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CLONAX M TABLET is used to treat anxiety. Besides this, it is also used to treat high blood pressure, panic disorder, seizure disorder, fast heartbeat, and migraine. It contains two medicines, namely Clonazepam and Propranolol. It may cause common side effects, such as dry mouth, slow heart rate, depression, fatigue (overtiredness), nightmares, sleep disturbances, memory impairment, and confusion.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
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More about the Product

Manufacturer/Marketer :

Consern Pharma Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About CLONAX M TABLET

CLONAX M TABLET combines two prescription medicines that may be used together in selected patients to manage anxiety-related symptoms and panic attacks. Depending on the prescribed product, clonazepam and propranolol may be supplied separately or, where locally available, as a fixed-dose combination. This treatment is intended to address both emotional symptoms, such as intense fear and nervous tension, and physical symptoms, such as trembling and a racing heartbeat.

Take the medicine exactly as prescribed and at consistent times each day. It may be taken with or without food, depending on the instructions for your specific product. Do not change the dose, take extra doses, or continue treatment longer than advised without consulting your doctor.

The clonazepam component can cause tolerance and physical dependence, particularly with prolonged use or higher doses. If the treatment seems less effective over time, do not increase the dose on your own. Abrupt discontinuation can cause medically dangerous withdrawal symptoms, including seizures, so any dose reduction should be supervised by your doctor.

Common side effects may include drowsiness, tiredness, dry mouth, dizziness, or cold hands and feet. Contact your doctor if these effects persist, worsen, or interfere with daily activities. Seek emergency medical help for severe breathing difficulty, fainting, swelling of the face or throat, or other rapidly worsening symptoms.

Before starting treatment, tell your doctor if you have asthma or another breathing disorder, myasthenia gravis, liver disease, severe circulation problems, or a heart condition. This treatment may not be suitable for people with severe asthma, certain serious breathing disorders, an abnormally slow heart rate, specific heart conduction disorders, or a known allergy to either medicine or any ingredient in the prescribed product.

Avoid alcohol during treatment because it can greatly increase drowsiness, poor coordination, and slowed breathing. Tell your doctor about all other medicines and supplements you take, especially sleeping medicines, opioid pain relievers, muscle relaxants, and other treatments that affect heart rate or blood pressure. If you are pregnant, planning a pregnancy, breastfeeding, or an older adult, discuss the potential risks and appropriate monitoring with your doctor before use.

Uses of CLONAX M TABLET

CLONAX M TABLET is used to manage anxiety-related conditions by helping reduce both emotional distress and physical symptoms. Its main uses include:

  • Anxiety disorders: CLONAX M TABLET helps reduce excessive worry, fear, and nervous tension, allowing you to manage daily stressors more comfortably.
  • Panic attacks: It helps prevent and control sudden, overwhelming episodes of panic, reducing the physical and emotional distress associated with them.
  • Physical symptoms of anxiety: It targets the body's physical response to stress, helping to control shaking hands, muscle tension, and a racing heart during high-pressure situations.

Key Benefits

CLONAX M TABLET helps manage anxiety-related symptoms by addressing both emotional distress and physical responses such as a racing heartbeat and trembling.

