"Cipramil": instructions for use, price, analogs, side effects and reviews about the drug

"Cipramil" is a known antidepressant, which is a selective inhibitor of re-uptake of serotonin. It is used to treat depressive conditions, panic attacks and obsessive-compulsive disorders. In what cases is the drug "Citrimil" prescribed? Instructions for use, price and possible contraindications are discussed in this article. Also, we will tell you whether it is possible to take this medicine to pregnant and lactating women.

Composition and form of release

"Cipramil" is released in the form of white tablets, coated with a film shell, labeled "C" and "N".

The active substance is citalopram hydrobromide. Among the auxiliary components are the following: glycerin (85%), magnesium stearate, lactose monohydrate, copovidone, etc. The shell consists of macrogol 400, titanium dioxide, hypromellose 5.

The drug is sold in blisters for 14 tablets, which are in a cardboard package.

pharmachologic effect

The drug "Cipramil", reviews of real patients about which are presented below in this article, is a very effective antidepressant. The medication is not distinguished by the ability to bind to receptors. According to the instructions, it inhibits cytochrome P450IID6, so it does not interact with other drugs that are directly metabolized by the enzyme.

The drug does not affect the work of the conduction system of the heart, blood pressure, liver function, and hematological parameters. The declared antidepressant effect manifests itself after 2-4 weeks of systematic use. The use of medication on a regular basis does not entail an increase in the weight of the patient.

After oral administration, the bioavailability of the active ingredient is about 80%. Its maximum concentration in the blood is reached in about 2-4 hours from the time of admission. The active substance of the drug is excreted together with feces and urine.

Indications for use

In what cases do they designate Cipramil? Instructions for use say that this drug is particularly effective in long-term depression and panic attacks. In addition, it is recommended to patients to eliminate feelings of unreasonable anxiety and so-called agoraphobia. In some cases, the medication is prescribed for obsessive-compulsive disorders.

Contraindications

Who is categorically contraindicated in "Cipramil"? The instruction for the use of the medicinal product indicates that the medicament should not be taken to patients with increased sensitivity to one or more of the components included in its composition. In addition, during pregnancy and lactation it is better not to use it. The use of medication is possible only on the advice of a doctor.

The drug "Cipramil": instructions for use

Therapy is prescribed by a specialist individually.

With depression, the daily dose of "Cipramil" is 20 mg, taken once a day. According to the doctor's recommendations, based on the characteristics of the disease, in some cases it is increased to 60 mg. Usually, after two weeks of treatment, the expected antidepressant effect begins to appear, but this does not mean that therapy should be discontinued. To prevent the relapse of relapse, it continues for six months.

If a patient is worried about panic attacks, many doctors also prescribe "Cipramil". Instructions for the use of a tablet medication states that as early as the third month of therapy, the desired effect can be expected. Patients in the first week of treatment are usually prescribed 10 mg of medication once a day, and in the second week - 20 mg. This dosage remains unchanged until the end of the course of therapy.

Daily norms can vary depending on the age of the patient, his general condition and the nature of the nervous pathology. For example, individuals with renal insufficiency, "Cipramil" should be taken in smaller amounts (not more than 30 mg per day).

Overdose and side effects

As already noted above, only by the recommendations of a doctor you can take Tsipramil. Side effects, negative feedbacks clearly demonstrate that using a medication while self-medication can significantly impair the quality of life and the patient's condition.

When using "Cipramil" in an increased dosage, the following symptoms may appear: drowsiness, tachycardia, increased sweating, cyanosis, vomiting. Proceeding from the fact that there is no specific antidote at present, treatment of such a condition should be symptomatic. After taking the tablets, the patient urgently needs to rinse, give activated charcoal and immediately seek qualified help.

Pregnancy and lactation

The safety of the drug during lactation or during pregnancy is not established. The use of "Cipramil" is justified only if the potential benefit of therapy for a woman significantly exceeds the likely risk for the fetus inside the womb or newborn.

According to the results of experimental studies, there was no teratogenic effect or negative impact on the reproductive capacity of the female body.

Drug Interactions

How does it manifest itself with other medicines Cipramil? Side effects, reviews of a negative nature with the chemical incompatibility of this drug were not noticed. Combination with MAO inhibitors can trigger symptoms of hypertensive crisis.

Experts warn that simultaneous use of medicines and drinking alcohol is not recommended. Pharmacodynamic interaction between cardiotropic agents and this antidepressant was not revealed.

special instructions

The experience of treating women in the situation with this drug is very limited, so it is better to refuse it if possible. With special care, it is necessary to take medication to people who are constantly behind the wheel of a car, or their direct work activity is related to the maintenance of precise mechanisms.

On the other hand, the activity of the drug in the body does not affect the intellectual function and psychomotor reactions. However, it is extremely important to keep in mind that in patients with diagnosed depression, there is often a decrease in the ability to constant concentration of attention. This can be exacerbated by the use of psychotropic medications.

All patients without exception receiving antidepressant therapy require constant medical supervision. Particular attention should be paid to patients at the beginning of the course of treatment, when the likelihood of suicidal tendencies increases.

The drug "Citrimil": analogues and prices in pharmacies

The analogues of this medication are the following: "Oropram", "Citalon", "Citol". All medicines have their own characteristics, contraindications and methods of application. That is why it is important before consulting their doctor.

How much is Citrapyl? The price in pharmacies for this drug may vary. On average, you will have to pay about 900 rubles for the pill. The final cost usually depends on the mark-up of the pharmaceutical company.

Reviews of real people

Is Cipramil really effective? Reviews about this drug are most ambiguous, but in most cases they are positive.

According to many patients, "Cipramil" is a very "serious" medicine. The expected result usually does not come immediately, however much it would be desirable. His reception usually lasts for months. Patients are warned in advance that the effect can be expected no earlier than 2-3 months after initiation of therapy. The standard course of treatment is six months. During this period, patients have a visible improvement in their condition. Moreover, some people note a complete restoration of health.

It should be noted that the drug is characterized by the addictive effect. It is recommended to cancel it gradually to avoid relapses. The prognosis for treatment is favorable only if the medicine is prescribed by a competent specialist. Do not resort to medication just because of "sudden depression." The thing is that his systemic influences and the difficulty in selecting the right dosage can aggravate the condition.

Storage conditions and deadlines

How much can you store "Cipramil"? The instruction to this medicine indicates that the drug should be stored in places inaccessible to children's hands, which are protected from sunlight. Shelf life is five years.