SEROPRAM table. 20 mg. 28 tablets

 

SEROPRAM WHAT IS AND WHAT IT IS USED

How does Seropram

 

Seropram is a selective inhibitor of serotonin reuptake (SSRI) and belongs to a group of medicines known as antidepressants. These medications help to correct chemical imbalances in the brain that cause the symptoms of your disease.

 

What used Seropram

 

Seropram used to treat depression and when you feel better, helps prevent the recurrence of simptomite.Neshto more Seropram used for long-term treatment to prevent the onset of new depressive episodes in patients who suffer from recurrent depresiya.Seropram also shown beneficial effects in relieving symptoms in patients prone to panic pristapi.Vashiyat doctor, however, may prescribe Seropram other purposes. Contact your doctor if you have any questions about why you have been prescribed Seropram.

 

 

BEFORE YOU TAKE SEROPRAM not take Seropram

 

if you are allergic (hypersensitive) to citalopram or any of the other ingredients of Seropram

  with other medicines known as monoamine oxidase inhibitors (MAOIs).

  Along with pimozide

 

MAO inhibitors include drugs such as phenelzine, iproniazid, isocarboxazid, nialamide, tranylcypromine and moclobemide, which are also used to treat depresiya.Dori if you have stopped taking one of these MAOIs: phenelzine, iproniazid, isocarboxazid, nialamide or tranylcypromine, you must wait 2 weeks before starting treatment with Seropram tablets.

 

You should wait one day after you have stopped taking moclobemide.

 

After discontinuation of Seropram must wait one week before taking any MAOI.

 

Take special care with Seropram

 

Tell your doctor if you have any medical conditions, especially if you suffer from:

 

 Serious liver disease

 Severe renal disease

 

Diabetes (you may need to adjust antidiabetic therapy)

 

 Epilepsy or seizure data

  Any type of diseases associated with bleeding

 

Please consult your doctor, even if these diseases are past period of your life.

 

Use in children and adolescents under 18 years

 

Seropram generally should not be used in children and adolescents under the age of 18 years. It is also necessary to know that when they take this class of drugs in patients under 18 have an increased risk of side effects such as suicide attempt, suicidal thoughts and hostility (predominantly aggression, oppositional behavior and anger). However, your doctor may prescribe Seropram patients under 18 because he / she decides that it is in their interest. If your doctor has prescribed Seropram a patient under 18 and you want to discuss this, please go back to your doctor. You should inform your doctor if any of the symptoms listed above develop or worsen when patients under 18 are taking Seropram. In addition, there are the long term effects on safety concerning growth, maturation and cognitive and behavioral development in adopting Seropram in this age group.

 

Specific information related to your illness

 

Risk of suicide in psychiatric disorders

 

Thoughts of suicide are common in psychiatric disorders, especially in patients suffering from depression. They will often persist (continue) until the antidepressant effect of the medicine becomes apparent. Let your family and those caregivers you know how you feel and ask your doctor if your symptoms worsen depression.

 

Episodes of mania

 

Some patients with bipolar disorder may enter into a manic phase. This condition is characterized by abundant and rapidly changing ideas, excessive gaiety and excessive physical activity. In such cases it is important to contact your doctor.

 

Panic disorder

Patients prone to panic attacks may experience a temporary increase in anxiety after treatment initiation, which usually resolves within the first 1-2 weeks. It is therefore recommended lower starting dose for panic disorder.

 

Taking other medicines

 

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without retsepta.Nyakoi drugs can affect the action of others, and this can sometimes lead to serious side effects.

 

Caution should be exercised in the concomitant use of Seropram some of the following medications:

  Lithium (used to treat bipolar disorder) and tryptophan, if there are high temperatures and sudden twitching of muscles, if you feel agitated and confused, you should contact your doctor immediately.

  selegiline (used to treat Parkinson's disease), the dose of selegiline should not exceed 10 mg / day.

  Metoprolol (used for high blood pressure and / or heart disease), metoprolol levels in the blood rise, but not registered signs of increased effects or increased side effects.

  Sumatriptan and similar medicines (used to treat migraine), the risk of side effects, if you experience any unusual symptoms when taking this combination should see your doctor.

  Cimetidine, when used in high doses (used to treat stomach ulcers); Seropram levels in the blood may rise, but not an increase in side effects.

  Drugs that are known to affect platelet function (eg some antipsychotics, tricyclic antidepressants, acetylsalicylic acid (used as a painkiller), nonsteroidal anti-inflammatory drugs (used to treat arthritis) slightly increased risk of abnormal bleeding.

 St. John's wort (Hypericum perforatum) - Concomitant use with a Seropram may increase the risk of side effects.

 

Taking Seropram with food and drink

 

Seropram can be taken without regard to food intake.

 

Seropram has shown that it leads to the amplification effect of alcohol. However, it is recommended not to drink alcohol during treatment with Seropram.

 

Pregnancy and lactation

 

Usually pregnant women should not take Seropram and mothers should not breastfeed their babies while taking this lekarstvo.Ako taking this class of medicines (antidepressants) during the last three months of your pregnancy and the date of birth, you must have that these effects can be seen in your newborn baby: difficulty breathing, tight or floppy muscles, nervousness, bluish skin, and too high or too low temperature. If your newborn get any of these symptoms, please contact your doctor.

