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Espam 20 mg Tablet

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Composition for Espam 20 mg Tablet

Prescription Required

Primary uses of Espam 20 mg Tablet

Potentiallyunsafewith
Alcohol
MRP
116.72
₹11.67/Tablet
10 tablets in 1 strip
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Medicine Overview of Espam Tablet

Espam Tablet side effects

Common

Side Effects of Espam are Low sexual desire, Delayed ejaculation, Insomnia (difficulty in sleeping), Vomiting, Orthostatic hypotension (sudden lowering of blood pressure on standing), Nausea, Weight gain, Erectile dysfunction, Stomach upset, Restlessness.

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

How Espam Tablet works

Espam 20 mg 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.

In Depth Information on Espam Tablet

Expert advice for Espam Tablet

  • It is one of the most well tolerated antidepressant.
  • Espam 20 mg Tablet effectively treats a variety of mental health conditions such as depression, anxiety, and panic disorders.
  • It can take 2-3 weeks for Espam 20 mg Tablet to start working.
  • It may cause lesser sexual dysfunction than other similar medications.
  • 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.
  • The addiction/dependence potential of Espam 20 mg Tablet is very less.
  • Do not stop taking the medication suddenly without talking to your doctor.
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Espam Tablet related warnings
Special precautions for Espam Tablet
Alcohol
CAUTION
Espam 20 mg Tablet may cause excessive drowsiness and calmness with alcohol.
Pregnancy
WEIGH RISKS VS BENEFITS
Espam 20 mg Tablet may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
Lactation
CAUTION
Espam 20 mg Tablet is probably unsafe to use during lactation. Limited human data suggest that the drug could represent a significant risk to the baby.
Driving
Espam 20 mg Tablet may cause side effects which could affect your ability to drive.
Kidney
Espam 20 mg Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Espam 20 mg Tablet may be needed. Please consult your doctor.
Liver
CAUTION
Espam 20 mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Espam 20 mg Tablet may be needed. Please consult your doctor.

What if you miss a dose of Espam Tablet?uses

If you miss a dose of Espam 20 mg 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.

Patient Concerns

Questions Related to Espam
sir, my self im very depressing while comparing me to others& i dont talk to much bcoz i feel im not in level to talk with them & feel me about myself everyday about my negetativity.this type thinking stressess me very much how can i come from this type of stress?? i feel this is b.coz my weight & height at the age of 21 im right sir??
Dr. Jyoti Kapoor Madan
Psychiatrist
If you let your confidence down, you will develop helplessness ehic leads to depression. Instead of worrying about your weight, take action. Seek professional help. If you feel unmotivated, meet a psychiatrist, its neither too early nor too late for professional advice.
Sir i m suffering from mindly disturbance last 8 days because i have fail in love . Now i dont get to sleep. Only 2-3 hrs sleeping please help me. Im in more depression
Dr. Mehtab Baig
Physiotherapist
Think one mantra ,,,,,duniya jaye bhad me ,,,,, if u don't you takes always on medicine plz ignore all your memories with your ex And deleted
Doctor i m suffering from a major depression disoder i went to a psychiatrist 2 days back she prescribed tab paxidep cr 25mg, lithosun 300mg along with epitril 1mg for sleep purpose but still i m not getting sleep could you let me know that what is my rootcause & i would be on balance
Dr. Varun Mehta
Psychiatrist
Dear PATIENT are many causes of depression ranging from genetics to socialDifficulty in falling asleep is one of the symptoms of depressionThe medications take time to act and you should wait for atleast 7-10 days for observable effect to take place
I m in depression as I m not getting any job. Parents r forcing me for marriage bt i want to do something in my life nd now I m feeling like hell. What to do?
Dr. Jyoti Kapoor Madan
Psychiatrist
Dealing with Depression- Assess your thinking pattern. Become aware of negative thought patterns. Decide to trash negative thoughts and replace them by positive thoughts. Pursue hobbies that make you happy. Manage time by making a schedule that includes physical exercises and De stress routines. Communicate your thoughts to people you are comfortable with. Accept your limitations and work on them if possible, no one is born perfect and we don't need to be perfect, we need to be adaptive.
Diet control iam suffering from dipression and blood prassur
Dr. Waseem Mirza
Sexologist
Diet has no major role in depression. Just take your anti depressant medications regularly and follow up with your doctor periodically as advisedFor high bp, Take salt restricted diet, Avoid fatty foods. Walk daily for 30 mins
Hello sir i have taking the tablet of depression from three month this desease come out from dengue now i have taking ventab 25 mg proponol 10 mg and clozepam . 50mg but when i get off it again i feel anxient and sad. I feel freqeunt in mind only when i miss one or two days dose. I wanted to know that we will i stop these medicine i also wanted to get pregnant but due to this tablets i miss this chance sir please help me when will i conceive because have no baby and wanted to plan for this
Dr. Sunil Sekhri
Diabetes Specialist
you have been diagnosed with depression as told by you. It is a treatable condition. your re already undergoing medical therapy and you consult your Doctor to add Psychotherapy but this decision has to be made by your treating doctor
I feel like tired and not Intrested in work if I go to work my mind won't be constant it swings itseems like all new my heart beat get faster feel like difficult to breath
Dr. Ambrish Dharmadhikari
Mental Wellness
It seems you might be suffering from depression. Please search internet for self help CBT" and use those techniques for your help. Along with this please continue medications and follow up regularly with your psychiatrist."

