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compositionComposition:ALPRAZOLAM-0.25MG+FLUOXETINE-20MG
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Prescription Medicine
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Fluwel Tablet is used to treat depression. It contains Alprazolam and Fluoxetine which improve mood and suppress the abnormal activity of the nerve cells in the brain. In some cases, this medicine may cause side effects such as nausea, vomiting, diarrhoea, confusion, drowsiness, tiredness, and low sexual desire. Before taking this medicine, inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

ALPRAZOLAM-0.25MG+FLUOXETINE-20MG

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Fluwel Tablet

Fluwel Tablet is a prescription oral medicine used to treat depression accompanied by moderate to severe anxiety. This medication works by balancing specific chemical messengers in the brain to improve your mood and relieve tension.

You should take this medicine daily at the same time to ensure a consistent level remains in your body. It can be taken with or without food, but taking it with meals can help prevent stomach upset. Combining this treatment with regular physical activity and a structured sleep routine can greatly improve your overall results.

Common side effects of Fluwel Tablet include drowsiness, dry mouth, and changes in appetite. However, if you experience any serious side effects such as severe mood changes, worsening depression, or suicidal thoughts, you must seek medical attention immediately.

Before starting Fluwel Tablet , tell your doctor if you have a history of liver damage, kidney issues, glaucoma, or seizures. Do not take this if you are allergic to any active components in this medicine or if you are currently taking monoamine oxidase inhibitors (MAOIs).

This medicine can interact with alcohol, blood-thinning drugs, and other medicines that increase serotonin levels, such as certain antidepressants, tramadol, and some migraine medicines (triptans). These combinations can increase the risk of serious side effects, including serotonin syndrome. Tell your doctor about all medicines and supplements you are taking before starting treatment. Pregnant, breastfeeding, elderly, and children or adolescents should consult their doctor before using this medicine to ensure it is appropriate and safe for them. Extra caution is needed for older adults, as they may be more sensitive to drowsiness, dizziness, and falls.

Uses of Fluwel Tablet

Fluwel Tablet used in the treatment of depression. The detailed uses of Fluwel Tablet are as follows:

  • Depression with Anxiety: Fluwel Tablet helps relieve persistent feelings of sadness and loss of interest while simultaneously calming the excessive worry and physical tension associated with anxiety.
  • Panic Disorder: It helps reduce the frequency and severity of sudden, unexpected panic attacks and the constant fear of future attacks.

Key Benefits

Fluwel Tablet helps manage the symptoms of anxiety and depression, making it easier to cope with everyday challenges.
The following are the benefits of this medication:

  • Helps reduce anxiety, nervousness, and excessive worry
  • Improves mood and emotional well-being over time
  • Reduces panic symptoms and promotes a greater sense of calm
  • Supports better sleep and improved daily functioning
  • Helps restore interest in everyday activities
  • Provides relief from both anxiety and depression with a single treatment
Side effects of Fluwel Tablet
  • Avoid driving or operating machinery or activities that require high focus until you know how the medication affects you.
  • Maintain a fixed sleeping schedule, create a relaxing bedtime routine and ensure your sleeping space is comfortable to maximize your sleep quality.
  • Limit alcohol and caffeine as these may worsen drowsiness and disturb sleep patterns.
  • Drink plenty of water as it helps with alertness and keeps you hydrated and for overall well-being.
  • Moderate physical activity can improve energy levels, but avoid intense workouts right before bedtime.
  • Get enough sleep. Maintain a regular sleep cycle.
  • Eat a healthy diet and exercise regularly.
  • Manage stress with yoga or meditation.
  • Limit alcohol and caffeine.
  • Avoid driving or operating machinery unless you are alert.
  • Blood flow to the brain and the rest of the body is increased by physical activity. This could help you maintain your memory.
  • Reading, solving puzzles, and picking up new skills are examples of mental workouts that can keep the brain engaged and enhance memory retention.
  • Maintaining an active social life enhances memory and brain stimulation.
  • Relaxation methods like yoga, meditation, and deep breathing can help because long-term stress can affect memory.
Here are the 7 steps to manage Dizziness caused by medication:
  • Inform your doctor about dizziness symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Follow your doctor's instructions for taking medication, and take it at the same time every day to minimize dizziness.
  • When standing up, do so slowly and carefully to avoid sudden dizziness.
  • Avoid making sudden movements, such as turning or bending quickly, which can exacerbate dizziness.
  • Drink plenty of water throughout the day to stay hydrated and help alleviate dizziness symptoms.
  • If you're feeling dizzy, sit or lie down and rest until the dizziness passes.
  • Track when dizziness occurs and any factors that may trigger it, and share this information with your doctor to help manage symptoms.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
  • Identify the medicine causing abnormal movements and discuss with your doctor about change in dose or alternative medicine.
  • Record the frequency and severity of your abnormal movements to discuss with your doctor.
  • If you experience worsening of your movements, contact your doctor immediately.
  • Based on the severity and type of movement disturbance, your doctor may recommend physical therapy.

