Cotrip Forte Uses

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How do you administer this medicine?

What is Cotrip Forte?

Cotrip Forte is in a group of drugs called benzodiazepines (ben-zoe-dye-AZE-eh-peens). Cotrip Forte affects chemicals in the brain that may become unbalanced and cause anxiety.

Cotrip Forte is used to treat anxiety disorders or alcohol withdrawal.

Cotrip Forte may also be used for other purposes not listed in this medication guide.

Cotrip Forte indications

An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or paracetamol is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of paracetamol. A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.
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Cotrip Forte (Cotrip Forte) is indicated for the management of anxiety disorders or for the short term relief of symptoms of anxiety, withdrawal" symptoms of acute alcoholism, and preoperative apprehension and anxiety. Anxiety or tension associated with the stress of everyday life usually does not require treatment with an anxiolytic.

The effectiveness of Cotrip Forte (Cotrip Forte) in long-term use, that is, more than 4 months, has not been assessed by systematic clinical studies. The physician should periodically reassess the usefulness of the drug for the individual patient.

How should I use Cotrip Forte?

Use Cotrip Forte injection as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Cotrip Forte injection is usually administered as an injection at your doctor's office, hospital, or clinic.
  • If you are using Cotrip Forte injection at home, carefully follow the injection procedures taught to you by your health care provider.
  • If the medicine contains particles or is discolored, or if the vial/container is cracked or damaged in any way, do not use it.
  • Try to stay in bed for 3 hours after taking Cotrip Forte injection.
  • Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor, nurse, or pharmacist to explain local regulations for selecting an appropriate container and properly disposing of the container when full.
  • If you miss a dose of Cotrip Forte injection and you are using it regularly, take it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Cotrip Forte injection.

Uses of Cotrip Forte in details

There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.
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Cotrip Forte is used to treat anxiety and acute alcohol withdrawal. It is also used to relieve fear and anxiety before surgery. This medication belongs to a class of drugs called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. It works by enhancing the effects of a certain natural chemical in the body (GABA).

How to use Cotrip Forte

Take this medication by mouth as directed by your doctor. The dosage is based on your age, medical condition, and response to treatment.

Use this medication exactly as prescribed. Do not increase your dose, take it more frequently or use it for a longer period of time than prescribed because this drug can be habit-forming. Also, if used for an extended period of time, do not suddenly stop using this drug without your doctor's approval. Some conditions may become worse when the drug is abruptly stopped. Your dose may need to be gradually decreased to avoid side effects such as seizures.

When used for an extended period, this medication may not work as well and may require different dosing. Talk with your doctor if this medication stops working well.

Cotrip Forte description

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A carbamate with hypnotic, sedative, and some muscle relaxant properties, although in therapeutic doses reduction of anxiety rather than a direct effect may be responsible for muscle relaxation. Cotrip Forte has been reported to have anticonvulsant actions against petit mal seizures, but not against grand mal seizures (which may be exacerbated). It is used in the treatment of anxiety disorders, and also for the short-term management of insomnia but has largely been superseded by the benzodiazepines. (From Martindale, The Extra Pharmacopoeia, 30th ed, p603) Cotrip Forte is a controlled substance in the U.S.

Cotrip Forte dosage

Because of the wide range of clinical indications for Cotrip Forte (Cotrip Forte), the optimum dosage varies with the diagnosis and response of the individual patient. The dosage, therefore, should be individualized for maximum beneficial effects.

ADULTS USUAL DAILY DOSE
Relief of Mild and Moderate Anxiety Disorders and Symptoms of Anxiety 5 mg or 10 mg, 3 or 4 times daily
Relief of Severe Anxiety Disorders and Symptoms of Anxiety 20 mg or 25 mg, 3 or 4 times daily
Geriatric Patients, or in the presence of debilitating disease. 5 mg, 2 to 4 times daily

Preoperative Apprehension and Anxiety: On days preceding surgery, 5 to 10 mg orally, 3 or 4 times daily. If used as preoperative medication, 50 to 100 mg IM* 1 hour prior to surgery.

PEDIATRIC PATIENTS USUAL DAILY DOSE
Because of the varied response of pediatric patients to CNS-acting drugs, therapy should be initiated with the lowest dose and increased as required. Since clinical experience in pediatric patients under 6 years of age is limited, the use of the drug in this age group is not recommended. 5 mg, 2 to 4 times daily (may be increased in some pediatric patients to 10 mg, 2 to 3 times daily)

For the relief of withdrawal symptoms of acute alcoholism, the parenteral form* is usually used initially. If the drug is administered orally, the suggested initial dose is 50 to 100 mg, to be followed by repeated doses as needed until agitation is controlled up to 300 mg per day. Dosage should then be reduced to maintenance levels.