Frequently asked questions about Espam Tablet

Frequently asked questions about Escitalopram

Q. How does Espam work?
Espam 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.
Q. Can I take Espam with coffee?
There is usually no significant effect of taking coffee with Espam but a very high quantity of consumption of coffee may cause restlessness and anxiety.
Q. Is Espam addictive?
No. Espam is not addictive. Its abrupt discontinuation may cause some withdrawal symptoms. But still is not addictive as there is no drug-seeking behaviour and it has no abuse liability.
Q. Why does Espam cause nausea?
Espam increases the activity of serotonin a chemical which is also involved in the vomiting process so makes the person nauseating.
Q. Why does Espam make me tired?
Tiredness is usually associated with depression. Espam can alter the sleep quality and can make the person feel tired most of the time.
Q. Can I use Espam for a migraine?
Espam is not approved for the treatment of a migraine. It is used in the treatment of depression, anxiety disorder, phobia, post-traumatic stress disorder and obsessive-compulsive disorder.
Q. Can I use Espam for bipolar disorder?
Espam should not be used for the treatment of bipolar disorder as it can aggravate the problem. Only in few cases, it can be used that too with caution with other drugs if depression is the more persistent feature of person's bipolar illness. But the person should be very regular with drugs prescribed for the mania part also called mood stabilisers.
Q. Does Espam cause hair loss?
There are some case reports of hair loss with the use of Espam. It is very infrequent and it usually stops after the discontinuation of the drug. It can be very distressing for a person, especially for the females. So a person should tell his doctor if he is having hair loss with the use of Espam.
Q. Can I use Espam for sleep problem?
Espam may itself cause sleep disorders. So it is not recommended for the sleep problem.
Q. Can I use Espam for obsessive-compulsive disorder (OCD)?
Espam can be used for the treatment of obsessive-compulsive disorder (OCD) but there are better alternatives available, in case they don't work then Espam can be used. Although it is prescribed in a higher dose and for longer duration in case of OCD in comparison to depression.
Q. Which is better medication, Espam or sertraline?
Espam is the safest drug in its class. Sertraline can be used in case Espam doesn't work for depression. However, setraline can be preferred in case of obsessive-compulsive disorder (OCD).
Q. Which is better medication, Espam or citalopram?
Espam is more effective than citalopram for major depression. Although some studies have shown that there is no difference among two in case of effectiveness but some recent studies have shown Espam to be superior to citalopram for major depression.
Q. Can I take Espam with diphenhydramine?
It is better to avoid diphenhydramine with Espam. Diphenhydramine can aggravate side effects of Espam and can cause dizziness, confusion and difficulty in concentrating.
Q. Can I take Espam with aspirin?
It is usually avoided as it can increase the chances of bleeding.
Q. Can I take Espam with Ibuprofen?
No. Combined these two drugs may increase the chances of bleeding especially in persons already on a blood thinner. Nasal bleeding is usually the first symptom.
Q. Can I take Espam with methylphenidate?
