s vocita e 0.5mg/10mg tablet - Etizolam (0.5mg) + Escitalopram Oxalate (10mg) medicine

Etizola Plus 10 Tablet: Complete Guide to Uses, Side Effects, and Safety

No reviews yet
🏭 Shine Pharmaceuticals Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
🤰 Pregnancy Category Not established from the available information. Use in pregnancy only if the potential benefit justifies the potential risk to the fetus. Consult your doctor. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for individual components; limited for the combination.
Reviewed by
SaathiMed Expert Panel | Oct 21, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Thoughts of harming yourself or others
  • Severe agitation, hallucinations, fever, or muscle stiffness
  • Unusual bleeding or bruising
  • Severe dizziness or fainting
  • Difficulty breathing or chest pain
  • Yellowing of skin or eyes
  • Seizures

If experiencing severe symptoms, call emergency services immediately.

What is s vocita e 0.5mg/10mg tablet used for?

This medicine is a combination of Etizolam (0.5 mg) and Escitalopram Oxalate (10 mg) used to treat anxiety disorders with depressive symptoms. It works by enhancing GABA (calming) and serotonin (mood-regulating) effects in the brain. It is taken orally once daily under medical supervision.

  • Generic Name: Etizolam (0.5mg) + Escitalopram Oxalate (10mg)
  • Manufacturer: Shine Pharmaceuticals Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 s vocita e 0.5mg/10mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा एटिजोलम और एस्सिटालोप्रम का संयोजन है, जिसका उपयोग चिंता और अवसाद के इलाज के लिए किया जाता है। यह मस्तिष्क में शांति और मूड को नियंत्रित करने वाले रसायनों को संतुलित करती है। इसका सेवन डॉक्टर की सलाह के अनुसार ही करें।

साइड इफेक्ट्स: आम दुष्प्रभावों में नींद आना, चक्कर आना, थकान, मुँह सूखना, जी मिचलाना और पसीना आना शामिल हैं। गंभीर दुष्प्रभावों में सेरोटोनिन सिंड्रोम, असामान्य रक्तस्राव, और आत्महत्या के विचार शामिल हो सकते हैं। किसी भी गंभीर लक्षण पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। शराब का सेवन बिल्कुल न करें। गाड़ी चलाने या मशीन चलाने से बचें। दवा अचानक बंद न करें, इससे withdrawal symptoms हो सकते हैं। अपने डॉक्टर को अन्य सभी दवाओं के बारे में बताएं। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 s vocita e 0.5mg/10mg tablet Uses & Benefits

[{"condition":"Anxiety disorders with depressive symptoms","description":"This combination is used for the short-term management of anxiety that co-occurs with depression, providing rapid anxiolytic effect from Etizolam and sustained antidepressant effect from Escitalopram.","evidence":"Moderate"},{"condition":"Generalized anxiety disorder (GAD)","description":"Escitalopram is approved for GAD, and Etizolam may be added for immediate symptom control during the initial weeks of treatment.","evidence":"Moderate"},{"condition":"Major depressive disorder with anxious distress","description":"The combination may be prescribed when depression is accompanied by significant anxiety, though evidence for the specific combination is limited.","evidence":"Limited"}]

Off-label uses: [{"condition":"Panic disorder","description":"Escitalopram is sometimes used off-label for panic disorder, and Etizolam may be added for acute panic attacks.","evidence":"Limited"},{"condition":"Social anxiety disorder","description":"SSRIs like Escitalopram are used off-label for social anxiety, with Etizolam for short-term relief.","evidence":"Limited"}]

Primary treatment for: Anxiety disorders with depressive symptoms

Also treats: Generalized anxiety disorder, Major depressive disorder, Panic disorder

