Pram - instructions for use

Modern antidepressants are used not only in psychiatry, but also in neuralgic practice. This is due to the fact that in addition to their main action, they have antipanic, anti-anxiety, sedative, analgesic and hypnotic effect. In this case, each antidepressant, these properties are manifested in different ways.

The main difference between antidepressants of the third generation, which includes "Pram", is a smaller number of side effects. At the same time in their effectiveness they are not inferior to classical antidepressants.

The active substance of "Prama" is citalopram. This compound has proven effective in the treatment of anxiety-depressive, panic and affective disorders.

INTERESTING: Yale University specialists have developed a questionnaire, the answers to which will help to understand whether citalopram will help them. The selection of an antidepressant is an important component in the treatment of neuralgic and psychiatric disorders. An analysis of the answers to the questionnaire questions will help to understand whether citalopram is suitable for patients even before it is taken.

As studies show, about 30 active chemicals are involved in the nervous system and the brain. But, only three of them "answer" for depressive states. These are dopamine, norepinephrine and serotonin.

Pram is an antidepressant of the third generation

Pram is a third generation of selective serotonin reuptake inhibitors. It follows that this drug acts only on serotonin. It is believed that by its "strength" it is inferior to first-generation drugs. But, unlike them, it has fewer side effects.

Form

This antidepressant is available in the form of white tablets. They have a biconvex form. On one blister are placed 10 tablets.

Tablets "Pram"

The active substance of this antidepressant is citalopram. One tablet may contain 10 mg, 20 mg or 40 mg of this substance.

Also included in the tablets are auxiliaries such as stearate and silica, mannitol and cellulose.

"Pram" indications for use

Stop stress

"Pram" is used to treat:

• Depressive disorders
• Panic disorder
• Obsessive-compulsive disorder

And also, for the prevention of recurrences of these diseases.

"Pram" for children

Because the safety of the use of this drug in children is not established to use it to persons under 18 years of age it is impossible.

"Pram" dosage

• Take "Pram" once a day at any time. This antidepressant can be taken before and after meals
• For the treatment of depression, the recommended dosage of this drug is 20 mg in knocking. Depending on the severity of the disease and the individual perception of treatment by the patient, the dosage can be increased to 60 mg per day
• For the treatment of panic disorders, Prama is indicated at a dosage of 10 mg of active substance per day for 7 days. Then, the dosage is increased to 20 mg. If necessary, the doctor can prescribe this antidepressant at a maximum dosage of 60 mg
• In the treatment of obsessive-compulsive disorders, the daily dose of "Pram" is 20 mg once a day. Depending on the individual peculiarity of the patient's susceptibility, the dosage can be increased threefold.
• Patients over 65 should not take this antidepressant at a dosage exceeding 40 mg of citalopram per day.

Taking antidepressants

Patients with hepatic impairment should not take more than 30 mg of citalopram inday.

INTERESTING: Experts at the University of Washington in St. Louis found that taking citalopram reduces the risk of Alzheimer's disease by 78%.This serious illness develops due to the formation of protein plaques in nerve cells. Admission of antidepressants based on citalopram significantly reduces the development of such deposits.

Treatment of depression with the help of "Pram" is a fairly long time. In order to avoid this nervous breakdown, it is necessary to take this antidepressant for six months or more. It is necessary to abolish treatment with this remedy gradually.

The course of treatment for panic disorder with this antidepressant is 3 months, and obsessive-compulsive disorder 2-4 weeks.

Side effects of

Reception "Prama" can cause dizziness, drowsiness, nervousness and other side effects of the nervous system. This antidepressant can adversely affect the work of the heart and the entire cardiovascular system as a whole. Reception "Prama" causes tachycardia, arrhythmia and orthostatic hypotension.

Antidepressant "Pram" causes frequent urination, constipation, diarrhea, flatulence, etc.

Admission of antidepressant on the respiratory system( causes rhinitis, dyspnea, etc.) and reproductive system( ejaculation, monthly cycle, etc.) is negative.

Allergic reactions in the body, loss of strength and even bleeding can activate.

IMPORTANT: FDA experts have found a negative association of antidepressants based on citalopram and bone quality. According to reputable scientists, people who take such drugs have a risk of fracture of the spine or neck of the hip twice compared to those who do not take such antidepressants.

Reception "Prama" is possible only according to the doctor's prescription.

"Pram" contraindications

You can not take this antidepressant at the same time as Sumatrapine, Pimozide, and hypersensitivity to citalopram.

With caution, you can take "Pram" with convulsive disorders, during pregnancy and lactation.

Life without depression

Cipramil or Tsepralex

These drugs have almost the same composition. Therefore, their effectiveness will depend on the dosage and duration of the course of admission. They are very close in action. But, these antidepressants are branded, so expensive. In contrast, "Pram" is much cheaper. But, its effect is almost inferior to the known tablets.

Analogues of "Pram"

"Citol". This citalopram-based drug is used to treat various forms of depressive disorders. Produced by the Turkish pharmaceutical company ABDI IBRAHIM.

• Dosage: 20 - 60 mg per day. Course: determined by the attending physician

"Pandep". Another antidepressant based on citalopram for the treatment of depression and other psychiatric and neuropathic disorders. Produced by the Turkish company Nobel Pharma.

• Dosage: 20 mg-60 mg per day. Course: 4 weeks - 6 months( depending on the disorder)

"Sedopram". Antidepressant for the treatment of panic disorders and obsessive-compulsive disorder. It is produced by the Egyptian pharmaceutical company SEDICO South Egypt Drug Industries.

• Dosage: Take one tablet once a day. Course: 1-2 weeks

Oprah. Antidepressant based on citalopram. It is used for the treatment of mental and neuralgic disorders. Produced by the Icelandic pharmaceutical company Aktavis.

• Dosage: Take one to two tablets once a day. Course: 2-4 weeks.

Cipramil

Cipramil. Antidepressant used to reduce serotonin levels. Active substance: Citalopram. Produced by the Danish pharmaceutical company Lundbek.

• Dosage: Take one tablet once a day. Course: 2 weeks

"Pram": Tips and Feedback

Ludmila. Excellent remedy for getting rid of problems with the nervous system. Side effects of reception "Pram" I did not call. My ex-husband, an alcoholic, constantly subjected me to stresses. It even came to the point that I wanted to put my hands on myself. I accept more than 3 years. True, recently it was very difficult to find it.

Zoe. If I feel that my nerves are running wild, I start taking "Pram".It acts gently, raises the mood and, most importantly, does not cause drowsiness. Unlike analogues, it does not cause insomnia. Which is very important for me. Long struggled for his healthy sleep.

Video. How do antidepressants work?