Alkepin ODT 50mg Tablet (Clozapine): Comprehensive 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
- Fever, sore throat, or mouth ulcers (signs of infection)
- Chest pain, shortness of breath, or palpitations
- Severe abdominal pain, vomiting, or inability to pass stool
- Seizures or loss of consciousness
- High fever with muscle rigidity and confusion
- Involuntary movements of the face, tongue, or limbs
- Yellowing of skin or eyes
- Severe dizziness or fainting
If experiencing severe symptoms, call emergency services immediately.
What is closin 50mg tablet used for?
This medicine is an atypical antipsychotic used to treat schizophrenia in patients who have not responded to other treatments. It requires regular blood tests due to the risk of severe neutropenia.
- Generic Name: Clozapine
- Manufacturer: S P Pharma
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 closin 50mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा क्लोज़ापिन नामक सक्रिय तत्व से बनी है और मुख्य रूप से सिज़ोफ्रेनिया के इलाज के लिए उपयोग की जाती है, खासकर उन रोगियों में जो अन्य एंटीसाइकोटिक दवाओं से ठीक नहीं हुए हैं। यह मतिभ्रम, भ्रम और सोच में गड़बड़ी को कम करने में मदद करती है। इस दवा का उपयोग केवल डॉक्टर की सलाह पर ही करें और नियमित रक्त परीक्षण करवाते रहें।
साइड इफेक्ट्स: आम दुष्प्रभावों में नींद आना, चक्कर आना, मुँह में लार बढ़ना, तेज़ धड़कन, कब्ज़ और वजन बढ़ना शामिल हैं। गंभीर दुष्प्रभावों में गंभीर न्यूट्रोपेनिया (श्वेत रक्त कोशिकाओं की कमी), मायोकार्डिटिस (हृदय की मांसपेशियों में सूजन), दौरे और गंभीर कब्ज़ शामिल हैं। कोई भी असामान्य लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा से गंभीर रक्त विकार हो सकता है, इसलिए नियमित रक्त परीक्षण अनिवार्य है। रक्त परीक्षण के अपॉइंटमेंट न छोड़ें। शराब और अन्य नींद लाने वाली दवाओं से बचें। जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक वाहन न चलाएँ। बुखार, गले में खराश, मुँह के छाले या संक्रमण के कोई भी लक्षण दिखने पर तुरंत डॉक्टर को बताएं। इस दवा को अचानक बंद न करें।
💊 closin 50mg tablet Uses & Benefits
- [{"condition":"Schizophrenia","description":"This medicine is used to treat schizophrenia in patients who have not responded to other antipsychotic medications or who cannot tolerate them.
- It helps reduce hallucinations, delusions, and disorganized thinking.","evidence":"Well-established"},{"condition":"Reduction of suicidal behavior in schizophrenia","description":"This medicine has been shown to reduce the risk of recurrent suicidal behavior in patients with schizophrenia or schizoaffective disorder.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Treatment-resistant bipolar disorder","description":"Sometimes prescribed off-label for bipolar disorder when other treatments have failed.","evidence":"Limited"},{"condition":"Severe borderline personality disorder","description":"May be used off-label in some cases to reduce self-harm and aggression.","evidence":"Limited"}]
Primary treatment for: Schizophrenia
Also treats: Schizoaffective disorder, Bipolar disorder (off-label), Severe borderline personality disorder (off-label)
📋 Drug Information
| Generic Name(s) | Clozapine |
| Brand Name | Alkepin ODT 12.5mg Tablet |
| Manufacturer | S P Pharma |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Atypical Antipsychotics |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from moisture and light. 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 works by blocking dopamine receptors, particularly D2 receptors, in the brain. It also has strong antagonistic effects on serotonin 5-HT2A receptors, and it affects several other neurotransmitter systems including histamine, acetylcholine, and norepinephrine. This broad receptor profile is thought to contribute to its effectiveness in treatment-resistant schizophrenia and its unique side effect profile.
