Altin Tablet 10'S
Netmeds First Membership
Quick Links
Introduction About ALTIN TABLET
ALTIN TABLET is a combination of Alprazolam and Fluoxetine which belongs to the group of medicines called Anxiolytics and Antidepressants respectively. It is used to manage depression, anxiety, obsessive-compulsive disorder, eating disorder and other mixed psychiatric conditions.
Before taking ALTIN TABLET inform your doctor if you have any problems in your liver or kidneys. You must also inform your doctor if you have diabetes, muscle weakness, breathing problems, depression with suicidal thoughts, any mental illnesses, history of alcoholism or drug abuse, mania, bleeding problems or epilepsy as a precaution.
Do not take ALTIN TABLET without consulting your doctor if you are pregnant or breastfeeding. ALTIN TABLET is not recommended for use in children and adolescents (aged below 18 years) due to lack of safety data.
The most common side effects of taking this medicine are depression, headache, dizziness, drowsiness, forgetfulness, constipation, dry mouth, decreased sex drive, problems in erection, blurred vision, problems in sleeping, weight gain or weight loss, abnormal breast growth and milk production in men and women and changes in taste. Consult your doctor if any of these side effects trouble you.
You must also inform your doctor immediately if you experience any worsening of depression with suicidal thoughts or any other unusual changes in behaviour (such as agitation, restlessness, aggressiveness, irritability, violence or anger).
Uses Of ALTIN TABLET
It is used to manage:
- Depression
- Anxiety
- Obsessive-compulsive disorder
How ALTIN TABLET Works
ALTIN TABLET contains two medicines namely alprazolam and fluoxetine. Alprazolam is a hypnotic medicine. It suppresses the abnormal electrical activity within the brain and induces sleep.
Fluoxetine is an antidepressant medicine. It works by regulating the release and uptake of certain chemical messengers (dopamine and serotonin) within the brain that affects thoughts, emotions, body movements and behaviour. As a result, it improves your ability to think, controls your emotions and stabilizes your mental health.
How to use ALTIN TABLET
Take ALTIN TABLET with or during meals or as directed by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine.
Your doctor will decide the correct dose and duration of therapy for you depending upon your age, body weight and health condition. Do not take this medicine for more than 4 weeks without consulting your doctor.
Side Effects Of ALTIN TABLET
Common
- depression
- headache, dizziness
- drowsiness or sleepiness
- jerky movements or unsteadiness
- forgetfulness
- slurred speech, nervousness
- constipation, dry mouth, loss of appetite
- tiredness, irritability, confusion, disorientation, loss of alertness
- sexual problems, increased or decreased sex drive
- problems in erection
- inability to sleep or disturbed sleep
- feeling sluggish
- shakiness or trembling
- double or blurred vision
- nausea
- weight gain or weight loss
- abnormal breast growth and milk production in men and women
- joint pain, fever, chills
- changes in taste
- skin rash, itching, excessive sweating
- irregular heartbeat
- passing urine more frequently
- unexplained vaginal bleeding
Uncommon
- abnormally excited
- hallucinations
- urge to urinate
- menstrual cramps (pain in thighs and lower back)
- muscle spasms or weakness
- fits
- sensitivity to sunlight
- bleeding from the nose
- unable to hold urine
- hair loss
- lack of periods
- mood changes, high mood, feeling lonely
- enlarged (dilated) pupils
- ringing in the ears
- feeling hot or cold
Rare
- liver problems
- pancreatitis
- low RBC, WBC and platelet count in blood
Stop taking ALTIN TABLET and contact your doctor immediately if you experience any of the following side effects:
- signs of Neuroleptic Malignant Syndrome (such as fever, fast heartbeat, sweating, severe muscle stiffness, confusion, increased muscle enzymes)
- suicidal thoughts and behavior
- changes in behavior (such as feeling agitated, restless, aggressive, irritable, violent or angry, false beliefs, nightmares and hallucinations or other inappropriate behavior)
- memory loss (amnesia)
- yellowing of the skin and the whites of the eye (jaundice)
- increased sweating, faster breathing, muscle stiffness, drowsiness or sleepiness
- signs of serotonin syndrome (feeling agitated, hallucinations, confusion, loss of consciousness, fast heartbeat, feeling dizzy, increased sweating, flushing, tremors, stiff muscles or muscle twitching, loss of coordination, nausea, vomiting, diarrhea or seizures)
- severe allergic skin reactions with blistering and peeling of skin
- feeling restless, urge to move, increased irritation
- prolonged or painful erections
- increased signs of bleeding or bruising
- signs of heart problems (such as fast or irregular heart rate, fainting, dizziness upon standing)
- signs of blood clot (swelling, pain and redness in the le or chest pain and difficulty in breathing)
How To Manage Side Effects
Constipation
Eat plenty of fiber rich foods such as fresh fruits, vegetables and cereals. Drink plenty of fluids. Exercise more regularly. Consult your doctor if this side effect bothers you.
