cilapam fl tablet - Flupenthixol (0.5mg) + Escitalopram Oxalate (10mg) medicine

cilapam fl tablet - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Altius Life Sciences ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 30, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Jun 30, 2026

What is cilapam fl tablet used for?

Anxifree Tablet (Flupenthixol + Escitalopram) is used to treat NEURO CNS. It contains Flupenthixol (0.5mg) + Escitalopram Oxalate (10mg), which Flupenthixol: Dopamine D1/D2 receptor antagonist; Escitalopram: Selective seroto. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Flupenthixol + Escitalopram
  • Manufacturer: Altius Life Sciences
  • Form: Allopathy
  • Pregnancy Category: C
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

๐Ÿ’Š cilapam fl tablet Uses & Benefits

Anxiety disorders, depression with anxiety, mixed anxiety-depressive disorder.

Off-label uses: Panic disorder, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD).

๐Ÿ“‹ Drug Information

Generic Name(s)Flupenthixol + Escitalopram
Brand NameAnxifree Tablet
ManufacturerAltius Life Sciences
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action ClassAntipsychotic + SSRI
Route of AdministrationOral
StorageStore at 20-25ยฐC, protect from light and moisture.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionFlupenthixol: Well absorbed orally; Escitalopram: Well absorbed orally, food delays absorption but does not affect extent.
DistributionFlupenthixol: Crosses blood-brain barrier; Escitalopram: Volume of distribution 12-26 L/kg.
Protein BindingFlupenthixol: ~95%; Escitalopram: ~56%.
MetabolismFlupenthixol: Hepatic via CYP2D6; Escitalopram: Hepatic via CYP3A4 and CYP2C19.
Half-LifeFlupenthixol: 35 hours; Escitalopram: 27-32 hours.
ExcretionFlupenthixol: Feces and urine; Escitalopram: Urine (8% as parent, rest as metabolites).
BioavailabilityFlupenthixol: 40-50%; Escitalopram: 80%.
Onset of ActionFlupenthixol: Days to weeks; Escitalopram: 1-2 weeks.
Peak Plasma TimeFlupenthixol: 4-10 hours; Escitalopram: 5 hours.
Duration of ActionFlupenthixol: 24-48 hours; Escitalopram: 24 hours.

How It Works

Flupenthixol: Dopamine D1/D2 receptor antagonist; Escitalopram: Selective serotonin reuptake inhibitor.

Mechanism Steps

1Flupenthixol blocks dopamine D1 and D2 receptors in the brain, reducing dopaminergic activity.
2Escitalopram inhibits serotonin reuptake by binding to SERT, increasing synaptic serotonin.
3Combined action modulates neurotransmitter balance, alleviating anxiety and depression.

๐Ÿ’ก How to Take cilapam fl tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of cilapam fl tablet

โœ… Common Side Effects

  • Nausea
  • Dry mouth
  • Somnolence
  • Insomnia
  • Fatigue
  • Weight gain

๐Ÿšจ Serious Side Effects

  • Serotonin syndrome
  • QT prolongation
  • Seizures
  • Extrapyramidal symptoms
  • Suicidal ideation

โš ๏ธ Rare Side Effects

  • Neuroleptic malignant syndrome
  • Agranulocytosis
  • Hepatotoxicity
  • Pancreatitis

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
MAOIs Major Risk of serotonin syndrome
Warfarin Moderate Increased bleeding risk
Alcohol Moderate Increased CNS depression

๐Ÿšจ Major Interactions

  • MAOIs
  • Linezolid
  • Methylene blue
  • Other serotonergic drugs
  • CYP2D6 inhibitors

โšก Moderate Interactions

  • CYP3A4 inhibitors
  • CYP2C19 inhibitors
  • Anticoagulants
  • NSAIDs
  • Alcohol

โ„น๏ธ Minor Interactions

  • Cimetidine
  • Lithium
  • Tramadol

๐Ÿฝ๏ธ Food Interactions

Grapefruit juice may increase escitalopram levels.

๐Ÿท Alcohol Interaction

Avoid alcohol; may increase CNS depression and hepatotoxicity risk.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity, concurrent MAOI use, recent MI, narrow-angle glaucoma.

๐Ÿ“Š Monitoring Parameters

Liver function, ECG, serum electrolytes, mental status.

๐Ÿคฑ Lactation Safety

Not recommended; excreted in breast milk.

๐Ÿ’Š Overdose Management

Symptomatic and supportive; consider activated charcoal, ECG monitoring.

โฐ Missed Dose

Take as soon as remembered unless near next dose; skip if close.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 30, 2026

๐Ÿ”— View Profile

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