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About Aprolexa Tablet 10's

Aprolexa Tablet 10's is a type of antidepressant which belongs to the class of selective serotonin reuptake inhibitors (SSRI) and is primarily used in the treatment of depression and other mental health conditions which include anxiety, panic disorder, and obsessive-compulsive disorder. Depression is a mood disorder that affects day to day life of a person. A person may have symptoms such as feeling sad or feeling of loss and might have mood swings. Anxiety is defined as an emotion that is characterized by feelings of tension, worried thoughts, and symptoms like increased blood pressure. Anxiety disorder also includes panic disorder which is characterized by sudden feelings of terror. In Obsessive-compulsive disorder (OCD), a person feels the need to think or perform things repeatedly.

Aprolexa Tablet 10's works by increasing serotonin levels. Serotonin is a chemical messenger in the brain which is responsible for improving the mood and physical symptoms of depression. It is also responsible for relieving symptoms of anxiety, panic attacks, and obsessive-compulsive disorders.

You can take Aprolexa Tablet 10's with or without food. It should be swallowed whole with a glass of water. Do not chew, bite, or break it. Your doctor will advise you on how often you take your tablets based on your medical condition. In some cases, you may experience a decreased or increased appetite, weight gain, pain, sweating, fatigue, or high fever. Most of these side effects of Aprolexa Tablet 10's do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Try not to stop taking Aprolexa Tablet 10's of your own as it may lead to unpleasant side effects. Let your doctor know about this, as it may cause withdrawal symptoms. let your doctor know if you have epilepsy (seizure disorder or fits), diabetes, liver or kidney disease, any heart problems, or are currently taking medicines for depression known as MAO inhibitors (such as Isocarboxazid, Phenelzine, Selegiline) or problems with alcohol or other prescription drugs. These may affect your treatment also Inform your doctor if you are allergic to Aprolexa Tablet 10's.

Uses of Aprolexa Tablet 10's

Depression, Mental health conditions like anxiety, panic disorder, and obsessive-compulsive disorder

Medicinal Benefits

Aprolexa Tablet 10's is a type of antidepressant which belongs to the class of selective serotonin reuptake inhibitors (SSRI) and is primarily used in the treatment of depression and other mental health conditions which include anxiety, panic disorder, and obsessive-compulsive disorder. Aprolexa Tablet 10's works by increasing serotonin levels. Serotonin is a chemical messenger in the brain which is responsible for improving the mood and physical symptoms of depression. It is also responsible for relieving symptoms of anxiety, panic attacks, and obsessive-compulsive disorders.

Directions for Use

Always take Aprolexa Tablet 10's exactly as your doctor told you. Your doctor will advise you on how often you take your tablets on the basis of your medical condition. Swallow Aprolexa Tablet 10's with a full glass of water.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Aprolexa Tablet 10's

  • Nausea
  • Headache
  • Blocked or runny nose (sinusitis)
  • Increased or decreased appetite
  • Anxiety
  • Restlessness

Drug Warnings

Taking Aprolexa Tablet 10's should be avoided in patients having epilepsy (Brain disorder in which brain activity becomes abnormal, causing seizures), impaired liver or kidney function, diabetes, decreased level of sodium in the blood, tendency to easily develop bleedings or bruises, patients receiving electroconvulsive treatment, having coronary heart disease, suffering or have suffered from heart problems or have recently had a heart attack, having a low resting heart-rate, prolonged severe diarrhoea, and vomiting (Being sick) or using diuretics (water tablets), experiencing a fast or irregular heartbeat, fainting, collapse, or dizziness on standing up, which may indicate abnormal functioning of the heart rate, having or previously had eye problems, such as certain kinds of glaucoma (increased pressure in the eye).

