Citapram (20 mg) | ঔষধের দাম ও নির্দেশিকা

ব্যবহার

Citalopram is indicated for- Depressive illness Panic disorder

ফার্মাকোলজি

Citalopram is bicyclic phthalane derivative and a selective serotonin re-uptake inhibitor, with little or no effect on noradrenaline, dopamine and GABA re-uptake. The inhibitory activity explains the antidepressant property of citalopram. It has no or very low affinity for 5-HT1AA, 5-HT2A, D1 and D2 receptors, α1, α2, β-adrenergic, histamine H1, muscarinic, cholinergic, benzodiazepine and opioid receptors.

সেবনবিধি

Depressive illness: Adult: 20 mg daily as a single dose in the morning or evening increased if necessary to max. 60 mg daily Elderly: Max 40 mg daily. Child: Not recommended. Panic disorder: Adult: Initially 10 mg daily increased to 20 mg after 7 days, usual dose 20-30 mg daily; max. 60 mg daily Elderly: Max 40 mg daily Child: Not recommended.

পার্শ্বপ্রতিক্রিয়া

Palpitation, postural hypotension, coughing, yawning, confusion, impaired concentration, amnesia, migraine, taste disturbance, increased salivation, rhinitis, tinnitus, micturition disorders.

সতর্কতা

Citalopram should be used with caution in patients with epilepsy, concurrent electroconvulsive therapy, history of mania, cardiac disease, diabetes mellitus, angle-closure glaucoma, history of bleeding disorders, hepatic and renal impairment, pregnancy and breast feeding.

গর্ভাবস্থায় ও স্তন্যদানকালে ব্যবহার

Pregnancy: There are on adequate and well-controlled studies in pregnant women; therefore, Citalopram should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.Lactation: Citalopram is excreted in human breast milk. So, the decision whether to continue or discontinue either nursing or Citalopram therapy should take into account the risks of Citalopram exposure for the infants and the benefits of Citalopram treatment for the mother.

মাত্রাতিরিক্ত ব্যবহার

Doses as high as 2000 mg have been taken without signs of alternation in cardiovascular parameters. Respiratory depression, convulsion may occur.

সংরক্ষণ

Keep below 30°C temperature, away from light & moisture. Keep out of the reach of children.

বিকল্প ওষুধ

Citapram 20 mg Tablet

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