Espram Tablet


Overview

Uses of Espram Tablet
Espram Tablet is used in the treatment of depression, obsessive-compulsive disorder, phobia and post traumatic stress disorder.
Espram Tablet side effects
Common
  • 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.
Espram Tablet related warnings
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?
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.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Espram Tablet
₹7/Tablet
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Feliz-S -10 Tablet
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Expert Advice

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  • 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.

Interaction with Drugs

Taking Espram with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Diabic, Glywin
SERIOUS
Brand(s): Glunase
SERIOUS
Brand(s): Bupro
SERIOUS
Brand(s): Stoin, Marantin, Notian
SERIOUS
Brand(s): Norma, Cizonil
SERIOUS
Brand(s): Imirise, Imikon
SERIOUS
Brand(s): Euroglip, Pridex MG, Glimpee
SERIOUS
Brand(s): DLX, Dutron, Dulok
SERIOUS
Brand(s): R Zep
SERIOUS
Brand(s): Antep
SERIOUS

Patient Concerns

Questions Related to Espram

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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
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Do you have any questions related to Espram Tablet?

FAQs

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.

Related Ayurvedic Ingredients

Information last updated by Dr. Varun Gupta, MD Pharmacology on 6th Sep 2018.
Manufacturer/Marketer Address
Plot No. - 79-80, Sec- 6A, IIE, Sidcul, Haridwar, 249403
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MRP
70
10 tablets in 1 strip
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