Dizziness Or Drowsiness
Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines completely while you are feeling dizzy. Do not consume excessive alcohol, as it could aggravate your dizziness. Consult your doctor if your dizziness worsens.
Headache
Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as water or electrolytes. Applying a pain-relieving balm on your forehead can be beneficial. Do not consume excessive alcohol, as it could aggravate your headache. Consult your doctor if your headache worsens.
Insomnia
Try to have a regular bedtime schedule. Avoid having naps during the daytime. Limit caffeine intake and reduce watching TV before bedtime. If the symptom does not improve, consult your doctor.
Nausea And Vomiting
Take ALTIN TABLET with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if your nausea worsens.
Warning & Precautions
Pregnancy
ContraindicatedALTIN TABLET is generally not recommended for use in pregnant women unless considered necessary by the physician, as it may harm the growing baby. Therefore, inform your doctor before taking ALTIN TABLET if you are pregnant, think you might be pregnant or planning to have a baby.
Breastfeeding
ContraindicatedALTIN TABLET is not recommended for use in breastfeeding women as it may pass through the breast milk to the nursing infant. Therefore, consult your doctor before taking it.
Driving and Using Machines
Use with CautionDo not drive or handle any heavy tools or machines if you experience dizziness or drowsiness after taking ALTIN TABLET.
Alcohol
Consult your doctorAvoid consumption of alcohol while taking ALTIN TABLET as it might make you feel dizzier and drowsier.
Kidney
Use with CautionALTIN TABLET should be used with caution in patients with kidney problems. Therefore, consult your doctor before taking it.
Liver
Consult your doctorALTIN TABLET is not recommended for use in patients with severe liver problems. It should be used with caution in patients with other mild liver problems. Therefore, consult your doctor before taking it.
Allergy
ContraindicatedDo not take ALTIN TABLET if you are allergic to fluoxetine, alprazolam or to any other sedative or hypnotic medicines (such as midazolam, nitrazepam, clonazepam).
Lungs
ContraindicatedALTIN TABLET is not recommended for use in patients suffering from asthma, chronic bronchitis, emphysema, COPD or bronchospasm. Therefore, consult your doctor before taking it.
Heart Disease
Use with CautionALTIN TABLET should be used with caution in patients with heart problems (such as slow heart rate). Therefore, consult your doctor before taking it.
Others
ALTIN TABLET is not recommended for use if you:
- suffer from myasthenia gravis (severe muscle weakness)
- have sleep apnea (breathing stops and starts during sleep)
- have recently taken other anti-depressant medicines (MAOI)
Before taking ALTIN TABLET, inform your doctor if you:
- have previously experienced depression with thoughts of committing suicide
- have any mental illnesses that required hospitalization
- have a previous experience of drug abuse or alcoholism
- have used any hypnotic medicine earlier
- have mania (sudden extreme sense of excitement and hyperactivity)
- have any bleeding disorders
- are in any on-going electroconvulsive therapy
- have fits (epilepsy)
- have akathisia (restlessness)
- have diabetes
- have dehydration or electrolyte imbalance (due to recent vomiting, diarrhea or usage of diuretics)
- have glaucoma
Use in Pediatrics:
ALTIN TABLET is not recommended for use in children and adolescents (aged below 18 years) due to lack of safety data. Therefore, consult your doctor before taking it.
Use in Geriatrics:
ALTIN TABLET should be used with caution in elderly patients (aged above 65 years). Therefore, consult your doctor before taking it.