  • Reduces Anxiety Symptoms: CLONAZEPAM helps calm excessive nervous activity in the brain, which may reduce intense anxiety, restlessness, and feelings of panic.
  • Controls Physical Symptoms: PROPRANOLOL helps reduce physical signs of anxiety, such as a fast heartbeat, trembling, sweating, and shakiness.
  • Provides Combined Symptom Relief: By targeting both psychological and physical symptoms, the combination may provide broader relief than addressing either type of symptom alone.
  • Supports Daily Functioning: Better control of anxiety-related symptoms may make it easier to manage work, social situations, and everyday activities.
  • Promotes a Sense of Calm: Reducing both mental tension and physical overactivation may help patients feel more settled and in control during stressful situations.
Side effects of Clonax M Tablet
  • Get enough sleep. Maintain a regular sleep cycle.
  • Eat a healthy diet and exercise regularly.
  • Manage stress with yoga or meditation.
  • Limit alcohol and caffeine.
  • Avoid driving or operating machinery unless you are alert.
  • Approach calmly, use a non-threatening tone, actively listen, validate concerns, and provide clear instructions.
  • Practice environmental changes like adjusting lighting, noise levels, and providing a safe space.
  • Recognizing and praising desired behaviors.
  • Maintaining consistent schedules for daily activities.
  • Try to engage in calming activities to redirect focus.
Here are the steps to manage the medication-triggered Upper respiratory tract infection:
  • Inform your doctor about the symptoms you're experiencing due to medication.
  • Your doctor may adjust your treatment plan, which could include changing your medication, adding new medications, or offering advice on managing your symptoms.
  • Practice good hygiene, including frequent handwashing, avoiding close contact with others, and avoiding sharing utensils or personal items.
  • Stay hydrated by drinking plenty of fluids to help loosen and clear mucus from your nose, throat, and airways.
  • Get plenty of rest and engage in stress-reducing activities to help your body recover. If your symptoms don't subside or worsen, consult your doctor for further guidance.
  • Uncoordinated muscle movements need immediate medical attention.
  • Observe your movements and try to understand and control the particular movement.
  • Regularly do strengthening exercises to improve blood flow throughout the body and avoid involuntary movements.
  • Implement massage techniques to enhance blood flow to organs.
  • Take a balanced diet and quit smoking.
  • Practice yoga and meditation to improve thought processes and reduce uncontrolled and involuntary movements.
Managing Medication-Triggered Productive cough (wet cough): A Step-by-Step Guide:
  • If you experience a persistent cough after taking medication, consult your doctor to determine the best course of action.
  • Your doctor will assess and adjust your medication regimen if necessary to minimize the cough.
  • Your doctor may recommend cough medications, such as expectorants, to help loosen and clear mucus.
  • Stay hydrated by drinking plenty of fluids, and consider a soothing lifestyle, such as a warm, humid environment, avoiding irritants like smoke and dust, and getting plenty of rest.
  • If your cough persists or worsens, follow up with your doctor for further evaluation and treatment.
Managing Medication-Triggered Anxiety: A Comprehensive Approach:
  • Inform your doctor about your anxiety symptoms so that you doctor may explore potential drug interactions and alter your treatment plan.
  • Work with your doctor to adjust your medication regimen or dosage to minimize anxiety symptoms.
  • Reduce anxiety symptoms by practicing relaxation techniques like meditation, deep breathing, or yoga.
  • Regular self-care activities, such as exercise, healthy food, and adequate sleep, can assist control anxiety.
  • Surround yourself with a supportive network of friends, family, or a support group to help manage anxiety and stay motivated.
  • Regularly track anxiety symptoms and report any changes to your doctor to ensure your treatment plan is effective and adjusted as needed.

Directions for Use

  • Take CLONAX M TABLET on an empty stomach or as advised by a doctor.
  • Follow your doctor’s recommendations on the dosage and timing of this medication to achieve optimal results.
  • Swallow it as a whole with a glass of water.
  • Do not crush, chew, or break it.

How CLONAX M TABLET Works

CLONAX M TABLET contains two medicines that act through different pathways. CLONAZEPAM increases the effect of GABA, a natural chemical messenger that reduces excessive nerve activity in the brain. This calming action may help relieve intense anxiety, panic, nervous tension, and hyper-alertness. PROPRANOLOL is a beta-blocker that reduces the body's response to adrenaline during stress. This helps control physical symptoms such as a racing heartbeat, trembling, sweating, and shakiness. It can also slow the heart rate and lower blood pressure, so these effects may require monitoring during treatment. Together, the two components may help manage both psychological and physical symptoms of anxiety when prescribed for an appropriate patient.
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Alcohol

Unsafe

Avoid consumption of alcohol as it might affect the efficacy of CLONAX M TABLET .

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Pregnancy

Unsafe

CLONAX M TABLET is unsafe for use during pregnancy. Please consult your doctor before taking CLONAX M TABLET if you are pregnant; your doctor will prescribe CLONAX M TABLET if the benefits outweigh the risks in some life-threatening situations.

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Breast Feeding

Safe if prescribed

Limited data suggest that CLONAX M TABLET does not have any significant risk for the baby. However, please consult your doctor before taking CLONAX M TABLET ; your doctor will decide whether CLONAX M TABLET can be taken by breastfeeding mothers or not.

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Driving

Unsafe

CLONAX M TABLET may cause dizziness and sleepiness. Do not drive or handle machinery unless you are alert.

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Liver

Caution

CLONAX M TABLET should be used in caution in patients with liver problems. Dose adjustment may be needed. Please consult your doctor before taking CLONAX M TABLET if you have a liver impairment or any concerns regarding this.

