Kitapram tablets

Kitapram

  • Active Ingredient: Citalopram
  • 40 mg, 20 mg
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What is Kitapram?

The active ingredient of Kitapram brand is citalopram. Citalopram is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). The molecular formula is C20H22BrFN2O and its molecular weight is 405.35. Citalopram hydrobromide occurs as a fine white to off-white powder. Citalopram hydrobromide is sparingly soluble in water and soluble in ethanol. Citalopram hydrobromide 10 mg capsules have an ivory body and yellow cap and contain citalopram hydrobromide equivalent to 10 mg citalopram base. Citalopram hydrobromide 20 mg capsules have an ivory body and pink cap and contain citalopram hydrobromide equivalent to 20 mg citalopram base. Citalopram hydrobromide 40 mg capsules have an ivory body and a green cap and contain citalopram hydrobromide equivalent to 40 mg citalopram base. The capsules also contain the following inactive ingredients: corn starch, crospovidone, edible inks, gelatin, lactose monohydrate, magnesium stearate, titanium dioxide, and yellow iron oxide. The following coloring agents are used in the yellow (10 mg) capsules: D&C Red No. 28, D&C Yellow No. 10, and FD&C Yellow No. 6. The following coloring agents are used in the pink (20 mg) capsules: D&C Red No. 28, D&C Yellow No. 10, FD&C Blue No. 1, and FD&C Red No. 40. The following coloring agents are used in the green (40 mg) capsules: D&C Yellow No. 10 and FD&C Blue No. 1.

Used for

Kitapram is used to treat diseases such as: Agitation, Anxiety and Stress, Bipolar Disorder, Body Dysmorphic Disorder, Borderline Personality Disorder, Depression, Dissociative Identity Disorder, Generalized Anxiety Disorder, Hot Flashes, Neuralgia, Obsessive Compulsive Disorder, Occipital Neuralgia, Panic Disorder, Persistent Depressive Disorder, Postpartum Depression, Premenstrual Dysphoric Disorder, Severe Mood Dysregulation, Somatoform Pain Disorder, Trichotillomania, Vulvodynia.

Side Effect

Possible side effects of Kitapram include: general body swelling; increased sweating; lack of energy; breast tenderness or enlargement or unusual secretion of milk (in females); menstrual changes; vomiting of blood or material that looks like coffee grounds.

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Q: I take Kitapram for depression. Can it make me gain weight?

A: Many antidepressants are reported to cause weight gain, especially when used for more than six months. A change in weight and appetite is one of the reported side effects of Kitapram (Celexa). A loss of appetite is listed as a serious side effect that should be reported to your doctor right away; increased hunger leading to rapid weight gain has been reported in some patients and is considered less serious. Since the effects of antidepressants vary from person to person, it's best to discuss with your doctor any specific and bothersome side effects you're experiencing. For more information, go to //www.everydayhealth.com/drugs/Kitapram. Leslie Ako-Mbo, PharmD

Other uses for this medicine

Kitapram is also sometimes used to treat eating disorders, alcoholism, panic disorder (condition that causes sudden attacks of extreme fear with no apparent cause), premenstrual dysphoric disorder (a group of physical and emotional symptoms that occur before the menstrual period each month), and social phobia (excessive anxiety about interacting with others). Talk to your doctor about the possible risks of using this medication for your condition.

This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.

Missed Dose of Kitapram

Take the missed dose as soon as you remember.

Skip the missed dose if it is almost time for your next scheduled dose. Do not double dose.

Advertencia:

Una pequeГ±a cantidad de niГ±os, adolescentes y adultos jГіvenes (de hasta 24 aГ±os de edad) que durante los estudios clГ­nicos tomaron antidepresivos (''elevadores del estado de ГЎnimo''), como Kitapram, desarrollaron tendencias suicidas (pensar en hacerse daГ±o o quitarse la vida, o planear o intentar hacerlo). Los niГ±os, adolescentes y adultos jГіvenes que toman antidepresivos para tratar la depresiГіn u otras enfermedades mentales pueden ser mГЎs propensos a desarrollar tendencias suicidas que aquellos que no toman antidepresivos para tratar dichas afecciones. Sin embargo, los expertos no saben con exactitud cuГЎl es la magnitud de este riesgo y hasta quГ© punto debe tenГ©rselo en cuenta al decidir si un niГ±o o adolescente debe tomar un antidepresivo. Normalmente, los niГ±os menores de 18 aГ±os no deben tomar Kitapram, pero en algunos casos el mГ©dico puede decidir que este es el mejor medicamento para tratar la afecciГіn del niГ±o.

