Azjoy Plus 0.5mg/5mg Tablet: 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
- Difficulty breathing or shortness of breath
- Swelling of face, lips, tongue, or throat
- Chest pain or irregular heartbeat
- Severe confusion, agitation, or hallucinations
- Suicidal thoughts or self-harm urges
- Unusual bleeding or bruising
- Severe muscle rigidity or fever
- Yellowing of skin or eyes
If experiencing severe symptoms, call emergency services immediately.
What is citajoy c 0.5 mg/5 mg tablet used for?
This medicine is a prescription combination of clonazepam 0.5 mg and escitalopram 5 mg used to treat anxiety disorders. It works by enhancing GABA and serotonin activity in the brain. It should be taken exactly as prescribed and not stopped suddenly.
- Generic Name: Clonazepam + Escitalopram
- Manufacturer: Wings Biotech Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 citajoy c 0.5 mg/5 mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा क्लोनाजेपम 0.5 मिलीग्राम और एस्सिटालोप्राम 5 मिलीग्राम का संयोजन है, जिसका उपयोग चिंता विकार, पैनिक अटैक और अवसाद के इलाज के लिए किया जाता है। यह मस्तिष्क में GABA और सेरोटोनिन के स्तर को बढ़ाकर काम करती है, जिससे मन शांत होता है और चिंता कम होती है। यह दवा केवल डॉक्टर के पर्चे पर ही लेनी चाहिए और डॉक्टर की सलाह के बिना इसे अचानक बंद नहीं करना चाहिए।
साइड इफेक्ट्स: आम दुष्प्रभावों में नींद आना, चक्कर आना, थकान, मुँह सूखना, जी मिचलाना और नींद में गड़बड़ी शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें एलर्जी, सेरोटोनिन सिंड्रोम, हृदय की धड़कन में अनियमितता और रक्तस्राव का खतरा बढ़ना शामिल है। यदि आपको सांस लेने में कठिनाई, चेहरे या गले में सूजन, सीने में दर्द या गंभीर भ्रम हो, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को हमेशा डॉक्टर के बताए अनुसार ही लें। डॉक्टर की सलाह के बिना खुराक न बदलें और न ही अचानक बंद करें। शराब और अन्य नींद लाने वाली दवाओं से बचें क्योंकि इससे नींद और सांस की समस्या बढ़ सकती है। जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक वाहन न चलाएं। अपने डॉक्टर को अपनी सभी दवाओं और सप्लीमेंट्स के बारे में बताएं। नियमित जांच के लिए डॉक्टर के पास जाते रहें।
💊 citajoy c 0.5 mg/5 mg tablet Uses & Benefits
[{"condition":"Panic disorder with or without agoraphobia","description":"This combination helps reduce the frequency and intensity of panic attacks while managing anticipatory anxiety.","evidence":"Well-established for the individual components; combination use is based on clinical practice."},{"condition":"Generalized anxiety disorder (GAD)","description":"Escitalopram provides long-term anxiety control, while clonazepam offers rapid relief of acute anxiety symptoms.","evidence":"Well-established for individual components; combination use is common in clinical practice."},{"condition":"Social anxiety disorder","description":"May be prescribed when a patient needs both immediate and sustained relief from social anxiety symptoms.","evidence":"Moderate evidence for individual components; combination use is off-label."},{"condition":"Mixed anxiety and depressive disorder","description":"The combination addresses both anxiety and depressive symptoms, which often occur together.","evidence":"Limited evidence for the fixed-dose combination; clinical experience supports use."}]
Off-label uses: [{"condition":"Insomnia associated with anxiety","description":"Clonazepam component may help with sleep, but this is not a primary indication for the combination.","evidence":"Limited"},{"condition":"Premenstrual dysphoric disorder (PMDD)","description":"Escitalopram is sometimes used for PMDD, but the combination with clonazepam is not standard.","evidence":"Limited"}]
Primary treatment for: Anxiety disorders
Also treats: Panic disorder, Generalized anxiety disorder, Social anxiety disorder, Mixed anxiety and depressive disorder
📋 Drug Information
| Generic Name(s) | Clonazepam + Escitalopram |
| Brand Name | Asiclopam Tablet |
| Manufacturer | Wings Biotech Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Benzodiazepine + SSRI |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ 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 combines two active ingredients with complementary mechanisms. Clonazepam binds to the benzodiazepine site on the GABA-A receptor, enhancing the inhibitory effect of GABA, which calms overactive nerve signals. Escitalopram selectively inhibits the serotonin transporter (SERT), increasing serotonin levels in the synaptic cleft, which helps regulate mood and anxiety over time. Together, they provide rapid anxiety relief (clonazepam) and longer-term mood stabilization (escitalopram).
