Citapram 20

Citalopram Hydrobromide is a type of antidepressant belonging to the selective serotonin reuptake inhibitor (SSRI) group of medicines. It is prescribed to treat depression, where it helps to make you feel better and prevent new episodes of depression. This medicine is also used to treat panic disorder. Citalopram Hydrobromide can be taken with or without food. The dose and how often you need it will be decided by your doctor so that you get the right amount to control your symptoms. Your doctor may start you on a lower dose and increase it gradually. Do not change the dose or stop taking it without talking to your doctor, even if you feel well. Doing so may make your condition worse or you may suffer from unpleasant withdrawal symptoms (anxiety, restlessness, palpitations, dizziness, sleep disturbances etc). To get the most benefit, take this medicine regularly at the same time each day. Your doctor may advise you to take it in the morning if you have trouble sleeping. It may take a few weeks before you start feeling better. Let your doctor know if you do not see any improvement even after 4 weeks. Some common side effects of this medicine include nausea, vomiting, fatigue, dry mouth, increased sweating, insomnia (difficulty in sleeping), decreased sexual drive, delayed ejaculation, and erectile dysfunction. Some people may experience sleepiness after taking this medicine. Let your doctor know straight away if you develop any sudden worsening of mood or any thoughts about harming yourself. Before taking Citalopram Hydrobromide, you should tell your doctor if you have epilepsy (seizure disorder or fits), diabetes, liver or kidney disease, any heart problems, or are currently taking medicines for depression known as MAO inhibitors. These may affect your treatment. Please tell your doctor about all the medicines you are taking to make sure you are safe. Citalopram Hydrobromide is one of a group of antidepressants called selective serotonin reuptake inhibitors, or SSRIs. It is thought to be work by enhancing the level of mood-enhancing neurotransmitters called serotonin in the brain. This may help you to improve your energy level and feelings of well-being.

• Depression • Panic disorder

Citalopram is bicyclic phthalane derivative and a selective serotonin re-uptake inhibitor, w/ little or no effect on noradrenaline, dopamine and GABA re-uptake. The inhibitory activity explains the antidepressant property of citalopram. It has no or very low affinity for 5-HT1AA, 5-HT2A, D1 and D2 receptors, alpha 1, alpha2, beta-adrenergic, histamine H1, muscarinic, cholinergic, benzodiazepine and opioid receptors.

Adult Dose: Oral Depression; Depressive phase of bipolar disorder Adult: Initially, 20 mg/day, increased to max 40 mg/day after at least 1 wk. Elderly: 10 mg/day. Max: 20 mg/day. Hepatic impairment: Mild to moderate: 10 mg/day for the 1st 2 wk. Max: 20 mg/day. Panic disorder with or without agoraphobia Adult: Initially, 10 mg/day, increased to 20 mg/day after 1 wk. Elderly: 10 mg/day. Max: 20 mg/day. Hepatic impairment: Mild to moderate: 10 mg/day for the 1st 2 wk. Max: 20 mg/day. Child Dose: Child: Contraindicated. Renal Dose: Renal impairment: No dosage adjustment needed.

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Citalopram Hydrobromide may be taken with or without food, but it is better to take it at a fixed time.

If you miss a dose of Citalopram Hydrobromide, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Common: • Erectile dysfunction • Insomnia (difficulty in sleeping) • Low sexual desire • Nausea • Restlessness • Upset stomach • Vomiting

[UNSAFE] Citalopram Hydrobromide may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur. It can take up to 8 to 12 weeks to see the medicine full effects on your mood. Take it with food to avoid stomach upset. It causes less drowsiness as compared to other antidepressant medications. Don't drive or do anything requiring concentration until you know how Citalopram Hydrobromide affects you. Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts. Inform your doctor if you experience decreased sex drive or difficulty having an orgasm. Do not stop taking the medication suddenly without talking to your doctor.

Hypersensitivity, concomitant admin with MAOIs or within 14 days of discontinuing MAOI treatment; children and adolescents <18 yr; treatment of depressive illness; lactation.

May increase anticoagulant effect w/ drugs affecting haemostatis (e.g. warfarin). Increased risk of hypomania w/ sibutramine. Increased lowering seizure threshold w/ TCAs and other SSRIs. Potentially Fatal: Increased risk of severe adverse effects (e.g. serotonin syndrome) w/ MAOI. QT interval prolongation w/ subsequent risk of torsade de pointes w/ QT-prolonging drugs (e.g. pimozide, quinidine, procainamide, chlorpromazine, thioridazine, amiodarone, sotalol, moxifloxacin, pentamidine, levomethadyl, methadone).

[UNSAFE] It is unsafe to consume alcohol with Citalopram Hydrobromide.

