Elm-Plus 5 Tablet comes into the category of medicines known as 'antidepressants', primarily used to treat depression and other mental health conditions, including anxiety, panic disorder, and obsessive-compulsive disorder. Depression is a mood disorder that affects day to day life of a person. A person may have symptoms such as feeling sad or feeling lost and might have mood swings. Anxiety is defined as an emotion characterized by feelings of tension, worried thoughts, and symptoms like increased blood pressure. Anxiety disorder also includes panic disorder which is characterized by sudden feelings of terror. In Obsessive-compulsive disorder (OCD), a person feels the need to think or perform things repeatedly.

Elm-Plus 5 Tablet compromises of two medicines, namely: Escitalopram and Etizolam. Escitalopram comes into the category of medications known as 'selective serotonin reuptake inhibitors, or SSRIs', and works by increasing serotonin levels. Serotonin is a chemical messenger in the brain responsible for improving mood and physical symptoms of depression. It is also responsible for relieving symptoms of anxiety, panic attacks, and obsessive-compulsive disorders. Etizolam comes into the category of 'benzodiazepine (BDZ)', which works by increasing the activity of GABA (a chemical messenger in the brain that acts as a natural nerve-calming agent) and is involved in inducing sleep. Thereby, Elm-Plus 5 Tablet relaxes muscles, reduces anxiety, and helps to fall asleep.

You can take Elm-Plus 5 Tablet with or without food. It should be swallowed whole with a glass of water. Do not chew, bite, or break it. Your doctor will advise you on how often you take your tablets based on your medical condition. In some cases, you may experience decreased or increased appetite, weight gain, pain, sweating, fatigue, or high fever. Most of these side effects of Elm-Plus 5 Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Try not to stop taking Elm-Plus 5 Tablet of your own, as it may lead to unpleasant side effects. Let your doctor know about this, as it may cause withdrawal symptoms. Do not take Elm-Plus 5 Tablet if you have epilepsy (seizure disorder or fits), diabetes,  sexual disorders, liver or kidney disease, any heart problems, bleeding or clotting disorders,  or are currently taking medicines for depression known as MAO inhibitors (such as Isocarboxazid, Phenelzine, Selegiline), or problems with alcohol or other prescription drugs. Inform your doctor if you are allergic to Elm-Plus 5 Tablet .

Elm-Plus 5 Tablet compromises of two medicines, namely: Escitalopram and Etizolam. Escitalopram comes into the category of medications known as 'selective serotonin reuptake inhibitors, or SSRIs', and works by increasing serotonin levels. Serotonin is a chemical messenger in the brain responsible for improving mood and physical symptoms of depression. It is also responsible for relieving symptoms of anxiety, panic attacks, and obsessive-compulsive disorders. Etizolam comes into the category of 'benzodiazepine (BDZ)', which works by increasing the activity of GABA (a chemical messenger in the brain that acts as a natural nerve-calming agent) and is involved in inducing sleep. Thereby, Elm-Plus 5 Tablet relaxes muscles, reduces anxiety, and helps to fall asleep. Both, in combination, provide overcoming depression.

• Headache
• Anxiety
• Dizziness
• Yawning
• Tremors
• Restlessness
• Feeling sleepy
• Feeling sick (nausea)
• Abnormal dreams
• Difficulties falling asleep
• Blocked or runny nose (sinusitis)
• Increased or decreased appetite
• A decreased or increased appetite

Taking Elm-Plus 5 Tablet should be avoided in patients having epilepsy (Brain disorder in which brain activity becomes abnormal, causing seizures), impaired liver or kidney function, diabetes, decreased level of sodium in the blood, tendency to develop bleedings or bruises easily, patients receiving electroconvulsive treatment, having coronary heart disease, suffering or have suffered from heart problems or have recently had a heart attack, having a low resting heart rate, prolonged severe diarrhoea, and vomiting (Being sick) or using diuretics (water tablets), experiencing a fast or irregular heartbeat, fainting, collapse, or dizziness on standing up, which may indicate abnormal functioning of the heart rate, having or previously had eye problems, such as certain kinds of glaucoma (increased pressure in the eye).

Drug-Drug Interactions: Elm-Plus 5 Tablet may interact with anti-depressants such as phenelzine, iproniazid, and tranylcypromine, medicines used to treat Parkinson's disease such as selegiline, drugs that can cause bleeding including antiplatelet drugs like clopidogrel, NSAIDs like ibuprofen, 'blood thinners' like warfarin. However, this is not a complete list of medications. Please contact your doctor.

Food-Drug Interactions: Elm-Plus 5 Tablet may interact with a multi-mineral or other herbal/ayurvedic supplements. So, if you are using any of the OTC items, please tell your doctor.

Drug-Disease Interactions: People affected with bipolar disorder (manic depression), bleeding or blood clotting disorder, drug addiction or suicidal thoughts, liver or kidney disease, seizures, low levels of sodium in your blood, cardiovascular conditions like high blood pressure, chest pain (angina), and coronary artery disease should avoid intake of Elm-Plus 5 Tablet .

• PHENELZINE
• TRANYLCYPROMINE
• SELEGILINE
• CLOPIDOGREL
• WARFARIN

• Regular exercise can help lower anxiety by releasing endorphins and improving your sleep.
• Find humour in your daily life. Try to watch light-hearted shows to help relieve stress.
• You can try increasing your mindfulness by including yoga, meditation, mindfulness-based cognitive therapy, and mindfulness-based stress reduction.
• Drink enough water to stay hydrated, and limit or avoid alcohol and caffeine to relieve anxiety.
• Include a diet rich in whole grains, vegetables, and fruits. This is a healthier option than eating many simple carbohydrates in processed foods.
• Herbs like turmeric, ginger, and chamomile contain anti-inflammatory properties. Including these stuff in meals can reduce inflammation caused due to anxiety disorder.
• Reduce your alcohol, caffeine, added sugar, high salt, and high fat intake. Especially transfat may help also help reduce inflammation.
• You can include antioxidants in your daily diet, like ashwagandha, omega-3 fatty acids, green tea, and lemon balm.
• Try to spend time with your friends and family. Having a strong social network may help you lower your risk of anxiety.

• Elm-Plus 5 Tablet causes drowsiness. Avoid doing activities that require your complete focus and attention, like driving when on this drug.
• An abrupt stoppage of Elm-Plus 5 Tablet can lead to significant withdrawal symptoms. Always discuss with your doctor about decreasing the dosage before completely stopping its usage.
• Avoid consuming alcohol while on this medication, as it can lead to dangerous side effects.
• Elm-Plus 5 Tablet is unsafe for usage if you're pregnant or are planning to get pregnant. Discuss with your doctor in such situations about changing/replacing the medicine with safer alternatives.

Depression: It is a mood disorder that affects day to day life of a person. A person may have symptoms such as feeling sad or feeling of lost and might have mood swings. Conditions that may worsen in persons facing depression include arthritis, asthma, cardiovascular disease, cancer, diabetes and obesity.

Anxiety: It is defined as an emotion characterized by feelings of tension, worried thoughts, and symptoms like increased blood pressure. Anxiety disorder also includes panic disorder which is characterized by sudden feelings of terror.

Obsessive-compulsive disorder (OCD): In this disorder, a person feels the need to think or perform things repeatedly.