Etizola Beta 0.25 mg/20 mg Tablet: Complete Information
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe drowsiness or difficulty staying awake
- Slow, shallow, or irregular breathing
- Fainting or severe dizziness
- Chest pain or palpitations
- Confusion or hallucinations
- Severe allergic reaction (rash, swelling, difficulty breathing)
- Yellowing of eyes or skin
- Unusual bleeding or bruising
If experiencing severe symptoms, call emergency services immediately.
What is etimax beta 0.25mg/20mg tablet used for?
This medicine is a combination of Etizolam and Propranolol used for short-term treatment of anxiety with prominent physical symptoms. It works by calming the brain and reducing the physical effects of adrenaline.
- Generic Name: Etizolam (0.25mg) + Propranolol (20mg)
- Manufacturer: Thyone Health Care
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 etimax beta 0.25mg/20mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एटिजोलम और प्रोप्रानोलोल का संयोजन है, जिसका उपयोग चिंता विकारों के अल्पकालिक उपचार के लिए किया जाता है। यह मस्तिष्क को शांत करने और एड्रेनालाईन के शारीरिक प्रभावों को कम करने में मदद करती है। इसका उपयोग घबराहट, धड़कन तेज होना, कंपन और पसीना जैसे लक्षणों को कम करने के लिए किया जाता है। यह दवा केवल डॉक्टर की सलाह पर ही लेनी चाहिए और इसका लंबे समय तक उपयोग नहीं करना चाहिए क्योंकि इससे निर्भरता हो सकती है।
साइड इफेक्ट्स: आम दुष्प्रभावों में नींद आना, चक्कर आना, थकान, हाथ-पैर ठंडे होना और मतली शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें धीमी हृदय गति, निम्न रक्तचाप, सांस लेने में कठिनाई और गंभीर एलर्जी प्रतिक्रिया शामिल हो सकती है। यदि कोई असामान्य लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को केवल डॉक्टर के निर्देशानुसार ही लें। शराब और अन्य नींद लाने वाली दवाओं के साथ इसका सेवन न करें क्योंकि इससे गंभीर नींद और सांस की समस्या हो सकती है। गाड़ी चलाने या मशीन चलाने से बचें जब तक कि आपको इस दवा का प्रभाव पता न चल जाए। इस दवा को अचानक बंद न करें, इससे withdrawal के लक्षण हो सकते हैं। बच्चों की पहुंच से दूर रखें।
💊 etimax beta 0.25mg/20mg tablet Uses & Benefits
[{"condition":"Anxiety disorders with prominent physical symptoms","description":"This combination helps reduce both the psychological symptoms of anxiety, such as excessive worry, and the physical symptoms, such as palpitations, tremors, and sweating.","evidence":"Moderate"},{"condition":"Short-term management of acute stress reactions","description":"May be used for a brief period to manage severe stress or panic symptoms, but it is not a first-line long-term treatment.","evidence":"Limited"}]
Off-label uses: [{"condition":"Performance anxiety (e.g., public speaking)","description":"Propranolol is sometimes used off-label for performance anxiety, but the addition of Etizolam makes this combination less suitable for situational use due to sedation and dependence risk.","evidence":"Limited"}]
Primary treatment for: Anxiety disorders
Also treats: Panic disorder, Stress-related disorders
📋 Drug Information
| Generic Name(s) | Etizolam (0.25mg) + Propranolol (20mg) |
| Brand Name | etimax beta 0.25mg/20mg tablet |
| Manufacturer | Thyone Health Care |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store 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 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
Etizolam enhances the inhibitory neurotransmitter GABA at GABA-A receptors, producing anxiolytic, sedative, and muscle relaxant effects. Propranolol blocks beta-adrenergic receptors, reducing the physical manifestations of anxiety such as tachycardia, tremor, and sweating. The combination targets both central and peripheral symptoms of anxiety.
Mechanism Steps
💡 How to Take etimax beta 0.25mg/20mg tablet
Strength: Tablet containing Etizolam 0.25 mg and Propranolol 20 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 tolerance. 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 are more sensitive to the effects of this medicine. Start with a lower dose and titrate slowly. Monitor for sedation, dizziness, and falls. |
| Renal Impairment | Dose adjustment may be required in patients with renal impairment. Consult your doctor for personalized dosing. |
| Hepatic Impairment | Dose reduction is recommended in patients with hepatic impairment. Use with caution and monitor liver function. |
| Maximum Daily Dose | The maximum daily dose should not exceed what is prescribed by your doctor. Typically, the maximum is 2 tablets per day, but this may vary based on individual factors. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of etimax beta 0.25mg/20mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Alcohol | Major | |
| Verapamil | Major | |
| Digoxin | Major | |
| Ketoconazole | Moderate | |
| Fluoxetine | Moderate | |
| Ibuprofen | Moderate | |
| Antacids | Minor | |
| Grapefruit juice | Minor | |
| Rifampicin | Moderate | |
| Clonidine | Moderate |
🚨 Major Interactions
- Other CNS depressants (e.g., alcohol, opioids, barbiturates)
- Calcium channel blockers (e.g., verapamil, diltiazem)
- Digoxin
⚡ Moderate Interactions
- CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
- CYP2D6 inhibitors (e.g., fluoxetine, paroxetine)
- NSAIDs
🍷 Alcohol Interaction
Alcohol should be strictly avoided while taking this medicine. Both Etizolam and Propranolol can enhance the central nervous system depressant effects of alcohol, leading to severe drowsiness, respiratory depression, and dangerous drops in blood pressure. This combination can be life-threatening.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to Etizolam, Propranolol, or any component of the formulation","Severe asthma or chronic obstructive pulmonary disease (COPD)","Severe bradycardia, second- or third-degree heart block, or cardiogenic shock","Uncontrolled heart failure","Severe liver disease","Myasthenia gravis","History of substance abuse or dependence"]
⚠️ Warnings & Precautions
["This medicine can cause physical and psychological dependence. Use for the shortest duration possible.","Abrupt discontinuation may cause withdrawal symptoms; taper gradually under medical supervision.","May impair ability to drive or operate machinery; avoid these activities until you know how it affects you.","Use with caution in elderly patients due to increased risk of falls and confusion.","Do not use in patients with respiratory depression or sleep apnea.","Propranolol may mask symptoms of hypoglycemia in diabetic patients.","Inform your doctor if you have a history of depression or suicidal thoughts."]