Mechanism Steps
💡 How to Take citajoy c 0.5 mg/5 mg tablet
Strength: Tablet containing clonazepam 0.5 mg and escitalopram oxalate 5 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally once or twice daily, as prescribed by your doctor. The dose may be adjusted based on your response and tolerability. Do not exceed the recommended dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| 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. Start with a lower dose and titrate slowly. Monitor for falls, confusion, and excessive sedation. |
| Renal Impairment | Dose adjustment may be needed in patients with renal impairment. Consult your doctor for personalized dosing. |
| Hepatic Impairment | Dose adjustment is recommended in patients with hepatic impairment. Use with caution and monitor liver function. |
| Maximum Daily Dose | The maximum daily dose should not exceed the prescribed amount. Typically, clonazepam should not exceed 20 mg/day and escitalopram should not exceed 20 mg/day. However, this combination's maximum dose must be determined by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of citajoy c 0.5 mg/5 mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| MAO inhibitors | Major | |
| Opioids | Major | |
| Warfarin | Major | |
| Ketoconazole | Moderate | |
| Omeprazole | Moderate | |
| Fluoxetine | Moderate | |
| Diuretics | Moderate | |
| Antacids | Minor | |
| Grapefruit juice | Minor | |
| Caffeine | Minor |
🚨 Major Interactions
- MAO inhibitors (e.g., phenelzine, tranylcypromine)
- Other CNS depressants (e.g., opioids, alcohol, barbiturates)
- Anticoagulants/antiplatelets (e.g., warfarin, aspirin, NSAIDs)
⚡ Moderate Interactions
- CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin)
- CYP2C19 inhibitors (e.g., omeprazole, fluoxetine)
- Diuretics
🍷 Alcohol Interaction
Alcohol should be completely avoided while taking this medicine. It can increase drowsiness, dizziness, and the risk of respiratory depression, and it may worsen anxiety and depression.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to clonazepam, escitalopram, or any component of the formulation","Concurrent use with MAO inhibitors","Severe liver disease","Severe kidney disease","Narrow-angle glaucoma","Myasthenia gravis","Severe respiratory insufficiency","Pregnancy (unless clearly needed)","Breastfeeding"]
⚠️ Warnings & Precautions
["May cause drowsiness and dizziness; avoid driving or operating machinery until you know how it affects you.","Do not stop abruptly; withdrawal symptoms may occur.","May increase risk of suicidal thoughts, especially in young adults; monitor closely.","Avoid alcohol and other CNS depressants.","Use with caution in elderly; increased risk of falls and confusion.","May cause serotonin syndrome when combined with other serotonergic drugs.","May increase bleeding risk, especially with NSAIDs or anticoagulants.","Not recommended for children."]
🤱 Lactation Safety
Both clonazepam and escitalopram are excreted in breast milk. Breastfeeding is not recommended while taking this medicine unless advised by a doctor after weighing benefits and risks.
💊 Overdose Management
Overdose can cause severe drowsiness, confusion, coma, respiratory depression, and cardiac arrhythmias. Seek emergency medical attention immediately. Treatment is supportive and symptomatic. Flumazenil may be used for benzodiazepine overdose but is contraindicated in mixed overdose with tricyclic antidepressants. Activated charcoal may be considered if within 1-2 hours of ingestion. Monitor vital signs and ECG.
⏰ 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 double the dose to catch up.
