alton f 0.25mg/20mg tablet - Alprazolam (0.25mg) + Fluoxetine (20mg) medicine

alton f 0.25mg/20mg tablet - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Vellinton Healthcare ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 23, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
Dr. SaathiMed Expert Panel | Jun 23, 2026

What is alton f 0.25mg/20mg tablet used for?

Altin 0.25mg/20mg Tablet (Alprazolam + Fluoxetine) is used to treat NEURO CNS. It contains Alprazolam (0.25mg) + Fluoxetine (20mg), which Alprazolam: Enhances GABA-A receptor activity; Fluoxetine: Inhibits serotonin re. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Alprazolam + Fluoxetine
  • Manufacturer: Vellinton Healthcare
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

๐Ÿ’Š alton f 0.25mg/20mg tablet Uses & Benefits

Anxiety disorders, panic disorder, depression with anxiety.

Off-label uses: Premenstrual dysphoric disorder, fibromyalgia, social anxiety disorder.

๐Ÿ“‹ Drug Information

Generic Name(s)Alprazolam + Fluoxetine
Brand NameAltin 0.25mg/20mg Tablet
ManufacturerVellinton Healthcare
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action ClassBenzodiazepine + Selective Serotonin Reuptake Inhibitor (SSRI)
Route of AdministrationOral
StorageStore at 20-25ยฐC (68-77ยฐF), protect from light and moisture.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionAlprazolam: Well absorbed orally; Fluoxetine: Well absorbed orally, food may delay but does not reduce absorption.
DistributionAlprazolam: Widely distributed, crosses blood-brain barrier; Fluoxetine: Extensive distribution, high volume of distribution.
Protein BindingAlprazolam: 80%; Fluoxetine: 94%.
MetabolismAlprazolam: Hepatic via CYP3A4; Fluoxetine: Hepatic via CYP2D6 and other CYPs.
Half-LifeAlprazolam: 6-12 hours; Fluoxetine: 4-6 days (active metabolite norfluoxetine: 4-16 days).
ExcretionAlprazolam: Urine (80% as metabolites); Fluoxetine: Urine (primarily as metabolites).
BioavailabilityAlprazolam: 80-90%; Fluoxetine: 60-80%.
Onset of ActionAlprazolam: 30-60 minutes; Fluoxetine: 1-2 weeks.
Peak Plasma TimeAlprazolam: 1-2 hours; Fluoxetine: 6-8 hours.
Duration of ActionAlprazolam: 4-6 hours; Fluoxetine: Long (weeks due to active metabolite).

How It Works

Alprazolam: Enhances GABA-A receptor activity; Fluoxetine: Inhibits serotonin reuptake.

Mechanism Steps

1Alprazolam binds to GABA-A receptor, enhancing chloride ion influx and neuronal hyperpolarization.
2Fluoxetine inhibits SERT, increasing synaptic serotonin levels.
3Increased serotonin activates postsynaptic receptors, improving mood and reducing anxiety.

๐Ÿ’ก How to Take alton f 0.25mg/20mg tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of alton f 0.25mg/20mg tablet

โœ… Common Side Effects

  • Drowsiness
  • dizziness
  • dry mouth
  • nausea
  • insomnia
  • weight gain

๐Ÿšจ Serious Side Effects

  • Serotonin syndrome
  • seizures
  • suicidal thoughts
  • severe sedation
  • respiratory depression

โš ๏ธ Rare Side Effects

  • Hepatotoxicity
  • QT prolongation
  • agranulocytosis
  • Stevens-Johnson syndrome

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
MAOIs Major Risk of serotonin syndrome
CYP3A4 inhibitors Major Increased alprazolam levels, sedation
CYP2D6 inhibitors Major Increased fluoxetine levels
CNS depressants Major Additive sedation, respiratory depression
Warfarin Moderate Increased bleeding risk
NSAIDs Moderate Increased bleeding risk
Lithium Moderate Risk of serotonin syndrome
St. John's Wort Minor Decreased fluoxetine efficacy

๐Ÿšจ Major Interactions

  • MAOIs
  • CYP3A4 inhibitors (e.g., ketoconazole)
  • CYP2D6 inhibitors (e.g., paroxetine)
  • Other CNS depressants (e.g., alcohol, opioids)

โšก Moderate Interactions

  • Anticoagulants (e.g., warfarin)
  • Anticonvulsants (e.g., phenytoin)
  • NSAIDs
  • Lithium

โ„น๏ธ Minor Interactions

  • Cimetidine
  • Oral contraceptives
  • St. John's Wort

๐Ÿฝ๏ธ Food Interactions

Grapefruit juice may increase alprazolam levels; avoid alcohol.

๐Ÿท Alcohol Interaction

Avoid alcohol; increased CNS depression and risk of overdose.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity, concurrent MAOI use, narrow-angle glaucoma, severe respiratory insufficiency.

๐Ÿ“Š Monitoring Parameters

Liver function, renal function, ECG, mood, suicidal ideation, serotonin syndrome symptoms.

๐Ÿคฑ Lactation Safety

Not recommended; both drugs excreted in breast milk.

๐Ÿ’Š Overdose Management

Supportive care, flumazenil for alprazolam, activated charcoal, monitoring for serotonin syndrome.

โฐ Missed Dose

Take as soon as remembered; if near next dose, skip missed dose; do not double.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

Dr. SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 23, 2026

๐Ÿ”— View Profile

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