celor f tablet - Flupenthixol (0.5mg) + Escitalopram Oxalate (10mg) medicine

Anxifree Tablet: Complete Guide to Uses, Side Effects, and Safety

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🏭 Organic Laboratories 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Limited evidence for the combination; individual components have well-established evidence.
Reviewed by
SaathiMed Expert Panel | Oct 21, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Irregular or rapid heartbeat, palpitations, or fainting
  • High fever with muscle rigidity, confusion, or agitation
  • Severe allergic reaction: rash, swelling of face/lips/throat, difficulty breathing
  • Signs of serotonin syndrome: sweating, tremor, diarrhea, fever, confusion
  • Involuntary movements of face, tongue, or limbs
  • Yellowing of skin or eyes, dark urine, severe abdominal pain
  • Worsening depression or new suicidal thoughts

If experiencing severe symptoms, call emergency services immediately.

What is celor f tablet used for?

This medicine is a combination of flupenthixol (an antipsychotic) and escitalopram (an antidepressant) used to treat severe depression with psychotic features or anxiety. It works by blocking dopamine receptors and increasing serotonin levels in the brain. It is available as an oral tablet and must be taken under medical supervision.

  • Generic Name: Flupenthixol + Escitalopram
  • Manufacturer: Organic Laboratories
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 celor f tablet के बारे में (Hindi Summary)

उपयोग: यह दवा फ्लूपेंथिक्सोल और एस्सिटालोप्राम का संयोजन है, जिसका उपयोग गंभीर अवसाद (डिप्रेशन) के इलाज के लिए किया जाता है, खासकर जब मतिभ्रम या अत्यधिक बेचैनी जैसे लक्षण भी मौजूद हों। यह मस्तिष्क में डोपामिन और सेरोटोनिन के स्तर को संतुलित करके काम करती है। यह दवा केवल डॉक्टर की सलाह पर ही लेनी चाहिए और बिना पूछे बंद नहीं करनी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मुँह सूखना, नींद आना, चक्कर आना, थकान, वजन बढ़ना और यौन समस्याएँ शामिल हैं। गंभीर दुष्प्रभावों में दिल की धड़कन अनियमित होना, बुखार, मांसपेशियों में अकड़न, भ्रम, और सेरोटोनिन सिंड्रोम के लक्षण जैसे पसीना आना और कंपन शामिल हैं। अगर ऐसे लक्षण दिखें तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे अचानक बंद न करें, क्योंकि इससे withdrawal के लक्षण हो सकते हैं। शराब और नशीले पदार्थों से बचें। गाड़ी चलाने या मशीन चलाने से बचें जब तक कि आपको इस दवा का असर पता न चल जाए। अगर आप गर्भवती हैं, स्तनपान करा रही हैं, या कोई अन्य दवा ले रही हैं, तो डॉक्टर को बताएं। नियमित जांच और फॉलो-अप जरूरी है।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 celor f tablet Uses & Benefits

[{"condition":"Major depressive disorder with psychotic features","description":"This combination is used to treat severe depression accompanied by delusions, hallucinations, or severe agitation.","evidence":"Limited evidence from clinical practice; combination not widely studied in randomized trials."},{"condition":"Treatment-resistant depression","description":"May be prescribed when other antidepressants have failed, especially if psychotic symptoms are present.","evidence":"Limited evidence; use is based on clinical experience."},{"condition":"Depression with prominent anxiety","description":"The escitalopram component addresses anxiety symptoms while flupenthixol may help with agitation.","evidence":"Limited evidence for the combination; individual components are well-established."}]

Off-label uses: [{"condition":"Schizoaffective disorder","description":"Sometimes used off-label for mood symptoms in schizoaffective disorder.","evidence":"Limited"},{"condition":"Severe agitation in dementia","description":"Not recommended due to increased risk of stroke and mortality in elderly patients with dementia.","evidence":"Not recommended"}]

Primary treatment for: Major depressive disorder with psychotic features

Also treats: Treatment-resistant depression, Depression with anxiety, Schizoaffective disorder