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Kidney

Safe if prescribed

It is probably safe to use CLONAX M TABLET in patients with kidney problems. However, please consult your doctor before taking CLONAX M TABLET if you have kidney impairment or any concerns regarding this.

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Children

Unsafe

CLONAX M TABLET is not recommended for children as safety and effectiveness were not established.

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Heart

Consult your doctor

CLONAX M TABLET can be used in heart patients if prescribed by the physician. Please consult your physician if you have any concerns.

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Geriatrics

Caution

CLONAX M TABLET should be administered with caution in geriatric patients due to the risk of age-related side effcets.

What if I have taken an overdose of CLONAX M TABLET

If you suspect an overdose, seek emergency medical help immediately. Symptoms may include extreme drowsiness, confusion, very slow or difficult breathing, an unusually slow heartbeat, fainting, severe weakness, or cold and clammy skin. Do not wait for symptoms to worsen before seeking help.

Diet & Lifestyle Advise

  • Limit caffeine intake: Avoid excessive coffee, tea, energy drinks, and chocolate, as caffeine can trigger anxiety and increase your heart rate, counteracting the effects of the medicine.
  • Avoid alcohol completely: Alcohol significantly increases the sedative effects of this medicine, which can lead to severe drowsiness, confusion, and dangerous breathing problems.
  • Stay hydrated: Drink plenty of water throughout the day to help manage mild side effects like dry mouth and lightheadedness.
  • Stand up slowly: To avoid feeling dizzy or fainting, take your time when moving from a sitting or lying position to a standing one.
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How Soon It Starts Working

The time required for CLONAX M TABLET to start to work: CLONAX M TABLET ideally shows its action within 1 hour of administration. The time for which the effects of CLONAX M TABLET last: The effect of CLONAX M TABLET lasts for 6 to 12 hours.

What if you forget to take CLONAX M TABLET

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed one and return to your regular routine. Do not take a double dose to make up for a missed one.

Storage

•Store CLONAX M TABLET at room temperature, ideally between 15°C and 30°C (59°F to 86°F). •Keep the tablets in their original packaging to protect them from light and moisture. Do not store this medicine in damp places like your bathroom cabinet.

Drug Warnings

  • Do Not Stop Suddenly: Abruptly stopping clonazepam after regular use can cause medically dangerous and potentially life-threatening withdrawal, including severe agitation, confusion, and seizures. Sudden changes in propranolol treatment may also cause serious heart-related problems in some people. Never stop or reduce treatment on your own; your doctor will guide a gradual, medically supervised dose reduction when appropriate.
  • Avoid Driving Until You Know Its Effects: This medicine may cause drowsiness, dizziness, or reduced coordination. Avoid driving, cycling, operating machinery, or performing hazardous tasks until you know how it affects you.
  • Monitor Your Pulse: Check your heart rate if advised by your doctor and report an unusually slow pulse, fainting, or significant dizziness. Follow the specific heart-rate threshold given by your healthcare provider rather than changing your dose on your own.
  • Inform Healthcare Providers: Tell your doctor, dentist, surgeon, or anaesthetist that you are taking CLONAX M TABLET before any medical or dental procedure.
  • Avoid Alcohol: Alcohol can increase drowsiness, dizziness, poor coordination, and slowed breathing associated with this combination.
  • Watch for Tolerance or Dependence: CLONAZEPAM can cause tolerance and physical dependence. If the medicine seems less effective over time, do not take extra doses or increase the dose yourself. Contact your doctor to review your treatment.
     

Drug-Drug Interactions

verifiedApollotooltip

Inform your doctor if you are taking any of the following medicines, as they may interact with CLONAX M TABLET :

  • Other brain-calming medicines: Taking this with sleeping pills, muscle relaxers, or prescription pain relievers (opioids) can cause extreme sleepiness and dangerous breathing slowdowns.
  • Blood pressure medications: Combining this medicine with other drugs that lower blood pressure may cause your pressure to drop too low, leading to dizziness or fainting.
  • Certain antidepressants: Some medications used for depression can affect how your body processes this medicine, increasing the risk of side effects.
Critical

Drug-Drug Interactions

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Critical
How does the drug interact with Clonax M Tablet:
Taking Clonax M Tablet with Sodium oxybate can enhance the risk of side effects such as breathing difficulties, low blood pressure, and fainting.

