Anxipan Capsule

Capsule
Rs.141for 1 strip(s) (10 capsules each)
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Composition FOR Anxipan

Amitriptyline(10mg),Pantoprazole(40mg)

food interaction for Anxipan

alcohol interaction for Anxipan

pregnancy interaction for Anxipan

lactation interaction for Anxipan

food
alcohol
pregnancy
lactation
Anxipan Capsule may be taken with or without food, but it is better to take it at a fixed time.
None
CAUTION
It is unsafe to consume alcohol with Anxipan Capsule.
UNSAFE
Anxipan Capsule may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
CONSULT YOUR DOCTOR
Anxipan Capsule is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
CONSULT YOUR DOCTOR

SALT INFORMATION FOR Anxipan

Amitriptyline(10mg)

Uses

Amitriptyline is used in the treatment of depression, neuropathic pain and migraine.

How it works

Amitriptyline contains Amitriptyline, a tricyclic antidepressant. It has anticholinergic and sedative properties. It prevents the reuptake, and hence the inactivation of neurotransmitters called noradrenaline and serotonin, that are present at the nerve terminals in our brain. Reuptake prevention of these monoamine neurotransmitters potentiate their action in the brain. This appears to be associated with the antidepressant activity and helps in regulating the mood. It also stops the transmission of pain signals from nerves to the brain thereby relieving neuropathic pain (pain from damaged nerves).

Common side effects

Constipation, Dryness in mouth, Orthostatic hypotension (sudden lowering of blood pressure on standing), Weight gain, Aggressive behavior, Nasal congestion (stuffy nose), Sleepiness, Dizziness, Headache, Decreased libido, Nausea, Fatigue, Confusion, Tremors, Speech disorder, Palpitations, Taste change, Paresthesia (tingling or pricking sensation), Abnormality of voluntary movements, Loss of accommodation, Atrioventricular block, Micturition disorders, Erectile dysfunction, Abnormal ECG, Decreased sodium level in blood, Facial swelling, Hypomania, Mania, Anxiety, Insomnia (difficulty in sleeping), Convulsion, Ringing in ear, Rash, Liver impairment, Akathisia (inability to stay still), Suicidal thoughts, Arrhythmia (irregular heartbeats), Hair loss
Pantoprazole(40mg)

Uses

Pantoprazole is used in the treatment of heartburn, gastroesophageal reflux disease (acid reflux) and peptic ulcer disease.

How it works

Pantoprazole is a proton pump inhibitor (PPI). It works by reducing the amount of acid in the stomach which in turn relieves acid-related indigestion and heartburn.

Common side effects

Diarrhea, Flatulence, Headache, Nausea, Vomiting, Dizziness, Abdominal pain, Blurred vision, Constipation, Joint pain, Injection site reaction, Edema (swelling), Dryness in mouth, Hepatitis (viral infection of liver), Decreased white blood cell count, Low blood platelets, Rash, Red spots or bumps, Fundic gland polyps, Jaundice, Systemic lupus erythematosus, Clostridium difficile associated diarrhea, Change in body weight, Increased triglyceride level in blood, Rhabdomyolysis

SUBSTITUTES FOR Anxipan

No substitutes found

Expert advice FOR Anxipan

  • It may take 4 to 6 weeks for Amitriptyline to start working. Keep taking it as prescribed.
  • It may cause sleepiness. Take it at bedtime and do not drive or do anything requiring concentration until you know how it affects you.
  • Avoid consuming alcohol when taking Amitriptyline as it may cause excessive sleepiness.
  • Monitor your weight during the treatment as this medicine can cause weight gain and increased appetite.
  • It may cause sudden drop in your blood pressure. Rise slowly if you have been sitting or lying down.
  • Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.
  • Pay close attention to any changes, especially sudden changes, in mood, behaviors, thoughts, or feelings. This is very important when an antidepressant medicine is started or when the dose is changed.

