Dexanil Forte 0.5mg/20mg 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
- Thoughts of harming yourself or others
- Severe allergic reaction (rash, swelling, difficulty breathing)
- Irregular heartbeat or chest pain
- Severe confusion or hallucinations
- High fever with muscle rigidity and sweating
- Yellowing of skin or eyes
- Seizures
If experiencing severe symptoms, call emergency services immediately.
What is stanla-forte tablet used for?
This medicine is a combination of clonazepam and escitalopram used to treat anxiety disorders, panic disorder, and depression with anxiety. It works by calming the brain and increasing serotonin levels. It is a prescription-only medicine and should be taken exactly as directed by your doctor.
- Generic Name: Clonazepam (0.5mg) + Escitalopram Oxalate (20mg)
- Manufacturer: Mabril Healthcare Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 stanla-forte tablet के बारे में (Hindi Summary)
उपयोग: यह दवा क्लोनाजेपम और एस्सिटालोप्राम का संयोजन है, जिसका उपयोग चिंता विकार, पैनिक डिसऑर्डर और अवसाद के इलाज के लिए किया जाता है। यह मस्तिष्क को शांत करने और सेरोटोनिन के स्तर को बढ़ाने में मदद करती है। यह केवल डॉक्टर के पर्चे पर ही मिलती है और इसे डॉक्टर के निर्देशानुसार ही लेना चाहिए।
साइड इफेक्ट्स: आम दुष्प्रभावों में नींद आना, चक्कर आना, थकान, मुँह सूखना, जी मिचलाना और कब्ज शामिल हैं। गंभीर दुष्प्रभावों में एलर्जी, सांस लेने में कठिनाई, दिल की धड़कन अनियमित होना और सेरोटोनिन सिंड्रोम शामिल हैं। यदि आपको कोई भी गंभीर लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे चबाएं या तोड़ें नहीं। 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 चलाएं। इस दवा को अचानक बंद न करें, इससे withdrawal symptoms हो सकते हैं। इसे ठंडी और सूखी जगह पर रखें।
💊 stanla-forte tablet Uses & Benefits
[{"condition":"Generalized anxiety disorder","description":"This combination helps reduce excessive worry, tension, and nervousness by combining the rapid calming effect of clonazepam with the longer-term anxiety-reducing effect of escitalopram.","evidence":"Well-established for the individual components; combination use is common in clinical practice."},{"condition":"Panic disorder","description":"Clonazepam provides quick relief from panic attacks, while escitalopram helps prevent future panic attacks over time.","evidence":"Well-established for the individual components; combination use is common in clinical practice."},{"condition":"Depression with anxiety","description":"Escitalopram treats the core symptoms of depression, and clonazepam helps manage prominent anxiety symptoms in the early weeks of treatment.","evidence":"Well-established for the individual components; combination use is common in clinical practice."}]
Off-label uses: [{"condition":"Social anxiety disorder","description":"Sometimes prescribed off-label when social anxiety is severe and disabling.","evidence":"Limited"},{"condition":"Insomnia associated with anxiety","description":"May be used off-label for short-term management of insomnia related to anxiety disorders.","evidence":"Limited"}]
Primary treatment for: Anxiety disorders
Also treats: Panic disorder, Depression with anxiety, Social anxiety disorder
📋 Drug Information
| Generic Name(s) | Clonazepam (0.5mg) + Escitalopram Oxalate (20mg) |
| Brand Name | stanla-forte tablet |
| Manufacturer | Mabril Healthcare Pvt Ltd |
| 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. Keep away from direct sunlight and moisture. Keep out of reach of children. |
| 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 different mechanisms. Clonazepam enhances the inhibitory effect of gamma-aminobutyric acid at GABA-A receptors in the brain, leading to increased chloride channel opening and neuronal hyperpolarization, which produces calming, anxiolytic, and muscle-relaxant effects. Escitalopram oxalate selectively inhibits the reuptake of serotonin at the presynaptic serotonin transporter, increasing serotonin availability in the synaptic cleft, which over time helps regulate mood and reduce anxiety.
Mechanism Steps
💡 How to Take stanla-forte tablet
Strength: Tablet containing clonazepam 0.5 mg and escitalopram oxalate 20 mg.
Dosage Information
| Adult Dosage | The 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 change the dose without consulting your doctor. 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. Regular monitoring for falls, confusion, and sedation is recommended. |
| Renal Impairment | Dose adjustment may be necessary in patients with severe renal impairment. Consult your doctor for personalized dosing. |
| Hepatic Impairment | Dose reduction is recommended in patients with mild to moderate hepatic impairment. This medicine is contraindicated in severe hepatic impairment. |
| Maximum Daily Dose | The maximum recommended daily dose is one tablet (clonazepam 0.5 mg + escitalopram 20 mg). Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of stanla-forte 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 | |
| Ketoconazole | Major | |
| Omeprazole | Moderate | |
| Warfarin | Moderate | |
| Ibuprofen | Moderate | |
| Antacids | Minor | |
| Grapefruit juice | Minor |
🚨 Major Interactions
- MAO inhibitors
- Other CNS depressants (e.g., opioids, alcohol, barbiturates)
- CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
⚡ Moderate Interactions
- CYP2C19 inhibitors (e.g., omeprazole, fluoxetine)
- NSAIDs (e.g., ibuprofen, aspirin)
- Warfarin
🍷 Alcohol Interaction
Alcohol should be strictly avoided while taking this medicine. It can increase drowsiness, dizziness, and the risk of respiratory depression, and it can worsen anxiety and depression.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to clonazepam, escitalopram, or any component of the formulation","Concurrent use with MAO inhibitors","Severe liver disease","Narrow-angle glaucoma","Myasthenia gravis","Severe respiratory insufficiency","Sleep apnea syndrome","Pregnancy (unless clearly needed)"]
⚠️ Warnings & Precautions
["This medicine can cause drowsiness and dizziness. Do not drive or operate machinery until you know how it affects you.","Do not stop this medicine abruptly, as it can cause withdrawal symptoms.","Use with caution in elderly patients due to increased risk of falls and confusion.","Monitor for signs of serotonin syndrome, especially when used with other serotonergic drugs.","Avoid alcohol and other CNS depressants.","Inform your doctor if you have a history of substance abuse, as clonazepam has a potential for dependence.","Use with caution in patients with liver or kidney disease.","May increase the risk of suicidal thoughts in young adults; close monitoring is required."]