It is better to avoid methylphenidate with Espam. Because methylphenidate can increase the blood levels of Espam and its effects and rarely can cause a serious condition called serotonin syndrome with symptoms like anxiety, restlessness, extreme changes in heart rate and blood pressure, blurred vision, incoordination, nausea, vomiting, diarrhoea.
Q. Can Espam be given with lisdexamfetamine?
It is better to avoid this combined therapy of lisdexamfetamine with Espam, it leads to increased anxiety, restlessness and sometimes serotonin syndrome. Serotonin syndrome includes vomiting, diarrhoea, extreme changes in blood pressure and even seizure may occur. It can be life-threatening.
Q. Can I take Espam with alprazolam?
It is better to avoid the combination, it can lead to increased dizziness, confusion and difficulty in concentrating. Please consult your doctor before taking these two medicines together.
Q. Can I take Espam with clonazepam?
It is better to avoid the combination, it can lead to increased dizziness, confusion and difficulty in concentrating. Please consult your doctor before taking these two medicines together.
Q. Can Espam be used with hydrocodone?
It is better to avoid the combination, it can lead to increased dizziness, confusion and difficulty in concentrating. Please consult your doctor before taking these two medicines together.
Q. Can I take Espam with dextromethorphan?
You should not take Dextromethorphan with Espam. It can lead to the seotonin syndrome. Before taking any medications with Espam, your should consult with your doctor.
Q. Can I take Espam and paracetamol?
Yes. There is no known interaction between Espam and paracetamol.
Q. How does Espam differ from fluoxetine?
Espam and fluoxetin belongs to same class of medicine called as selective serotonin reuptake inhibitor (SSRI).
Q. How doses Espam differ from amitriptyline?
Espam is a newer drug belongs to class selective serotonin reuptake inhibitor (SSRI) while amitryptiline is an older drug belonging to class tricyclic antidepressants (TCA). Both drugs are almost equally effective for treating depression but Espam has much lesser side effects in comparison to amitryptiline and so preferred over amitryptiline for the treatment of depression.
Q. How does Espam differ from imipramine?
Espam is much safer than imipramine and is preferred in most of the conditions over imipramine. However, imipramine can be preferred in bed-wetting in children.
Q. What would happen if I stop taking Espam?
You may experience withdrawal symptoms which can be in the form flu like symptoms, anxiety, suicidal thoughts, nausea or sleep problems. These symptoms usually last for one to two weeks. Do not stop taking this medicine without consulting your doctor.
Q. When and How to stop Espam?
You should consult your doctor before stopping the treatment. It would depend on the number and severity of depressive episodes.The dose should be tapered slowly to prevent intense withdrawal symptoms.
Q. Is Espam a benzodiazepine?
No. Espam is not a benzodiazepine. Benzodiazepines decrease the anxiety and induce sleep. Espam belongs to the class of selective sertonin reuptake inhibitor (SSRI). It may cause insomnia and restlessness initially as the side effect which usually goes away with time.
Q. Is Espam a narcotic?
No. Espam is not a narcotic drug. Narcotics are drugs with sleep inducing properties, usual derivatives of Opium like Heroin and Morphine.

