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LIBRATEX TABLET

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LIBRATEX TABLET

Chlordiazepoxide 5mg + Clidinium 2.5mg

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🧠🌿💊 Chlordiazepoxide 5mg + Clidinium 2.5mg Tablet: Calm for the Gut & Mind

Chlordiazepoxide 5mg + Clidinium 2.5mg is a combination medication used primarily to treat irritable bowel syndrome (IBS), peptic ulcers, and other gastrointestinal (GI) disorders associated with anxiety or stress. It combines a tranquilizer (chlordiazepoxide) with an anticholinergic/antispasmodic agent (clidinium), offering dual relief: calming the mind and relaxing the muscles of the digestive tract.

This medication is especially helpful for patients who experience abdominal cramping, bloating, indigestion, and nervousness, commonly seen in stress-related GI conditions.


🔬 Mechanism of Action

  • Chlordiazepoxide is a benzodiazepine that works on the central nervous system (CNS) by enhancing the action of gamma-aminobutyric acid (GABA), a neurotransmitter that reduces brain activity. This results in anxiolytic (anti-anxiety) and sedative effects.

  • Clidinium is an anticholinergic that blocks the action of acetylcholine on smooth muscles in the gut, leading to reduced gastric secretions, decreased intestinal motility, and relief from spasms and cramping.

Together, they help ease GI discomfort while calming emotional triggers that can worsen digestive issues.


📌 Indications and Uses

This combination is prescribed for:

  • Irritable Bowel Syndrome (IBS): for relief from abdominal pain, bloating, and irregular bowel habits

  • Functional bowel disorders associated with anxiety or stress

  • Peptic ulcer disease (as part of combination therapy)

  • Gastrointestinal hypermotility or spastic conditions

  • Stress-related GI symptoms

It is ideal for patients whose digestive symptoms are worsened by psychological stress or anxiety.


💊 Dosage and Administration

  • Typical adult dose: One tablet 2 to 4 times daily, before meals and at bedtime

  • Dose may be adjusted based on symptom severity and tolerance

  • Should be taken 30 to 60 minutes before meals

Do not exceed prescribed dose. Long-term use should be avoided due to the habit-forming potential of chlordiazepoxide.


⚠️ Precautions and Warnings

  • Avoid alcohol, which can enhance CNS depression

  • Use with caution in:

    • Elderly patients (risk of sedation and confusion)

    • Patients with glaucoma, urinary retention, or prostate enlargement

    • Those with liver or kidney impairment

  • May cause dependence or withdrawal symptoms if stopped abruptly

  • Not recommended during pregnancy or breastfeeding

Avoid driving or operating heavy machinery after taking this medication due to potential drowsiness or dizziness.


🤒 Side Effects

Common:

  • Drowsiness

  • Dry mouth

  • Blurred vision

  • Constipation

  • Lightheadedness

Serious but rare:

  • Confusion

  • Difficulty urinating

  • Mood changes (agitation or depression)

  • Allergic reactions (rash, swelling, trouble breathing)

Seek immediate medical help if any severe symptoms occur.


🔄 Drug Interactions

  • Increased sedative effect when used with:

    • Alcohol

    • Opioids

    • Antidepressants

    • Antihistamines

  • May interact with antacids, reducing effectiveness—space dosing accordingly

  • Can potentiate anticholinergic side effects when taken with similar drugs


🧊 Storage Instructions

  • Store at room temperature (15–25°C)

  • Keep in a cool, dry place, away from moisture and heat

  • Keep out of reach of children


📝 Conclusion

The Chlordiazepoxide 5mg + Clidinium 2.5mg tablet offers a dual-action solution for patients suffering from stress-related gastrointestinal issues. By addressing both the mental and physical components of digestive distress, it helps improve quality of life, especially in patients with IBS or peptic ulcers aggravated by anxiety. When used responsibly and under medical supervision, it is a highly effective short-term therapy for GI discomfort and emotional distress.

Note: This information is intended for educational purposes and should not replace professional medical advice. Always consult a healthcare provider for personalized guidance.

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