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Celepra 20mg Tablet

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

Introduction

Celepra 20mg 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.

Celepra 20mg 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 Celepra 20mg 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 Celepra Tablet

Benefits of Celepra Tablet

In Depression

Celepra 20mg 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

Celepra 20mg 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 Celepra 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 Celepra

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

How to use Celepra 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. Celepra 20mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Celepra Tablet works

Celepra 20mg 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 Celepra 20mg Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Celepra 20mg 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
Celepra 20mg 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
Celepra 20mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Celepra 20mg Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Celepra 20mg Tablet may be needed. Please consult your doctor.
Limited information is available on the use of Celepra 20mg Tablet in these patients. No dose adjustment is recommended in patients with mild to moderate kidney disease.
Liver
CAUTION
Celepra 20mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Celepra 20mg Tablet may be needed. Please consult your doctor.

What if you forget to take Celepra Tablet?

If you miss a dose of Celepra 20mg 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.
Celepra 20mg Tablet
₹4.1/Tablet
Lopram 20mg Tablet
Ind Swift Laboratories Ltd
₹3.75/Tablet
save 8%
Citola 20mg Tablet
La Pharmaceuticals
₹6.7/Tablet
64% costlier
Citalopam 20mg Tablet
Intas Pharmaceuticals Ltd
₹6.85/Tablet
67% costlier
Citalent 20mg Tablet
Talent Healthcare
₹6.87/Tablet
68% costlier
Citopam 20 Tablet
Sun Pharmaceutical Industries Ltd
₹9.6/Tablet
134% 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 Celepra 20mg 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

Interaction with Drugs

Taking Celepra 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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I have been going through General anxiety disorder for more than a year now. I am consulting this Doctor from AIIMS and he has prescribed me the following drugs. S Celepra 5 and Petril 0.25. I want to know what all precautions I need to take with these meds. I also experience panic attacks too often. He has asked me to use petril as SOS too but it doesnt seem to help anymore. I am really going into depression because of my condition. Its not getting any better. Also I dont blame my doctor because I dicontinue and then continue my meds all the time. Please suggest me what should I do to get fine ASAP. Thanks !
Dr. Jyoti Kapoor Madan
Psychiatry
The pharmacological treatment of anxiety disorders lies largely on SSRIs, in this case on escitalopram but the dose has to be optimised according to response and medication needs to be taken regularly. Too much reliance on sos Medicines eventually leads to in effectiveness of the drug. Please see your doctor to optimise the dose of S Celepra.
Sir Mujhe fludac 20mg chodne ke tips Bataye
Dr. Jyoti Kapoor Madan
Psychiatry
Based on 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. Treatment for Recurrent Depressive Disorder , psychotic disorders, Bipolar Affective Disorder and OCD usually lasts for much longer.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. Since fluoxetine has a long half life, it can be stopped immediately.
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FAQs

Q. What is Celepra 20mg Tablet used for? How does it work?

Celepra 20mg Tablet belongs to a class of medicines known as selective serotonin reuptake inhibitors (SSRIs). Celepra 20mg 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 Celepra 20mg Tablet make you gain weight?

Weight changes may be seen while using Celepra 20mg Tablet, so monitor your weight closely. Celepra 20mg 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 Celepra 20mg Tablet?

No, it is advised not to take alcohol while taking Celepra 20mg Tablet. Celepra 20mg 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 Celepra 20mg Tablet.

Q. Can Celepra 20mg Tablet cause abnormal heartbeat or arrhythmia?

Yes, Celepra 20mg 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 Celepra 20mg 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 Celepra 20mg Tablet?

The most common side effects of Celepra 20mg 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 Celepra 20mg Tablet in the morning or at night?

It is usually recommended to take Celepra 20mg 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

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