Interactions
A. Drug-Drug interactions:
Before taking ALTIN TABLET, inform your doctor if you are taking any of the following medicine:
- medicine used to manage depression like monoamine oxidase inhibitors (Ex. tranylcypromine, moclobemide iproniazid, nialamide, isocarboxazid, toloxatone), fluvoxamine, lithium, selegiline, amitriptyline, imipramine, bupropion, St. John’s wort
- other medicines used to manage psychiatric disorders (such as pimozide, haloperidol, risperidone, thioridazine)
- linezolid (a medicine used to manage bacterial infection)
- methylthioninium chloride (a medicine used to manage high methaemoglobin in blood)
- other medicines used to reduce anxiety and to induce sleep (such as midazolam, clonazepam, nitrazepam)
- medicines used for blood thinning (such as heparin, warfarin)
- tamoxifen (a medicine used to manage cancer)
- diuretics (used to reduce edema and blood pressure) such as hydrochlorothiazide, furosemide
- medicines used to manage diabetes (such as metformin, glimepiride, glibenclamide, insulin, pioglitazone)
- opioid analgesic medications (such as buprenorphine, morphine, pethidine, fentanyl etc.)
- medicines used to manage allergic reactions (such as azelastine, cyproheptadine, mequitazine)
- medicines used to manage fungal infections (such as ketoconazole)
- oral contraceptives (birth control pill) such as ethinylestradiol, drospirenone
- medicines used to manage bacterial infection (such as sparfloxacin, moxifloxacin, erythromycin IV, pentamidine)
- cimetidine (a medicine used for managing stomach ulcers)
- medicines used to manage HIV infection (such as ritonavir, nelfinavir, atazanavir, saquinavir, indinavir)
- general anaesthetic (used to create of loss of consciousness before surgery) such as methoxyflurane and trichloroethylene
- medicines used to manage parkinsonism (such as levodopa, amantadine)
- medicines used for pain relief (such as tramadol, ibuprofen, diclofenac)
- medicines used to manage migraine headache (such as sumatriptan)
- tryptophan (a medicine used to manage mental illness)
- medicines used to manage abnormal heart rhythm and other heart problems (such as digoxin, quinidine, amiodarone, diltiazem, amlodipine, metoprolol, flecainide, propafenone, nebivolol or encainide)
- medicines used to manage malaria (such as mefloquine, chloroquine, halofantrine)
- desmopressin (a medicine used to manage diabetes insipidus)
- atomoxetine (a medicine used to manage ADHD)
Overdosage:
If you or anyone else accidentally took more ALTIN TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose might include low blood pressure, drowsiness, confusion, feeling cold, slurred speech, breathing difficulties, nausea, vomiting, fits and agitation.
Synopsis
| Drug | : | Alprazolam, Fluoxetine |
| Pharmacological Category | : | Benzodiazepines, Selective serotonin reuptake inhibitors |
| Therapeutic Indication | : | Anxiety, Depression, OCD |
| Dosage Forms | : | Tablet |
More Information
- Keep ALTIN TABLET out of reach of children
- Store ALTIN TABLET at room temperature
FAQs About ALTIN TABLET
Q: What is the use of ALTIN TABLET?
A: ALTIN TABLET is used to manage depression, anxiety, obsessive-compulsive disorder, eating disorder and other mixed psychiatric conditions.
Q: How ALTIN TABLET works in my body?
A: ALTIN TABLET suppresses the abnormal electrical activity within the brain and induces sleep. It also regulates the release and uptake of certain chemical messengers (dopamine and serotonin) within the brain that affects thoughts, emotions, body movements and behaviour. As a result, it improves your ability to think, controls your emotions and stabilizes your mental health.
Q: Can ALTIN TABLET be used in children?
A: ALTIN TABLET is not recommended for use in children and adolescents (aged below 18 years) due to lack of safety data. Therefore, consult your doctor before taking it.
Q: Can ALTIN TABLET be used during pregnancy?
A: ALTIN TABLET is generally not recommended for use in pregnant women unless considered necessary by the physician, as it may harm the growing baby. Therefore, inform your doctor before taking ALTIN TABLET if you are pregnant, think you might be pregnant or planning to have a baby.
Q: Will the use of ALTIN TABLET cause sleepiness?
A: Yes, ALTIN TABLET can make your feel sleepy, drowsy or tired. Therefore, do not drive or handle heavy machines or tool if you feel drowsy or sleepy. Avoid consumption of alcohol as it can aggravate your drowsiness.