🤱 Lactation Safety
Etizolam and Propranolol are excreted in breast milk. Breastfeeding is not recommended while taking this medicine due to potential sedation and other effects on the infant. Consult your doctor for alternative options.
💊 Overdose Management
Overdose can cause severe drowsiness, confusion, bradycardia, hypotension, respiratory depression, and coma. Seek emergency medical attention immediately. Treatment is supportive and may include activated charcoal, gastric lavage, intravenous fluids, atropine for bradycardia, and vasopressors for hypotension. Flumazenil may be used cautiously for benzodiazepine overdose but is contraindicated in mixed overdoses with propranolol due to risk of seizures.
⏰ 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 multiple doses, consult your doctor.
Additional Safety Advice
This medicine should only be taken exactly as prescribed by a qualified doctor. Do not increase or decrease the dose without medical advice. Avoid alcohol and other central nervous system depressants because they can dangerously increase sedation and respiratory depression. Do not drive or operate heavy machinery until you know how this medicine affects you. Inform your doctor if you have asthma, heart problems, liver or kidney disease, or a history of substance abuse. Do not stop this medicine abruptly, as it can cause withdrawal symptoms such as anxiety, insomnia, and tremors. Keep this medicine out of reach of children and store it in a cool, dry place. Regular follow-up with your doctor is essential to monitor your response and adjust the dose if needed.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of sedation, dizziness, falls, and cognitive impairment. Use with caution, start with a lower dose, and monitor closely.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Both Etizolam and Propranolol may harm the fetus. Alternative treatments may be recommended.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine, as it can interact with anesthetic agents and affect heart rate and blood pressure. It may need to be stopped before surgery.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine, as it can interact with local anesthetics containing epinephrine and affect blood pressure and heart rate.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise until you know how this medicine affects you, as it can cause dizziness and fatigue. Propranolol may reduce exercise tolerance by blunting heart rate response. Consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness and impair concentration, affecting your ability to work or drive. It is advisable to avoid operating heavy machinery until you know how it affects you. Discuss with your employer if you need temporary adjustments.
🛑 When to Stop This Medicine
Do not stop this medicine abruptly without consulting your doctor. Your doctor will gradually reduce the dose to prevent withdrawal symptoms. If you experience severe side effects, contact your doctor immediately for guidance.
📅 Long-Term Use Effects
Long-term use of this medicine can lead to tolerance, dependence, and withdrawal symptoms upon discontinuation. It may also cause cognitive impairment, memory problems, and mood changes. Regular monitoring by a doctor is essential, and the medicine should be tapered gradually when stopping. Long-term use is generally not recommended.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A first-line treatment for anxiety disorders that helps change negative thought patterns.
Evidence: Well-establishedLong-term treatment for anxiety with a better safety profile.
Evidence: Well-establishedCan help manage mild anxiety symptoms.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific interactions with vaccines are known. 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 regarding controlled substances before traveling internationally.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start feeling the calming effects within 30 to 60 minutes after taking a dose. However, the full benefits for anxiety may take a few days of regular use.
A: No, this medicine contains Propranolol, which can worsen asthma. It is contraindicated in people with asthma.
A: This medicine can cause drowsiness and dizziness. Do not drive or operate machinery until you know how it affects you.
🤔 Common Patient Concerns
🔄 Substitutes for etimax beta 0.25mg/20mg tablet
View AllAlternative brands with exact same active ingredient:
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eteez beta 0.25mg/20mg tabletHumbing Ethicals ₹32.81 28.6% CHEAPER
-
etirex plus 0.25mg/20mg tabletUnimarck Healthcare Ltd ₹40.00 12.9% CHEAPER
-
ezm p 0.25mg/20mg tabletBluewaterresearch ₹41.25 10.2% CHEAPER
-
etpro 0.25mg/20mg tabletZenotis Healthcare ₹42.19 8.2% CHEAPER
-
enquit p 0.25mg/20mg tabletFreedom Healthcare Pvt Ltd ₹46.88 2% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a permanent cure for anxiety.
Fact: This medicine provides short-term relief but is not a cure. Long-term anxiety management often requires therapy and lifestyle changes. - Myth: It is safe to take extra doses if I feel more anxious.
Fact: Taking more than the prescribed dose can lead to severe sedation, respiratory depression, and dependence. Always follow your doctor's instructions.
🔄 Alternative Options
Generic Alternatives
- Etizolam + Propranolol combination (generic)