How to manage the interaction:
Taking Clonax M Tablet together with Tramadol is not recommended as it results in an interaction, they can be taken together if prescribed by a doctor. You should refrain from operating dangerous machinery or driving a car for at least 6 hours after taking sodium oxybate. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Clonax M Tablet:
Coadministration of Clonax M Tablet with thioridazine can increase the blood levels of thioridazine and cause an irregular heart rhythm.

How to manage the interaction:
Taking Clonax M Tablet with thioridazine is not recommended as it results in an interaction, they can be taken together if prescribed by a doctor. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations contact a doctor immediately. Do not stop using any medications without consulting a doctor.
Critical
How does the drug interact with Clonax M Tablet:
Taking Clonax M Tablet together with arbutamine can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Taking Clonax M Tablet with arbutamine is not recommended as it results in an interaction, they can be taken together if prescribed by a doctor. However, if you experience irregular heartbeat, chest tightness, blurred vision or nausea, contact a doctor immediately. Do not stop using any medications without consulting a doctor.
How does the drug interact with Clonax M Tablet:
Co-administration of Clonax M Tablet with methadone may cause serious side effects like breathing difficulties.

How to manage the interaction:
There may be a possibility of interaction between Clonax M Tablet and methadone, but it can be taken if prescribed by a doctor. If you feel dizziness, drowsiness, difficulty concentrating, and impairment in judgment, reaction speed and motor coordination make sure to call a doctor right away. You should refrain from operating dangerous machinery or driving a car. Do not stop using any medications without consulting a doctor.
How does the drug interact with Clonax M Tablet:
Co-administration of Clonax M Tablet with Bisoprolol can increase the risk or severity of adverse effects.

How to manage the interaction:
Although there may be an interaction, bisoprolol can be taken with propranolol if prescribed by your doctor. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without consulting a doctor.
How does the drug interact with Clonax M Tablet:
Taking Clonax M Tablet together with Diltiazem increases the risk of side effects.

How to manage the interaction:
Although taking Clonax M Tablet together with Diltiazem can possibly result in an interaction, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience fatigue, headache, fainting, swelling of the extremities, weight gain, shortness of breath, chest pain, increased or decreased heartbeat, or irregular heartbeat. Do not stop using any medications without consulting a doctor.
Severe
How does the drug interact with Clonax M Tablet:
Using Clonax M Tablet together with bitolterol may reduce the benefits of both medications. Additionally, propranolol can sometimes cause breathing issues.

How to manage the interaction:
Taking Clonax M Tablet with Bitolterol together can possibly result in an interaction, but it can be taken if your doctor has advised it. However, if you experience any unusual symptoms contact a doctor immediately. Do not stop using any medications without consulting a doctor.
How does the drug interact with Clonax M Tablet:
Taking Clonax M Tablet with Labetalol can potentially enhance the effects of hypotension (low blood pressure)

How to manage the interaction:
Although taking Clonax M Tablet together with Labetalol can result in an interaction, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience lightheadedness or dizziness upon standing, blurred vision, weakness, fainting, or confusion. Do not discontinue any medicine without consulting a doctor.
How does the drug interact with Clonax M Tablet:
When Clonax M Tablet is used with butorphanol, it may lead to significant adverse effects such as breathing difficulties.

How to manage the interaction:
Although taking Clonax M Tablet together with Butorphanol can evidently cause an interaction, it can be taken if a doctor has suggested it. If you notice any symptoms like dizziness, drowsiness, difficulty concentrating, and impairment in judgment, reaction speed and motor coordination, make sure to call a doctor right away. You should refrain from operating dangerous machinery or driving a car. Do not stop using any medications without consulting a doctor.
How does the drug interact with Clonax M Tablet:
Co-administration of Clonax M Tablet with oxycodone may cause serious side effects like breathing difficulties.

How to manage the interaction:
There may be a possibility of interaction between Clonax M Tablet and oxycodone, but it can be taken if prescribed by a doctor. If you feel dizziness, drowsiness, difficulty concentrating, and impairment in judgment, reaction speed and motor coordination make sure to call a doctor right away. You should refrain from operating dangerous machinery or driving a car. Do not stop using any medications without consulting a doctor.

