effect. Patients should continue taking the medicine as prescribed and not stop early because they feel no immediate improvement, unless advised by their doctor. Regular follow‑up is important to assess response and tolerability.

Can I stop taking Panazep LS suddenly if I feel better?Arrow

Panazep LS should not be stopped abruptly without medical supervision. Sudden discontinuation of clonazepam can lead to withdrawal symptoms such as anxiety rebound, insomnia, irritability, tremors, sweating, palpitations, and in severe cases, seizures. Stopping paroxetine suddenly may cause discontinuation symptoms such as dizziness, flu‑like feelings, sensory disturbances, sleep problems, and mood changes. Your doctor will usually recommend a gradual dose reduction over days to weeks, or longer if needed, to minimize withdrawal or rebound symptoms.

Is Panazep LS habit forming or addictive?Arrow

The clonazepam component of Panazep LS is a benzodiazepine and can cause physical dependence and tolerance, especially with prolonged use, higher doses, or use in individuals with a history of substance misuse. This means that stopping it suddenly may cause withdrawal symptoms, and some people may feel a strong urge to continue taking it. Paroxetine itself is not considered addictive in the traditional sense, but it can cause discontinuation symptoms if stopped abruptly. To reduce the risk of dependence, Panazep LS should be used at the lowest effective dose for the shortest duration necessary, under close medical supervision.

What are the common side effects of Panazep LS?Arrow

Common side effects of Panazep LS include drowsiness, dizziness, fatigue, slowed thinking or reaction time, impaired concentration, dry mouth, nausea, vomiting, constipation or diarrhea, increased sweating, decreased appetite or weight changes, sexual dysfunction (such as decreased libido or difficulty achieving orgasm), and sleep disturbances. Some people may experience restlessness, tremor, or mild headache. Many of these effects are dose‑related and may lessen as the body adjusts to treatment. Persistent, severe, or distressing side effects should be discussed with your doctor.

Can I drink alcohol while taking Panazep LS?Arrow

Alcohol should be avoided while taking Panazep LS. Both clonazepam and alcohol depress the central nervous system and can have additive effects, leading to excessive drowsiness, impaired coordination, slowed breathing, and increased risk of accidents or falls. Alcohol can also worsen anxiety, depression, and sleep quality, counteracting the benefits of treatment. If you have difficulty avoiding alcohol, discuss this with your healthcare provider so that appropriate support and monitoring can be arranged.

Is Panazep LS safe during pregnancy?Arrow

Use of Panazep LS during pregnancy requires careful risk–benefit assessment by a specialist. Paroxetine has been associated in some studies with an increased risk of certain congenital malformations, particularly when used in the first trimester, and with neonatal adaptation syndrome or persistent pulmonary hypertension of the newborn when used late in pregnancy. Benzodiazepines like clonazepam, if used in late pregnancy or at high doses, may cause neonatal respiratory depression, hypotonia (floppy infant), and withdrawal symptoms in the newborn. Panazep LS is generally avoided in pregnancy unless the potential benefit to the mother clearly outweighs the potential risks to the fetus, and alternative options are unsuitable.

Can I take Panazep LS while breastfeeding?Arrow

Both clonazepam and paroxetine can pass into breast milk. Paroxetine is often considered one of the preferred SSRIs during breastfeeding because infant exposure is relatively low, but monitoring is still required. Clonazepam may cause sedation, poor feeding, or breathing difficulties in the breastfed infant, especially at higher maternal doses or when combined with other sedating medicines. The decision to use Panazep LS while breastfeeding should be individualized, taking into account the severity of the mother’s condition, alternative treatments, and the possibility of using a regimen without benzodiazepines. If Panazep LS is used, the infant should be monitored for excessive sleepiness, poor feeding, or breathing problems.

Can Panazep LS be taken with other medicines?Arrow

Panazep LS can interact with several other medicines. Paroxetine should not be used with monoamine oxidase inhibitors (MAOIs) or within the recommended washout periods due to the risk of serious reactions including serotonin syndrome. Caution is needed with other serotonergic drugs such as other SSRIs, SNRIs, certain migraine medicines (triptans), tramadol, linezolid, and St. John’s wort. Clonazepam may have additive sedative effects with other central nervous system depressants such as opioids, other benzodiazepines, sedating antihistamines, antipsychotics, and alcohol. Paroxetine can also affect the metabolism of some drugs via cytochrome P450 inhibition. Always inform your doctor and pharmacist about all prescription medicines, over‑the‑counter products, and herbal supplements you are taking before starting Panazep LS.

Who should avoid taking Panazep LS?Arrow

Panazep LS is generally not recommended in individuals with known hypersensitivity to clonazepam, paroxetine, other benzodiazepines, or any excipients in the formulation. It should be avoided or used with great caution in patients taking MAOIs or within the required washout period, in those with severe respiratory insufficiency, severe hepatic impairment, acute narrow‑angle glaucoma, or a history of benzodiazepine or substance dependence unless under strict specialist supervision. Caution is also required in people with bipolar disorder, a history of seizures not appropriately managed, suicidal ideation, significant kidney disease, or elderly patients who are at higher risk of falls and confusion. A full medical evaluation is essential before prescribing.

References

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Escitalopram and Clonazepam in the Treatment of Generalized Anxiety Disorder: A Double-Blind, Randomized, Placebo-Controlled Trial.

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Escitalopram DrugBank entry

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Clonazepam DrugBank entry

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Lexapro (escitalopram oxalate) prescribing information (FDA)

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Klonopin (clonazepam) prescribing information (FDA)

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Escitalopram PubChem entry

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Clonazepam PubChem entry

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Medkart'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, medicines, generic alternatives, all possible side effects, drug interactions, warnings, alerts, lab tests, 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.

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