Frequently asked questions FOR Anxipan

Amitriptyline

Q. What other lifestyle changes should I make to get maximum benefit of Amitriptyline?
Antidepressants, including Amitriptyline, are just one of several approaches to treat depression. Certain lifestyle changes can help you get maximum benefit of Amitriptyline and help you recover fast. Keeping active and eating a healthy diet can make a significant difference to how quickly you recover from depression. Think positively and try to discuss your thoughts with others to reduce stress. Practice yoga or take up a hobby. Ensure that you have a sound sleep to calm your mind. Stay away from smoking or alcohol consumption as these will only worsen your depression. Take your medicines as prescribed even if you start feeling better.
Q. I have been prescribed Amitriptyline for pain. When will I start feeling better?
You may start feeling better after 2 weeks of starting Amitriptyline. However, it may take 4-6 weeks to see the full benefits of the medicine.
Q. Can I stop taking Amitriptyline when my pain is relieved?
No, do not stop taking Amitriptyline even if the pain is relieved. You should use Amitriptyline as advised by the doctor. Stopping the medicine suddenly may cause unpleasant symptoms like headache, feeling unwell, sleeplessness and irritability. Consult your doctor for the duration of the treatment since the dose of Amitriptyline needs to be reduced gradually.
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Q. Is there anything I need to be careful about while on therapy with Amitriptyline?
Amitriptyline may cause drowsiness and dizziness, especially in the beginning of the treatment. So, avoid driving or using machinery until you know how the medicine affects you. Also, it is not advisable to drink alcohol during treatment with this medicine as it might increase sleepiness.
Q. Can the use of Amitriptyline affect my sex life?
Yes, Amitriptyline can affect sex life in both men and women. It may cause decreased sexual desire or you may experience discomfort during intercourse. Men may experience inability to develop or maintain an erection during sexual activity and may be unable to have an orgasm. If you notice these symptoms, do not stop taking the medicine but consult your doctor.
Q. I have been taking Amitriptyline for depression since a week and recently I have been wanting to harm myself. What should I do? Is it because of the medicine?
You should immediately consult your doctor or go to the hospital. Your suicidal tendencies may have increased because of your disease or the medicine. Generally, Amitriptyline takes about 2 weeks to show its effect but may take longer. Therefore, when you start taking Amitriptyline, you may have thoughts about killing or harming yourself. This is more common in people who previously had suicidal tendencies or are young adults (less than 25 years old). However, the effect of medicine is different for every individual.
Q. Can Amitriptyline cause urinary problems?
Yes, Amitriptyline can cause urinary problems. It is more commonly seen in elderly patients who are more than 65 years old. The patient may face difficulty in passing urine which can further lead to a urinary tract infection. Consult your doctor immediately if you develop these symptoms.
Q. If my pain is not relieved, can I take more than the recommended dose?
No, you should use Amitriptyline strictly as prescribed by the doctor. If the dose exceeds, you may develop drowsiness, confusion, difficulty in speech, dry mouth, tiredness, difficulty in walking, fever, difficulty in breathing, blue discoloration of the skin and decreased heartbeat. Your pain may not be relieved because Amitriptyline takes about 2 weeks to show its effect, but it may take longer in some cases. The duration of treatment can differ from individual to individual. Consult your doctor if your symptoms are not relieved.
Q. Does Amitriptyline cause any effect on pregnancy or the newborn?
Do not take Amitriptyline during pregnancy unless recommended by the doctor. If you take this medicine during the last trimester of the pregnancy, the newborn may develop symptoms such as irritability, rigidity, irregular body movements, irregular breathing, poor drinking, loud crying, difficulty in urinating and constipation.
Q. How long does Amitriptyline take to work?
You may see an improvement in your symptoms after a couple of weeks, although it usually takes between 4 and 6 weeks before you feel the benefits. Do not stop taking Amitriptyline after 1 or 2 weeks just because you feel it is not helping your symptoms. Give the medicine at least 6 weeks to work.
Q. How will Amitriptyline make me feel?
Antidepressants like Amitriptyline help to gradually lift your mood. You may notice that you sleep better and are less anxious. You may worry less about little things that used to bother you. Amitriptyline will not make you feel excessively or unusually happy. It will help you feel like yourself again.