Drug-Food Interactions

verifiedApollotooltip

Certain foods and drinks may affect the safety or effectiveness of CLONAX M TABLET . Important interactions include:

  • Caffeine: Consuming high amounts of caffeine can reduce the calming effectiveness of the medication.
  • Alcohol: Interacts directly to cause severe drowsiness, coordination issues, and breathing difficulties.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

Yes

Therapeutic Class

[ANXIOLYTICS]

FAQs

CLONAX M TABLET is used to treat anxiety. Besides this, CLONAX M TABLET is also used to treat high blood pressure, panic disorder, seizure disorder, fast heartbeat, and migraine.Â
CLONAX M TABLET contains Clonazepam and Propranolol. Clonazepam works by increasing the action of a chemical messenger called GABA; this helps suppress the excessive and abnormal activity of the nerve cells in the brain. Propranolol blocks certain chemical messengers' action on the heart and blood vessels; this helps reduce heart rate and blood pressure.
Do not stop taking CLONAX M TABLET on your own as it might increase the seizure frequency, chest pain and heart attack. Stopping it suddenly may cause withdrawal symptoms such as nausea, anxiety, muscle pain, and flu-like symptoms. Consult your doctor if you experience any difficulty while taking CLONAX M TABLET ; the doctor may gradually reduce the dose.
Dry mouth could be a side-effect of CLONAX M TABLET . Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly, and chewing sugar-free gum/candy might stimulate saliva and prevent drying of the mouth.
CLONAX M TABLET has high habit-forming potential. Therefore, take CLONAX M TABLET only in the dose and duration prescribed by the doctor.
CLONAX M TABLET might cause weight gain or weight loss, depending on person to person. Eat a balanced diet and exercise regularly to prevent weight gain; if you experience weight loss, increase your diet portions.
CLONAX M TABLET may cause postural hypotension. Postural hypotension is a sudden lowering in blood pressure leading to dizziness on standing. To prevent this, do not try to stand up suddenly or start walking; instead, lie down and get up slowly only when you feel better.
CLONAX M TABLET should be stored in a cool and dry place away from sunlight. Keep it out of sight and reach of children.
Yes, CLONAX M TABLET may cause dizziness and sleepiness. Avoid driving or operating machinery unless you are fully alert.
The side effects of CLONAX M TABLET include slow heart rate, fatigue, dry mouth, depression, nightmares, sleep disturbances, memory impairment and confusion. Consult the doctor if any of these symptoms persist or worsen.
No, you must avoid alcohol while taking CLONAX M TABLET . Alcohol can dangerously increase the sedative effects of the medicine, causing severe drowsiness and slowing your breathing. Talk to your doctor if you have concerns about avoiding alcohol.
Take the missed dose as soon as you remember. However, if it is nearly time for your next dose, skip the missed one and continue with your normal schedule. Do not take two doses at once, and talk to your doctor or pharmacist if you miss several doses.
CLONAX M TABLET requires careful medical assessment during pregnancy because both medicines may pose risks to the developing baby or newborn. Clonazepam exposure, particularly later in pregnancy, may be associated with newborn sedation, breathing problems, or withdrawal symptoms. Propranolol exposure may be associated with reduced fetal growth and effects in the newborn such as a slow heart rate or low blood sugar. If you are planning a pregnancy, speak to your doctor before conception. If you discover you are pregnant during treatment, contact your doctor as soon as possible and do not stop the medicine suddenly on your own.
Yes. Propranolol helps control physical anxiety symptoms such as a racing heartbeat by reducing the body's response to adrenaline. It can also slow the heart rate and lower blood pressure. If your pulse becomes unusually slow or you develop significant dizziness, weakness, or fainting, seek medical advice promptly.
Some over-the-counter cold and cough medicines contain ingredients that can raise your heart rate or cause drowsiness, which may interact poorly with CLONAX M TABLET . Always talk to your doctor or pharmacist before taking any new medications.

Disclaimer

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Reference

  1. Clonazepam Clonazepam. 2018. [Accessed on 22 Apr. 2019]Check here
  2. Clonazepam & Propranolol Hydrochloride Tablets 0.5mg/20mg. [Accessed on 02 Jun. 2026]Check here
  3. Clonazepam 0.5Mg And Propranolol 20Mg Taj Pharma S. [Accessed on 02 Jun. 2026]Check here
  4. Ministry of Health and Family Welfare. National Formulary of India (NFI) 2021. 6th ed. New Delhi, India: IPC; 2021. Clinical Drug Monographs: Clonafit Beta Tablet

Country of origin

INDIA

Manufacturer/Marketer address

Consern Pharma Private Limited, Kuljive Mahajan(Mg. Director), Rural Focal Point, V.P.O. Tibba, Ludhiana - 141120, Punjab, India.
Other Info - CLO0974
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