C-Pram S Plus 10S

C-Pram S Plus 10S contains Clonazepam + Escitalopram and is used for this medicine is used. Prescription required.

This medicine is used in the treatment of anxiety, insomnia, panic disorder, seizures, muscle spasm, depression, obsessive compulsive disorder, nerve pain and migraine prevention.

This medicine combines 2 active ingredients: Clonazepam and Escitalopram. Clonazepam calms over-activity in the brain, which relieves anxiety and helps sleep come more easily. Escitalopram restores the balance of the chemical messengers in the brain that regulate mood, sleep and the way pain is felt.

Use this medicine as your doctor has directed. Follow the dose and the duration written on your prescription.

Drowsiness, Dizziness, Unsteadiness, Poor concentration, Memory lapses, Dry mouth, Nausea, Drowsiness or difficulty sleeping, Headache, Weight change, Reduced sexual desire, Constipation

These medicines cause dependence. They are intended for the shortest possible course — usually two to four weeks — and are not a long-term treatment for anxiety or sleeplessness. Never stop a regular course suddenly. Withdrawal can cause severe anxiety, tremor and fits. Your doctor will taper it slowly. Do not drive or operate machinery. Drowsiness and slowed reactions can continue into the next day. Never combine with alcohol or with opioid painkillers — together they can stop your breathing. Older people are far more likely to fall, become confused or have memory problems on these medicines. Several of these are Schedule H1 medicines and must be dispensed against a prescription and entered in the pharmacy register. These medicines take two to four weeks to begin working, and longer for the full effect. Stopping at two weeks because nothing has changed is the commonest mistake. Never stop suddenly. Abrupt withdrawal causes dizziness, electric-shock sensations, irritability and flu-like symptoms — your doctor will reduce the dose gradually. Tell your doctor or go to hospital immediately if thoughts of harming yourself appear or worsen, particularly in the first weeks or after a dose change, and especially in anyone under twenty-five. Seek urgent care for agitation with fever, shivering, a racing heart, muscle twitching or confusion, particularly if more than one medicine affecting serotonin is being taken. Side effects are usually worst in the first fortnight and then settle.

Alcohol, opioids, antihistamines, muscle relaxants and other sedatives all deepen the sedation, sometimes fatally. Tramadol, triptans for migraine, linezolid, St John's wort and other antidepressants can together raise serotonin dangerously. Anti-inflammatory painkillers and blood thinners increase the bleeding risk when combined with this group.

Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.