🤱 Lactation Safety
Clonazepam and escitalopram are excreted in breast milk. Breastfeeding is not recommended while taking this medicine unless advised by a doctor. Consult your doctor to weigh the benefits and risks.
💊 Overdose Management
Overdose can cause severe drowsiness, confusion, coma, respiratory depression, and cardiac arrest. Seek emergency medical attention immediately. Treatment is supportive and may include activated charcoal, gastric lavage, and monitoring of vital signs. Flumazenil may be used as an antidote for benzodiazepine overdose, but it should be used with caution.
⏰ 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
Take this medicine exactly as prescribed by your doctor. Do not crush, chew, or break the tablet unless your doctor advises otherwise. Avoid alcohol and other central nervous system depressants because they can increase drowsiness and dizziness. 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 such as anxiety, insomnia, and irritability. Keep all follow-up appointments and inform your doctor about any other medicines you are taking. Store this medicine in a cool, dry place away from direct sunlight and out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the sedative effects of clonazepam and may experience increased drowsiness, confusion, and falls. Escitalopram can cause hyponatremia in the elderly. 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 clonazepam and escitalopram may pose risks to the fetus. Your doctor may adjust or change your treatment plan.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine. It can interact with anesthetic agents and increase sedation. Your doctor may advise you to stop or adjust the dose before surgery.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine. It can interact with local anesthetics and sedatives used during dental procedures. Your dentist may need to adjust the treatment plan.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can cause drowsiness and dizziness, which may affect your coordination. Avoid high-risk activities like swimming, cycling, or using heavy machinery until you know how the medicine affects you. Light to moderate exercise is generally safe and beneficial.
🥗 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 the medicine affects you. Inform your employer if your job involves safety-sensitive tasks. With treatment, many people experience improved focus and productivity as anxiety and depression symptoms decrease.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience severe side effects or your condition worsens, contact your doctor immediately. Your doctor will guide you on a gradual tapering schedule to avoid withdrawal symptoms.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to tolerance to clonazepam, requiring dose adjustments. There is a risk of dependence and withdrawal symptoms. Escitalopram may cause sexual dysfunction, weight changes, and emotional blunting in some patients. Regular monitoring by a doctor is essential to assess the ongoing need and to manage any side effects.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
CBT is highly effective for anxiety and depression and can complement medication.
Evidence: Well-establishedThese practices can help reduce anxiety and improve mood.
Evidence: ModerateExercise has been shown to reduce symptoms of anxiety and depression.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, inform your healthcare provider about all medicines you are taking before receiving any vaccine.
📦 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 it at room temperature and protect it from extreme heat or moisture. If crossing time zones, consult your doctor about adjusting the timing of your dose. 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: Clonazepam starts working within 30-60 minutes, providing rapid relief from anxiety. Escitalopram takes 1-2 weeks for initial effects and 4-6 weeks for full therapeutic benefit.
A: No, stopping suddenly can cause withdrawal symptoms such as anxiety, insomnia, and irritability. Always consult your doctor for a gradual taper.
A: The safety of this medicine during pregnancy is not well established. Consult your doctor immediately if you are pregnant or planning to become pregnant.
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.
🤔 Common Patient Concerns
🔄 Substitutes for stanla-forte tablet
View AllAlternative brands with exact same active ingredient:
-
esix cl 0.5mg/20mg tabletSAG Health Science Pvt Ltd ₹103.13 52.7% CHEAPER
-
cilapam forte tabletAlteus Biogenics Pvt Ltd ₹123.65 43.3% CHEAPER
-
ecitom ds 0.5mg/20mg tabletRyon Pharma ₹126.56 41.9% CHEAPER
-
velpram-cl 0.5mg/20mg tabletSolitaire Pharmacia Pvt Ltd ₹127.50 41.5% CHEAPER
-
Tilomeg CL 0.5mg/20mg TabletRidhima Biocare ₹129.00 40.8% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a sleeping pill.
Fact: This medicine is primarily used for anxiety and depression, though it can 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 relapse. Always consult your doctor before stopping. - Myth: This medicine is addictive for everyone.
Fact: Clonazepam has a potential for dependence, but when used as prescribed and for a limited duration, the risk is manageable. Escitalopram is not addictive.
🔄 Alternative Options
Generic Alternatives
- Clonazepam 0.5 mg + Escitalopram 20 mg tablet (generic)
Brand Alternatives
- Dexanil Forte 0.5mg/20mg Tablet