Acodac 20 Capsule: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- New or worsening thoughts of suicide or self-harm
- Agitation, hallucinations, rapid heartbeat, fever, muscle stiffness (serotonin syndrome)
- Rash, swelling of face, lips, or throat, difficulty breathing (allergic reaction)
- Seizures
- Yellowing of skin or eyes, dark urine, severe abdominal pain (liver problems)
- Unusual bleeding or bruising
- Severe headache, confusion, weakness (hyponatremia)
If experiencing severe symptoms, call emergency services immediately.
What is caddy 20mg capsule used for?
This medicine contains Fluoxetine 20mg, a selective serotonin reuptake inhibitor (SSRI) used to treat depression, OCD, bulimia, panic disorder, and premenstrual dysphoric disorder. It works by increasing serotonin levels in the brain. It is taken orally once daily, usually in the morning. Common side effects include nausea, headache, and insomnia. It requires a prescription and should not be stopped abruptly.
- Generic Name: Fluoxetine
- Manufacturer: Cyril Pharmaceuticals
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 caddy 20mg capsule के बारे में (Hindi Summary)
उपयोग: यह दवा फ्लुओक्सेटीन 20 मिलीग्राम कैप्सूल के रूप में उपलब्ध है और अवसाद, ऑब्सेसिव-कंपल्सिव डिसऑर्डर, बुलिमिया नर्वोसा, पैनिक डिसऑर्डर और प्रीमेंस्ट्रुअल डिस्फोरिक डिसऑर्डर के इलाज में उपयोग की जाती है। यह मस्तिष्क में सेरोटोनिन नामक रसायन के स्तर को बढ़ाकर मूड को बेहतर बनाती है। यह दवा डॉक्टर के पर्चे के बिना नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, सिरदर्द, अनिद्रा, उनींदापन, चिंता, मुँह सूखना, दस्त, भूख न लगना और अत्यधिक पसीना आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें सेरोटोनिन सिंड्रोम, एलर्जी प्रतिक्रिया, आत्महत्या के विचार, और रक्तस्राव की समस्या हो सकती है। यदि आपको कोई भी गंभीर लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी चिकित्सीय स्थितियों और दवाओं के बारे में बताएं। इसे अचानक बंद न करें, क्योंकि इससे withdrawal के लक्षण हो सकते हैं। शराब का सेवन न करें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। इसे बच्चों की पहुंच से दूर रखें और कमरे के तापमान पर स्टोर करें।
💊 caddy 20mg capsule Uses & Benefits
[{"condition":"Major Depressive Disorder","description":"This medicine is used to treat depression by improving mood, energy levels, and interest in daily activities.","evidence":"Well-established"},{"condition":"Obsessive-Compulsive Disorder","description":"It helps reduce the frequency and intensity of unwanted thoughts and repetitive behaviors.","evidence":"Well-established"},{"condition":"Bulimia Nervosa","description":"This medicine is approved to reduce binge-eating and purging episodes in adults.","evidence":"Well-established"},{"condition":"Panic Disorder","description":"It helps prevent panic attacks and reduces anticipatory anxiety.","evidence":"Well-established"},{"condition":"Premenstrual Dysphoric Disorder","description":"It is used to relieve severe mood swings, irritability, and other symptoms before menstruation.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Social Anxiety Disorder","description":"Sometimes prescribed off-label to reduce anxiety in social situations.","evidence":"Moderate"},{"condition":"Post-Traumatic Stress Disorder","description":"May be used off-label to reduce symptoms such as flashbacks and hyperarousal.","evidence":"Limited"},{"condition":"Obesity","description":"Occasionally used off-label to help with weight loss, but not a first-line treatment.","evidence":"Limited"}]
Primary treatment for: Major Depressive Disorder
Also treats: Obsessive-Compulsive Disorder, Bulimia Nervosa, Panic Disorder, Premenstrual Dysphoric Disorder
📋 Drug Information
| Generic Name(s) | Fluoxetine |
| Brand Name | Acodac 20 Capsule |
| Manufacturer | Cyril Pharmaceuticals |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Selective Seretonin Reuptake inhibitors (SSRIs) |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Keep away from moisture and heat. Keep the capsule in its original container until it is time to take it. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | The World Health Organization recommends selective serotonin reuptake inhibitors, including fluoxetine, as first-line treatment for moderate to severe depressive disorder in adults. It is also recommended for children and adolescents with depression, but with close monitoring. |
| ICMR Guideline | The Indian Council of Medical Research recommends fluoxetine as a first-line antidepressant for major depressive disorder. It is also recommended for obsessive-compulsive disorder and bulimia nervosa. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by selectively inhibiting the reuptake of serotonin at the presynaptic membrane in the central nervous system. By blocking the serotonin transporter, it increases the concentration of serotonin in the synaptic cleft, which enhances serotonergic neurotransmission. This increased serotonin activity is believed to be responsible for its antidepressant and anxiolytic effects. Unlike some other antidepressants, this medicine has minimal effect on norepinephrine and dopamine reuptake, making it a selective serotonin reuptake inhibitor. It also has weak activity at muscarinic, histaminergic, and alpha-adrenergic receptors, which contributes to its relatively favorable side effect profile compared to older antidepressants.
