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C-Pram S 20 Tablet


Overview

Introduction

C-Pram S 20 Tablet is a type of antidepressant known as a selective serotonin reuptake inhibitor (SSRI). It is used to treat depression and anxiety disorders such as anxiety, panic attacks and obsessive-compulsive disorder.

C-Pram S 20 Tablet can be taken with or without food. To get the most benefit take it at the same time each day. 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. It may be increased gradually. If you have trouble sleeping it may be best to take this medicine in the morning. It may take a few weeks before you start to feel better. Do not change the dose or stop taking it without talking to your doctor, even if you feel well. Your condition may get worse or you may suffer unpleasant withdrawal symptoms. Let your doctor know if you do not see any improvement after 4 weeks.

Some common side effects of this medicine includes low sexual desire, delayed ejaculation, insomnia (difficulty in sleeping), and vomiting. It even causes dizziness and sleepiness, do not drive or do anything that requires mental focus until you know how this medicine affects you. This medicine may cause weight gain and to control it, you should have a balanced diet and exercise regularly. It may even cause hair loss but this effect resolves after discontinuing the medicine. Remember to inform the doctor if you develop any unusual changes in mood as it may lead to suicidal thoughts and can be dangerous for you.

Before taking it, you should tell your doctor if you have epilepsy, diabetes, liver or kidney disease, heart problems, glaucoma, drug addiction or bipolar disorder. These may affect your treatment. Pregnant or breastfeeding women should also consult their doctor before taking it. Some other medicines may affect the way it works, especially other antidepressants and medicines called MAO inhibitors. Please tell your doctor about all the medicines you are taking to make sure you are safe.

Side effects of C-Pram S Tablet

Common
  • Low sexual desire
  • Delayed ejaculation
  • Insomnia (difficulty in sleeping)
  • Vomiting
  • Nausea
  • Weight gain
  • Erectile dysfunction
  • Stomach upset

How to use C-Pram S 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 S 20 Tablet may be taken with or without food, but it is better to take it at a fixed time.

How C-Pram S Tablet works

C-Pram S 20 Tablet is a selective serotonin reuptake inhibitor (SSRI) antidepressant. It works by increasing the levels of serotonin, a chemical messenger in the brain. This improves mood and physical symptoms in depression and relieves symptoms of panic and obsessive disorders.

Safety Advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with C-Pram S 20 Tablet.
Pregnancy
CONSULT YOUR DOCTOR
C-Pram S 20 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 S 20 Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Driving
UNSAFE
C-Pram S 20 Tablet may cause side effects which could affect your ability to drive.
Kidney
CAUTION
C-Pram S 20 Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of C-Pram S 20 Tablet may be needed. Please consult your doctor.
Liver
CAUTION
C-Pram S 20 Tablet should be used with caution in patients with liver disease. Dose adjustment of C-Pram S 20 Tablet may be needed. Please consult your doctor.

What if you forget to take C-Pram S Tablet?

If you miss a dose of C-Pram S 20 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 S 20 Tablet
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Quick Tips

  • C-Pram S 20 Tablet effectively treats a variety of mental health conditions such as depression and anxiety disorder.
  • Take it in the morning since it can keep you awake if taken late at night.
  • Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.
  • It has a lower chance of causing sexual dysfunction than other similar medications.
  • The addiction/dependence potential of C-Pram S 20 Tablet is very less.
  • C-Pram S 20 Tablet, when taken in combination with other medicines like triptans, lithium, and tramadol, leads to high fever, agitation, confusion, and trembling. Consult with your doctor before taking these medicines together with C-Pram S 20 Tablet. 
  • Do not stop taking the medication suddenly without talking to your doctor.

Interaction with Drugs

Taking C-Pram S 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 have Obsessive compulsive Disorder. Prescribe the medication.
Dr. Deepak Kumar Soni
Ayurveda
Hi Kindly share your symptoms of your Problem
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Do you have any questions related to C-Pram S 20 Tablet ?

User Feedback


FAQs

Q. How long does it take for C-Pram S to work?

Usually, it will take about 2-4 weeks before you start feeling better, however, full benefits may take a little longer. Therefore, do not stop taking C-Pram S without consulting your doctor. Talk to your doctor if taking the medicine does not make you feel better or you feel worse even after taking the medicine.

Q. What are the most common side effects of C-Pram S?

The most common side effects of C-Pram S are headache and nausea. Other common side effects include blocked or runny nose, decreased or increased appetite, anxiety, restlessness and abnormal dreams. You may also experience sleepiness or difficulty falling asleep, dizziness, yawning, tremors, diarrhea or constipation. Other side effects of C-Pram S may be vomiting, dry mouth, increased sweating, fatigue, fever, increase in weight and pain in muscles and joints. Using this medicine may even cause delayed ejaculation, problems with erection, decreased sexual drive and women may experience difficulty in achieving orgasm.

Q. What is C-Pram S used for?

C-Pram S is used to treat depression and anxiety disorders such as social phobia, anxiety disorder, panic attacks and obsessive-compulsive disorder.

Q. Is C-Pram S dangerous?

The use of C-Pram S in children, adolescents and young adults may increase their risk of experiencing suicidal tendencies. You should always discuss the risks and benefits of taking C-Pram S with your doctor before taking it. Remember that children younger than 12 years of age should not be given C-Pram S.

Q. Is C-Pram S better taken at night or in the morning?

It is usually recommended to take C-Pram S 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.

Q. Can I stop taking C-Pram S on my own?

C-Pram S should not be stopped abruptly as it may cause withdrawal symptoms. Though the withdrawal symptoms are usually mild and disappear within 2 weeks, it is not recommended to stop it without consulting your doctor. You should rather consult your doctor who will reduce the dose gradually.

Q. What are the withdrawal symptoms one may experience?

The withdrawal symptoms include dizziness, sleep disturbances like vivid dreams, nightmares and inability to sleep, anxiety, and headaches. You may also get burning sensations and electric shock sensations. Withdrawal symptoms may also include nausea, sweating including night sweats, restlessness or agitation, tremors, confusion, irritability, diarrhea, visual disturbances, and palpitations.

Q. What if I accidentally take more than the recommended dose of C-Pram S?

If you accidentally take more than the recommended dose of C-Pram S, seek immediate medical attention in a nearby hospital or call your doctor immediately. The symptoms of overdose dizziness, tremor, agitation, convulsion, coma, nausea, and vomiting. You may also experience change in heart rhythm, decreased blood pressure and change in body fluid/salt balance.

Q. Is C-Pram S better taken at night or in the morning?

It is usually recommended to take C-Pram S 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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Disclaimer: 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. Escitalopram Oxalate. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 225-29.
  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. 494-96.
  3. Escitalopram. Copenhagen, Denmark: H Lundbeck A/S; 2016. [Accessed 23 Jan. 2019] (online) Available from:External Link
  4. U.S. National Library of Medicine. Escitalopram. [Accessed 25 Mar. 2019] (online) Available from:External Link
  5. Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from:External Link
Manufacturer/Marketer Address
Off. Ashram Road, Ahmedabad - 380 009., Gujarat, India
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