Q: Can I consume alcohol while taking ALTIN TABLET?
A: Avoid consumption of alcohol while taking this medicine as it may make you feel more dizzy or drowsy.
Q: What to do if I forget to take a dose of ALTIN TABLET?
A: If you forget to take a dose of ALTIN TABLET, take it as soon as you remember. However, if it is time to take the next dose, skip the missed dose and take the next one at regular times. Do not take a double dose of ALTIN TABLET to compensate a missed dose, as it could lead to toxicity.
Q: Will taking a higher dose of ALTIN TABLET than the prescribed one be beneficial?
A: No, taking a higher dose of ALTIN TABLET will not be effective rather it can lead to toxicity. Always take the dose prescribed by your doctor. If the prescribed dose is not effective for you, consult your doctor for advice. Your doctor might increase the dose or suggest an alternative therapy.
Q: Can I stop taking ALTIN TABLET once my symptoms subside?
A: No. Do not stop taking ALTIN TABLET without consulting your doctor even if you feel better during the mid-way of the therapy. Sudden discontinuation of therapy may cause withdrawal symptoms such as headaches, muscle pain, tension, restlessness, confusion, mood changes, difficulty in sleeping, irritability, dizziness, tingling sensation, tiredness or weakness, nausea, vomiting and tremors.
Q: Can ALTIN TABLET be taken daily?
A: Yes. ALTIN TABLET can be taken daily as per your doctor’s instruction. However, if you are doubtful, consult your doctor.
Q: How to take ALTIN TABLET?
A: Take ALTIN TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine.
Q: What are the common side effects of taking ALTIN TABLET?
A: The most common side effects of taking this medicine are depression, headache, dizziness, drowsiness, forgetfulness, constipation, dry mouth, decreased sex drive, problems in erection, blurred vision, problems in sleeping, weight gain or weight loss, abnormal breast growth and milk production in men and women, changes in taste, skin rashes and unexplained vaginal bleeding. Consult your doctor if any of these side effects trouble you.
Q: Can ALTIN TABLET cause weight gain?
A: Yes. Weight gain is one of the common side effects of taking ALTIN TABLET. If this side effect bothers you, contact your doctor.
Q: Will ALTIN TABLET reduce my sex drive?
A: Yes. ALTIN TABLET may affect your sexual life. It may decrease sex drive or cause problems in orgasm, ejaculation or erection. Therefore, consult your doctor if you experience any such symptoms.
References
1. KD. Tripathi. Drugs Used in Mental Illness: Antidepressant and Antianxiety Drugs. Sedative-Hypnotics. Essentials of Medical Pharmacology. 7th Edition. Page – 405 & 461.
2. Boadie W. Dunlop, M.D. and Paula G. Davis, Ph.D. Combination Treatment With Benzodiazepines and SSRIs for Comorbid Anxiety and Depression: A Review. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. 2008. [Accessed on 25th January 2023]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2446479/
3. Brown & Burk UK Ltd. Fluoxetine 20mg Hard Capsules. Electronic Medicines Compendium. [Revised in September 2021]. [Accessed on 25th January 2023]. https://www.medicines.org.uk/emc/files/pil.10658.pdf
4. Endo Ventures Ltd. Fluoxetine 10 mg Film-coated Tablets. Electronic Medicines Compendium. [Revised in January 2021]. [Accessed on 25th January 2023]. https://www.medicines.org.uk/emc/files/pil.9338.pdf
5. Pfizer Italia S.r.l. Xanax® 250 microgram and 500 microgram Tablets alprazolam. Electronic Medicines Compendium. [Revised in November 2022]. [Accessed on 25th January 2023]. https://www.medicines.org.uk/emc/files/pil.1656.pdf
6. Central Drugs standard Control Organization. Alprazolam Dispersible Tab. 0.125mg/0.25mg/0.50mg. September 2006. Alprazolam tablets. June 1998. Alprazolam SR 0.5mg tablet. 1997. [Accessed on 25th January 2023]. https://cdscoonline.gov.in/CDSCO/Drugs
7. Leeford Healthcare Pvt Ltd. Flutax AL. [Accessed on 25th January 2023]. https://www.leeford.in/product/678/flutax-al
Author Details