Mechanism Steps
💡 How to Take caddy 20mg capsule
Strength: Fluoxetine 20 mg immediate-release capsule
Dosage Information
| Adult Dosage | The usual starting dose of this medicine for adults is 20 mg once daily in the morning. For some conditions, the dose may be increased gradually up to a maximum of 80 mg per day, depending on the indication and response. For premenstrual dysphoric disorder, dosing may be continuous or intermittent. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and concurrent medications. Do not adjust the dose without consulting your doctor. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine. A lower starting dose may be considered, and dose increases should be made cautiously. Close monitoring for side effects such as hyponatremia and falls is recommended. |
| Renal Impairment | Dose adjustment may be necessary in patients with severe renal impairment. Consult your doctor for individualized dosing. |
| Hepatic Impairment | Dose reduction is recommended in patients with hepatic impairment. A lower starting dose and slower titration are advised. Consult your doctor for individualized dosing. |
| Maximum Daily Dose | 80 mg per day |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of caddy 20mg capsule
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| MAOIs | Major | |
| Warfarin | Major | |
| NSAIDs | Major | |
| Tramadol | Major | |
| Triptans | Major | |
| Linezolid | Major | |
| Thioridazine | Major | |
| Pimozide | Major | |
| CYP2D6 inhibitors | Moderate | |
| Tricyclic antidepressants | Moderate |
🚨 Major Interactions
- Monoamine oxidase inhibitors (MAOIs)
- Thioridazine
- Pimozide
- Warfarin
- NSAIDs (e.g., ibuprofen, naproxen)
- Aspirin
- Tramadol
- Triptans (e.g., sumatriptan)
- Linezolid
- Methylene blue
⚡ Moderate Interactions
- CYP2D6 inhibitors (e.g., quinidine, paroxetine)
- CYP2D6 substrates (e.g., metoprolol, codeine)
- Tricyclic antidepressants (e.g., amitriptyline)
- Benzodiazepines (e.g., diazepam)
- Alcohol
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine because it can increase drowsiness, dizziness, and impair your ability to drive or operate machinery. It may also worsen depression and anxiety symptoms.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to fluoxetine or any component of the formulation","Concurrent use with monoamine oxidase inhibitors (MAOIs) or within 14 days of discontinuing an MAOI","Concurrent use with thioridazine or pimozide","Use in patients with severe hepatic impairment","Use in patients with a history of seizures (relative contraindication)"]
⚠️ Warnings & Precautions
["Increased risk of suicidal thoughts and behaviors in children, adolescents, and young adults, especially during the first few weeks of treatment.","Serotonin syndrome may occur, particularly when used with other serotonergic drugs.","May impair physical and mental abilities required for driving or operating machinery.","May cause hyponatremia, especially in elderly patients or those taking diuretics.","May increase the risk of bleeding, especially when used with NSAIDs, aspirin, or anticoagulants.","May cause angle-closure glaucoma in patients with narrow anterior chamber angles.","Should not be stopped abruptly due to risk of withdrawal symptoms.","May affect blood glucose control in diabetic patients."]
🤱 Lactation Safety
This medicine passes into breast milk and may cause adverse effects in the nursing infant, such as irritability, drowsiness, and poor feeding. The decision to breastfeed while taking this medicine should be made in consultation with a doctor, weighing the benefits of breastfeeding against the potential risks to the infant.
💊 Overdose Management
Overdose of this medicine can cause symptoms such as nausea, vomiting, agitation, confusion, seizures, and cardiac arrhythmias. In case of overdose, seek immediate medical attention. Treatment is supportive and symptomatic, including monitoring of vital signs and cardiac rhythm. There is no specific antidote. Activated charcoal may be administered if the overdose is recent. Gastric lavage may be considered in severe cases.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed dose.