📋 Drug Information

Generic Name(s)Etizolam (0.5mg) + Escitalopram Oxalate (10mg)
Brand Names vocita e 0.5mg/10mg tablet
ManufacturerShine Pharmaceuticals Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep out of reach of children.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine at the same time each day to maintain consistent blood levels.
2
Avoid alcohol completely as it can increase sedation and impair judgment.
3
Do not drive or operate heavy machinery until you know how this medicine affects you.
4
Do not stop this medicine suddenly; your doctor will taper the dose gradually to prevent withdrawal.
5
Report any unusual mood changes, suicidal thoughts, or signs of serotonin syndrome immediately.
6
Keep all follow-up appointments to monitor your response and adjust the dose if needed.
7
Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Chronic anxiety
This medicine is commonly prescribed for anxiety disorders.
Likely Use
✅
Depressed mood
Escitalopram component treats depression.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionEtizolam is rapidly and completely absorbed from the gastrointestinal tract after oral administration. Escitalopram is also well absorbed, with peak plasma concentrations occurring within 4 hours. Food does not significantly affect the absorption of either component.
DistributionEtizolam is highly lipophilic and distributes widely into body tissues, including the brain. Escitalopram has a volume of distribution of approximately 12 L/kg. Both components cross the blood-brain barrier.
Protein BindingEtizolam is approximately 93% bound to plasma proteins. Escitalopram is about 56% bound to plasma proteins.
MetabolismEtizolam is extensively metabolized in the liver by cytochrome P450 enzymes, primarily CYP3A4 and CYP2C19, into active metabolites. Escitalopram is metabolized in the liver by CYP2C19 and CYP3A4 into less active metabolites.
Half-LifeEtizolam: approximately 6 hours. Escitalopram: approximately 27-32 hours.
ExcretionEtizolam is excreted primarily in urine as metabolites. Escitalopram is excreted in urine (approximately 80%) and feces (approximately 20%) as metabolites.
BioavailabilityEtizolam: approximately 90%. Escitalopram: approximately 80%.
Onset of ActionEtizolam: within 30-60 minutes. Escitalopram: antidepressant effects may take 1-2 weeks, with full effect after 4-6 weeks.
Peak Plasma TimeEtizolam: 1-2 hours. Escitalopram: 4 hours.
Duration of ActionEtizolam: 6-8 hours. Escitalopram: continuous with once-daily dosing.

How It Works

Etizolam enhances the inhibitory effect of gamma-aminobutyric acid (GABA) at GABA-A receptors, leading to increased chloride conductance and neuronal hyperpolarization, which produces anxiolytic, sedative, and muscle relaxant effects. Escitalopram selectively inhibits the reuptake of serotonin (5-HT) at the presynaptic serotonin transporter, increasing serotonin availability in the synaptic cleft, which over time leads to adaptive changes in serotonin receptors and improved mood and anxiety.

Mechanism Steps

1
Etizolam binds to GABA-A receptor: Etizolam binds to the benzodiazepine site on the GABA-A receptor, enhancing the inhibitory effect of GABA.
2
Increased chloride ion influx: This binding increases the frequency of chloride channel opening, leading to hyperpolarization of the neuron.
3
Neuronal inhibition: Hyperpolarization reduces neuronal excitability, resulting in anxiolytic, sedative, and muscle relaxant effects.
4
Escitalopram inhibits serotonin reuptake: Escitalopram blocks the serotonin transporter, preventing the reuptake of serotonin into presynaptic neurons.
5
Increased synaptic serotonin: This leads to increased serotonin levels in the synaptic cleft, enhancing serotonergic neurotransmission.
6
Adaptive receptor changes: Over weeks, this leads to downregulation of serotonin receptors and improved mood and anxiety symptoms.

💡 How to Take s vocita e 0.5mg/10mg tablet

Strength: Tablet containing Etizolam 0.5 mg and Escitalopram Oxalate 10 mg.

1Take this medicine orally with a glass of water.
2Swallow the tablet whole; do not crush, chew, or break it.
3Take it at the same time each day, with or without food.
4If it upsets your stomach, take it with a meal.
5Do not take more than the prescribed dose.
6Do not stop taking this medicine suddenly without consulting your doctor.

Dosage Information

Adult DosageThe usual adult dose is one tablet taken orally once daily, preferably at the same time each day. The dose may be adjusted by your doctor based on your response and tolerability. Do not exceed the prescribed dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Start with a lower dose and monitor closely for sedation, confusion, and falls. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be necessary. Consult your doctor.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary. Consult your doctor.
Maximum Daily DoseThe maximum recommended daily dose is one tablet (Etizolam 0.5 mg + Escitalopram 10 mg). Do not exceed this dose without medical advice.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
Avoid
May increase etizolam levels.
Alcohol
Avoid
Increases sedation and CNS depression.

⏰ What to Do If You Miss a Dose

📌 Less than 12 hours have passed since the missed dose
→ Take the missed dose as soon as you remember.
💡 Continue with your regular schedule.
📌 More than 12 hours have passed since the missed dose
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of s vocita e 0.5mg/10mg tablet

✅ Common Side Effects

Drowsiness (Common (10-20%))
Avoid driving or operating machinery. If persistent, consult your doctor.
Dizziness (Common (5-10%))
Rise slowly from sitting or lying position. Consult if severe.
Fatigue (Common (5-10%))
Ensure adequate rest. If it interferes with daily activities, consult your doctor.
Dry mouth (Common (5-10%))
Sip water, chew sugar-free gum. Usually temporary.
Nausea (Common (5-10%))
Take with food. If persistent, consult your doctor.

