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Nulam Plus 0.25 mg/20 mg Tablet

Prescription Required

Product introduction

Nulam Plus 0.25 mg/20 mg Tablet is a prescription medicine used to treat anxiety. It calms the brain by decreasing the abnormal and excessive activity of the nerve cells. It also blocks the action of certain chemical messengers on the heart and blood vessels. This reduces heart rate and blood pressure.

Nulam Plus 0.25 mg/20 mg Tablet should be taken on an empty stomach. However, it is advised to take it at the same time each day as this helps to maintain a consistent level of medicine in the body. Take this medicine in the dose and duration advised by your doctor as it has high habit-forming potential. If you miss a dose of this medicine, take it as soon as you remember. Finish the full course of treatment even if you feel better. It is important not to stop taking this medicine suddenly as it may cause withdrawal symptoms. Avoid consuming alcohol while taking this medicine as this may reduce its effectiveness.

Some common side effects of this medicine include confusion, memory impairment, slow heart rate, tiredness, and nightmare.  It may also cause dizziness and sleepiness. So, do not drive or do anything that requires mental focus until you know how this medicine affects you. The drug has the ability to hide the symptoms of diabetes, hence monitor your blood sugar regularly while taking this medicine. Let your doctor know if you experience increased swelling around your legs or ankles, sudden weight gain or sudden shortness of breath while on the treatment.

Take caution while taking medicine if you are suffering from liver disease. Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works. Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.

Uses of Nulam Plus Tablet

Benefits of Nulam Plus Tablet

In Anxiety disorder

Nulam Plus 0.25 mg/20 mg Tablet stops your brain from releasing the chemicals that make you feel anxious so it can reduce the symptoms of excessive anxiety and worry. It can also reduce feelings of restlessness, tiredness, difficulty concentrating, feeling irritable and sleep problems that often come with Anxiety Disorder. It will therefore help you go about your daily activities more easily and be more productive. Keep taking this medicine even if you feel well. Stopping suddenly can cause serious problems.

Side effects of Nulam Plus Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Nulam Plus

  • Confusion
  • Drowsiness
  • Memory impairment
  • Slow heart rate
  • Tiredness
  • Uncoordinated body movements
  • Nightmares
  • Cold extremities

How to use Nulam Plus Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Nulam Plus 0.25 mg/20 mg Tablet is to be taken empty stomach.

How Nulam Plus Tablet works

Nulam Plus 0.25 mg/20 mg Tablet is a combination of two medicines: Alprazolam and Propranolol. Alprazolam is a benzodiazepine. It works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in brain. Propranolol is a beta blocker which blocks the action of certain chemical messengers on the heart and blood vessels. This reduces heart rate, blood pressure, and strain on the heart.

Safety advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Nulam Plus 0.25 mg/20 mg Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Nulam Plus 0.25 mg/20 mg Tablet is unsafe to use during pregnancy as there is definite evidence of risk to the developing baby. However, the doctor may rarely prescribe it in some life-threatening situations if the benefits are more than the potential risks. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Nulam Plus 0.25 mg/20 mg Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
UNSAFE
Nulam Plus 0.25 mg/20 mg Tablet may cause side effects which could affect your ability to drive.
Nulam Plus 0.25 mg/20 mg Tablet may cause visual disturbances, hallucinations, fatigue, mental confusion, dizziness or tiredness. This may affect your driving ability.
Kidney
SAFE IF PRESCRIBED
Nulam Plus 0.25 mg/20 mg Tablet is probably safe to use in patients with kidney disease. Limited data available suggests that dose adjustment of Nulam Plus 0.25 mg/20 mg Tablet may not be needed in these patients. Please consult your doctor.
Liver
CAUTION
Nulam Plus 0.25 mg/20 mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Nulam Plus 0.25 mg/20 mg Tablet may be needed. Please consult your doctor.
Regular monitoring of blood pressure is advisable for dose adjustment.

What if you forget to take Nulam Plus Tablet?

If you miss a dose of Nulam Plus 0.25 mg/20 mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.
Nulam Plus 0.25 mg/20 mg Tablet
₹3.15/Tablet
Ambulax Tablet
Unimarck Pharma India Ltd
₹7.2/tablet
129% costlier
Lam-Plus Tablet
Tas Med India Pvt Ltd
₹4.34/tablet
38% costlier
₹4.85/tablet
54% costlier
Dizeral AZ 0.25mg/20mg Tablet
Unimarck Healthcare Ltd
₹3.88/tablet
23% costlier
₹5.82/tablet
85% costlier

Quick tips

  • Nulam Plus 0.25 mg/20 mg Tablet is used for the treatement of anxiety.
  • It can take a week or two after starting this treatment before the effect begins to build up, and 4-6 weeks before you feel the full benefit. Do not stop taking it after a week or two, feeling it is not helping.
  • Do not stop taking Nulam Plus 0.25 mg/20 mg Tablet unless your doctor tells you to do so. Stopping treatment suddenly can cause problems and your doctor will probably want you to reduce your dose gradually when this becomes necessary.
  • Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.
  • If you are due to have an operation or dental treatment, it is important to tell the person carrying out the treatment that you are taking this medicine.
  • Try to keep your regular appointments with your doctor. This is so your doctor can check on your progress.

Fact Box

Habit Forming
Yes
Therapeutic Class
NEURO CNS

Patient concerns

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i am suffering from anxiety disorder and i am on anxiety medications does ayurveda has any treatment for anxiety disorder
Dr. Aanchal Maheshwari
Ayurveda
Yes, Panchkarma is the best you should take sitting of sirodhara
Mixed anxiety depressive disorder
Dr. Jyoti Kapoor Madan
Psychiatry
Depression is a persistent state of sadness that is the result of interaction between one's inner biological and psychological state and gets triggered of with environmental stressors. Reactive depression is in response to a situation like loss, sickness, trauma etc. Endogenous depression occurs without any noticeable environmental stressors. Psychological symptoms include lack of interest, negative thinking, irritability, frustration, feeling demotivated etc. Somatic symptoms like fatigue/ weakness/ lack of sleep/ lack of appetite and other physical symptoms are common. Anxiety is common. In severe cases one may feel helpless and hopeless enough to wish for death or attempt suicide. Treatment includes physical and psychiatric work up following which medicines can be prescribed. In milder cases, psychotherapy or counselling is recommended.
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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. Alprazolam. Sandwich, Kent: Pfizer Limited; 1982 [revised Jan. 2019]. [Accessed 22 Apr. 2019] (online) Available from:External Link
  2. Alprazolam. Kalamazoo, Michigan: Pharmacia & Upjohn Company. [Accessed 22 Apr. 2019] (online) Available from:External Link
  3. Drugs.com. Propranolol Pregnancy and Breastfeeding Warnings. [Accessed 22 Apr. 2019] (online) Available from:External Link

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