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 -alert, sedative, analgesic and hypnotic effect. Moreover, for each antidepressant, these properties are manifested in different ways.
Content
The main difference between antidepressants of the third pout, which belongs to Pram, is less side effects. Moreover, in their effectiveness they are not inferior to classic antidepressants.
The acting substance "Prama" is a citralopram. This compound proven its effectiveness in therapy of anxious-depressive, panic and affective disorders.
Interesting: Yale University experts have developed a questionnaire, the answers to which will help to understand whether they will help them quote. The selection of antidepressant is an important component in the treatment of neuralgic and mental disorders. An analysis of answers to the questionnaire questions will help to understand whether citizens are suitable for citizens even before taking it.
As studies show, about 30 active chemicals are involved in the functioning of the nervous system and brain. But, only three of them are “responsible” for depressive states. These are dopamine, norepinephrine and serotonin.
The drug "Pram" belongs to the third generation of selective inhibitors of the reverse capture of serotonin. It follows that this drug acts only on serotonin. It is believed that in its "power" it is inferior to the first generation drugs. But, unlike them, it has less side effects.
Output form
This antidepressant is produced in the form of white tablets. They have a biconvex form. On one blister there are 10 tablets.
Praming tablets
The active substance of this antidepressant is citralopram. One tablet can include 10 mg, 20 mg or 40 mg of this substance.
The composition of the tablets also includes such auxiliary substances as stearic and silicon dioxide, mannitol and cellulose.
"Pram" indications for use
"Pram" is used for treatment:
- Depressive disorders
- Panic disorder
- Narosis of obsession
And also, for the prevention of relapse of these diseases.
"Pram" to children
Since the safety of the use of this drug in children is not established to use it to persons under the age of 18 years of age.
"Pram" dosage
- Take Pram once a day at any time. This antidepressant can be taken both before meals and after it
- 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 individuality of the perception of treatment by the patient, the dosage can be increased to 60 mg per day
- For the treatment of panic disorders, the Prama is shown in the 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 write out this antidepressant in the maximum dosage of 60 mg
- In the treatment of obsessive-compulsive disorders, the daily dose of Prama is 20 mg once a day. Depending on the individual characteristics of the patient's susceptibility, the dosage can be increased three times
- Patients over 65 years old should not take this antidepressant in a dosage exceeding 40 mg of citralopram per day
Patients suffering from impaired liver function should not take more than 30 mg of citralopram per day.
Interesting: Specialists of the University of Washington in St. Louis found that taking quithalopram reduces the risk of developing Alzheimer by 78%. This serious illness develops due to the formation of protein plaques in nerve cells. Reception of antidepressants based on citralopram significantly reduces the development of such deposits.
Treatment of depression with the help of Pram is carried out for a rather long time. For this, rods this nervous disorder did not return, it is necessary to take this antidepressant for six or more months. It is necessary to cancel treatment with this tool gradually.
The course of treatment of panic disorder by this antidepressant is 3 months, and the obsessive-compulsive disorder is 2-4 weeks.
Side effects
Reception of "Pram" can cause dizziness, drowsiness, nervousness and other side effects of the nervous system. This antidepressant can negatively affect the work of the heart and the entire cardiovascular system as a whole. Reception of "Prama" causes tachycardia, arrhythmia and orthostatic hypotension.
The antidepressant "Pram" causes rapid urination, constipation, diarrhea, flatulence, etc.
Negatively affects the antidepressant on the respiratory system (causes rhinitis, shortness of breath, etc.) and the reproductive system (ejaculation disorders, monthly cycle, etc.).
It can activate the use of this drug allergic reactions in the body, a breakdown and even cause bleeding.
Important: FDA experts have found a negative connection of antidepressants based on citralopram and the quality of bone tissue. According to authoritative scientists, people taking such drugs have a risk of spinal fracture or hip neck by half compared to those who do not accept such antidepressants.
Reception "Pram" is possible only as prescribed by a doctor.
"Pram" contraindications
This antidepressant can not be taken simultaneously with the “sumwoman”, “Pimoside” and with hypersensitivity to citylopram.
With caution, you can take Pram with convulsive disorders, during pregnancy and in the period of lactation.
Tsipramil or chain
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, they are these antidepressants branded, which means expensive. In contrast, Pram is an order of magnitude cheaper. But, by its action, it is practically not inferior to famous tablets.
Analogs "Prama"
"Cytol." This drug based on citralopram is used to treat various forms of depressive disorders. It is 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 citralopram for the treatment of depression and other mental and neuropathic disorders. It is produced by the Turkish company Nobel Pharma.
- Dosages: 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 disorders. It is produced by the Egyptian pharmaceutical company Sedico South Egypt Drug Industries.
- Dosages: Take one tablet once a day. Course: 1-2 weeks
"Oprah." Antidepressant based on quote. It is used to treat mental and neuralgic disorders. It is produced by the Icelandic pharmaceutical company Aktavis.
- Dosages: Take one or two tablets once a day. Course: 2-4 weeks
"Tsipramil." Antidepressant used to reduce serotonin levels. Active substance: citralopram. It is produced by the Danish pharmaceutical company Lundbek.
- Dosages: Take one tablet once a day. Course: 2 weeks
"Pram": tips and reviews
Lyudmila. A great remedy for getting rid of problems with the nervous system. I did not cause side effects to me. My ex-alcoholic husband constantly subjected me to stress. It even came to the point that I wanted to put my hands on myself. I have been accepting more than 3 years. True, lately it became very difficult to find him.
Zoya. If I feel that my nerves are rumbling, I begin to take Pram. It acts softly, increases the mood and, most importantly, does not cause drowsiness. Unlike analogues, it does not cause insomnia. Which is very important to me. I fought for a long time for my healthy sleep.
Video. How do antidepressants work?