* See package insert for Injectable Cotrip Forte (Cotrip Forte HCI).

How supplied

Cotrip Forte (Cotrip Forte HCI) Capsules are available in the following presentations:

5 mg hard gelatin capsules in bottles of 100 (NDC-0187- 3750-10), with Cotrip Forte (Cotrip Forte) 5 imprinted on the opaque green cap and ICN imprinted on the opaque yellow body.

10 mg hard gelatin capsules in bottles of 100 (NDC-0187- 3751-10), with Cotrip Forte (Cotrip Forte) 10 imprinted on the opaque black cap and ICN imprinted on the opaque green body.

25 mg hard gelatin capsules in bottles of 100 (NDC-0187- 3758-10), with Cotrip Forte (Cotrip Forte) 25 imprinted on the opaque green cap and ICN imprinted on the opaque white body.

Store at 25°C (77°F); excursions permitted to 15°C - 30°C (59°F - 86°F).

Vaieant Pharmaceuticals International Costa Mesa, CA 92626. Rev. July 2005. FDA rev date: 9/6/2002

Cotrip Forte interactions

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What other drugs will affect Cotrip Forte?

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When this drug applied simultaneously with:

- antipsychotic drugs (neuroleptics), antidepressants, sedatives, hypnotics, anesthetics, analgesics, ethanol enhanced the inhibitory effect on central nervous system, especially when administered parenterally.

- concomitant use of antacids can delay but not reduce the absorption of Cotrip Forte.

- hormonal contraceptives increases the effectiveness of Cotrip Forte.

- with muscle relaxants may enhance the action of muscle relaxants, with levodopa - may suppress antiparkinsonian action.

- theophylline at low doses perverts sedative effect of Cotrip Forte.

- phenobarbital and phenytoin may accelerate the metabolism of Cotrip Forte. In rare cases this medication inhibits the metabolism and enhances the action of phenytoin.

- may increase the toxicity of cyclophosphamide.

- cimetidine, omeprazole, disulfiram may increase the intensity and duration of action of this medicine.

Cotrip Forte side effects

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What are the possible side effects of Cotrip Forte?

The necessity of discontinuing therapy because of undesirable effects has been rare. Drowsiness, ataxia and confusion have been reported in some patients particularly the elderly and debilitated. While these effects can be avoided in almost all instances by proper dosage adjustment, they have occasionally been observed at the lower dosage ranges. In a few instances syncope has been reported.

Other adverse reactions reported during therapy include isolated instances of skin eruptions, edema, minor menstrual irregularities, nausea and constipation, extrapyramidal symptoms, as well as increased and decreased libido. Such side effects have been infrequent, and are generally controlled with reduction of dosage. Changes in EEG patterns (low-voltage fast activity) have been observed in patients during and after Cotrip Forte (Cotrip Forte) treatment.

Blood dyscrasias (including agranulocytosis), jaundice and hepatic dysfunction have occasionally been reported during therapy. When Cotrip Forte (Cotrip Forte) treatment is protracted, periodic blood counts and liver function tests are advisable.

DRUG ABUSE AND DEPENDENCE: Cotrip Forte hydrochloride capsules are classified by the Drug Enforcement Administration as a Schedule IV controlled substance.

Withdrawal symptoms, similar in character to those noted with barbiturates and alcohol (convulsions, tremor, abdominal and muscle cramps, vomiting and sweating), have occurred following abrupt discontinuance of Cotrip Forte. The more severe withdrawal symptoms have usually been limited to those patients who had received excessive doses over an extended period of time. Generally milder withdrawal symptoms (eg, dysphoria and insomnia) have been reported following abrupt discontinuance of benzodiazepines taken continuously at therapeutic levels for several months. Consequently, after extended therapy, abrupt discontinuation should generally be avoided and a gradual dosage tapering schedule followed. Addiction-prone individuals (such as drug addicts or alcoholics) should be under careful surveillance when receiving Cotrip Forte or, other, psychotropic agents because of the predisposition of such patients to habituation and dependence.

Cotrip Forte contraindications

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What is the most important information I should know about Cotrip Forte?

Do not use this medication if you are allergic to Cotrip Forte or to other benzodiazepines, such as alprazolam (Xanax), clorazepate (Tranxene), diazepam (Valium), lorazepam (Ativan), or oxazepam (Serax).

This medication can cause birth defects in an unborn baby. Do not use Cotrip Forte if you are pregnant.

Before taking Cotrip Forte, tell your doctor if you have any breathing problems, glaucoma, porphyria, kidney or liver disease, or a history of depression, suicidal thoughts, or addiction to drugs or alcohol.