Directions for Use

  • Fluwel Tablet can be taken with or without food, but it is better to take it at a fixed time.
  • Follow your doctor's instructions on the dosage and timing of this medication.
  • Swallow Fluwel Tablet as a whole with a glass of water.
  • Do not crush, chew, or break it.

How Fluwel Tablet Works

Fluwel Tablet combines two active ingredients that work in harmony to restore chemical balance in the brain. Each component targets a different pathway to address both depressive and anxious symptoms effectively. Fluoxetine is a Selective Serotonin Reuptake Inhibitor (SSRI) that works by increasing the levels of serotonin, a natural chemical messenger in the brain that plays a vital role in regulating mood, sleep, and emotional stability. Alprazolam belongs to a class of medicines called benzodiazepines. It works by boosting the activity of a natural calming chemical in the brain called GABA. This action slows down excessive nerve activity, providing rapid relief from acute anxiety, panic, and muscle tension.
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Alcohol

Unsafe

Avoid consumption of alcohol with Fluwel Tablet as it may increase the risk of drowsiness and other adverse effects.

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Pregnancy

Unsafe

Fluwel Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. If the benefits are more than the potential risks, a doctor may rarely prescribe it in some life-threatening situations. Please consult your doctor. 

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Breast Feeding

Unsafe

Avoid breastfeeding while taking Fluwel Tablet as it may be excreted in breast milk and cause adverse effects in the baby.

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Driving

Caution

Fluwel Tablet may cause dizziness or drowsiness in some people. It is an offence to drive if Fluwel Tablet affects you. Therefore, avoid driving if you feel drowsy, dizzy or experience any vision problems after taking Fluwel Tablet .

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Liver

Caution

Take Fluwel Tablet with caution, especially if you have a history of liver diseases/conditions. Your doctor may adjust the dose if necessary based on your condition.

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Kidney

Caution

Take Fluwel Tablet with caution, especially if you have a pre-existing or a history of kidney disease. Please consult your doctor before taking Fluwel Tablet . Your doctor may adjust the dose if necessary based on your condition.

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Children

Caution

Fluwel Tablet should not be used by children, as efficacy and safety have not been established.

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Heart

Caution

Fluwel Tablet should be used with extreme caution due to the risk of cardiovascular problems. Please inform your physician if you have any concerns.

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Geriatrics

Caution

Fluwel Tablet can be given in elderly patients with extreme caution, due to the cause of adverse effects.

What if I have taken an overdose of Fluwel Tablet

If you suspect an overdose, seek immediate emergency medical attention. Symptoms of an overdose may include extreme drowsiness, confusion, slow reflexes, shallow breathing, or loss of consciousness.

Diet & Lifestyle Advise

  • Avoid alcohol: Do not drink alcohol while taking Fluwel Tablet , as it can dangerously increase drowsiness, dizziness, and coordination problems.
  • Limit caffeine: Reduce your consumption of coffee, tea, and energy drinks, as caffeine can trigger anxiety and counteract the calming effects of this medicine.
  • Avoid grapefruit: Do not consume grapefruit or grapefruit juice, as it can interfere with how your body processes the medicine and increase the risk of side effects.
  • Prioritise sleep: Maintain a consistent sleep schedule to help manage fatigue and support your brain's recovery process.
health query

Have a query?

How Soon It Starts Working

The time required for Fluwel Tablet to start to work: The time required for Fluwel Tablet to show its action is unknown. The time for which the effects of Fluwel Tablet last: The duration of action for Fluwel Tablet is clinically unknown.

What if you forget to take Fluwel Tablet

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and resume your regular dosing schedule. Do not take a double dose to make up for a missed one.

Storage

• Store Fluwel Tablet according to the storage instructions on your medicine pack. Unless otherwise stated on the label, store it at room temperature, ideally between 20°C and 25°C (68°F to 77°F).

