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Espram Tablet

Prescription Required

Primary uses of Espram Tablet

Potentiallyunsafewith
Alcohol
MRP
70
₹7/Tablet
10 tablets in 1 strip
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Medicine Overview of Espram Tablet

Espram Tablet side effects

Common

Side Effects of Espram 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 Espram 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. Espram Tablet may be taken with or without food, but it is better to take it at a fixed time.

How Espram Tablet works

Espram 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 Espram Tablet

Expert advice for Espram Tablet

  • It is one of the most well tolerated antidepressant.
  • Espram Tablet effectively treats a variety of mental health conditions such as depression, anxiety, and panic disorders.
  • It can take 2-3 weeks for Espram 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 Espram Tablet is very less.
  • Do not stop taking the medication suddenly without talking to your doctor.
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Espram Tablet related warnings
Special precautions for Espram Tablet
Alcohol
CAUTION
Espram Tablet may cause excessive drowsiness and calmness with alcohol.
Pregnancy
WEIGH RISKS VS BENEFITS
Espram 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
Espram Tablet is probably unsafe to use during lactation. Limited human data suggest that the drug could represent a significant risk to the baby.
Driving
Espram Tablet may cause side effects which could affect your ability to drive.
Kidney
Espram Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Espram Tablet may be needed. Please consult your doctor.
Liver
CAUTION
Espram Tablet should be used with caution in patients with liver disease. Dose adjustment of Espram Tablet may be needed. Please consult your doctor.

What if you miss a dose of Espram Tablet?uses

If you miss a dose of Espram 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