[CONSULT YOUR DOCTOR] Citalopram Hydrobromide may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

[CONSULT YOUR DOCTOR] Citalopram Hydrobromide is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. Babies should be monitored for behavioral side effects such as sleepiness or fussiness.

[CAUTION] Citalopram Hydrobromide should be used with caution in patients with severe kidney disease. Dose adjustment of Citalopram Hydrobromide may be needed. Please consult your doctor. Limited information is available on the use of Citalopram Hydrobromide in these patients. No dose adjustment is recommended in patients with mild to moderate kidney disease. [CAUTION] Citalopram Hydrobromide should be used with caution in patients with liver disease. Dose adjustment of Citalopram Hydrobromide may be needed. Please consult your doctor.

Till how many days can we take Feliz s 5 tablet? Based on your clinical history, your doctor plans the type of medicine and it&#x27;s dose and duration. For first episode of anxiety/ depression/ panic, the usual maintenance phase is 6 months of asymptomatic period, after which medicines can be gradually tapered. But treatment may need to continue longer depending on severity and frequency of episodes. To take any decision to change medication or stop them, several factors have to be taken in account for which regular follow up with your psychiatrist is important. For second opinion, seek a proper consultation with another psychiatrist and take along your previous prescriptions. I am depration patient. If arise any tention. My body continue vibrate. After taking lonazep 0.5 tab than fill relax. What is solution Plz reply Start Feliz. S. 5 mg daily DUE TO OCD I USED TO TAKE FELIZ S 10 AND LONAZEP .5 ONCE IN A DAY PRESCRIBED BY DR. NOW I AM FELLING BETTER SO I WANT TO REDUCE THE DOSE, PLEASE PRESCRIBE ME FOR FELIZ S 5 AND LONAZEP .25 Based on your clinical history, your doctor plans the type of medicine and it&#x27;s dose and duration. For first episode of anxiety/ depression/ panic, the usual maintenance phase is 6 months of asymptomatic period, after which medicines can be gradually tapered. But treatment may need to continue longer depending on severity and frequency of episodes. To monitor any potential side effects and to take any decision to change medication or stop them, several factors have to be taken in account for which regular follow up with your psychiatrist is important. For second opinion, seek a proper consultation with another psychiatrist and take along your previous prescriptions. Can I take Feliz s 10 & Lonazep .25 mg at night for anxiety disorder & lack of sleep Psychiatric evaluation is based on history, clinical symptoms, personality factors, ongoing psychosocial stressors and frequency and severity of symptoms. It requires direct interaction with the patient on a regular basis. Once diagnosed, a management plan is formed based on intensity and frequency of symptoms and associated biological and psycho social factors. A complete solution to ones problems in a single question is thus not possible. I suggest you to visit a psychiatrist in your vicinity for clinical evaluation. Im takeing the CENSPRAMPLUS TABLET Please suggest the alternate tablet It&#x27;s a combination of escitalopram and clonazepam. The combination is available in nexito plus, Feliz plus etc. Check dose i have fright when talking with people. i used to take clonotril 0.25, and feliz-s. should i continue using it? Hello Mr PATIENT symptom can be a part of many disorders, mostly of the anxiety or depression spectrum. The medicines you are mentioning are helpful in elevating your depressed or anxious mood and for relaxation. It is essential to visit a psychiatrist and have a good follow up with regular medicines. If you were better on these medicines then the psychiatrist will prescribe you the same. Also practice Jacobsons Relaxation exercises to decrease the social anxiety that you are facing. Take care. I take medicines from 4 years how can i stop this? My marraige will be in next 4 months how can i stop this medicine? Pls help me sir? I take medicines names are : feliz s 20 Clono 0.5 Redoth 75. Based on your clinical history, your doctor plans the type of medicine and it&#x27;s dose and duration. For first episode of anxiety/ depression/ panic, the usual maintenance phase is 6 months of asymptomatic period, after which medicines can be gradually tapered. But treatment may need to continue longer depending on severity and frequency of episodes. To take any decision to change medication or stop them, several factors have to be taken in account for which regular follow up with your psychiatrist is important. For second opinion, seek a proper consultation with another psychiatrist and take along your previous prescriptions. Suffering from panic disorder from last 10 years Taking 1 tab daily Based in your clinical history, your doctor plans the type of medicine and it&#x27;s dose and duration. For first episode of anxiety/ depression/ panic, the usual maintenance phase is 6 months of asymptomatic period, after which medicines can be gradually tapered. But treatment may need to continue longer depending on severity and frequency of episodes. To take any decision to change medication or stop them, several factors have to be taken in account for which regular follow up with your psychiatrist is important. For second opinion, seek a proper consultation with another psychiatrist and take along your previous prescriptions.