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Addicted to escitalent plus. How to get rid of this?

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Psychiatrist
Practicing since : 2009
Answered : 632 Questions
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i m taking one tablet of Escitalent Plus every day for last 4 years. i have gone addicted .but i wanted to leave. how can i quit.
Posted Fri, 15 Feb 2013 in Medicines and Side Effects
 
 
Answered by Dr. Sundar Gnanavel 23 minutes later
Hello........
Thanks for your query. Escitalent plus is composed of escitalopram and clonazepam. Escitalopram is an antidepressant of the SSRI class. It has no addictive properties and can be easily tapered off in a gradual fashion. However, clonazepam is a benzodiazepine ,a sedative drug (sleeping pill). This has definite addiction potential. However, the good thing about clonazepam is a long acting sedative which means it is easier to taper it off unlike short acting alprozolam. All you need is to XXXXXXX your psychiatrist, request him to convert escitalent plus to plain escitalent and then start on a separate clonazepam pill (that comes in trade names-petril, rivotril etc) and gradually taper the same by around 25% per week which means you will off the drug in 1 month. Such slow taper will help in avoiding withdrawal symptoms like tremors, sleeplessness etc. Hope you find my suggestions useful.
Regards
Dr Sundar
Specialist-Addiction medicine
Above answer was peer-reviewed by
 
Follow-up: Addicted to escitalent plus. How to get rid of this? 2 hours later
dear sir,
thanks for your reply but one thing i wanted to know that , I am not getting any negative thoughts for which I have started taking this medicine. If I will stop taking this medicine will it reoccur?
 
 
Answered by Dr. Sundar Gnanavel 1 hour later
Ya i understand your concern. Escitalopram is the major drug for you while the additional clonazepam is no longer necessary. We even continue escitalopram for more than 10 years in anxiety disorder patients. It need not be tapered right now. The issue is only with regard to the clonazepam which has addictive properties. So, you do not have to fear recurrence of symptoms after withdrawing clonazepam part of the drug.
Regards
Dr Sundar
Above answer was peer-reviewed by
 
Follow-up: Addicted to escitalent plus. How to get rid of this? 1 hour later
is yoga and pranayam is useful for the tepering medicine?
 
 
Answered by Dr. Sundar Gnanavel 37 minutes later
You can practice yoga and pranayama that would be helpful in reducing anxiety. However, it plays no significant role in tapering sedatives.
Regards
Dr Sundar
Above answer was peer-reviewed by
 
Follow-up: Addicted to escitalent plus. How to get rid of this? 14 hours later
Please tell me that, instead of Escitalent Plus , what medicine to take and how much should be sought. please provide the name of the medicine.
sir , i want be complete all right. i dont want to take more help of pill. please suggest me , What should I do?
 
 
Answered by Dr. Sundar Gnanavel 2 hours later
Instead of escitalent plus, you can take plain escitalent. It also comes in trade names of Nexito/Stalopam. Dosage is 10 mg once a day. You will be allright gradually. Plain escitalopram is not addictive and has only minimal side-effects. Stopping plain escitalopram can be done only after in person evaluation and is your doctor's discretion. However, i can suggest you that there are psychotherapy techniques like cognitive behavioural therapy that can substitute for medication provided trained clinical psychologists are available.
Regards
Dr Sundar
Above answer was peer-reviewed by
 
Follow-up: Addicted to escitalent plus. How to get rid of this? 18 hours later
is phsycotherapy is must?because this treatment is not available in my town
 
 
Answered by Dr. Sundar Gnanavel 10 minutes later
No, it is not a must. Actually trained clinical psychologists not even number to 300 in the country and you find it difficult to contact them even in metros. Medical colleges with psychiatry units are the only place if at all you find hem in towns. You can follow my other suggestions and forget the psychotherapy part.
Regards
Dr Sundar
Above answer was peer-reviewed by
 
Follow-up: Addicted to escitalent plus. How to get rid of this? 4 hours later
thank u very much sir for giving me suggestion. if u want to give me some more advice then u r welcome. thanks again
 
 
Answered by Dr. Sundar Gnanavel 1 minute later
Hope you have gained clarity into the issue post discussion. You can try out my suggestions.
Regards
Dr Sundar
Above answer was peer-reviewed by
 
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