Drug Warnings

  • Do not stop treatment suddenly: Keep taking Fluwel Tablet as prescribed. Stopping it suddenly can cause withdrawal symptoms, so your doctor will gradually reduce the dose when it is time to stop.
  • Attend regular follow-up visits: Keep all your scheduled appointments so your doctor can monitor your symptoms, check for side effects, and review whether your treatment needs to be continued or adjusted.
  • Watch for mood changes: During the first few weeks of treatment, especially in the first month, contact your doctor immediately if you notice worsening depression, unusual behaviour, or thoughts of self-harm.
  • Avoid activities requiring alertness: Do not drive, operate machinery, or perform tasks that require full attention until you know how this medicine affects you.
  • Check your tablets before use: Make sure the tablets are intact and not discoloured or damaged by moisture. If they do not look normal, ask your pharmacist before taking them.
  • Tell your healthcare providers: Inform your doctor, dentist, or surgeon that you are taking Fluwel Tablet before any medical or dental procedure or before starting a new medicine.

Drug-Drug Interactions

verifiedApollotooltip
  • Monoamine oxidase inhibitors/Drugs used to treat depression (e.g., Phenelzine, Tranylcypromine): Taking these medicines with Fluwel Tablet or within 14 days of stopping them may cause severe, life-threatening reactions.
  • Medications that increase or affect serotonin activity (e.g, other antidepressants, tramadol, or triptans): Taking these medicines alongside Fluwel Tablet may increase the risk of serotonin syndrome and requires close monitoring.
  • Sleeping pills, muscle relaxants, or narcotic pain relievers (e.g., Zolpidem, Diazepam, Morphine): These medicines may increase drowsiness, dizziness, and breathing problems when taken with Fluwel Tablet .
  • Blood thinners and NSAIDs (e.g., Warfarin, Ibuprofen): Taking these medicines alongside Fluwel Tablet may increase the risk of bleeding.
No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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Drug-Food Interactions

verifiedApollotooltip
  • Alcohol: Consuming alcohol while taking Fluwel Tablet may greatly increase drowsiness, poor coordination, and breathing problems.
  • Grapefruit juice: Consuming grapefruit juice while taking this medication may increase the amount of alprazolam in the body and raise the risk of side effects.
     
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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All Substitutes & Brand Comparisons

Habit Forming

Yes

Therapeutic Class

[ANTIDEPRESSANT]

FAQs

Yes. Because Fluwel Tablet contains alprazolam, it can cause physical and psychological dependence, especially if taken for a long time or at higher doses than prescribed. Take it exactly as directed by your doctor and do not increase the dose or stop taking it suddenly, as this can lead to withdrawal symptoms. If treatment needs to be stopped, your doctor will gradually reduce the dose.
Fluwel Tablet is generally not recommended during pregnancy as it may cause harm to the developing baby. If you are pregnant or planning to become pregnant, talk to your doctor to discuss safer alternatives.
No, you should never stop taking Fluwel Tablet suddenly, even if you feel fine. Stopping abruptly can cause severe withdrawal symptoms. Always talk to your doctor first, as they will create a plan for gradually decreasing the dose.
Yes, drowsiness is a common side effect of Fluwel Tablet . Avoid driving or operating machinery until you know how this medicine affects you. If daytime sleepiness is severe, talk to your doctor about adjusting your dosing schedule.
Some pain relievers, such as ibuprofen or aspirin, can increase the risk of bleeding when taken with Fluwel Tablet . Talk to your doctor or pharmacist to find a safe pain management option.
It is best to limit your caffeine intake while taking Fluwel Tablet . Caffeine is a stimulant that can trigger anxiety and interfere with the relaxing effects of your medication. Talk to your doctor for personalised dietary advice.
Take the missed dose as soon as you remember. If your next scheduled dose is only a few hours away, skip the missed dose and continue with your regular schedule. Never double the dose. Talk to your doctor or pharmacist if you are unsure.
This medicine should not be used in children or teenagers, as its safety and effectiveness have not been established. It should only be used if specifically prescribed by a doctor and under close medical supervision, due to the risk of changes in mood or behaviour.
Yes. Your doctor may schedule regular follow-up visits to check how well the medicine is working, monitor for side effects, assess your mood, and decide when it is safe to reduce or stop alprazolam. Depending on your health, your doctor may also recommend blood tests, such as liver function tests, if clinically needed.

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Country of origin

INDIA

Manufacturer/Marketer address

G-54 3rd FLOOR LAXMI NAGAR VIKAS MARG DELHI -110092
Other Info - FLU0205

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