FELIZ 10MG TABLET

₹40.00
Out of stock
SKU
FEL0003
 
Manufacturer : TOR-TORRENT PHARMA LTD
Composition : CITALOPRAM-100MG
Dose Form : TABLET
Description : FELIZ 10MG TAB
Route Of Administration : ORAL
Pack : 10
Drug Ingredient Information
CITALOPRAM-100MG

CITALOPRAM

Information for patients
Drug Information Citalopram contains citalopram and is used for the treatment of depression and, when you feel better, to help prevent these symptoms recurring. Citalopram is also used for long-term treatment to prevent the occurrence of new episodes of depression or if you have recurrent depression.Citalopram is also beneficial in relieving symptoms if you tend to suffer from panic attacks Citalopram is a Selective Serotonin Reuptake Inhibitor (SSRI) and belongs to a group of medicines known as antidepressants.These medicines help to correct certain chemical imbalances in the brain that are causing the symptoms of your illness.
Drug Alert
Alert If you are allergic (hypersensitive) to citalopram.Consult your doctor if you think you might be. If you are also taking a medicine containing pimozide. Talk to your doctor. At the same time as taking medication known as monoamine oxidase inhibitors (MAOIs). MAOIs include medicines such as phenelzine, iproniazid, isocarboxazid, nialamide, tranylcypromine and moclobemide (used for the treatment of depression), selegiline (used in the treatment of Parkinson’s disease) and linezolid (an antibiotic). Even if you have finished taking one of the following MAOIs: phenelzine, iproniazid, isocarboxazid, nialamide or tranylcypromine you will need to wait 2 weeks before you start taking Citalopram. One day must elapse after you have finished taking moclobemide. After stopping Citalopram you must allow 1 week before taking any MAOI.
Before Consuming the Medicine
Avoid Drug If you are allergic (hypersensitive) to citalopram.Consult your doctor if you think you might be. If you are also taking a medicine containing pimozide. Talk to your doctor. At the same time as taking medication known as monoamine oxidase inhibitors (MAOIs). MAOIs include medicines such as phenelzine, iproniazid, isocarboxazid, nialamide, tranylcypromine and moclobemide (used for the treatment of depression), selegiline (used in the treatment of Parkinson’s disease) and linezolid (an antibiotic). Even if you have finished taking one of the following MAOIs: phenelzine, iproniazid, isocarboxazid, nialamide or tranylcypromine you will need to wait 2 weeks before you start taking Citalopram. One day must elapse after you have finished taking moclobemide. After stopping Citalopram you must allow 1 week before taking any MAOI.
Drug Special Care Please tell your doctor if you have any medical problems, especially if you have: Liver disease Kidney disease Diabetes (you may need an adjustment of your antidiabetic therapy) Epilepsy or a history of seizures or fits If you are receiving electroconvulsive treatment A bleeding disorder or have ever suffered from bleeding in the stomach or intestine Mania or panic disorder Low blood levels of sodium ECT (electroconvulsive therapy) Problems with your eyes, such as certain kinds of glaucoma Please consult your doctor, even if these statements were applicable to you at any time in the past. Some patients with manic-depressive illness may enter into a manic phase. This is characterized by unusual and rapidly changing ideas, inappropriate happiness and excessive physical activity. If you experience this, contact your doctor.Symptoms such as restlessness or difficulty in sitting or standing still can also occur during the first weeks of the treatment. Tell your doctor immediately if you experience these symptoms. Special information relating to your disease As with other medicines used to treat depression or related diseases, the improvement is not achieved immediately. After the start of Citalopram treatment it may take several weeks before you experience any improvement. In the beginning of the treatment certain patients may experience increased anxiety, which will disappear during continued treatment. Therefore, it is very important that you follow exactly your doctor’s orders and do not stop the treatment or change the dose without consulting your doctor. Thoughts of suicide and worsening of your depression or anxiety disorder If you are depressed and/or have anxiety disorders you can sometimes have thoughts of harming or killing yourself. These may be increased when first starting antidepressants, since these medicines all take time to work, usually about two weeks but sometimes longer. You may be more likely to think like this: If you have previously had thoughts about killing or harming yourself. If you are a young adult. Information from clinical trials has shown an increased risk of suicidal behaviour in adults aged less than 25 years with psychiatric conditions who were treated with an antidepressant. If you have thoughts of harming or killing yourself at any time, contact your doctor or go to a hospital straight away. You may find it helpful to tell a relative or close friend that you are depressed or have an anxiety disorder, and ask them to read this leaflet. You might ask them to tell you if they think your depression or anxiety is getting worse, or if they are worried about changes in your behaviour. Use in children and adolescents under 18 years of age Citalopram should normally not be used for children and adolescents under 18 years. Also, you should know that patients under 18 have an increased risk of side-effects such as suicide attempt, suicidal thoughts and hostility (predominantly aggression, oppositional behaviour and anger) when they take this class of medicines. Despite this, your doctor may prescribe citalopram for patients under 18 because he/she decides that this is in their best interests. If your doctor has prescribed Citalopram for a patient under 18 and you want to discuss this, please go back to your doctor. You should inform your doctor if any of the symptoms listed above develop or worsen when patients under 18 are taking Citalopram. Also, the long-term safety effects concerning growth, maturation and cognitive and behavioural development of Citalopram in this age group have not yet been demonstrated.
