Antidepressa. 20 mg. 30 tablets
Antidepressa. 20 mg. 30 tablets
What Antidepressa and what it is used?
Antidepressa belong to the group of antidepressants relieve symptoms of depression (mood swings).
Antidepressa also is beneficial in relieving symptoms in patients prone to developing panic disorder and agoraphobia.
2. Before you take Antidepressa Do not take Antidepressa:
• If you are allergic to citalopram or any of the ingredients; (see "What is in your medicine?")
• If you are taking medicines containing the active substance somatropin or tramadol;
• If you suffer from uncontrollable epilepsy;
• If you are taking both antidepressants from the group of MAOIs (monoamine oxidase inhibitors);
• If you are taking a drug called selegiline (a selective MAO inhibitor);
• If you are taking a drug called Moclobemide (must pass at least one full day between stopping one treatment and starting treatment with Antidepressa);
• If you have serious liver or kidney disease
After the treatment with MAOIs, then rest 2 weeks before starting treatment with Antidepressa.
If you are currently taking Antidepressa, do a one-week break before starting treatment with MAOIs.
Tell your doctor before you start taking Antidepressa is the following cases:
• If you have diabetes, as your doctor may need to adjust the dose according to ongoing treatment for diabetes.
• Do you have an intolerance to some sugars.
• If you suffer from epilepsy and have appointed treatment for her.
• If you are on an electric & scalp treatment for depression.
• If you suffer from bipolar disorder
• If you are taking drugs known as neuroleptics (used to treat schizophrenia).
• If you are ultrasonography, as taking Antidepressa can affect the outcome of such tests.
Take Antidepressa with caution if:
• taking medicines that may affect blood clotting function or receiving treatment for dysfunction of the blood because Antidepressa can increase the risk of a hemorrhage.
• You recently started treatment with Antidepressa for depression. In some cases there is an increased risk of suicidal ideation, which intensified during the first two weeks of treatment, but resolved after the improvement of the condition.
Pregnancy and lactation:
Are you pregnant, you trying to become pregnant or are you? If so, discuss the risks and benefits with your doctor before you start taking Antidepressa. ''; 3Bremennite women should not take Antidepressa, and mothers should not breastfeed their babies while taking this lekarstvo.Obshtoto condition of your newborn baby may be affected by the use of this group of drugs (antidepressants). Therefore not should not take Antidepressa, especially in the last three months of pregnancy.
Effects on ability to drive and use machines:
There was no definite relation between the intake of Antidepressa and performing daily activities. You must be careful when driving, operating machinery, or performing activities that require vigilance.
Taking other medicines:
Please tell your doctor if you are taking any of the following medications:
• Phenothiazines (e.g. chlorpromazine, thioridazine and Fluphenazine);
• Tricyclic antidepressants (imipramine) and sedatives (eg Diazepam, chlordiazepoxide and oxazepam) - inhibit platelet function and increase the risk of abnormal bleeding.
• Aspirin and nonsteroidal anti-inflammatory drugs (indomethacin, diclofenac) - slightly increased risk of abnormal bleeding.
• Lithium and other nonsteroidal anti-inflammatory drugs from the group of tryptophan (sometimes prescribed for patients with depression or patients prone to manic disorders). If you develop a fever and sudden twitching of muscles, if you feel agitated and confused, you should see your doctor immediately.
• Selegiline (a selective MAO-B inhibitor, used for treating Parkinson's disease); the dose of selegiline should not exceed 10 mg / day
• Metoprolol (used for high blood pressure and / or heart disease); levels of metoprolol in the blood are increased, but no indications were registered of the increased effect or increased side effects.
• Sumatriptan and similar drugs (used to treat migraine headache); risk of adverse effects; If you experience any unusual symptoms when taking this combination should see your doctor
• Cimetidine, when used at high doses (used to treat stomach ulcers); levels of Antidepressa in the blood can rise, but not an increase in adverse events.
• Ketoconazole (used for the treatment of infections caused by fungi);
• St. John's wort (Hypericum perforatum) - can occur interactions between Antidepressa and this herbal product which would enhance the appearance of adverse reaktsii.Ne is advisable to take Antidepressa in combination with alcohol. Inform your doctor about all the medicines you are taking or have recently taken, including those obtained without retsepta.3. How to take Antidepressa? Follow your doctor. Always consult your pharmacist if you have questions or ambiguities concerning the adoption of drug tablets should not be chewed, but swallowed whole with a little water.