Drug Interactions

Drug-Drug Interaction: This medicine may have an interaction with anti-depressants such as phenelzine, iproniazid and tranylcypromine, medicines used to treat Parkinson's disease such as selegiline. Taking this medicine with Aprolexa Tablet 10's can increase the risk of side effects, antibiotic linezolid, lithium (used in the treatment of manic-depressive disorder) and tryptophan, anti-depressants such as Imipramine and desipramine, medicines used to treat migraines such as Sumatriptan, medicines used for severe pain such as tramadol, medicines used for stomach ulcers such as Cimetidine, lansoprazole, and omeprazole, medicines used to treat fungal infections such as fluconazole, medicines used to reduce the risk of strokes such as ticlopidine, blood-thinning medicines (warfarin, dipyridamole, and phenprocoumon) and pain killers, antimalarials such as mefloquine, medicines used for heart diseases such as flecainide, propafenone. Medicines that decrease blood levels of potassium or magnesium, as these increase the risk of life-threatening heart rhythm disorder.

Drug-Food Interaction: Aprolexa Tablet 10's may interact with multi-mineral or other herbal/ayurvedic supplements. So, if you are using any of the OTC items please tell your doctor.

Drug-Disease Interaction: People affected with bipolar disorder (manic depression), bleeding or blood clotting disorder, drug addiction or suicidal thoughts, liver or kidney disease, seizures, low levels of sodium in your blood, cardiovascular disorders like high blood pressure, chest pain (angina), and coronary artery disease should avoid intake of Aprolexa Tablet 10's.

Drug-Drug Interactions Checker List

  • PHENELZINE
  • IPRONIAZID
  • TRANYLCYPROMINE
  • SELEGILINE
  • LINEZOLID
  • LITHIUM
  • TRYPTOPHAN
  • IMIPRAMINE
  • DESIPRAMINE
  • SUMATRIPTAN
  • TRAMADOL
  • CIMETIDINE
  • LANSOPRAZOLE
  • OMEPRAZOLE
  • FLUCONAZOLE
  • TICLOPIDINE
  • WARFARIN
  • DIPYRIDAMOLE
  • PHENPROCOUMON
  • MEFLOQUINE
  • FLECAINIDE
  • PROPAFENONE

Habit Forming

No

Diet & Lifestyle Advise

  • Doing regular exercise can help lower anxiety by releasing endorphins and improving sleep.
  • Find humour in your daily life. Try to watch light-hearted shows to help relieve stress.
  • You can try increasing your mindfulness by including yoga, meditation, cognitive therapy, and mindfulness-based stress reduction.
  • Drink enough water to stay hydrated, and limit or avoid alcohol and caffeine to relieve anxiety.
  • Include a diet rich in whole grains, vegetables, and fruits. This is a healthier option than eating many simple carbohydrates in processed foods.
  • Herbs like turmeric, ginger, and chamomile contain anti-inflammatory properties. Including these stuff in meals can reduce inflammation caused due to anxiety disorder.
  • Reduce your alcohol, caffeine, added sugar, high salt, and high fat intake. Significantly transfat may help also help reduce inflammation.
  • You can include antioxidants in your daily diet, like ashwagandha, omega-3 fatty acids, green tea, and lemon balm.
  • Try to spend time with your friends and family. Having a solid social network may help you lower your risk of anxiety.

Special Advise

  • Aprolexa Tablet 10's causes drowsiness. Avoid doing activities that require your complete focus and attention like driving when on this drug.
  • An abrupt stoppage of Aprolexa Tablet 10's can lead to significant withdrawal symptoms. Always discuss with your doctor about decreasing the dosage before completely stopping its usage.
  • Avoid consuming alcohol while on this medication as it can lead to dangerous side effects.
  • Aprolexa Tablet 10's is unsafe for usage if you're pregnant or are planning to get pregnant. Discuss with your doctor in such situations about changing/replacing the medicine with safer alternatives.
  • Do not self-medicate.

Disease/Condition Glossary

Depression: It is a mood disorder that affects day to day life of a person. A person may have symptoms such as feeling sad or feeling of loss and might have mood swings.

Anxiety: It is defined as an emotion that is characterized by feelings of tension, worried thoughts, and symptoms like increased blood pressure. Anxiety disorder also includes panic disorder which is characterized by sudden feelings of terror.

Obsessive-compulsive disorder (OCD): In this disorder, a person feels the need to think or perform things repeatedly.