Additional Safety Advice
Before starting this medicine, tell your doctor about all your medical conditions, especially liver disease, kidney disease, heart problems, seizures, bipolar disorder, or a history of drug abuse. Inform your doctor about all prescription, over-the-counter, and herbal products you are taking, as this medicine can interact with many other drugs. Do not stop taking this medicine suddenly, as this can cause withdrawal symptoms such as dizziness, nausea, headache, and irritability. Your doctor will usually reduce the dose gradually. Avoid alcohol while taking this medicine, as it can worsen drowsiness and impair your ability to drive or operate machinery. Use effective contraception if you are of childbearing age, and inform your doctor immediately if you become pregnant or plan to become pregnant. This medicine may pass into breast milk, so discuss with your doctor if you are breastfeeding. Keep this medicine out of reach of children and store it at room temperature away from moisture and heat. Do not share this medicine with anyone else, even if they have similar symptoms.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the side effects of this medicine, especially hyponatremia, falls, and bleeding. Close monitoring is recommended, and dose adjustments may be necessary.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss with your doctor about the risks and benefits of continuing this medicine. It may be continued if the benefits outweigh the risks, but close monitoring is required.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine, as it may interact with certain anesthetic agents and increase the risk of bleeding. Do not stop the medicine without consulting your doctor.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine, as it may increase the risk of bleeding during dental procedures. Your dentist may take precautions.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Exercise is generally safe while taking this medicine, but if you experience dizziness or drowsiness, avoid activities that require alertness, such as heavy lifting or high-intensity workouts, until you know how the medicine affects you.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness or dizziness in some people, which can affect your ability to drive or operate machinery. It is advisable to avoid these activities until you know how the medicine affects you. It may also affect your concentration, so take precautions at work.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Your doctor will decide when and how to stop, usually by tapering the dose gradually to avoid withdrawal symptoms and relapse.
📅 Long-Term Use Effects
Long-term use of this medicine may be associated with an increased risk of bone fractures, sexual dysfunction, and weight changes. Regular monitoring of mood, side effects, and overall health is recommended. Do not stop the medicine without consulting your doctor, as relapse can occur.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A type of talk therapy that can be as effective as medication for mild to moderate depression.
Evidence: Well-establishedPhysical activity can help improve mood and reduce symptoms of depression and anxiety.
Evidence: Well-establishedCan help reduce stress and improve emotional well-being.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, consult your doctor before receiving any vaccine while on this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Keep it in your carry-on luggage to avoid loss or temperature extremes. If crossing time zones, consult your doctor about adjusting the timing of your dose. Store it at room temperature and protect it from moisture. Check local customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: It may take 2-4 weeks to notice improvement in mood, and up to 6-8 weeks for full benefits.
A: It is usually taken in the morning to avoid insomnia, but your doctor may advise otherwise.
A: Take it as soon as you remember, but if it's almost time for the next dose, skip it. Do not double dose.
A: No, stopping abruptly can cause withdrawal symptoms. Always consult your doctor for a gradual taper.
A: Weight changes can occur; some people lose weight, others gain. Monitor your weight and inform your doctor.
🤔 Common Patient Concerns
🔄 Substitutes for caddy 20mg capsule
View AllAlternative brands with exact same active ingredient:
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pronil 20mg capsulePsychotropics India Ltd ₹2.78 88.1% CHEAPER
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fluzin 20mg capsuleElder Pharmaceuticals Ltd ₹5.27 77.5% CHEAPER
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fluox 20mg capsuleBiochem Pharmaceutical Industries ₹5.86 75% CHEAPER
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faxtin 20mg capsuleInd Swift Laboratories Ltd ₹5.86 75% CHEAPER
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fluxirix 20mg tabletZeelab Pharmacy Pvt Ltd ₹7.00 70.1% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Antidepressants are addictive.
Fact: This medicine is not habit-forming, but it should be tapered gradually to avoid withdrawal symptoms. - Myth: You will feel better immediately.
Fact: It may take 2-4 weeks for the full therapeutic effects to appear. - Myth: You can stop taking it once you feel better.
Fact: Stopping abruptly can cause withdrawal symptoms and relapse. Always consult your doctor before stopping. - Myth: It changes your personality.
Fact: It helps restore normal mood and function; it does not change your personality.
🔄 Alternative Options
Generic Alternatives
- Fluoxetine 20 mg capsule
Brand Alternatives
- Prozac 20 mg capsule
- Fludac 20 mg capsule
- Flunil 20 mg capsule
- Nuzak 20 mg capsule