🚨 Serious Side Effects

Serotonin syndrome (Rare (<0.1%))
Seek immediate medical attention if you experience agitation, hallucinations, rapid heart rate, fever, muscle stiffness, or sweating.
Abnormal bleeding (Rare (<0.1%))
Report any unusual bruising or bleeding to your doctor immediately.
Hyponatremia (low sodium) (Rare (<0.1%))
Seek medical help if you experience confusion, headache, weakness, or difficulty concentrating.
Suicidal thoughts (Rare (<0.1%))
Contact your doctor or a mental health professional immediately if you have thoughts of harming yourself.

⚠️ Rare Side Effects

Severe allergic reactions
Seek emergency help if you experience rash, itching, swelling, severe dizziness, or trouble breathing.
Seizures
Call emergency services if a seizure occurs.
Angle-closure glaucoma
Seek immediate medical attention if you experience eye pain, vision changes, or swelling around the eyes.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAO inhibitors Major
Warfarin Major
Opioids Major
Ketoconazole Moderate
Omeprazole Moderate
NSAIDs Moderate
Aspirin Moderate
Antacids Minor
Grapefruit juice Minor
Caffeine Minor

🚨 Major Interactions

  • MAO inhibitors
  • CNS depressants (e.g., opioids, alcohol, barbiturates)
  • Warfarin

⚡ Moderate Interactions

  • CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin)
  • CYP2C19 inhibitors (e.g., omeprazole)
  • NSAIDs, aspirin

🍷 Alcohol Interaction

Alcohol should be completely avoided while taking this medicine. It can increase sedation, impair motor skills, and worsen depression. It also increases the risk of respiratory depression and other serious side effects.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to etizolam, escitalopram, or any component of the formulation","Concurrent use with MAO inhibitors or within 14 days of stopping an MAO inhibitor","Severe hepatic impairment","Severe renal impairment","Acute narrow-angle glaucoma","Myasthenia gravis","Severe respiratory insufficiency","Sleep apnea syndrome","Pregnancy and lactation"]

⚠️ Warnings & Precautions

["May cause drowsiness and impair ability to drive or operate machinery.","Risk of dependence and withdrawal with etizolam, especially with long-term use.","Increased risk of suicidal thoughts and behaviors, especially in young adults.","May cause serotonin syndrome when used with other serotonergic drugs.","Avoid abrupt discontinuation to prevent withdrawal symptoms.","Use with caution in elderly patients due to increased risk of falls and cognitive impairment.","May cause hyponatremia; monitor sodium levels in at-risk patients.","May increase bleeding risk, especially when used with NSAIDs or anticoagulants.","Not recommended for children and adolescents under 18 years.","Avoid alcohol and other CNS depressants."]

🤱 Lactation Safety

Etizolam and escitalopram are excreted in breast milk. Breastfeeding is not recommended while taking this medicine. Consult your doctor for alternative options.

💊 Overdose Management

Overdose may cause severe drowsiness, confusion, coma, respiratory depression, tachycardia, and serotonin syndrome. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if taken recently. Monitor vital signs and provide supportive care.

⏰ 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

General Safety

Take this medicine exactly as prescribed by your doctor. Do not crush, chew, or break the tablet unless instructed. Avoid alcohol completely, as it can worsen drowsiness and impair judgment. Do not drive or operate heavy machinery until you know how this medicine affects you. Do not stop taking this medicine suddenly, as it can cause withdrawal symptoms or worsen your condition. Inform your doctor about all other medications, supplements, and herbal products you are taking. Keep this medicine out of reach of children. Store at room temperature away from moisture and heat. If you miss a dose, follow your doctor's instructions; do not double the dose. 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 more sensitive to the sedative effects of etizolam and may experience increased drowsiness, confusion, and falls. Escitalopram can cause hyponatremia. Start with a lower dose and monitor closely.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before taking this medicine. Both etizolam and escitalopram may pose risks to the fetus. Your doctor may switch you to a safer alternative.

🏥 Post-Surgery Considerations

Inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with anesthetic agents and increase sedation. Your doctor may advise temporary discontinuation before surgery.

🦷 Dental Procedures

Inform your dentist that you are taking this medicine. It may interact with local anesthetics or sedatives used during dental procedures. Your dentist may adjust the treatment plan accordingly.