Mechanism Steps
💡 How to Take closin 50mg tablet
Strength: 50 mg orally disintegrating tablet
Dosage Information
| Adult Dosage | The dose of this medicine must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and clinical response. For schizophrenia, the usual starting dose is 12.5 mg once or twice daily, gradually increased to a target dose of 300 to 450 mg per day, divided into multiple doses. The maximum recommended dose is 900 mg per day. Dose adjustments are made slowly to minimize side effects. Regular blood tests are required. |
| 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 orthostatic hypotension, sedation, and anticholinergic effects. |
| Renal Impairment | No specific dose adjustment is provided in the labeling for renal impairment. However, use with caution in patients with severe renal impairment. Consult a clinician for individualized dosing. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Dose reduction may be necessary. Monitor liver function tests regularly. |
| Maximum Daily Dose | 900 mg per day |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of closin 50mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Fluvoxamine | Major | |
| Ciprofloxacin | Major | |
| Carbamazepine | Major | |
| Benzodiazepines | Major | |
| Lithium | Major | |
| Anticholinergics | Moderate | |
| Antihypertensives | Moderate | |
| CNS depressants | Moderate | |
| Grapefruit juice | Minor | |
| Caffeine | Minor |
🚨 Major Interactions
- Clozapine and other antipsychotics
- CYP1A2 inhibitors (e.g., fluvoxamine, ciprofloxacin)
- CYP1A2 inducers (e.g., smoking, carbamazepine)
- Benzodiazepines
- Lithium
⚡ Moderate Interactions
- Anticholinergic drugs
- Antihypertensive drugs
- CNS depressants
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine because it can increase sedation, dizziness, and the risk of orthostatic hypotension. It may also worsen the cognitive and motor impairments caused by this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to clozapine or any component of the formulation","History of severe neutropenia or agranulocytosis induced by clozapine","Uncontrolled epilepsy","Severe cardiac disorders (e.g., myocarditis, cardiomyopathy)","Paralytic ileus","Concurrent use with other drugs that cause bone marrow suppression"]
⚠️ Warnings & Precautions
["Severe neutropenia: Regular blood tests are mandatory. Report any signs of infection immediately.","Myocarditis: Can occur early in treatment. Report chest pain, shortness of breath, or palpitations.","Seizures: May lower seizure threshold. Use with caution in patients with a history of seizures.","Orthostatic hypotension: May cause dizziness and falls. Rise slowly from sitting or lying positions.","Anticholinergic effects: May cause constipation, dry mouth, and urinary retention. Monitor and manage symptomatically.","Metabolic effects: May cause weight gain, hyperglycemia, and dyslipidemia. Monitor regularly.","Neuroleptic malignant syndrome: A rare but potentially fatal reaction. Seek immediate medical attention if symptoms occur.","Tardive dyskinesia: May develop with long-term use. Report any involuntary movements.","Withdrawal: Do not stop abruptly; taper gradually under medical supervision."]
🤱 Lactation Safety
This medicine is excreted in breast milk and may cause serious adverse effects in the nursing infant. Breastfeeding is not recommended while taking this medicine.
💊 Overdose Management
Overdose of this medicine can cause severe sedation, tachycardia, hypotension, seizures, and cardiac arrhythmias. There is no specific antidote. Treatment is supportive and symptomatic, including airway management, monitoring of vital signs, and management of seizures and arrhythmias. Contact a poison control center or emergency services 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 double the dose to catch up. If you miss more than one dose, contact your doctor for guidance.