Frequently asked questions about Espram Tablet

Frequently asked questions about Escitalopram

Q. How does Espram work?
Espram 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 Espram with coffee?
There is usually no significant effect of taking coffee with Espram but a very high quantity of consumption of coffee may cause restlessness and anxiety.
Q. Is Espram addictive?
No. Espram 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 Espram cause nausea?
Espram increases the activity of serotonin a chemical which is also involved in the vomiting process so makes the person nauseating.
Q. Why does Espram make me tired?
Tiredness is usually associated with depression. Espram can alter the sleep quality and can make the person feel tired most of the time.
Q. Can I use Espram for a migraine?
Espram 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 Espram for bipolar disorder?
Espram 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 Espram cause hair loss?
There are some case reports of hair loss with the use of Espram. 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 Espram.
Q. Can I use Espram for sleep problem?
Espram may itself cause sleep disorders. So it is not recommended for the sleep problem.
Q. Can I use Espram for obsessive-compulsive disorder (OCD)?
Espram can be used for the treatment of obsessive-compulsive disorder (OCD) but there are better alternatives available, in case they don't work then Espram 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, Espram or sertraline?
Espram is the safest drug in its class. Sertraline can be used in case Espram doesn't work for depression. However, setraline can be preferred in case of obsessive-compulsive disorder (OCD).
Q. Which is better medication, Espram or citalopram?
Espram 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 Espram to be superior to citalopram for major depression.
Q. Can I take Espram with diphenhydramine?
It is better to avoid diphenhydramine with Espram. Diphenhydramine can aggravate side effects of Espram and can cause dizziness, confusion and difficulty in concentrating.
Q. Can I take Espram with aspirin?
It is usually avoided as it can increase the chances of bleeding.
Q. Can I take Espram 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 Espram with methylphenidate?
It is better to avoid methylphenidate with Espram. Because methylphenidate can increase the blood levels of Espram 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 Espram be given with lisdexamfetamine?
It is better to avoid this combined therapy of lisdexamfetamine with Espram, 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 Espram 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 Espram 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 Espram 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 Espram with dextromethorphan?
You should not take Dextromethorphan with Espram. It can lead to the seotonin syndrome. Before taking any medications with Espram, your should consult with your doctor.
Q. Can I take Espram and paracetamol?
Yes. There is no known interaction between Espram and paracetamol.
Q. How does Espram differ from fluoxetine?
Espram and fluoxetin belongs to same class of medicine called as selective serotonin reuptake inhibitor (SSRI).
Q. How doses Espram differ from amitriptyline?
Espram 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 Espram has much lesser side effects in comparison to amitryptiline and so preferred over amitryptiline for the treatment of depression.
Q. How does Espram differ from imipramine?
Espram 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 Espram?
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 Espram?
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 Espram a benzodiazepine?
No. Espram is not a benzodiazepine. Benzodiazepines decrease the anxiety and induce sleep. Espram 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 Espram a narcotic?
No. Espram 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 Espram with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Espram with Terfenadine
LIFE-THREATENING
Medicines with composition Terfenadine: Terfed, Trexyl, Daylert
Espram with Moclobemide
LIFE-THREATENING
Medicines with composition Moclobemide: Trima, Rimarex
Espram with Reboxetine
LIFE-THREATENING
Medicines with composition Reboxetine: Rebotin
Espram with Linezolid
LIFE-THREATENING
Medicines with composition Linezolid: Lizolan, Lidoford, Mapzolide, Zenlid, Linolid, Adlid, Molzodin, Linonex, Linzomind, Linosyn
Espram with Selegiline
LIFE-THREATENING
Medicines with composition Selegiline: Jumex
Espram with Rasagiline
LIFE-THREATENING
Medicines with composition Rasagiline: Rasalect, Relgin, Rasipar
Espram with Tizanidine
LIFE-THREATENING
Medicines with composition Tizanidine: Tizonec, Tidired, Sirdalud, Tizalide
Espram with Sibutramine
LIFE-THREATENING
Medicines with composition Sibutramine: Obewin, Welose, Beslim, SIB Trim, Reduce, Sintrim, Sibutrex, Sibutrim, Sibuslim
Espram with Pentazocine
SERIOUS
Medicines with composition Pentazocine: Wintal, Pentawin, Riddof, Pentalab