Severely interacts with other drugs like

Taking Espam with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Espam with Tizanidine
LIFE-THREATENING
Medicines with composition Tizanidine: Tizonec, Tidired, Sirdalud, Tizalide
Espam with Reboxetine
LIFE-THREATENING
Medicines with composition Reboxetine: Rebotin
Espam with Rasagiline
LIFE-THREATENING
Medicines with composition Rasagiline: Rasalect, Relgin, Rasipar
Espam with Linezolid
LIFE-THREATENING
Medicines with composition Linezolid: Lizolan, Lidoford, Mapzolide, Zenlid, Linolid, Adlid, Molzodin, Linonex, Linzomind, Linosyn
Espam with Sibutramine
LIFE-THREATENING
Medicines with composition Sibutramine: Obewin, Welose, Beslim, SIB Trim, Reduce, Sintrim, Sibutrex, Sibutrim, Sibuslim
Espam with Moclobemide
LIFE-THREATENING
Medicines with composition Moclobemide: Trima, Rimarex
Espam with Selegiline
LIFE-THREATENING
Medicines with composition Selegiline: Jumex
Espam with Terfenadine
LIFE-THREATENING
Medicines with composition Terfenadine: Terfed, Trexyl, Daylert
Espam with Glibenclamide
SERIOUS
Medicines with composition Glibenclamide: No Gluco, Diabnil, D Con, Semi Daonil, Daonil, Semi-Euglucon, Aviglen, Glybovin, Gliconil, Diabetnil
Espam with Indinavir
SERIOUS
Medicines with composition Indinavir: Indivan
Espam with Camylofin
SERIOUS
Medicines with composition Camylofin: Bigspas
Espam with Duloxetine
SERIOUS
Medicines with composition Duloxetine: DLX, Dutron, Dulok, Dulotek, Dutix, Dulex, Dutop, Zidane, Delok, Sympta
Espam with Gliclazide
SERIOUS
Medicines with composition Gliclazide: Diabic, Glywin, Carryl, Glucoril, Glurob, Aliza, GZ, Diabezide, Monoglide, Betazide
Espam with Iloperidone
SERIOUS
Medicines with composition Iloperidone: Ilofast, Ilopt, Ilopride, Ilosure, Iiosure
Espam with Haloperidol
SERIOUS
Medicines with composition Haloperidol: Norma, Cizonil, Zoridol, Nase, Sydol, Peridol, Depinase, Halodi, Halodil, Hapiwin
Espam with Pimozide
SERIOUS
Medicines with composition Pimozide: R Zep, Pimolite, Arkazid, Pimide
Espam with Glimepiride
SERIOUS
Medicines with composition Glimepiride: Euroglip, Pridex MG, Glimpee, Prideme, Glimpse, Glimipill, Sunglim, Sysril, Glydin, Glyde
Espam with Glipizide
SERIOUS
Medicines with composition Glipizide: Glunase, Glazulin, Egly, Libiz, M Diab, Glyson, Lipi, Glynase, Glytop, Glucotrol
Espam with Fentanyl
SERIOUS
Medicines with composition Fentanyl: Fent, Trofentyl
Espam with Blonanserin
SERIOUS
Medicines with composition Blonanserin: Elicia
Espam with Imipramine
SERIOUS
Medicines with composition Imipramine: Imirise, Imikon, Karthin, Min, Imprin, Impranit, Imipra, Ira, Elidep, Elamin
Espam with Fenoverine
SERIOUS
Medicines with composition Fenoverine: Spasmopriv
Espam with Exenatide
SERIOUS
Medicines with composition Exenatide: Exapride
Espam with Galantamine
SERIOUS
Medicines with composition Galantamine: Galamer
Espam with Ethylmorphine
SERIOUS
Medicines with composition Ethylmorphine: Acidion, Dionindon
Espam with Paliperidone
SERIOUS
Medicines with composition Paliperidone: Psycodon, Paliris, Invega Sustenna, Palivega, Palica OD, Palip