 

Driving and operating machinery

 

Seropram usually does not cause drowsiness, however, if you feel dizzy or drowsy when you start taking this medicine, do not drive or operate machinery until these effects wear off.

 

How much to take

 

Always Seropram exactly as your doctor has told you. If you are unsure or need more information, ask your doctor or pharmacist.

 

Adults

 

Depression

 

The usual dose is 20 mg daily. It can be increased by your doctor to a maximum of 60 mg daily.

 

Panic disorder

 

The starting dose is 10 mg daily for the first week before increasing to 20-30 mg daily. Your doctor may increase the dose to a maximum of 60 mg daily.

 

 HOW TO TAKE SEROPRAM

 

Elderly (over 65 years) Elderly patients usually should not receive more than 40 mg daily.

 

Patients with special risk

 

Patients with liver disease should not take more than 30 mg daily.

 

 Children and adolescents (<18 years)

 

Seropram should not be given to children or adolescents. For more information, see Section 2.

 

 

How and when to take Seropram

 

Seropram take each day as a single daily dose. Seropram can be taken at any time of day with or without food. Swallow the tablets with water. Do not chew them (have a bitter taste).

 

 

Duration of treatment

 

Like most drugs used to treat depression and panic disorder, it may take several weeks before you feel any improvement.

 

Never change the dose until you have talked about this with your doctor.

 

The duration of treatment may vary from patient to patient and usually lasts for at least six months. Continue taking the tablets for as long as your doctor prescribes. Do not stop taking them even if you feel better, until it tells you doctor. Underlying illness may persist for a longer period of time and if you stop your treatment too soon, your symptoms may occur otnovo.Patsienti who suffer from recurrent depression benefit from prolonged treatment, sometimes for several years to preventing new depressive episodes.

 

If you take more than the dose Seropram

 

If you think you or anyone else may have taken a very large dose Seropram tablets, contact your doctor immediately or the nearest emergency department. Do this even if there are no signs of discomfort or poisoning. Take the packaging / containers of Seropram with you if you go to a doctor or hospital.

 

Symptoms of overdose may include

 

 Nausea (feeling of weakness)

  Vomiting

  Sweating

  Drowsiness

  Bruising of the skin

  Seizures

  Unconsciousness

  Fast heart rate

  Tremor

 

If you forget to take Seropram

 

If you forget to take your medicine, take the next dose at the proper time. Do not take a double dose to make up.

 

If you stop taking Seropram

 

Abrupt discontinuation of the drug may cause mild and transient withdrawal symptoms such as dizziness, nausea, numbness or tingling of the hands and feet. Therefore, it is recommended that you complete the course of treatment to reduce the dose gradually over Seropram a few weeks rather than abruptly discontinue priema.Ako you have any further questions on the use of this product, ask your doctor or pharmacist.

 

POSSIBLE SIDE EFFECTS

 

Like all medicines, Seropram can cause side effects, although not everybody gets them poluchava.Mnogo rare but serious side effects (affects less than 1 in 10,000) If you get any of these symptoms should discontinue of Seropram and immediately contact your doctor:

  Feeling weak and unwell with weak muscles or confused, whether it is an expression of a rare condition known as hyponatremia (abnormally low level of sodium in the blood) that can occur using this type of antidepressants (SSRIs), especially in women of advanced age.

  High fever, agitation, confusion, trembling and abrupt muscle twitching may be signs of a rare condition known as serotonin syndrome has been reported with the use of other antidepressants.

 

The following side effects are often mild and usually disappear after a few days of treatment. Note that several of the following effects can also be symptoms of your illness and therefore disappear with podobrenie.Ako occurrence of side effects bother you, and still more than a few days, talk to your doctor.

 

Dry mouth increases the risk of caries. Therefore, you can brush your teeth more often than usual.

 

Common side effects (more than 1 but less than 10 out of 100 patients) may include:

 

Increased sweating

 

Dry mouth

 

Agitation

 

Decreased appetite

 

Insomnia

 

Drowsiness

 

Yawning

 

Diarrhea

 

Nausea (feeling of weakness)

 

Fatigue

 

Decreased sexual desire

 

Men may experience problems with ejaculation and erection. Women may experience difficulty in reaching orgasm.

 

Very rare (affects less than 1 in 10,000 patients) may include:

 

Hypersensitivity (rash) Seizures

 

Diseases associated with subcutaneous bleeding (easy bruising). Unusual muscle movements or stiffness. Akathisia (involuntary movements of the muscles) If any of the side effects gets serious, or you notice other effects not listed in this leaflet, please tell your doctor or pharmacist.

 

 STORAGE SEROPRAM

 

Keep out of reach of children. No special conditions sahranenie.Ne Seropram use after the expiry date stated on the label and carton opakovka.Lekarstvata should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

 

 ADDITIONAL INFORMATION

  

What Seropram

 

The active ingredient is citalopram (as hydrobromide).

 

Seropram coated tablet contains 20 mg citalopram (as citalopram hydrobromide). Other ingredients are corn starch, lactose monohydrate, microcrystalline cellulose, copovidone, 85% glycerol, sodium croscarmellose, magnesium stearat.Obvivka: 5 hypromellose, macrogol 400. Colour: titanium dioxide (E-171).

 

Seropram looks like and contents of pack

 

Seropram is available as film-coated tablets of 20 mg in blister packs containing.