Drug Drug Interactions Medicines may affect the action of other medicines and this can sometimes cause serious adverse reactions.Please tell your doctor or pharmacist if you are taking or have taken any other medicines (including those purchased without prescription) during the last 14 days. This includes other medicines for depression.The herbal remedy St John''''s wort (Hypericum perforatum). This should not be taken at the same time as Citalopram.Monoamine oxidase inhibitors (MAOIs). These should not be taken at the same time as Citalopram Linezolid (an antibiotic). Sumatriptan (used to treat migraine) or tramadol (a pain killer). If you feel unwell when using these medicines with Citalopram you should see your doctor. Lithium (used to prevent and treat mania) and tryptophan (an anti-depressant) Pimozide (a neuroleptic). This should not be taken at the same time as Citalopram. Imipramine and desipramine (used to treat depression). Medicines containing selegiline (used to treat Parkinson’s disease) Cimetidine (used to treat stomach ulcers). Mefloquine (used to treat malaria). Bupropion (used to treat depression). Medicines known to affect the blood platelets (e.g. anticoagulant drugs used to treat or prevent blood clots; aspirin and non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and diclofenac used as painkillers and some antipsychotic drugs and tricyclic antidepressants). Metoprolol, a beta blocker used to treat migraine, some heart conditions and high blood pressure. The effects of either drug could be increased, decreased or altered. Neuroleptics (used in the treatment of schizophrenia).
Drug Pregnancy Interaction Ask your doctor or pharmacist for advice before taking any medicine. If you are pregnant, think you might be pregnant, or are trying to become pregnant, tell your doctor. Do not take Citalopram if you are pregnant unless you and your doctor have discussed the risks and benefits involved. Make sure your midwife and/or doctor know you are on Citalopram. When taken during pregnancy, particularly in the last 3 months of pregnancy, medicines like Citalopram may increase the risk of a serious condition in babies, called persistent pulmonary hypertension of the newborn (PPHN), making the baby breathe faster and appear bluish. These symptoms usually begin during the first 24 hours after the baby is born. If this happens to your baby you should contact your midwife and/or doctor immediately. Also, if you take Citalopram during the last 3 months of your pregnancy and until the date of birth you should be aware that the following effects may be seen in your newborn: fits, being too hot or cold, feeding difficulties, vomiting, low blood sugar, stiff or floppy muscles, overactive reflexes, tremor, jitteriness, irritability, lethargy, constant crying, sleepiness or sleeping difficulties. If your newborn baby gets any of these symptoms please contact your midwife and/or doctor immediately.
Drug Breast feeding Interaction Ask your doctor or pharmacist for advice before taking any medicine.If you are breast-feeding, ask your doctor for advice. You should not breast-feed your baby when taking Citalopram because small amounts of the medicine can pass into the breast milk.
Drug Machinery Interaction Citalopram does not usually affect the ability to carry out normal daily activities. However, if you feel dizzy or sleepy when you start to take this medicine, you should be careful when driving, operating machinery or performing jobs that need you to be alert until these effects wear off..
Drug More Information Citalopram can be taken with or without food. As with all antidepressants, it is sensible to avoid drinking alcohol whilst receiving treatment although Citalopram has not been shown to increase the effects of alcohol
How to take the Medicine
Consumption Info Patients with special risks Patients with liver problems should not receive more than 24 mg per day (12 ).If you have previously taken Citalopram tablets, you will find that the dose of your medicine in mg given as is a bit lower than that of tablets. This is because your body more easily absorbs the than the tablets, so you do not need as many mg to have the same effect.The doses of tablets correspond to doses of as follows: Tablets 10 mg 8 mg (4 ) 20 mg 16 mg (8 ) 30 mg 24 mg (12 ) 40 mg 32 mg (16 ) 60 mg 48 mg (24 )
Drug quanitty It is important to take your as instructed by your doctor. The label will tell you how many to take and how often. If it does not, or you are not sure, ask your doctor or pharmacist. Adults Depression The usual dose is 16 mg per day (8 ). This may be increased by your doctor to a maximum of 48 mg per day (24 ). Panic disorder The starting dose is 8 mg per day (4 ) for the first week before increasing the dose to between 16 –24mg per day (8 to 12 ). The dose may be increased by your doctor to a maximum of 48 mg per day (24 ). Elderly patients (above 65 years of age) The usual dose is 16 mg per day (8 ). This may be increased by your doctor to a maximum of 32 mg per day (16 ). Children and adolescents (< 18 years) Citalopram should not be given to children or adolescents under 18 years of age. For further information