Tenga en cuenta que su salud mental puede cambiar de maneras inesperadas cuando toma Kitapram u otros antidepresivos, incluso si usted es un adulto mayor de 24 aГ±os. Puede desarrollar tendencias suicidas, sobre todo al comienzo del tratamiento y cada vez que la dosis se aumente o disminuya. Usted, su familia o la persona encargada de cuidarlo deben llamar de inmediato al mГ©dico si tiene alguno de los siguientes sГ­ntomas: apariciГіn o empeoramiento de la depresiГіn, pensar en hacerse daГ±o o quitarse la vida, o planear o intentar hacerlo, preocupaciГіn extrema, agitaciГіn, ataques de pГЎnico, dificultad para dormir o para permanecer dormido, comportamiento agresivo, irritabilidad, actuar sin pensar, intranquilidad intensa y excitaciГіn frenГ©tica anormal. AsegГєrese de que sus familiares o la persona encargada de cuidarlo sepan quГ© sГ­ntomas pueden ser graves, de modo que puedan llamar al mГ©dico si usted no puede buscar tratamiento por sГ­ mismo.

Su proveedor de atenciГіn mГ©dica querrГЎ verlo con frecuencia mientras estГ© tomando Kitapram, sobre todo al principio del tratamiento. AsegГєrese de no faltar a ninguna cita en el consultorio de su mГ©dico.

Su mГ©dico o su farmacГ©utico le darГЎn la hoja del fabricante con informaciГіn para el paciente (GuГ­a del medicamento) cuando comience el tratamiento con Kitapram. Lea la informaciГіn cuidadosamente y pГ­dales a su mГ©dico o a su farmacГ©utico que le aclaren cualquier duda. TambiГ©n puede conseguir la GuГ­a del medicamento en el sitio de Internet de la FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.

Independientemente de su edad, antes de tomar un antidepresivo, usted, uno de sus padres o la persona encargada de cuidarlo deben hablar con su mГ©dico sobre los riesgos y los beneficios de tratar su afecciГіn con un antidepresivo u otros tratamientos. TambiГ©n deben hablar sobre los riesgos y los beneficios de no tratar su afecciГіn. Tenga en cuenta que ser depresivo o tener otra enfermedad mental aumenta considerablemente el riesgo de que usted desarrolle tendencias suicidas. Este riesgo es mayor si usted o algГєn familiar tienen o han tenido trastorno bipolar (cambios de estado de ГЎnimo que oscilan entre la depresiГіn y la excitaciГіn anormal) o manГ­a (estado de ГЎnimo anormalmente excitado y frenГ©tico), o han pensado en suicidarse o han intentado hacerlo. Hable con su mГ©dico sobre su afecciГіn, los sГ­ntomas y sus antecedentes mГ©dicos personales y familiares. Usted y su mГ©dico decidirГЎn quГ© tipo de tratamiento es el indicado en su caso.

Long-Term Psychological Changes from Kitapram Abuse

Some people may experience “Prozac poop-out,” a condition that occurs when an SSRI like Kitapram suddenly becomes less effective after months or years. A person may take Celexa every day, as prescribed, and respond well until suddenly one day, they do not, leading to a relapse in depression symptoms. People who experience this phenomenon can increase the dose or switch to another antidepressant with a different mechanism of action. 6

How it works

Kitapram is part of the antidepressant drug class called selective serotonin reuptake inhibitors (SSRIs). A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions. SSRIs act in your brain to increase levels of a substance called serotonin. Having more serotonin in your brain can improve symptoms of depression.

Kitapram oral tablet can cause sleepiness. It can also cause other side effects.

Interactions

See also Precautions section.

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Some products that may interact with this drug include: other drugs that can cause bleeding/bruising (including antiplatelet drugs such as clopidogrel, NSAIDs such as ibuprofen, "blood thinners" such as warfarin).

Aspirin can increase the risk of bleeding when used with this medication. However, if your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Ask your doctor or pharmacist for more details.

Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Avoid taking MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before and after treatment with this medication. Ask your doctor when to start or stop taking this medication.

The risk of serotonin syndrome/toxicity increases if you are also taking other drugs that increase serotonin. Examples include street drugs such as MDMA/"ecstasy," St. John's wort, certain antidepressants (including other SSRIs such as fluoxetine/paroxetine, SNRIs such as duloxetine/venlafaxine), tryptophan, among others. The risk of serotonin syndrome/toxicity may be more likely when you start or increase the dose of these drugs.

Tell your doctor or pharmacist if you are taking other products that cause drowsiness including alcohol, marijuana (cannabis), antihistamines (such as cetirizine, diphenhydramine), drugs for sleep or anxiety (such as alprazolam, diazepam, zolpidem), muscle relaxants, and narcotic pain relievers (such as codeine).

Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

Many drugs besides Kitapram may affect the heart rhythm (QT prolongation), including amiodarone, pimozide, procainamide, quinidine, sotalol, among others.

Kitapram is very similar to esKitapram. Do not use medications containing esKitapram while using Kitapram.

This medication may interfere with certain medical/laboratory tests (including brain scan for Parkinson's disease), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.

How much to take

Kitapram tablets come in different strengths ranging from 10mg to 40mg.

The usual dose of Kitapram is 20mg a day in adults. But it may be started at a lower dose and increased to a maximum dose of 40mg a day.

If you're over 65, or have liver problems, the maximum recommended dose is 20mg a day.

The usual dose of Kitapram in children is 10mg a day, but this may be increased to 40mg a day.

With liquid drops of Kitapram, 4 drops is equivalent to a 10mg tablet.


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