📋 Drug Information

Generic Name(s)Flupenthixol + Escitalopram
Brand NameAnxifree Tablet
ManufacturerOrganic Laboratories
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action ClassAntipsychotic + SSRI
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine at the same time each day to maintain consistent blood levels.
2
Avoid alcohol completely while on this medicine to prevent excessive sedation and liver strain.
3
Do not drive or operate heavy machinery until you know how this medicine affects you.
4
Report any unusual heartbeat, fainting, or muscle stiffness immediately.
5
Keep all follow-up appointments for monitoring of mood, heart rhythm, and blood tests.
6
Do not stop this medicine abruptly; always taper under medical supervision.
7
Inform your doctor if you experience worsening depression or suicidal thoughts.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Severe depression with hallucinations
This medicine is commonly prescribed for this.
Likely Use
❌
Mild anxiety
This medicine is not a first-line treatment for mild anxiety.
Not Primary
❌
Bipolar depression
This medicine may not be appropriate; consult a psychiatrist.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionFlupenthixol is rapidly absorbed from the gastrointestinal tract after oral administration, with peak plasma concentrations reached within 2 to 4 hours. Escitalopram is also well absorbed, with peak plasma levels occurring 3 to 4 hours after ingestion. Food does not significantly affect the absorption of either component.
DistributionFlupenthixol is widely distributed throughout the body, crosses the blood-brain barrier, and is highly protein-bound. Escitalopram is also widely distributed, with a volume of distribution of approximately 12 L/kg. Both substances cross the placenta and are excreted in breast milk.
Protein BindingFlupenthixol is approximately 99% bound to plasma proteins. Escitalopram is about 56% bound to plasma proteins.
MetabolismFlupenthixol is metabolized in the liver primarily by sulfoxidation and glucuronidation, with some involvement of cytochrome P450 enzymes. Escitalopram is metabolized in the liver by CYP2C19 and CYP3A4 to demethylated and didemethylated metabolites, which are less active than the parent drug.
Half-LifeThe elimination half-life of flupenthixol is approximately 20 to 40 hours. Escitalopram has a half-life of about 27 to 32 hours.
ExcretionFlupenthixol is excreted mainly in the feces via bile, with a small amount in urine. Escitalopram is excreted in both urine and feces as metabolites and unchanged drug.
BioavailabilityThe oral bioavailability of flupenthixol is approximately 40% to 50%. Escitalopram has a bioavailability of about 80%.
Onset of ActionThe antidepressant and anxiolytic effects of escitalopram may take 1 to 2 weeks to become noticeable, with full therapeutic benefits often taking 4 to 6 weeks. The antipsychotic and sedative effects of flupenthixol may begin within a few hours to days.
Peak Plasma TimeFlupenthixol: 2 to 4 hours; Escitalopram: 3 to 4 hours.
Duration of ActionThe effects of flupenthixol last about 24 to 48 hours, while escitalopram's effects are sustained with once-daily dosing due to its long half-life.

How It Works

This medicine combines two active ingredients with distinct mechanisms. Flupenthixol is a thioxanthene antipsychotic that blocks dopamine D1 and D2 receptors in the mesolimbic and mesocortical pathways, reducing psychotic symptoms and agitation. It also has some affinity for serotonin 5-HT2 receptors. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) that binds to the serotonin transporter (SERT) and inhibits the reuptake of serotonin into presynaptic neurons, thereby increasing serotonin availability in the synaptic cleft. This enhancement of serotonergic neurotransmission is thought to underlie its antidepressant and anxiolytic effects. The combination aims to address both psychotic and mood symptoms simultaneously.

Mechanism Steps

1
Dopamine receptor blockade by flupenthixol: Flupenthixol binds to and blocks dopamine D1 and D2 receptors in the brain, reducing the effects of excessive dopamine activity that contributes to psychosis and agitation.
2
Serotonin reuptake inhibition by escitalopram: Escitalopram selectively inhibits the serotonin transporter, preventing the reuptake of serotonin into presynaptic neurons and increasing its concentration in the synaptic cleft.
3
Enhanced serotonergic neurotransmission: The increased serotonin levels lead to downregulation of postsynaptic serotonin receptors over time, which is associated with improved mood and reduced anxiety.
4
Combined clinical effect: The dual action addresses both psychotic symptoms (via dopamine blockade) and depressive/anxiety symptoms (via serotonin enhancement), providing a broader therapeutic effect in complex cases.

