Beta Anxit 0.25 mg/20 mg Tablet: Complete Information
When to Call Your Doctor IMMEDIATELY
- Severe drowsiness or difficulty staying awake
- Slow or irregular heartbeat
- Difficulty breathing or shortness of breath
- Severe dizziness or fainting
- Confusion or hallucinations
- Yellowing of skin or eyes
- Unusual bleeding or bruising
- Severe allergic reaction (rash, swelling, difficulty breathing)
If experiencing severe symptoms, call emergency services immediately.
What is orolam-p tablet used for?
This medicine is a combination of Alprazolam (0.25 mg) and Propranolol (20 mg) used for short-term treatment of anxiety disorders. Alprazolam is a benzodiazepine that calms the brain, while Propranolol is a beta-blocker that reduces physical anxiety symptoms like rapid heartbeat and tremors. It is taken orally, usually once or twice daily, and should not be stopped suddenly.
- Generic Name: Alprazolam (0.25mg) + Propranolol (20mg)
- Manufacturer: Rishab Healthcare pvt. Ltd.
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 orolam-p tablet के बारे में (Hindi Summary)
उपयोग: यह दवा अल्प्राजोलम 0.25 मिलीग्राम और प्रोप्रानोलोल 20 मिलीग्राम का संयोजन है। इसका उपयोग चिंता विकारों के अल्पकालिक उपचार के लिए किया जाता है। अल्प्राजोलम एक बेंजोडायजेपाइन है जो मस्तिष्क को शांत करता है, जबकि प्रोप्रानोलोल एक बीटा-ब्लॉकर है जो दिल की धड़कन तेज होना, कंपन और पसीना जैसे शारीरिक लक्षणों को कम करता है। यह दवा मुंह से ली जाती है और डॉक्टर के निर्देशानुसार ही लेनी चाहिए।
साइड इफेक्ट्स: आम दुष्प्रभावों में नींद आना, चक्कर आना, थकान, हाथ-पैर ठंडे होना, नींद में गड़बड़ी और याददाश्त में कमी शामिल हैं। गंभीर दुष्प्रभावों में तेज धड़कन धीमी होना, सांस लेने में कठिनाई, भ्रम और अवसाद शामिल हो सकते हैं। यदि कोई दुष्प्रभाव लंबे समय तक बना रहे तो डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपनी मर्जी से मात्रा न बढ़ाएं या घटाएं। जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक वाहन न चलाएं या मशीनरी न चलाएं। शराब का सेवन न करें क्योंकि इससे नींद और चक्कर बढ़ सकते हैं। इस दवा को अचानक बंद न करें, इससे गंभीर लक्षण हो सकते हैं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें।
💊 orolam-p tablet Uses & Benefits
[{"condition":"Anxiety disorders","description":"Used for short-term relief of anxiety symptoms, especially when both psychological and physical symptoms are present.","evidence":"Well-established for short-term use"},{"condition":"Panic disorder","description":"May be used to reduce the frequency and severity of panic attacks.","evidence":"Limited evidence for combination; individual components have evidence"},{"condition":"Performance anxiety","description":"Sometimes prescribed for situational anxiety such as public speaking or exams.","evidence":"Limited, off-label"}]
Off-label uses: [{"condition":"Irritable bowel syndrome (IBS) with anxiety","description":"May help reduce anxiety-related gastrointestinal symptoms.","evidence":"Limited"},{"condition":"Tremor","description":"Propranolol component may help reduce tremors.","evidence":"Limited"}]
Primary treatment for: Anxiety disorders
Also treats: Panic disorder, Performance anxiety, Irritable bowel syndrome with anxiety
📋 Drug Information
| Generic Name(s) | Alprazolam (0.25mg) + Propranolol (20mg) |
| Brand Name | orolam-p tablet |
| Manufacturer | Rishab Healthcare pvt. Ltd. |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | |
| 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
Alprazolam binds to the benzodiazepine site on the GABA-A receptor, enhancing the inhibitory effect of GABA, which leads to sedation, anxiolysis, and muscle relaxation. Propranolol blocks beta-adrenergic receptors, reducing the physical symptoms of anxiety such as tachycardia, tremor, and sweating. The combination targets both the central and peripheral manifestations of anxiety.
Mechanism Steps
💡 How to Take orolam-p tablet
Strength: Tablet containing Alprazolam 0.25 mg and Propranolol 20 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally one to two times daily, or as directed by your doctor. The dose may be adjusted based on your response and tolerance. Do not exceed the prescribed 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 drowsiness, confusion, and falls. |
| Renal Impairment | Dose adjustment may be required in patients with renal impairment. Consult your doctor for appropriate dosing. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Dose reduction may be necessary. Consult your doctor. |
| Maximum Daily Dose | The maximum daily dose should not exceed the prescribed amount. Typically, alprazolam should not exceed 4 mg/day and propranolol should not exceed 640 mg/day, but the combination's maximum dose must be determined by a clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of orolam-p tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ketoconazole | Major | |
| Fluoxetine | Major | |
| Verapamil | Major | |
| Clonidine | Major | |
| Alcohol | Major | |
| Opioids | Moderate | |
| NSAIDs | Moderate | |
| Antidiabetics | Moderate | |
| Antacids | Minor | |
| Grapefruit juice | Minor |
🚨 Major Interactions
- CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, clarithromycin)
- CYP2D6 inhibitors (e.g., fluoxetine, paroxetine, quinidine)
- Calcium channel blockers (e.g., verapamil, diltiazem)
- Clonidine
⚡ Moderate Interactions
- CNS depressants (e.g., alcohol, opioids, antihistamines)
- NSAIDs
- Antidiabetics
🍷 Alcohol Interaction
Alcohol increases the sedative effects of alprazolam and can dangerously lower blood pressure and heart rate with propranolol. Avoid alcohol completely while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to alprazolam, propranolol, or any component of the formulation","Severe respiratory depression or acute narrow-angle glaucoma","Asthma or severe chronic obstructive pulmonary disease","Severe bradycardia, heart block greater than first degree, cardiogenic shock","Decompensated heart failure","Myasthenia gravis","Severe hepatic impairment","Pregnancy and breastfeeding"]
⚠️ Warnings & Precautions
["This medicine may cause drowsiness and impair ability to drive or operate machinery.","Do not stop this medicine abruptly; withdrawal symptoms may occur.","Use with caution in elderly patients due to increased risk of falls and confusion.","May cause dependence and withdrawal symptoms with prolonged use.","Avoid alcohol and other CNS depressants.","Inform your doctor if you have a history of substance abuse.","Use with caution in patients with diabetes as propranolol may mask hypoglycemia symptoms.","May worsen symptoms of Raynaud's phenomenon or peripheral vascular disease."]
