Hlo,
👉 Yes, it can be okay short-term, if done carefully, and many gastro/anxiety patients do this — but with a few cautions.
About your allopathic medicine
Itcalms Plus 5/0.5 is typically:
Escitalopram 5 mg (for anxiety)
Clonazepam 0.5 mg (calms gut–brain overactivity)
This combo is very commonly used for anxiety-induced dyspepsia / IBS-type symptoms when endoscopy is normal.
✔ Helps gut sensitivity
✔ Helps sleep-related triggers
⚠ Clonazepam can cause drowsiness, dependence if used long-term
Your Ayurvedic prescription is logical for Amlapitta + IBS pattern:
Perment capsule → gut spasm, gas, bloating
Stop IBS tablet → bowel regulation
Amlapitta Mishran → acidity, burning
Amlant tablet → acid balance
None of these are directly dangerous with escitalopram, but:
⚠ Main concern:
Some ayurvedic gut relaxants + clonazepam → extra sleepiness, low energy, heaviness
👉 So:
Avoid alcohol
Don’t drive if you feel drowsy
Take clonazepam only at night
Diagnosis: Anxiety Induced Dyspepsia / Functional Dyspepsia (Endoscopy – Normal)
Allopathic Treatment
1. Tab Itcalms Plus 5/0.5
Dose: 1 tablet at night (0-0-1)
Duration: 6–8 weeks
Advice: Do not stop abruptly; taper under medical supervision.
Ayurvedic Treatment
1. Amlapitta Mishran
Dose: 15 ml + equal water
Frequency: Twice daily (1-0-1)
Timing: After meals
2. Perment Capsule
Dose: 1 capsule
Frequency: Twice daily (1-0-1)
Timing: After meals
3. Avipattikar Churna
Dose: ½ teaspoon
Frequency: Once daily at bedtime (0-0-1)
With: Lukewarm water
4. Brahmi / Mandukaparni Tablet
Dose: 1 tablet
Frequency: Night only (0-0-1)
Diet & Lifestyle Advice
Regular sleep schedule; minimum 7–8 hours
Avoid late nights and sleep deprivation
Avoid spicy, fried, sour foods
Avoid tea/coffee after evening
Small, early dinner
Gentle exercise, yoga, pranayama
Follow-up: After 4 weeks or earlier if symptoms worsen
Dr.sara garg
BAMS,CGO