Espam with Carbamazepine
SERIOUS
Medicines with composition Carbamazepine: Carz, Antep, C Lep, Ametol, Setol, Carbatol, Biocarb, Arbetol, Zep, Carbdac
Espam with Celiprolol
SERIOUS
Medicines with composition Celiprolol: Celipress
Espam with Asenapine
SERIOUS
Medicines with composition Asenapine: Welenuf
Espam with Eletriptan
SERIOUS
Medicines with composition Eletriptan: Elipran
Espam with Zuclopenthixol
SERIOUS
Medicines with composition Zuclopenthixol: Clopixol-Acuphase
Espam with Phenytoin
SERIOUS
Medicines with composition Phenytoin: Stoin, Marantin, Notian, Phenytoin Sodium, Phenozed, Episol, Epidium, Epilog, Neptoin, C-Toin
Espam with Fosphenytoin
SERIOUS
Medicines with composition Fosphenytoin: Milorgen, Fosphen, Fosentin, Fosolin
SERIOUS
Medicines with composition Hyoscine butylbromide: Cholipan, Hyozen, Xspas, Hyoscine Bromide
Espam with Oxyphenonium
SERIOUS
Medicines with composition Oxyphenonium: Antrenyl
Espam with Bupropion
SERIOUS
Medicines with composition Bupropion: Bupro, Bupep, Unidep, Zyban, Bulet, Atydep, Ession
Espam with Pentazocine
SERIOUS
Medicines with composition Pentazocine: Wintal, Pentawin, Riddof, Pentalab
Espam with Penfluridol
SERIOUS
Medicines with composition Penfluridol: Uridol, Penridol
Espam with Cyclandelate
SERIOUS
Medicines with composition Cyclandelate: Cevadil, Cyclospasmol, Cyclo
Espam with Butorphanol
SERIOUS
Medicines with composition Butorphanol: Butodol, Butrum
One of the following vendor pharmacies will deliver Espam 20mg Tablet: BHA, VOP, MJT, RWP, SAA, SCP, SMN, ZPR, DLP, JVO, LMS, RVC, SPF, RDH, MOM, OBS, WAD, SDE, SBA, CLT, JVN, BBS, DPP, OWN, GMA, OWP, OLT, GEO, BHS, JIV, MRS, PTI, EVP, GHR, MBP, KLC, MDN, VSL, NLP, SWA, KNH, CMD, ENP, CRN, HZF, BHP, HPC, ANS, BLP, HLT, VTR, SLN, RPI, 4IT, NVY, PHN, SGH, LCC, BNC, LHA, NNP, BRC, QLF, MAX, BNA, BAP, VNS, GPP, NLG, RRP, TNH, NDP, MLC, USM, MDH, JSL, JJE, AFT, BJP, MFN, GLD, CPK, RPP, JBT, UVD, KIM, IPP, PRC, SBL, BIO, NTL, DHR, MSD, DYG, SYN, PRN, MAP, ZVP, APS, IAD, BLS, ATL, GDA, ESY, FIP, SWP, WPL, DAO, PRT, GLM, SCH, EAN, DVH, GGL, AMR, MAM, TRP, MDI, OIP, BDI, ANP, SRG, RUS, JHC, SHD, VRS, WHL, DPL, DYL, AVL, PTP, HEX, MAK, NVL, AYM, USF, EPS, DFP, PVP, ZEL, LHP, HTS, SIO, RAC, ADT, BGS, RHW, AYU, SNG, KMC, HWS, FRM, MDO, NTB, PPR, AHP, PRL, ABP, HGI, VHP, PEN, SVH, SLC, RSA, PMA, MKT, HIP, KHC, KHH, BAL, SHN, MIP, 9MM, GTC, AXM, YMI, AYN, BHM, ATP, AGT, BSN, SBN, HSP, EQN, HAT, STA, WSI, RDR, RKS, RGH, BJR, DRA, BTM, KIS, SHC, DZY, TFP, EEC, GFL, HMP, WDE, SPD, VJS, RHS, TSS, ALY, NAS, PNQ, INC, BMJ, TOM, RSS, SSS, NXG, NEO, BBN, GNC, BLE, NWP, HBV, SAF, QTM, 1MH, AVS, PNT, TAT, RTL, ANT, KHD, VDH, PHC, SSI, HCP, AMH, BDN, SJP, ASP, CMC, XMX, EMB, PLT, HPP, UHP, RHL, IPL, WHP, VSC, NPH, IMC, MKS, HSM, THP, SMS, BNT, HNP, SHG, DHP, PSF, SVS, AAY, SNH, DLY, AAR, FGH, UMP, OMV, ALC, STS, MPC, OHM, AVB, ARD, DGN, SDM, SGC, NSL, PWN, UPA, GBL

Substitutes for Espam Tablet

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Authored by
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