💡 How to Take celor f tablet

Strength: Immediate-release oral tablet containing flupenthixol 0.5 mg and escitalopram oxalate 10 mg.

1Take this medicine orally with a glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take it at the same time each day, with or without food.
4If it causes stomach upset, take it with a meal.
5Do not take more than the prescribed dose.
6Do not stop taking this medicine without consulting your doctor.

Dosage Information

Adult DosageThe usual adult dose of this medicine is one tablet taken orally once daily, preferably at the same time each day. The dose may be adjusted by the doctor based on clinical response and tolerability. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Start with a lower dose and titrate slowly. Close monitoring for side effects, especially cardiac and neurological, is recommended.
Renal ImpairmentDose adjustment may be required in patients with severe renal impairment. Consult a doctor for individualized dosing.
Hepatic ImpairmentDose adjustment is recommended in patients with hepatic impairment. Use with caution and monitor liver function.
Maximum Daily DoseThe maximum recommended daily dose is one tablet (flupenthixol 0.5 mg + escitalopram 10 mg). Do not exceed without medical advice.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
Avoid
May increase drug levels.
Alcohol
Avoid
Increases sedation and impairs coordination.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of celor f tablet

✅ Common Side Effects

Dry mouth (Common (10-30%))
Sip water frequently, chew sugar-free gum, or use saliva substitutes. Consult doctor if persistent.
Drowsiness (Common (10-20%))
Avoid driving or operating machinery until effects wear off. Take dose at bedtime if advised.
Dizziness (Common (5-15%))
Rise slowly from sitting or lying positions. Stay hydrated.
Fatigue (Common (5-15%))
Ensure adequate rest. If severe, consult doctor.
Increased sweating (Common (5-10%))
Maintain good hydration and wear light clothing.
Weight gain (Common (5-10%))
Monitor weight regularly. Follow a balanced diet and exercise as tolerated.
Sexual dysfunction (Common (10-20%))
Discuss with your doctor; dose adjustment or alternative may be considered.

🚨 Serious Side Effects

QT prolongation and cardiac arrhythmias (Uncommon (0.1-1%))
Seek immediate medical attention if you experience palpitations, fainting, or irregular heartbeat.
Serotonin syndrome (Rare (<0.1%))
Go to emergency if you have high fever, muscle rigidity, confusion, agitation, or rapid heart rate.
Neuroleptic malignant syndrome (Rare (<0.1%))
Seek emergency care for high fever, severe muscle stiffness, altered mental status, and autonomic instability.
Tardive dyskinesia (Rare (<0.1%))
Report involuntary movements of face, tongue, or limbs to your doctor immediately.
Severe allergic reactions (Rare (<0.1%))
Get emergency help for rash, swelling of face/throat, or difficulty breathing.

⚠️ Rare Side Effects

Blood dyscrasias (e.g., agranulocytosis)
Report unusual bruising, bleeding, or signs of infection to doctor immediately.
Liver enzyme elevation
Regular liver function tests may be needed. Report jaundice or abdominal pain.
Seizures
Seek immediate medical attention if seizures occur.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAO inhibitors Major
QT-prolonging drugs Major
Other serotonergic drugs Major
CYP2C19 inhibitors Major
CNS depressants Moderate
Anticholinergics Moderate
Antihypertensives Moderate
NSAIDs Moderate
Antacids Minor
Caffeine Minor

🚨 Major Interactions

  • MAO inhibitors (e.g., phenelzine, tranylcypromine)
  • QT-prolonging drugs (e.g., amiodarone, sotalol, methadone)
  • Other serotonergic drugs (e.g., triptans, tramadol, SSRIs, SNRIs)
  • CYP2C19 inhibitors (e.g., omeprazole, fluconazole)

⚡ Moderate Interactions

  • CNS depressants (e.g., benzodiazepines, opioids, alcohol)
  • Anticholinergic drugs (e.g., benztropine, diphenhydramine)
  • Antihypertensives
  • NSAIDs