Dosage and method of administration
Antidepressa must be administered orally in a single daily dose of 20 mg to 60 mg daily, taken in the morning or evening. Treatment of panic razstroystvoPrez first week is recommended single dose of 10 mg, which can then be increased to 20 mg per day. The dose can be further increased up to a maximum of 60 mg / day depending on the individual patient response.
Elderly (> 65 years)
In elderly patients the usual dose is 20 to 40 mg daily.
Use in children:
Not recommended adoption of Antidepressa.
Patients with impaired hepatic function:
The usual dose is not more than 30 mg per day.
Patients with reduced renal function:
In patients with mild to moderate renal insufficiency adjustment is required dozata.Vsichki the above dosages are only recommended, your doctor can prescribe a dose other than described, especially if you are taking Antidepressa for the first time.
If you forget to take a dose of Antidepressa:
If you forget to take Antidepressa, do not worry! Do not take the missed tablet - take the next dose at its regular time and return to your prescribed regimen.
Side effects when stopping treatment with Antidepressa:
When treatment is discontinued abruptly sometimes undesirable effects. The most common symptoms are nausea, headache, anxiety and dizziness. Therefore, treatment should not be stopped suddenly but gradually, within determined by a physician.
Adverse reactions subside quickly.
What should you do if you take Antidepressa in large quantities?
If you take more tablets than prescribed for you immediately contact the nearest hospital casualty department or your doctor. If you decide to go to the hospital ward take the pack with Antidepressa Vas.Simptomite of overdose may include nausea (feeling of weakness) vomiting sweating drowsiness bluish skin seizures unconscious, increased heart rate, tremor
What side effects may occur while taking Antidepressa?
Antidepressa, like any other medication, can cause side reaktsii.Serioznite side effects associated with Antidepressa are usually transient and without serious consequences. They usually occur within the first two weeks of treatment and resolved after the improvement of the condition.
While taking this medication may experience any of the following side effects:
• increased sweating, headache, fatigue, tremors and dizziness, especially during the first two weeks of treatment;
• Palpitations (irregular heartbeat or severe);
• Sleep disturbances, anxiety and nervousness;
• nausea, feeling of dry mouth, constipation or diarrhea;
• Visual disturbances and generalized weakness.
• Malaise, general feeling of apathy;
• Anxiety, confusion, impaired concentration, increased dreaming, memory loss;
• Impotence, ejaculation disturbances;
• Increased salivation, rhinitis, changes in taste buds;
• Changes in body mass and / or changes in appetite;
• Indigestion, vomiting, abdominal pain and swelling;
• Skin rash, itching, numbness;
• Increased heart rate, flushing, fainting (especially after a sharp standing);
• Problems with urination or excessive urination.
• Convulsions, especially in patsenti epilepsy;
• Pain in the muscles;
• Tinnitus (ringing in the ears);
• Mania, a sense of excitement and euphoria;
• Treskavost, cough;
• Increased sexual desire.
Other side effects:
Patients with a tendency to develop panic disorders may notice a temporary increase in anxiety after treatment initiation. This usually disappears after the first two weeks of treatment.
The following adverse reactions have been observed, but extremely rare:
• Body as a whole: acute allergic reactions, including shortness of breath;
• Digestive system: Low levels of sodium in the blood, changes in the secretion of ADH hormone;
• Musculoskeletal system: Muscle and joint pain;
• Hepatic System: Increased test results on liver function;
• Skin and Appendages: angioedema (swelling beneath the skin); ecchymosis (hemorrhagic spots)
• Nervous system: Serotonin syndrome (a condition caused by excessive levels of serotonin in the brain - symptoms include confusion, agitation, anxiety);
• Reproductive System: Continuous release of milk from the mammary glands;
• Brain activity: delusional, hyperactivity, panic disorders.
Tell your doctor about these and other emerging at you side effects!
Special precautions for storage:
Keep out of reach of children!
Do not store above 25 ° C.
It should not be used after the expiry date stated on the packaging.
Shelf life - 2 years from date of manufacture.