Pantoprazole

Q. What is Pantoprazole used for?
Pantoprazole is used for the treatment of peptic ulcer disease, reflux esophagitis or gastroesophageal reflux disease (GERD). Pantoprazole prevents acidity associated with use of painkillers. It is also used to treat a disease associated with excessive acid production in the stomach known as Zollinger Ellison syndrome (ZES). It works by reducing the amount of acid made by your stomach and thus relieves your symptoms.
Q. How long does it take for Pantoprazole to work?
You should start to feel better within 2 to 3 days. It may take up to 4 weeks for Pantoprazole to work properly so you may still have some symptoms during this time.
Q. Is Pantoprazole safe?
Yes, Pantoprazole is relatively safe. Most of the people who take Pantoprazole do not get a side effect. It is advised to be taken as directed by the doctor for maximum benefits.
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Q. Can I take Pantoprazole for a long term?
Pantoprazole is usually prescribed for short term use only. However, if need arises, such as for treating peptic ulcer disease and Zollinger Ellison syndrome (ZES), Pantoprazole may be prescribed for a long term duration as well. Long term use may carry an increased risk for side effects and must be discussed with the doctor. Please use Pantoprazole as advised by your doctor and under their supervision.
Q. What are the long term side effects of Pantoprazole?
If Pantoprazole is used for more than 3 months, certain long term side effects may be seen. The most important of these is low magnesium levels in your blood which may make you feel tired, confused, dizzy, shaky or dizzy. You may also have muscle twitches or irregular heartbeat. If the use is further prolonged for more than a year, you may have an increased risk of bone fractures, stomach infections and vitamin B12 deficiency. Vitamin B12 deficiency can make you anemic, as a result of which you may feel more tired, weak, or pale. Additionally you may have palpitations, shortness of breath, lightheadedness, indigestion, loss of appetite, flatulence (gas) or nerve problems such as numbness, tingling and problem in walking.
Q. What is the best time to take Pantoprazole?
Usually, Pantoprazole is taken once a day, first thing in the morning. If you take Pantoprazole twice a day, take 1 dose in the morning and 1 dose in the evening. The tablets should be swallowed whole (remember not be chewed or crushed) and taken at least 1 hour before a meal with some water.
Q. Is a single dose of Pantoprazole sufficient?
No, a single dose may not be sufficient. However, with only a few doses of Pantoprazole you may get relief with the symptoms. Pantoprazole is usually needed only for a short term or upto 2 weeks for heartburn, indigestion, acid reflux. However, if need arises, such as for treating peptic ulcer disease and Zollinger Ellison syndrome (ZES), Pantoprazole may be prescribed for a long term duration as well. Please consult your doctor if you do not feel better even after taking Pantoprazole regularly for 2 weeks as prescribed.
Q. Can I stop taking Pantoprazole if I feel better?
If you have been taking Pantoprazole for a long time, stopping it abruptly may lead to increased acid production, thereby worsening your symptoms. Therefore, you must discuss with your doctor about any dose changes or if you wish to come off Pantoprazole.
Q. Does Pantoprazole cause weight gain?
Although rare but long-term treatment with Pantoprazole may cause weight gain. The reason could be the relief from reflux symptoms which could make you eat more. Consult your doctor for any weight-related concern.
Q. Can I take alcohol with Pantoprazole?
No, alcohol intake is not advised with Pantoprazole. Alcohol itself does not affect the working of Pantoprazole, but it can increase the acid production. This may further cause worsening of your symptoms.
Q. Can I take antacids along with Pantoprazole?
Yes, you can take antacids along with Pantoprazole. Take it 2 hours before or after you take Pantoprazole.
Q. What dietary changes should I make to get relief from acidity?
Pantoprazole is best taken 1 hour before a meal. You should avoid spicy and fatty foods while taking this medicine. You must refrain from caffeinated drinks such as tea, coffee and cola. Alcohol intake should also be avoided as it may worsen your symptoms.
Q. Are painkillers safe to take along with Pantoprazole?
Yes, it is safe to take painkillers along with Pantoprazole. Pantoprazole prevents acidity and stomach ulcers associated with the intake of painkillers. Pantoprazole is taken 1 hour before a meal. On the other hand, painkillers are usually taken with, or after a meal to avoid stomach upset.

Content on this page was last updated on 17 January, 2024, by Dr. Varun Gupta (MD Pharmacology)