🍷 Alcohol Interaction

Alcohol should be avoided while taking this medicine. It can increase central nervous system depression, leading to excessive drowsiness, dizziness, and impaired coordination. It may also worsen underlying depression and increase the risk of liver toxicity.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to flupenthixol, escitalopram, or any component of the formulation","Concurrent use of monoamine oxidase inhibitors (MAOIs) or within 14 days of stopping an MAOI","Known QT prolongation or congenital long QT syndrome","Severe liver impairment","Uncontrolled epilepsy","Pregnancy and breastfeeding unless clearly needed","Children and adolescents under 18 years"]

⚠️ Warnings & Precautions

["Increased risk of suicidal thoughts and behaviors, especially in young adults. Monitor closely.","May cause QT prolongation; avoid in patients with cardiac disease or electrolyte abnormalities.","Risk of neuroleptic malignant syndrome; discontinue immediately if symptoms occur.","May cause tardive dyskinesia with long-term use; monitor for involuntary movements.","Can cause serotonin syndrome; avoid concomitant serotonergic drugs.","May impair ability to drive or operate machinery; caution advised.","Avoid abrupt discontinuation to prevent withdrawal symptoms.","Use with caution in elderly patients with dementia due to increased risk of stroke and mortality.","May cause metabolic changes; monitor weight, glucose, and lipids.","Alcohol and CNS depressants should be avoided."]

🤱 Lactation Safety

Both flupenthixol and escitalopram are excreted in breast milk. There is limited information on the safety of this combination during breastfeeding. It is recommended to consult a doctor before breastfeeding while on this medicine.

💊 Overdose Management

Overdose of this medicine can cause severe drowsiness, tachycardia, QT prolongation, seizures, and serotonin syndrome. There is no specific antidote. Treatment is supportive and symptomatic, including gastric lavage if within 1-2 hours of ingestion, activated charcoal, ECG monitoring, and management of arrhythmias. Contact a poison control center or emergency department immediately.

⏰ Missed Dose

If you miss a dose, 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 a double dose to make up for a missed one.

Additional Safety Advice

General Safety

This medicine must be taken exactly as prescribed by your doctor. Do not stop or change the dose without medical advice, as abrupt discontinuation can cause withdrawal symptoms such as nausea, headache, and anxiety. Avoid alcohol and recreational drugs while taking this medicine, as they can worsen drowsiness and increase the risk of heart problems. Inform your doctor if you have a history of heart disease, seizures, liver or kidney problems, or if you are pregnant, planning pregnancy, or breastfeeding. Regular blood tests and heart monitoring (ECG) may be required. Do not drive or operate heavy machinery until you know how this medicine affects you. Keep all follow-up appointments and report any new or worsening symptoms immediately.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of side effects such as cardiac arrhythmias, falls, and metabolic changes. Lower doses and close monitoring are recommended. Avoid use in elderly with dementia due to increased risk of stroke and mortality.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor well in advance. This medicine may not be safe during pregnancy. Your doctor may switch you to a safer alternative or adjust the dose.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with anesthetic agents and affect heart rhythm. Your doctor may advise temporary discontinuation before surgery.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine. It may cause dry mouth, which can affect dental health. Also, it may interact with local anesthetics containing epinephrine, so your dentist should be aware.

💚 Lifestyle Tips for Better Results

🏃
Maintain a regular sleep schedule to support mood stability.
🥗
Engage in light physical activity like walking or yoga as tolerated.
😴
Avoid alcohol and recreational drugs.
💧
Eat a balanced diet rich in fruits, vegetables, and whole grains.
🧘
Practice stress-reduction techniques such as deep breathing or meditation.
🌞
Stay connected with supportive friends and family.
🚭
Attend all follow-up appointments and therapy sessions.

🏋️ Exercise Considerations

Moderate exercise is generally safe, but avoid strenuous activities until you know how this medicine affects you, as it may cause drowsiness or dizziness. Stay hydrated and avoid overheating.

🥗 Diet Recommendations

Include omega-3 rich foods like fish and flaxseeds.
Reduce intake of processed and high-sugar foods.
Stay well hydrated throughout the day.
Limit caffeine as it may increase anxiety and insomnia.