Espram with Paliperidone
SERIOUS
Medicines with composition Paliperidone: Psycodon, Paliris, Invega Sustenna, Palivega, Palica OD, Palip
Espram with Fentanyl
SERIOUS
Medicines with composition Fentanyl: Fent, Trofentyl
Espram with Ethylmorphine
SERIOUS
Medicines with composition Ethylmorphine: Acidion, Dionindon
Espram with Exenatide
SERIOUS
Medicines with composition Exenatide: Exapride
Espram with Iloperidone
SERIOUS
Medicines with composition Iloperidone: Ilofast, Ilopt, Ilopride, Ilosure, Iiosure
Espram with Butorphanol
SERIOUS
Medicines with composition Butorphanol: Butodol, Butrum
Espram with Pimozide
SERIOUS
Medicines with composition Pimozide: R Zep, Pimolite, Arkazid, Pimide, Mozep
Espram with Gliclazide
SERIOUS
Medicines with composition Gliclazide: Diabic, Glywin, Carryl, Glucoril, Glurob, Aliza, GZ, Diabezide, Monoglide, Betazide
Espram with Camylofin
SERIOUS
Medicines with composition Camylofin: Bigspas
Espram with Carbamazepine
SERIOUS
Medicines with composition Carbamazepine: Carz, Antep, C Lep, Ametol, Setol, Carbatol, Biocarb, Arbetol, Zep, Carbdac
Espram with Oxyphenonium
SERIOUS
Medicines with composition Oxyphenonium: Antrenyl
Espram with Zuclopenthixol
SERIOUS
Medicines with composition Zuclopenthixol: Clopixol-Acuphase
Espram with Duloxetine
SERIOUS
Medicines with composition Duloxetine: DLX, Dutron, Dulok, Dulotek, Dutix, Dulex, Dutop, Zidane, Delok, Sympta
Espram with Fosphenytoin
SERIOUS
Medicines with composition Fosphenytoin: Fosphen, Fosentin, Fosolin
Espram with Penfluridol
SERIOUS
Medicines with composition Penfluridol: Penridol
Espram with Glipizide
SERIOUS
Medicines with composition Glipizide: Glunase, Glazulin, Egly, Libiz, M Diab, Glyson, Lipi, Glynase, Glytop, Glucotrol
Espram with Blonanserin
SERIOUS
Medicines with composition Blonanserin: Elicia
SERIOUS
Medicines with composition Hyoscine butylbromide: Cholipan, Hyozen, Xspas, Hyoscine Bromide
Espram with Asenapine
SERIOUS
Medicines with composition Asenapine: Welenuf
Espram with Imipramine
SERIOUS
Medicines with composition Imipramine: Imirise, Imikon, Karthin, Min, Imprin, Impranit, Imipra, Ira, Elidep, Elamin
Espram with Indinavir
SERIOUS
Medicines with composition Indinavir: Indivan
Espram with Glimepiride
SERIOUS
Medicines with composition Glimepiride: Euroglip, Pridex MG, Glimpee, Prideme, Glimpse, Glimipill, Sunglim, Sysril, Glydin, Glyde
Espram with Celiprolol
SERIOUS
Medicines with composition Celiprolol: Celipress
Espram with Bupropion
SERIOUS
Medicines with composition Bupropion: Bupro, Bupep, Unidep, Zyban, Bulet, Atydep, Ession, Smoquit
Espram with Glibenclamide
SERIOUS
Medicines with composition Glibenclamide: No Gluco, Diabnil, D Con, Semi Daonil, Daonil, Semi-Euglucon, Aviglen, Glybovin, Gliconil, Diabetnil
Espram with Phenytoin
SERIOUS
Medicines with composition Phenytoin: Stoin, Marantin, Notian, Phenytoin Sodium, Phenozed, Episol, Epidium, Epilog, Neptoin, C-Toin
Espram with Galantamine
SERIOUS
Medicines with composition Galantamine: Galamer
Espram with Eletriptan
SERIOUS
Medicines with composition Eletriptan: Elipran
Espram with Cyclandelate
SERIOUS
Medicines with composition Cyclandelate: Cevadil, Cyclospasmol, Cyclo
Espram with Fenoverine
SERIOUS
Medicines with composition Fenoverine: Spasmopriv
Espram with Haloperidol
SERIOUS
Medicines with composition Haloperidol: Norma, Cizonil, Zoridol, Nase, Sydol, Peridol, Depinase, Halodi, Halodil, Hapiwin
One of the following vendor pharmacies will deliver Espram Tablet: RWP, BHM, WAD, KIM, ARD, GMA, CPK, RHL, YMI, MDI, OLT, BLS, BRC, SVH, SHC, SMN, BNA, OHM, SGC, KHD, APS, FGH, RHW, CMD, HPC, SHD, PEN, GGL, BJP, NEO, AYM, JJE, ZVP, OWP, EPS, SAA, SRG, LHP, STS, ZPR, IMC, HTS, FRM, KHC, OIP, SYN, DGN, AXM, BDN, GNC, GLD, DPL, SDE, BAP, NLG, GHR, RDH, MOM, SMS, LCC, BBS, BHA, BGS, QLF, RRP, SLN, ENP, ADT, NNP, SWA, MKS, TRP, HZF, NVL, DFP, DHP, HEX, SHG, DPP, BAL, IAD, ATP, HSP, USM, VOP, ABP, GFL, SCP, VSL, ALY, PVP, DYL, MSD, ASP, TFP, BSL, PRN, ANP, DRA, VHP, ATL, BHP, AVB, KHH, DLY, PMA, WHP, BNT, MDH, SVS, XMX, PRT, MAP, NWP, UHP, PTP, RVC, MPC, TAT, BLP, MRS, DYG, SBL, 4IT, BBN, JIV, SSI, NSL, RUS, ANS, PNT, JVO, PRL, GPP, NVY, BIO, VRS, RGH, VJS, SJP, AAR, BMJ, DAO, JVN, SPF, SPD, KNH, PPR, LMS, MIP, PWN, MKT, MAX, IPP, WPL, SNG, HGI, BJR, CLT, AGT, OMV, USF, GBL, RAC, AVS, INC, MJT, SDM, JSL, DZY, SHN, AYU, AHP, MAK, BNC, 1MH, UPA, OWN, BSN, KIS, ALC, WSI, SLC, HWS, EAN, SIO, PHC, SGH, EVP, RPI, NTB, HLT, BDI, PNQ, VSC, HMP, TSS, VNS, RDR, AAY, PTI, RSS, HIP, SBA, RPP, ANT, GDA, FIP, PRC, RTL, NXG, AYN, PLT, WHL, HPP, BTM, CRN, KMC, NTL, CMC, HCP, AMH, JBT, VDH, SBN, STA, MDO, WDE, GTC, BLE, NDP, GEO, SCH, SAF, SSS, DLP, AVL, NLP, GLM, LHA, DHR, RKS, OBS, DVH, MAM, EEC, 9MM, PSF, NAS, SWP, BHS, HAT, HSM, RHS, NPH, PHN, MLC, RSA, JHC, SNH, MDN, KLC, AFT, ZEL, EQN, THP, AMR, UVD, ESY, TOM, HNP, EMB, IPL, HBV, TNH, MBP, QTM, VTR, UMP

Substitutes for Espram Tablet

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Authored by
1mg Medical Experts Team
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