Consult Doctor

About Aprolexa Tablet 10's

Aprolexa Tablet 10's is a type of antidepressant which belongs to the class of selective serotonin reuptake inhibitors (SSRI) and is primarily used in the treatment of depression and other mental health conditions which include anxiety, panic disorder, and obsessive-compulsive disorder. Depression is a mood disorder that affects day to day life of a person. A person may have symptoms such as feeling sad or feeling of loss and might have mood swings. Anxiety is defined as an emotion that is characterized by feelings of tension, worried thoughts, and symptoms like increased blood pressure. Anxiety disorder also includes panic disorder which is characterized by sudden feelings of terror. In Obsessive-compulsive disorder (OCD), a person feels the need to think or perform things repeatedly.

Aprolexa Tablet 10's works by increasing serotonin levels. Serotonin is a chemical messenger in the brain which is responsible for improving the mood and physical symptoms of depression. It is also responsible for relieving symptoms of anxiety, panic attacks, and obsessive-compulsive disorders.

You can take Aprolexa Tablet 10's with or without food. It should be swallowed whole with a glass of water. Do not chew, bite, or break it. Your doctor will advise you on how often you take your tablets based on your medical condition. In some cases, you may experience a decreased or increased appetite, weight gain, pain, sweating, fatigue, or high fever. Most of these side effects of Aprolexa Tablet 10's do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Try not to stop taking Aprolexa Tablet 10's of your own as it may lead to unpleasant side effects. Let your doctor know about this, as it may cause withdrawal symptoms. let your doctor know if you have epilepsy (seizure disorder or fits), diabetes, liver or kidney disease, any heart problems, or are currently taking medicines for depression known as MAO inhibitors (such as Isocarboxazid, Phenelzine, Selegiline) or problems with alcohol or other prescription drugs. These may affect your treatment also Inform your doctor if you are allergic to Aprolexa Tablet 10's.

Non returnable*
COD available

Online payment accepted

Composition :

ESCITALOPRAM-10MG

Manufacturer/Marketer :

De Merilion Formulation Pvt Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Country of origin

India

Manufacturer/Marketer address

88, Jangalpur Rd, Manikpur, Rajbari, Dum Dum, North Dumdum, West Bengal 700081
Other Info - APR0177

FAQs

It takes about 2-4 weeks before you start feeling better. It is advised not to stop this medicine without consulting your doctor as may lead to unpleasant side-effects.

Aprolexa Tablet 10's is not advised in cases if a person is allergic to Aprolexa Tablet 10's, has epilepsy, or are having electroconvulsive treatment as Aprolexa Tablet 10's may increase your risk of having a seizure. Aprolexa Tablet 10's should not be taken by a person having heart problems as taking Aprolexa Tablet 10's can speed up or change the heartbeat. It should not be given to a person having a low heart rate along with symptoms of diarrhoea and vomiting, pregnant women, trying to get pregnant, breastfeeding, having eye problems such as glaucoma. In diabetics, it can cause difficulty in keeping stable blood sugar levels.

Aprolexa Tablet 10's should be preferably taken in the morning as taking it at night can keep you awake till late. It is better to take it at a fixed time.

Certain side-effects of Aprolexa Tablet 10's can be dealt with simple tips such as if you experience dry mouth, you can chew sugar-free gum or take sugar-free sweets. If you are sweating a lot while taking Aprolexa Tablet 10's, wear loose clothing, and use a strong antiperspirant. If you are unable to sleep after taking Aprolexa Tablet 10's, prefer to take it in the morning to avoid sleep disturbances. If you feel sleepy after taking Aprolexa Tablet 10's, avoid taking it in the evening and limit your alcohol intake. If you feel tired or weak after taking Aprolexa Tablet 10's, sit or lie down until you feel better. If you feel that the side-effects are worsening, please consult your doctor.

Taking Aprolexa Tablet 10's in more than the recommended dose can cause unpleasant side-effects such as dizziness, tremor, agitation, convulsion, coma, nausea, vomiting, changes in heart rhythm, decreased blood pressure, and change in body fluid/salt balance.