💼 Impact on Daily Work & Life

This medicine can cause drowsiness and dizziness, which may affect your ability to drive or operate machinery. It is advisable to avoid such activities until you know how the medicine affects you. Discuss with your employer if you need adjustments.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Your doctor will decide when and how to taper the dose based on your response and side effects. Abrupt discontinuation can cause withdrawal symptoms and relapse.

📅 Long-Term Use Effects

Long-term use of this medicine may lead to metabolic changes such as weight gain, high blood sugar, and high cholesterol. It can also cause movement disorders like tardive dyskinesia. Regular monitoring of weight, blood glucose, lipids, and heart rhythm is recommended. Periodic assessment of the need for continued treatment is essential.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Cognitive behavioral therapy (CBT)

Can complement medicine for depression and anxiety.

Evidence: Well-established
Electroconvulsive therapy (ECT)

Considered for severe or treatment-resistant depression.

Evidence: Well-established
Transcranial magnetic stimulation (TMS)

Non-invasive brain stimulation for depression.

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. Store at room temperature and protect from extreme heat or cold. If crossing time zones, consult your doctor about adjusting the dosing schedule. Check local customs regulations for controlled substances.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 42-year-old woman with severe depression and auditory hallucinations
She was started on this medicine after other antidepressants failed. Within 3 weeks, her mood improved and hallucinations reduced. She experienced mild drowsiness initially, which subsided. She emphasized the importance of taking it regularly and attending follow-ups.
💡 Lesson: Consistent use and regular monitoring are key to managing severe depression with psychotic features.
👤 A 55-year-old man with treatment-resistant depression and anxiety
He was prescribed this medicine after multiple trials of SSRIs alone. He noticed significant improvement in anxiety and sleep within 2 weeks. He had to monitor his heart rhythm with ECG as advised. He advises others not to stop the medicine without doctor's advice.
💡 Lesson: Combination therapy can be effective for complex depression, but requires careful monitoring for cardiac and metabolic side effects.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: The antipsychotic effects may begin within a few days, but the antidepressant effects may take 1 to 2 weeks to become noticeable, with full benefits often taking 4 to 6 weeks.

Q: Can I stop taking this medicine if I feel better?

A: No, you should not stop this medicine without consulting your doctor. Abrupt discontinuation can cause withdrawal symptoms and relapse of depression.

Q: What should I do if I miss a dose?

A: If you miss a dose, 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 double dose.

Q: Is this medicine safe during pregnancy?

A: The safety of this medicine during pregnancy is not well established. Consult your doctor if you are pregnant or planning pregnancy.

Q: Can I drink alcohol while taking this medicine?

A: No, alcohol should be avoided as it can increase sedation, dizziness, and the risk of liver problems.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my heart?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?
  • Will I gain weight?
  • Is it safe during pregnancy?

🔄 Substitutes for celor f tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine is addictive.
    Fact: This medicine is not considered addictive, but it can cause dependence and withdrawal symptoms if stopped abruptly. It should be tapered under medical supervision.
  • Myth: I can stop taking this medicine once I feel better.
    Fact: You should never stop this medicine without consulting your doctor. Abrupt discontinuation can cause withdrawal symptoms and relapse of depression.
  • Myth: This medicine will make me gain weight immediately.
    Fact: Weight gain is a possible side effect but not everyone experiences it. It can be managed with diet and exercise.

🔄 Alternative Options

Generic Alternatives

  • Flupenthixol + Escitalopram (generic)

Brand Alternatives

  • Anxifree Tablet

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Flupenthixol 0.5 mg + Escitalopram 10 mg","uses":"Depression with psychotic features","sedation":"Moderate","weight_gain":"Moderate","cardiac_risk":"High"},{"medicine":"Escitalopram alone","composition":"Escitalopram 10 mg","uses":"Depression, anxiety","sedation":"Low","weight_gain":"Low","cardiac_risk":"Moderate"},{"medicine":"Flupenthixol alone","composition":"Flupenthixol 0.5 mg","uses":"Schizophrenia, psychosis","sedation":"High","weight_gain":"Moderate","cardiac_risk":"High"}]

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