Drug Dose Like other medicines for depression and panic disorder these may take a few weeks before you feel any improvement. Continue to take Citalopram even if it takes some time before you feel any improvement in your condition.The duration of treatment is individual, usually at least 6 months. Continue to take the for as long as your doctor recommends. Do not stop taking them even if you begin to feel better, unless you are told to do so by your doctor. The underlying illness may persist for a long time and if you stop your treatment too soon your symptoms may return. Patients who have recurrent depression benefit from continued treatment, sometimes for several years, to prevent the occurrence of new depressive episodes. Never change the dose of the medicine without talking to your doctor first. The are for oral use and can be taken in a drink of water, or orange or apple juice.Citalopram is taken every day as one dose at any time of the day
Excess Drug Consumption If you think that you or anyone else may have taken too many Citalopram , contact your doctor or nearest hospital emergency department immediately. Do this even if there are no signs of discomfort or poisoning. Take the Citalopram box/container with you if you go to a doctor or hospital. Some of the signs of an overdosage could be life-threatening. Symptoms of overdosage may include: Irregular heart beat Seizures Changes in heart rhythm Feeling sick (nausea) Vomiting Sweating Drowsiness Unconsciousness Fast heart beats Tremor Changes in blood pressure Serotonin syndrome (see Section 4) Agitation Dizziness Enlarged eye pupils Bluish skin Breathing too quickly
Forgot Drug Consumption If you forget to take a dose, take the next dose at the usual time. Do not take a double dose.
Stop Drug Consumption Stopping this medicine quickly may cause symptoms such as dizziness, nausea and numbness or tingling in hands or feet, sleep disturbances (vivid dreams, nightmares, inability to sleep), feeling anxious, headaches, feeling or being sick, sweating, feeling restless or agitated, tremor, feeling confused or disorientated, feeling emotional or irritable, diarrhoea (loose stools), visual disturbances, fluttering or pounding heartbeat (palpitations). These are usually non-serious and disappear within a few days. When you have completed your course of treatment, the dose of Citalopram is usually reduced gradually over a couple of weeks.
Possible Side Effects
General Information •Sleepiness •Difficulty in sleeping •Increased sweating •Dry mouth (a dry mouth increases the risk of tooth decay, so be sure to clean your teeth more often that usual) Feeling sick (nausea)
Common Drug Side Effects Lack of appetite Agitation Decreased sex drive Anxiety Nervousness Confusion Abnormal dreams Tremor Tingling or numbness in the hands or feet Ringing in the ears (tinnitus) Yawning Diarrhoea Vomiting Constipation Itching Pain in muscles and joints For men, problems with ejaculation and erection For females, failing to reach an orgasm Tiredness, Prickling of the skin Loss of weight Uncommon (likely to affect up to 1 in every 100 people) Bruising easily Increased appetite Aggression Reduced emotions, indifference Hallucinations Mania Fainting Large pupils (the dark centre of the eye) Fast heart beat Slow heart beat Nettle rash Loss of hair Rash Sensitivity to sunlight Difficulties urinating Vaginal bleeding Swelling of the arms or legs Increased weight Rare (likely to affect up to 1 in every 1000 people) Convulsions Involuntary movements Taste disturbances Bleeding Hepatitis Some patient have reported (frequency not known) Thoughts of harming or killing themselves An increase in bleeding or bruising caused by a decrease in blood platelets Rash (hypersensitivity) Low potassium levels in the blood (hypokalaemia), which can cause muscle weakness, twitching or abnormal heart rhythms Panic attack Grinding teeth Restlessness Unusual muscle movements or stiffness Involuntary movements of the muscles (akathisia) Low blood pressure Nosebleed Bleeding disorders including skin and mucosal bleeding (ecchymosis) Sudden swelling of skin or mucosa In men, painful erections.Flow of breast milk in men or in women who are not breast-feeding (galactorrhoea) Abnormal liver function tests An increased risk of bone fractures has been observed in patients taking this type of medicines SSRIs can, very rarely, increase the risk of bleeding, including stomach or intestinal bleeding. Let your doctor know if you vomit blood or develop black or blood stained stools. Also let your doctor know if you continue to have other symptoms associated with your depression. This might include hallucinations, anxiety, mania or confusion. Any side effects that do occur will usually disappear after a few days. If they are troublesome or persistent, or if you develop any other unusual side effects while taking Citalopram, please tell your doctor.
Rare Drug Side Effects
Very Rare Drug Side Effects
Drug Side Effects Symptoms Stop taking Citalopram and seek medical advice immediately if you have any of the following allergic reactions: Difficulty in breathing. Swelling of the face, lips, tongue or throat that causes difficulty in swallowing or breathing. Severe itching of the skin (with raised lumps). Tiredness, confusion and twitching of your muscles. These may be signs of a low blood level of sodium. If you notice any of the following you should contact your doctor immediately as your dose may need to be reduced or stopped: You start having fits for the first time or fits that you have suffered from in the past before become more frequent. Your behaviour changes because you feel elated or over excited. You experience high fever, agitation, confusion, and trembling or abrupt contractions of muscles. These may be signs of a rare condition called serotonin syndrome. If you have thoughts of harming or killing yourself at any time, contact your doctor or go to a hospital straight away.
How to Store the Medicine
How to Store the Medicine Always keep medicines out of reach and sight of children.After breaking the seal for the first time, the can be used for 16 weeks if stored below 25°C (room temperature) .There is an expiry date on the label. Do not use the medicine after this date. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

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