Additional Safety Advice
Always take this medicine exactly as prescribed. Do not change the dose or stop suddenly without consulting your doctor. Avoid alcohol and other sedatives because they can increase drowsiness and breathing problems. Do not drive or operate heavy machinery until you know how this medicine affects you. Inform your doctor about all other medicines, supplements, and herbal products you take. Keep all follow-up appointments for monitoring. Store this medicine in its original container at room temperature, away from moisture and direct sunlight. Keep out of reach of children. If you miss a dose, follow your doctor's instructions; do not double the dose. If you experience any unusual symptoms, contact your healthcare provider immediately.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the sedative effects of clonazepam and may experience increased confusion, falls, and fractures. Escitalopram may increase the risk of hyponatremia. Start with lower doses and monitor closely.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor well in advance. Both clonazepam and escitalopram may pose risks to the fetus. Your doctor may recommend switching to a safer alternative or tapering off the medicine gradually.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist about this medicine before surgery. It may interact with anesthetic agents and increase sedation. Your doctor may advise temporary discontinuation or dose adjustment.
🦷 Dental Procedures
Inform your dentist about this medicine before any dental procedure. It may interact with local anesthetics or sedatives used during dental work. Your dentist may need to adjust the medications used.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause drowsiness and dizziness, which can affect coordination. Avoid high-risk activities like swimming, cycling, or using heavy machinery until you know how it affects you. Light to moderate exercise is generally safe and beneficial.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness and impair concentration, especially during the first few weeks. Avoid driving or operating machinery until you know how it affects you. Inform your employer if your job involves safety-sensitive tasks. With time, most people adjust, but some may need dose adjustments.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. Your doctor will gradually reduce the dose to prevent withdrawal symptoms and relapse. If you experience severe side effects, contact your doctor immediately for guidance.
📅 Long-Term Use Effects
Long-term use of clonazepam can lead to tolerance, dependence, and withdrawal symptoms upon discontinuation. Escitalopram is generally safe for long-term use but may cause sexual dysfunction, weight changes, and emotional blunting. Regular monitoring of mood, liver function, and electrolytes is recommended. Periodic reassessment of the need for continued therapy is essential.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can be as effective as medication for anxiety disorders and provides long-term coping skills.
Evidence: Well-establishedHelps reduce anxiety and improve emotional regulation.
Evidence: ModerateHas been shown to reduce anxiety and improve mood.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. However, inform your doctor about this medicine before receiving any vaccine, especially live vaccines, as a precaution.
📦 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 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 regarding controlled substances before travel.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Clonazepam starts working within 30-60 minutes, while escitalopram takes 1-2 weeks for initial effects and 4-6 weeks for full benefits.
A: No, stopping suddenly can cause withdrawal symptoms and relapse. Always taper gradually under medical supervision.
A: Both components may pose risks to the fetus. Consult your doctor if you are pregnant or planning pregnancy.
A: Take it as soon as you remember if it's not almost time for your next dose. Otherwise, skip it and continue your regular schedule. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for citajoy c 0.5 mg/5 mg tablet
View AllAlternative brands with exact same active ingredient:
-
liftopram plus 5 tabletSpansa Pharmaceuticals Pvt. Ltd. ₹44.22 5.7% CHEAPER
-
esitamat plus 0.5mg/5mg tabletMatias Healthcare Pvt Ltd ₹47.81 2% COSTLIER
-
xtaz 5mg tabletMedley Pharmaceuticals ₹51.56 10% COSTLIER
-
es ok plus 0.5 mg/5 mg tabletEisai Pharmaceuticals India Pvt Ltd ₹53.44 14% COSTLIER
-
escitlocad plus 0.5mg/5mg tabletCadila Pharmaceuticals Ltd ₹56.20 19.9% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a sleeping pill.
Fact: It is primarily used for anxiety disorders, though it may cause drowsiness. - Myth: You can stop this medicine once you feel better.
Fact: Stopping suddenly can cause withdrawal symptoms and relapse. Always taper under medical supervision. - Myth: This medicine is addictive for everyone.
Fact: Clonazepam can cause dependence, but the risk is managed with proper prescribing and monitoring.
🔄 Alternative Options
Generic Alternatives
- Clonazepam 0.5 mg + Escitalopram 5 mg tablet (generic)
Brand Alternatives
- Azjoy Plus 0.5mg/5mg Tablet