This medicine is a combination of an antidepressant and an anti-anxiety medicine. It helps improve mood, reduce anxiety, calm nervousness, and improve sleep.
Uses
It is mainly used for:
Depression associated with anxiety
Anxiety with insomnia
Mixed anxiety and depressive disorder
Nervous tension and agitation
Sometimes doctors may also prescribe it for psychosomatic disorders or chronic pain associated with anxiety/depression.
Typical Dose
Dose depends on the patient’s condition and doctor’s advice.
Common adult dosing:
Initial dose: 1–2 tablets daily
Sometimes 3–4 tablets daily in divided doses
Often a larger dose is taken at bedtime because it may cause drowsiness
Elderly patients usually need lower doses.
How to Take
Take with or without food
Usually taken after meals or at bedtime
Swallow whole with water
Do not stop suddenly without doctor advice because withdrawal symptoms can occur
Common Side Effects
Drowsiness
Dry mouth
Dizziness
Constipation
Blurred vision
Weight gain
Confusion
Difficulty urinating
Important Warnings
Avoid alcohol while taking this medicine
May cause sleepiness; avoid driving or operating machinery
Use carefully in liver disease, seizure disorders, or elderly patients
Sudden discontinuation may cause withdrawal symptoms
Seek medical help if suicidal thoughts or severe mood changes occur