Initially, Aprolexa Tablet 10's can make you feel less hungry which can make you lose weight. After some days, you might gain weight as your appetite returns. If you experience too much weight loss or gain, please consult your doctor.

Yes, Aprolexa Tablet 10's might cause memory problems along with headache, confusion, trouble concentrating, weakness, or unsteadiness.

Aprolexa Tablet 10's should be taken as per the advice of your doctor. Once you start feeling better, you might have to continue it for several months to prevent the symptoms from returning back. Your doctor will advise you on how much time you need to continue Aprolexa Tablet 10's depending upon the type and severity of your symptoms.

In case you miss a dose of Aprolexa Tablet 10's, do not take a double dose of Aprolexa Tablet 10's. If you remember the missed dose before sleeping, take it at that time and take Aprolexa Tablet 10's at the same time the next day which were you taking earlier. If you remember the missed dose the next day, leave the skipped dose, and continue with the next dose.

Yes, it is very important to inform your doctor if you are planning to get pregnant and are taking Aprolexa Tablet 10's. It is not advised to take this medicine in pregnancy as it might pose a risk to the unborn baby. However, please consult your doctor before you stop taking Aprolexa Tablet 10's as the sudden stoppage of this medicine can lead to unpleasant side-effects.

Disclaimer

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Alcohol

Unsafe

It is not recommended to take alcohol with Aprolexa Tablet 10's to avoid unpleasant side-effects.

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Pregnancy

Unsafe

Aprolexa Tablet 10's is not recommended in pregnancy. However, if you were already taking this medicine before becoming pregnant, do not stop taking it without consulting your doctor. It can pose a small risk of problems for an unborn baby. Your doctor might prescribe you this medicine in pregnancy depending upon your condition as it is important to stay well in pregnancy.

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Breast Feeding

Unsafe

Aprolexa Tablet 10's passes into breast milk in very small amounts and might cause side effects in breastfed babies. It can be prescribed if the baby is healthy. However, if after taking Aprolexa Tablet 10's, the baby isn't feeding well as usual, or is sleeping a lot than normal, please consult your doctor.

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Driving

Unsafe

It is not recommended to drive after taking Aprolexa Tablet 10's as it may cause drowsiness and interfere with your driving ability.

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Liver

Caution

Aprolexa Tablet 10's to be taken with caution, especially if you have a history of liver diseases/conditions. The dose may have to be adjusted by your doctor.

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Kidney

Caution

Aprolexa Tablet 10's to be taken with caution, especially if you have a history of kidney diseases/conditions as dose adjustment might be required.

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Children

Unsafe

Aprolexa Tablet 10's is not recommended in children below 12 years of age.

Uses of Aprolexa Tablet 10's

Depression, Mental health conditions like anxiety, panic disorder, and obsessive-compulsive disorder

Medicinal Benefits

Aprolexa Tablet 10's is a type of antidepressant which belongs to the class of selective serotonin reuptake inhibitors (SSRI) and is primarily used in the treatment of depression and other mental health conditions which include anxiety, panic disorder, and obsessive-compulsive disorder. Aprolexa Tablet 10's works by increasing serotonin levels. Serotonin is a chemical messenger in the brain which is responsible for improving the mood and physical symptoms of depression. It is also responsible for relieving symptoms of anxiety, panic attacks, and obsessive-compulsive disorders.

Side effects of Aprolexa Tablet
  • Inability to have an orgasm can be managed by treating any underlying medical condition that has not been diagnosed.
  • Observe yourself and try to understand why this inability occurs.
  • Regularly do strengthening exercises to improve blood flow throughout the body to improve your desire.
  • Implement massage techniques to enhance blood flow to organs.
  • Take a balanced diet and quit smoking.
  • Practice yoga and meditation to improve thought processes and have cognitive behavioural therapy.

Directions for Use

Always take Aprolexa Tablet 10's exactly as your doctor told you. Your doctor will advise you on how often you take your tablets on the basis of your medical condition. Swallow Aprolexa Tablet 10's with a full glass of water.

