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C Pram 40mg Tablet

Prescription Required
SALT COMPOSITION
Storage
Store at room temperature (10-30°C)

Introduction

C Pram 40mg Tablet 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.

C Pram 40mg Tablet 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 C Pram 40mg Tablet, 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.

Uses of C Pram Tablet

Benefits of C Pram Tablet

In Depression

C Pram 40mg Tablet works by increasing the level of a chemical called serotonin in the brain. This improves your mood, relieves anxiety, tension, and helps you sleep better. It has fewer side effects than older antidepressants. It usually takes 4-6 weeks for this medicine to work so you need to keep taking it even if you feel it is not working. Do not stop taking it, even if you feel better unless your doctor advises you to.

In Panic disorder

C Pram 40mg Tablet can help relieve symptoms of many panic disorders including panic attacks. It can help you feel calmer and improve your ability to deal with problems. Do not stop taking it, even when you feel better, unless your doctor advises you to.

Side effects of C Pram Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of C Pram

  • Nausea
  • Vomiting
  • Fatigue
  • Increased sweating
  • Insomnia (difficulty in sleeping)
  • Low sexual desire
  • Erectile dysfunction
  • Delayed ejaculation

How to use C Pram Tablet

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. C Pram 40mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How C Pram Tablet works

C Pram 40mg Tablet 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.

Safety Advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with C Pram 40mg Tablet.
Pregnancy
CONSULT YOUR DOCTOR
C Pram 40mg Tablet 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.
Breastfeeding
CONSULT YOUR DOCTOR
C Pram 40mg Tablet 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.
Driving
UNSAFE
C Pram 40mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
C Pram 40mg Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of C Pram 40mg Tablet may be needed. Please consult your doctor.
Limited information is available on the use of C Pram 40mg Tablet in these patients. No dose adjustment is recommended in patients with mild to moderate kidney disease.
Liver
CAUTION
C Pram 40mg Tablet should be used with caution in patients with liver disease. Dose adjustment of C Pram 40mg Tablet may be needed. Please consult your doctor.

What if you forget to take C Pram Tablet?

If you miss a dose of C Pram 40mg Tablet, 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.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
C Pram 40mg Tablet
₹7.01/Tablet
C-Talo 40mg Tablet
Alkem Laboratories Ltd
₹7.5/Tablet
7% costlier
₹7.83/Tablet
12% costlier
Vocita 40mg Tablet
Shine Pharmaceuticals Ltd
₹10.15/Tablet
45% costlier
Celica 40mg Tablet
Sun Pharmaceutical Industries Ltd
₹10.3/Tablet
47% costlier
Citola 40mg Tablet
La Pharmaceuticals
₹11.8/Tablet
68% costlier

Quick Tips

  • 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 C Pram 40mg Tablet 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.

Fact Box

Chemical Class
Phenylbutylamine Derivative
Habit Forming
No
Therapeutic Class
NEURO CNS

Interaction with Drugs

Taking C Pram with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Lizolan, Lidoford, Mapzolide
LIFE-THREATENING
Brand(s): Trima, Rimarex, Morex
LIFE-THREATENING
Brand(s): Rasalect, Relgin, Rasipar
LIFE-THREATENING
Brand(s): Rebotin
LIFE-THREATENING

Patient Concerns

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Sir from Jan 2016 I was prescribed C pram s 5mg for anxiety and stress related symtopms How to stop the medication
Dr. Jyoti Kapoor Madan
Psychiatry
Based in your clinical history, your doctor plans the type of medicine and it'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 in big depression,i m getting angry and get panic on any thing,c an I take cipralex
Dr. Jyoti Kapoor Madan
Psychiatry
Don't take any medication without prescription. A psychiatric evaluation is mandatory before treatment is started.
arrow
Do you have any questions related to C Pram 40mg Tablet ?

FAQs

Q. What is C Pram 40mg Tablet used for? How does it work?

C Pram 40mg Tablet belongs to a class of medicines known as selective serotonin reuptake inhibitors (SSRIs). C Pram 40mg Tablet is used to treat depression and panic disorder. It helps to improve your energy levels and elevates your mood. This medication works by restoring the balance of a chemical substance (serotonin) in the brain which helps to relieve depression and symptoms of panic disorder such as excessive fear, sweating, rapid heart rate, trembling or shaking, shortness of breath, chills etc.

Q. Does C Pram 40mg Tablet make you gain weight?

Weight changes may be seen while using C Pram 40mg Tablet, so monitor your weight closely. C Pram 40mg Tablet belongs to a class of medicines known as selective serotonin reuptake inhibitors (SSRIs). Although SSRIs are associated with weight loss at first, long-term use of SSRIs may cause an increase in the weight. Long-term use is considered when the treatment lasts longer than six months. If these weight changes bother you, please consult your doctor.

Q. Can you drink alcohol while taking C Pram 40mg Tablet?

No, it is advised not to take alcohol while taking C Pram 40mg Tablet. C Pram 40mg Tablet can cause sleepiness or may affect your ability to make decisions, think clearly, or react quickly. And taking alcohol with this medicine will only worsen these side effects. Therefore, you must avoid alcohol if you are on C Pram 40mg Tablet.

Q. Can C Pram 40mg Tablet cause abnormal heartbeat or arrhythmia?

Yes, C Pram 40mg Tablet has been found to cause prolongation of the QT interval (a type of ECG abnormality) that can lead to arrhythmia (abnormal heartbeat or heart rhythm), which can be dangerous. However, this is very rare according to scientific research reports. Moreover, abnormalities in electrolyte levels (such as potassium and magnesium) may also increase the risk of abnormalities in the heartbeat of people suffering from heart problems. Such people must have an ECG review, before as well as during treatment with C Pram 40mg Tablet. However, the final decision will be only made by your doctor, after analyzing your health condition and considering all possible risks and benefits of this medicine.

Q. What are the side effects of C Pram 40mg Tablet?

The most common side effects of C Pram 40mg Tablet are low sexual desire, vomiting, insomnia (difficulty in sleeping), orthostatic hypotension (sudden lowering of blood pressure on standing), anorgasmia (decreased orgasm), nausea, weight gain, erectile dysfunction, stomach upset, and restlessness. Please consult your doctor if these do not resolve or worry you. Your doctor will suggest ways to prevent or treat these side effects.

Q. Is it better to take C Pram 40mg Tablet in the morning or at night?

It is usually recommended to take C Pram 40mg Tablet once a day in the morning since it can keep you awake if taken late at night. You can take it with or without food. You should prefer taking it at the same time each day so that you remember to take it.

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1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. Stahl SM, editor. Citalopram. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 123-28.
  2. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 281-85.
  3. Citalopram hydrobromide. St Albans, UK: Lundbeck Limited; 1995 [revised Dec. 2016]. [Accessed 23 Jan. 2019] (online) Available from:External Link
  4. Citalopram. St. Louis: Forest Pharmaceuticals; [revised 2013]. [Accessed 22 Mar. 2019] (online) Available from:External Link
  5. Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 20 Mar. 2019] (online) Available from:External Link
  6. Central Drugs Standard Control Organisation (CDSCO). [Accessed 20 Mar. 2019] (online) Available from:External Link

Manufacturer/Marketer Address

Off. Ashram Road, Ahmedabad - 380 009., Gujarat, India
Best Price
₹59.61
MRP70.13  Get 15% OFF
Inclusive of all taxes
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10 tablets in 1 strip
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