Additional Safety Advice
This medicine can cause a serious blood disorder called neutropenia, so regular blood tests are mandatory. Do not skip any blood test appointments. Avoid alcohol and other central nervous system depressants while taking this medicine. Do not drive or operate heavy machinery until you know how this medicine affects you. Inform your doctor if you experience fever, sore throat, mouth ulcers, or any signs of infection. Do not stop this medicine abruptly without medical supervision, as this can cause withdrawal symptoms or relapse. Keep all follow-up appointments and report any new or worsening symptoms.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at increased risk of orthostatic hypotension, sedation, anticholinergic effects, and falls. Start with a lower dose and titrate slowly. Monitor blood pressure, heart rate, and mental status closely. This medicine is not approved for dementia-related psychosis and may increase mortality in such patients.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss with your doctor before conception. This medicine should be used during pregnancy only if the potential benefit justifies the potential risk. It may cause neonatal withdrawal symptoms if used near term. Effective contraception is recommended during treatment.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with anesthetic agents and increase the risk of hypotension, sedation, and cardiac complications. Your doctor may recommend temporary dose adjustments or monitoring during the perioperative period.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine. It can cause dry mouth, which may increase the risk of dental caries and gum disease. Maintain good oral hygiene and stay hydrated. It may also interact with sedatives used during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can cause drowsiness, dizziness, and orthostatic hypotension, which may increase the risk of falls during exercise. Start with low-impact activities and avoid strenuous exercise until you know how the medicine affects you. Stay hydrated and rise slowly from sitting or lying positions.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause significant drowsiness, dizziness, and difficulty concentrating, especially during the initial weeks of treatment. It is advisable to avoid driving or operating heavy machinery until you know how it affects you. Discuss with your employer if you need temporary adjustments to your work schedule or duties.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. Abrupt discontinuation can cause withdrawal symptoms such as nausea, vomiting, insomnia, and rapid relapse of psychotic symptoms. Your doctor will gradually taper the dose if discontinuation is necessary.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to weight gain, metabolic syndrome, tardive dyskinesia, and other chronic side effects. Regular monitoring of blood counts, cardiac function, liver function, and metabolic parameters is essential. The dose should be periodically reviewed and adjusted to the lowest effective level.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medication in managing psychotic symptoms and improving coping skills.
Evidence: Well-establishedHelps families support the patient and reduce relapse risk.
Evidence: Well-establishedHelps patients return to work and improve quality of life.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no specific vaccine interactions with this medicine. However, because it can cause neutropenia, live vaccines should be avoided during periods of severe immunosuppression. Consult your doctor before receiving any vaccinations.
📦 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
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ 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 moisture. If crossing time zones, adjust dosing times gradually in consultation with your doctor. Carry enough supply for the entire trip plus extra in case of delays. Check local customs regulations for controlled substances.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The antipsychotic effects may take several days to weeks to become noticeable. Sedative effects may occur within a few hours after the first 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 the dose.
A: No, do not stop this medicine abruptly. Always consult your doctor before making any changes, as stopping suddenly can cause withdrawal symptoms or relapse.
A: Seek immediate medical attention if you experience fever, sore throat, mouth ulcers, chest pain, shortness of breath, palpitations, seizures, severe abdominal pain, or involuntary movements.
🤔 Common Patient Concerns
🔄 Substitutes for closin 50mg tablet
View AllAlternative brands with exact same active ingredient:
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lozin 50mg tabletPifer Pharmaceuticals Pvt Ltd ₹25.31 53.6% CHEAPER
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pyne 50mg tabletRKG Pharma ₹25.31 53.6% CHEAPER
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cozacin 50mg tabletCinerea Biotech Pvt Ltd ₹26.25 51.8% CHEAPER
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clonex 50mg tabletTheo Pharma Pvt Ltd ₹27.07 50.3% CHEAPER
-
clocer 50mg tabletCeras Pharmaceutical ₹28.85 47.1% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a first-line treatment for schizophrenia.
Fact: This medicine is usually reserved for patients who have not responded to other antipsychotic medications due to its serious side effect profile. - Myth: You can stop taking this medicine once you feel better.
Fact: This medicine should not be stopped abruptly. Always consult your doctor before making any changes. - Myth: This medicine is safe to take without blood tests.
Fact: Regular blood tests are mandatory to monitor for severe neutropenia and other serious side effects.
🔄 Alternative Options
Generic Alternatives
- Clozapine 50 mg orally disintegrating tablet
Brand Alternatives
- Alkepin ODT 50 mg tablet