Storage

Store in a cool and dry place away from sunlight

Drug Warnings

Taking Aprolexa Tablet 10's should be avoided in patients having epilepsy (Brain disorder in which brain activity becomes abnormal, causing seizures), impaired liver or kidney function, diabetes, decreased level of sodium in the blood, tendency to easily develop bleedings or bruises, patients receiving electroconvulsive treatment, having coronary heart disease, suffering or have suffered from heart problems or have recently had a heart attack, having a low resting heart-rate, prolonged severe diarrhoea, and vomiting (Being sick) or using diuretics (water tablets), experiencing a fast or irregular heartbeat, fainting, collapse, or dizziness on standing up, which may indicate abnormal functioning of the heart rate, having or previously had eye problems, such as certain kinds of glaucoma (increased pressure in the eye).

Therapeutic Class

PSYCHOTHERAPEUTICS

Drug-Drug Interactions

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Drug-Drug Interactions

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How does the drug interact with Aprolexa Tablet:
Using ketamine together with Aprolexa Tablet may increase side effects

How to manage the interaction:
There may be a possibility of interaction between Ketamine and Aprolexa Tablet, but it can be taken if prescribed by a doctor. If you start feeling dizzy, tired, confused, have trouble focusing, feel really sleepy, or have trouble breathing, contact your doctor immediately. Do not discontinue any medications without consulting your doctor.
How does the drug interact with Aprolexa Tablet:
Taking Gatifloxacin and Aprolexa Tablet can increase the risk or severity of irregular heart rhythms.

How to manage the interaction:
Taking Gatifloxacin and Aprolexa Tablet together can result in an interaction, it can be taken if your doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Aprolexa Tablet:
Taking Prochlorperazine and Aprolexa Tablet together can raise the risk of an abnormal heart rhythm.

How to manage the interaction:
Taking Prochlorperazine with Aprolexa Tablet together can possibly result in an interaction, but it can be taken if your doctor has advised it. However, contact your doctor if you experience drowsiness, lightheadedness, fainting, shortness of breath, or irregular heartbeat. Do not stop using any medications without a doctor's advice.
How does the drug interact with Aprolexa Tablet:
Taking Tacrolimus together with Aprolexa Tablet can increase the risk of an irregular heart rhythm and other side effects.

How to manage the interaction:
Although taking tacrolimus and Aprolexa Tablet together can possibly result in an interaction, it can be taken if your doctor has prescribed it. However, consult the doctor immediately if you experience symptoms such as dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations. Do not stop using any medications without consulting doctor.
How does the drug interact with Aprolexa Tablet:
Coadministration of Aprolexa Tablet and Desvenlafaxine might raise serotonin hormone levels in the body and may affect the brain or nerve cells. Increased serotonin hormone can lead to severe side effects.

How to manage the interaction:
Although there is an interaction between Aprolexa Tablet and desvenlafaxine, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, hallucinations (seeing and hearing things that do not exist), increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, incoordination, stomach cramps, nausea, vomiting, and diarrhea. Do not discontinue any medications without consulting your doctor.
How does the drug interact with Aprolexa Tablet:
Taking hydroxyzine with Aprolexa Tablet can increases the risk of an abnormal heart rhythm.

How to manage the interaction:
Although there is an interaction between Hydroxyzine and Aprolexa Tablet, they can be taken together if prescribed by a doctor. However, consult your doctor immediately if you experience abrupt dizziness, lightheadedness, fainting, shortness of breath, or rapid heartbeat. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Aprolexa Tablet:
Taking Ketoconazole and Aprolexa Tablet together can increase the risk of abnormal heart rhythm.