🤱 Lactation Safety
Alprazolam and propranolol are excreted in breast milk. Breastfeeding is not recommended while taking this medicine due to potential risk to the infant. Consult your doctor for alternatives.
💊 Overdose Management
Overdose can cause severe drowsiness, confusion, slow heart rate, low blood pressure, difficulty breathing, and coma. Seek immediate medical attention. Treatment is supportive and symptomatic. Gastric lavage may be considered if within 1-2 hours of ingestion. Flumazenil may be used for benzodiazepine overdose but is contraindicated in mixed overdose with tricyclic antidepressants. Glucagon and vasopressors may be used for propranolol toxicity.
⏰ 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 dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not increase or decrease the dose without consulting your doctor. Avoid driving or operating heavy machinery until you know how this medicine affects you. Do not consume alcohol while taking this medicine as it can increase drowsiness and dizziness. Do not stop this medicine abruptly as it can cause withdrawal symptoms such as anxiety, insomnia, and tremors. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Keep this medicine out of reach of children. Store at room temperature away from moisture and heat.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the effects of this medicine. Start with a lower dose and monitor for drowsiness, confusion, and falls. Avoid if possible due to increased risk of cognitive impairment.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended during pregnancy or when planning pregnancy. Consult your doctor for alternative treatments. Both alprazolam and propranolol may harm the fetus.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine. It may 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. It may interact with local anesthetics containing epinephrine, and you may be more prone to drowsiness. Avoid driving to and from dental appointments.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or activities that require alertness until you know how this medicine affects you. Dizziness and drowsiness may increase the risk of injury.
🥗 Diet Recommendations
💼 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 it affects you. Inform your employer if your job requires alertness.
🛑 When to Stop This Medicine
Do not stop this medicine abruptly. Your doctor will gradually reduce the dose to prevent withdrawal symptoms. Consult your doctor if you experience side effects or if you wish to discontinue.
📅 Long-Term Use Effects
Long-term use of this medicine can lead to tolerance, dependence, and withdrawal symptoms. It may also cause cognitive impairment and memory problems. Regular monitoring by a doctor is essential. It is generally recommended for short-term use only.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
First-line treatment for anxiety disorders; helps change thought patterns.
Evidence: Well-establishedLong-term treatment for anxiety; takes weeks to work but no dependence.
Evidence: Well-establishedCan help reduce anxiety symptoms.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific interactions with vaccines are known. However, consult your doctor before any vaccination.
📦 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
Carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage. Store at room temperature and protect from moisture. If traveling across time zones, consult your doctor about adjusting the dosing schedule. Check local customs regulations regarding controlled substances.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts working within 30-60 minutes after taking a dose.
A: Inform your doctor about all medications you are taking, as this medicine can interact with many drugs.
A: This medicine is not recommended during pregnancy. Consult your doctor for safer alternatives.
🤔 Common Patient Concerns
🔄 Substitutes for orolam-p tablet
View AllAlternative brands with exact same active ingredient:
-
alltop p 0.25mg/20mg tabletInd Swift Laboratories Ltd ₹6.25 82.1% CHEAPER
-
cardilax 0.25mg/20mg tabletIntas Pharmaceuticals Ltd ₹7.75 77.9% CHEAPER
-
pacinol 0.25 mg/20 mg tabletMankind Pharma Ltd ₹10.91 68.8% CHEAPER
-
Tensfree 0.25mg/20mg TabletDonnel Healthcare Pvt Ltd ₹11.25 67.9% CHEAPER
-
siron plus 0.25 mg/20 mg tabletGujarat Terce Laboratories Ltd ₹12.50 64.3% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a cure for anxiety.
Fact: This medicine provides symptomatic relief but is not a cure. It is usually used short-term along with therapy. - Myth: I can stop this medicine whenever I want.
Fact: Abrupt discontinuation can cause withdrawal symptoms. Always taper under medical supervision. - Myth: It is safe to take extra doses if I feel more anxious.
Fact: Taking more than prescribed can lead to severe side effects and dependence. Follow your doctor's instructions exactly.
🔄 Alternative Options
Generic Alternatives
- Alprazolam 0.25 mg + Propranolol 20 mg tablet (generic)
Brand Alternatives
- Beta Anxit 0.25 mg/20 mg Tablet