Sepram
Sepram is an antidepressant that helps increase serotonin in the brain to treat depression, panic disorder, and prevent their recurrence.
How to Use
Dosage
Your doctor will tell you the exact dose. For depression, it's usually 20 mg once a day. For panic disorder, it starts at 10 mg and increases to 20-30 mg daily. Elderly patients usually take 10-20 mg per day.
Method
Take one tablet once a day with water. You can take it with or without food. Do not chew the tablets as they taste bitter.
The maximum daily dose for adults is 40 mg. For elderly patients and those with liver problems, the maximum is 20 mg per day.
Possible Side Effects
- •Feeling sleepy
- •Trouble sleeping
- •Headache
- •Sweating more than usual
- •Dry mouth
- •Feeling sick to your stomach (nausea)
- •Feeling agitated
- •Lower sex drive
- •Feeling anxious
- •Shaking
- •Feeling dizzy
- •Loose stools (diarrhea)
- •Throwing up (vomiting)
- •Constipation
- •Itchy skin
- •Muscle and joint pain
- •Feeling tired
- •Men may have problems with ejaculation and erections
- •Women may have difficulty reaching orgasm
- •Severe seizures
- •Uncontrolled movements
- •Changes in taste
- •Bleeding
- •Liver inflammation
- •Fever
Important Warnings
- Do not take if you are allergic to citalopram or any other ingredients in Sepram.
- Do not take if you are taking other medicines called MAO inhibitors (like moclobemide, selegiline, or linezolid).
- Do not take if you have an abnormal heart rhythm or if you are taking medicines for heart rhythm problems.
- Seek medical help right away if you get a high fever, feel restless, confused, have tremors, or sudden muscle jerks. These could be signs of a rare but serious condition called serotonin syndrome.
- If you have thoughts of harming yourself or taking your own life, contact a doctor or go to a hospital right away. These thoughts can increase when starting antidepressant treatment.
Show 1 more warnings
- If you have bipolar disorder, this medicine might cause a manic episode with unusual thoughts and extreme happiness or energy. Contact your doctor if this happens.
Use in Elderly Patients
Suitable for older adults, with specific precautions. Serotonergic. Risk of QT prolongation. A significant adverse effect is low serum sodium level. Increases risk of falls. Consider potential interactions especially with preparations that increase risk of bleeding. (updated 12.2.2024)