Do not drink alcohol while taking Cotrip Forte. This medication can increase the effects of alcohol.

Tell your doctor if you regularly use other medicines that make you sleepy. They can add to sleepiness caused by Cotrip Forte.

Cotrip Forte may be habit-forming and should be used only by the person it was prescribed for. Cotrip Forte should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it.



Active ingredient matches for Cotrip Forte:

Chlordiazepoxide

Amitriptyline


Unit description / dosage (Manufacturer)Price, USD
Cotrip Forte 10+25 Tablet$ 0.03
COTRIP FORTE 25 MG/10 MG TABLET 1 strip / 10 tablets each (Consern Pharma P Ltd)$ 0.25
Cotrip Forte 25 mg/10 mg Tablet (Consern Pharma P Ltd)$ 0.02

List of Cotrip Forte substitutes (brand and generic names):

Cotrip Plus 5+12.5 Tablet (Consern Pharma Pvt Ltd.)$ 0.02
Crypton 10mg TAB / 10 (Novaduo Pharma)$ 0.24
Crypton 25mg TAB / 10 (Novaduo Pharma)$ 0.37
10 mg x 10's (Novaduo Pharma)$ 0.24
25 mg x 10's (Novaduo Pharma)$ 0.37
Crypton 25 mg Tablet (Novaduo Pharma)$ 0.04
Crypton 10 mg Tablet (Novaduo Pharma)$ 0.02
CRYPTON tab 10 mg x 10's (Novaduo Pharma)$ 0.24
CRYPTON tab 25 mg x 10's (Novaduo Pharma)$ 0.37
Curefit 10+1 Tablet (Cure Quick Remedies)$ 0.02
CUTOMER tab 25 mg x 10's (Curis)
Cyclogun 10+5+2.5 Tablet (Oyster Labs Limited)$ 0.03
Cynosleep Chlordiazepoxide 10 mg, Trifluoperazine 1 mg. TAB / 10 (Cyno Pharmaceuticals Ltd.)$ 0.26
10's (Cyno Pharmaceuticals Ltd.)$ 0.26
Cynosleep 10+1 Tablet (Cyno Pharmaceuticals Ltd.)$ 0.03
CYNOSLEEP tab 10's (Cyno Pharmaceuticals Ltd.)$ 0.26
Czep 10 mg Tablet (Marsha Pharma Pvt. Ltd.)$ 0.02
Czep CL 5+2.5 Tablet (Marsha Pharma Pvt. Ltd.)$ 0.03
Czep F 25+10 Tablet (Marsha Pharma Pvt. Ltd.)$ 0.03
Czep H 5+12.5 Tablet (Marsha Pharma Pvt. Ltd.)$ 0.02
Dep 37 Tablet (Elite Pharma Pvt Ltd)$ 0.03
Depcon 10+5+2.5 Tablet (Unisharp Pharmaceuticals)$ 0.04
DEPKEY 10MG TABLET 1 strip / 10 tablets each (Arinna Lifescience Pvt Ltd)$ 0.35
DEPKEY 25MG TABLET 1 strip / 10 tablets each (Arinna Lifescience Pvt Ltd)$ 0.39
DEPKEY 75MG TABLET 1 strip / 10 tablets each (Arinna Lifescience Pvt Ltd)$ 0.83
Depkey 25mg Tablet (Arinna Lifescience Pvt Ltd)$ 0.04
Depkey 75mg Tablet (Arinna Lifescience Pvt Ltd)$ 0.09
DEPLINE 25MG TABLET 1 strip / 10 tablets each (RKG Pharma)$ 0.23
Depof 37 Tablet (Talent Healthcare)$ 0.04
DEPOUT TABLET 1 strip / 10 tablets each (Dial Pharmaceuticals Pvt Ltd)$ 0.43
DEPOXIL tab 10 mg x 10's (Intra Life (Doxis))$ 0.33
DEPOXIL tab 25 mg x 10's (Intra Life (Doxis))$ 0.48
Depsodep Chlordiazepoxide 10 mg, Imipramine hydrochloride 25mg. TAB / 10 (Psychotropics India Limited)$ 0.19
10's (Psychotropics India Limited)$ 0.19
Depsodep 25+10 Tablet (Psychotropics India Limited)$ 0.02
DEPSODEP 25MG/10MG TABLET 1 strip / 10 tablets each (Psychotropics India Limited)$ 0.30

References

  1. DailyMed. "AMITRIPTYLINE HYDROCHLORIDE; CHLORDIAZEPOXIDE: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
  2. PubChem. "chlordiazepoxide". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  3. PubChem. "amitriptyline". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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