Cipramil
Product description
Cipramil® is a medicine that contains the active ingredient citalopram in the form of citalopram hydrobromide. In addition, other auxiliary substances are processed in this product. The active substance is the serotonin reuptake inhibitor (SSRI) citalopram.
In addition to Cipramil®, the active ingredient Cipramil® can also be found in the following products:
- Citadura
- Citalich
- Citalon
- Citalopram ratiopharm
- Citalopram Hexal
- Futurile
Mode of action
In addition to citalopram hydrobromide, as with Cipramil®, the active ingredient citalopram also occurs in the following chemical forms:
- Citalopram hydrochloride
- Citalopram fumarate.
Like all drugs from the group of SSRIs (Selective Serotonin Reuptake Inhibitors), Cipramil® inhibits the reuptake of serotonin from the synaptic cleft for longer than it can act. This leads to an improvement in mood and a decrease in anxiety.
Read more on this topic: The role of serotonin / neurotransmitters in depression
commitment
Cipramil® will, as well as other connections with Citalopram, for drug therapy affective disorders prescribed. To do this, the depression, but also the bipolar disorder (Occurrence of manic and depressive phases) counted. Cipramil® works here mood lifting. However, this effect only occurs after a few weeks of regular use. Used to treat depression 20mg to 60mg daily taken. The drug must be dosed slowly (increase the dose slowly) in order to minimize the side effects.
It is also found in higher dosages Application at Obsessive-compulsive disorder and Panic disorder.
Side effects
The following side effects are common at the start of therapy:
- Dry mouth
- nausea
- Restlessness
- nervousness
- Tremble
- Palpitations
- sweat
- Sexual dysfunction and similar
These side effects improve themselves however, after a few days of intake and should not be a reason for premature discontinuation.
Cipramil® leads to a change in the Excitement at heart. The so-called QT time is prolonged. It must therefore be a before starting therapy EKG written to determine the QT time. In addition, should Cipramil®are not combined with other drugs that also prolong the QT time.
A temporary increase in the depressive symptoms partly With Suicidal ideation can under the antidepressant medication to be watched. Here, there should be a close connection to the attending physician in order to be able to intervene in good time.
A rare but life-threatening side effect is the so-called serotonin syndrome. An excess of serotonin and serotonin-like substances lead to the following symptoms:
- Pulse- and Increase in blood pressure, Feeling flu, Vomit and diarrhea, Headache, faster breathing
- Hallucinations, Impaired consciousness, Incoordination, Restlessness, Anxiety
- Tremble, Muscle spasms, epileptic seizures
If this occurs, a doctor must be consulted immediately. The patients must be closely monitored (sometimes in an intensive care unit). The causal one medication becomes discontinued and medication given to relieve symptoms.
Dependency
The active substance Citalopram® itself is not addictive. However, there is one Getting used to the body, so that abrupt withdrawal to Circulatory disorders (dizziness, nausea, Palpitations, a headache, etc.) can lead. Should the therapy with Citalopram® are stopped, it is therefore advisable to reduce the dose slowly and gradually (Sneak out).
Use in pregnancy
There is evidence that Citalopram is what the active ingredient in the product Cipramil®, as well as other drugs from the group of SSRIs the development of unborn child influence can.
So it has been observed that it is more common too Premature births and Breathing problems of Newborn has come.
However, since there is no investigation too Cipramil® to pregnant women, the effect of the drug on the patient remains fetus unsure.