How to manage the interaction:
Taking Ketoconazole and Aprolexa Tablet together can result in an interaction, it can be taken if a doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, or rapid heartbeat, consult a doctor immediately. Do not stop using any medications without talking to a doctor.
How does the drug interact with Aprolexa Tablet:
Coadministration of Aprolexa Tablet and nilotinib can increase the risk or severity of irregular heart rhythms. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Aprolexa Tablet and nilotinib together can lead to an interaction, but it can be taken if advised by your doctor. However, if you experience any symptoms like sudden dizziness, shortness of breath, heart palpitations, diarrhea, or vomiting, contact your doctor immediately. Do not discontinue any medications without consulting your doctor.
How does the drug interact with Aprolexa Tablet:
Taking Fluvoxamine with Aprolexa Tablet may increase the risk of serotonin syndrome(a condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Although there is an interaction between Fluvoxamine and Aprolexa Tablet, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, hallucinations (seeing and hearing things that do not exist), fits, blood pressure alteration, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, incoordination, stomach cramps, nausea, vomiting, and diarrhea. Do not discontinue any medications without consulting your doctor.
How does the drug interact with Aprolexa Tablet:
Combining Trazodone with Aprolexa Tablet can increase the risk of serotonin syndrome(a condition in which a chemical called serotonin increase in your body).

How to manage the interaction:
Taking Aprolexa Tablet with Trazodone together can possibly result in an interaction, but it can be taken if your doctor has advised it. However, if you experience confusion, seizure(fits), extreme changes in blood pressure, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm, tremor(shaking of hands & legs), incoordination, stomach pain, nausea, vomiting, and diarrhea contact your doctor right away. Do not discontinue any medications without first consulting your doctor..

Drug-Drug Interactions Checker List

  • PHENELZINE
  • IPRONIAZID
  • TRANYLCYPROMINE
  • SELEGILINE
  • LINEZOLID
  • LITHIUM
  • TRYPTOPHAN
  • IMIPRAMINE
  • DESIPRAMINE
  • SUMATRIPTAN
  • TRAMADOL
  • CIMETIDINE
  • LANSOPRAZOLE
  • OMEPRAZOLE
  • FLUCONAZOLE
  • TICLOPIDINE
  • WARFARIN
  • DIPYRIDAMOLE
  • PHENPROCOUMON
  • MEFLOQUINE
  • FLECAINIDE
  • PROPAFENONE

Diet & Lifestyle Advise

  • Doing regular exercise can help lower anxiety by releasing endorphins and improving sleep.
  • Find humour in your daily life. Try to watch light-hearted shows to help relieve stress.
  • You can try increasing your mindfulness by including yoga, meditation, cognitive therapy, and mindfulness-based stress reduction.
  • Drink enough water to stay hydrated, and limit or avoid alcohol and caffeine to relieve anxiety.
  • Include a diet rich in whole grains, vegetables, and fruits. This is a healthier option than eating many simple carbohydrates in processed foods.
  • Herbs like turmeric, ginger, and chamomile contain anti-inflammatory properties. Including these stuff in meals can reduce inflammation caused due to anxiety disorder.
  • Reduce your alcohol, caffeine, added sugar, high salt, and high fat intake. Significantly transfat may help also help reduce inflammation.
  • You can include antioxidants in your daily diet, like ashwagandha, omega-3 fatty acids, green tea, and lemon balm.
  • Try to spend time with your friends and family. Having a solid social network may help you lower your risk of anxiety.

Habit Forming

No

Special Advise

  • Aprolexa Tablet 10's causes drowsiness. Avoid doing activities that require your complete focus and attention like driving when on this drug.
  • An abrupt stoppage of Aprolexa Tablet 10's can lead to significant withdrawal symptoms. Always discuss with your doctor about decreasing the dosage before completely stopping its usage.
  • Avoid consuming alcohol while on this medication as it can lead to dangerous side effects.
  • Aprolexa Tablet 10's is unsafe for usage if you're pregnant or are planning to get pregnant. Discuss with your doctor in such situations about changing/replacing the medicine with safer alternatives.
  • Do not self-medicate.

Disease/Condition Glossary

Depression: It is a mood disorder that affects day to day life of a person. A person may have symptoms such as feeling sad or feeling of loss and might have mood swings.

Anxiety: It is defined as an emotion that is characterized by feelings of tension, worried thoughts, and symptoms like increased blood pressure. Anxiety disorder also includes panic disorder which is characterized by sudden feelings of terror.

Obsessive-compulsive disorder (OCD): In this disorder, a person feels the need to think or perform things repeatedly.

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