💚 Lifestyle Tips for Better Results

🏃
Maintain a regular sleep schedule to support mood stability.
🥗
Engage in regular physical activity like walking or yoga to reduce anxiety.
😴
Practice relaxation techniques such as deep breathing or meditation.
💧
Avoid caffeine and nicotine, which can worsen anxiety.
🧘
Stay connected with friends and family for emotional support.
🌞
Keep a mood diary to track your progress and share with your doctor.

🏋️ Exercise Considerations

This medicine may cause drowsiness and dizziness. Avoid strenuous exercise or activities requiring alertness until you know how it affects you. Light to moderate exercise is generally safe and beneficial.

🥗 Diet Recommendations

Eat a balanced diet rich in fruits, vegetables, and whole grains.
Include omega-3 fatty acids from fish or flaxseed for brain health.
Avoid alcohol and excessive caffeine.
Stay hydrated by drinking plenty of water.
Limit processed foods and added sugars.

💼 Impact on Daily Work & Life

This medicine can cause drowsiness and impair concentration, affecting your ability to drive or operate machinery. It may also affect work performance initially. Discuss with your doctor about timing the dose to minimize impact on your daily activities.

🛑 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 etizolam can lead to tolerance, dependence, and withdrawal symptoms. Escitalopram may cause sexual dysfunction, weight changes, and emotional blunting. Regular monitoring by a doctor is essential to assess the risk-benefit ratio and to taper the dose gradually when discontinuing.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Cognitive behavioral therapy (CBT)

A type of talk therapy that helps change negative thought patterns and behaviors related to anxiety and depression.

Evidence: Well-established
Mindfulness and meditation

Practices that can reduce stress and improve emotional well-being.

Evidence: Moderate
Regular exercise

Physical activity can boost mood and reduce anxiety.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are established. 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

Carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid loss. Store at room temperature and protect from extreme heat or moisture. 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.

👤 A 35-year-old woman with generalized anxiety disorder and mild depression
She was prescribed this medicine after other treatments failed. Initially, she felt drowsy, but this improved after a week. Her anxiety reduced significantly within two weeks, and her mood improved after a month. She attended regular follow-ups and never stopped the medicine abruptly.
💡 Lesson: Consistent use and regular follow-up are key to managing anxiety and depression effectively.
👤 A 50-year-old man with panic disorder and depressive symptoms
He started this medicine and noticed fewer panic attacks within the first week. He experienced dry mouth and mild nausea, which subsided. He was advised to avoid alcohol and to taper the dose slowly when discontinuing. He successfully tapered off after six months without withdrawal symptoms.
💡 Lesson: Gradual tapering under medical supervision prevents withdrawal and relapse.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Etizolam provides rapid relief within 30-60 minutes, while escitalopram takes 1-2 weeks for initial effects and 4-6 weeks for full antidepressant effect.

Q: Can I stop taking this medicine if I feel better?

A: No, do not stop suddenly. Your doctor will gradually taper the dose to prevent withdrawal symptoms and relapse.

Q: Is it safe to take during pregnancy?

A: The safety of this combination during pregnancy is not well established. Consult your doctor before taking it if you are pregnant or planning pregnancy.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for s vocita e 0.5mg/10mg tablet

View All

Alternative brands with exact same active ingredient:

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 and depression, though it may cause drowsiness as a side effect.
  • Myth: I can stop taking this medicine whenever I feel better.
    Fact: Stopping suddenly can cause withdrawal symptoms and worsen your condition. Always consult your doctor before stopping.
  • Myth: This medicine is addictive for everyone.
    Fact: Dependence can occur, especially with long-term use of etizolam. Your doctor will monitor and taper the dose gradually.
  • Myth: It is safe to drink alcohol with this medicine.
    Fact: Alcohol increases sedation and other serious side effects. It should be avoided completely.

🔄 Alternative Options

Generic Alternatives

  • Etizolam 0.5 mg + Escitalopram 10 mg tablet (generic)

Brand Alternatives

  • Etizola Plus 10 Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Etizola Plus 10 Tablet","composition":"Etizolam 0.5 mg + Escitalopram 10 mg","onset":"Rapid (etizolam)","duration":"6-8 hours (etizolam)"},{"medicine":"Clonazepam + Escitalopram","composition":"Clonazepam 0.5 mg + Escitalopram 10 mg","onset":"Rapid","duration":"8-12 hours"},{"medicine":"Alprazolam + Escitalopram","composition":"Alprazolam 0.5 mg + Escitalopram 10 mg","onset":"Rapid","duration":"6-8 hours"}]

😊 Was this information helpful?

Browse Medicines A-Z

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Back to Medicines Directory