Elpram S 20mg Tablet

Elpram S 20mg Tablet is widely prescribed to treat depression and other mental health conditions like anxiety, panic disorder, and obsessive-compulsive disorder. It is a type of antidepressant known as a selective serotonin reuptake inhibitor (SSRI).

Elpram S 20mg Tablet helps recover from depression by improving mood and relieving anxiety and tension. It can be taken with or without food. The dose and how often you need it will be decided by your doctor based on the amount needed to control your symptoms. Your doctor may start you on a lower dose and increase it gradually. Do not change the dose or stop taking it without talking to your doctor, even if you feel well. Doing so may make your condition worse or you may suffer from unpleasant withdrawal symptoms (anxiety, restlessness, palpitations, dizziness, sleep disturbances, etc).

To get the most benefit, take this medicine regularly at the same time each day. Your doctor may advise you to take it in the morning if you have trouble sleeping. It may take a few weeks before you start feeling better. Let your doctor know if you do not see any improvement even after 4 weeks.

Some common side effects of this medicine include nausea, fatigue, increased sweating, insomnia (difficulty in sleeping), decreased sexual drive, delayed ejaculation, and women may experience difficulties achieving orgasm. Some people may experience sleepiness after taking this medicine. Let your doctor know straight away if you develop any sudden worsening of mood or any thoughts about harming yourself.

Before taking Elpram S 20mg Tablet, you should tell your doctor if you have epilepsy (seizure disorder or fits), diabetes, liver or kidney disease, any heart problems, or are currently taking medicines for depression known as MAO inhibitors. These may affect your treatment. Please tell your doctor about all the medicines you are taking to make sure you are safe.

• Treatment of Depression
• Treatment of Anxiety disorder
• Treatment of Panic disorder

Treatment of Depression
Elpram S 20mg Tablet works by increasing the level of a chemical called serotonin in the brain. This improves your mood, relieves anxiety, tension, and helps you sleep better. It has fewer side effects than older antidepressants. It usually takes 4-6 weeks for this medicine to work so you need to keep taking it even if you feel it is not working. Do not stop taking it, even if you feel better unless your doctor advises you to.

Treatment of Anxiety disorder
Elpram S 20mg Tablet helps relieve symptoms of many anxiety disorders including obsessive-compulsive disorder and generalized anxiety disorder by increasing the level of a chemical called serotonin in your brain. It has fewer side effects than older antidepressants and is normally taken once a day. It helps you feel calm with a better ability to deal with problems. Exercise and a healthy diet can also improve your mood. Keep taking the medicine until your doctor advises you to stop.

Treatment of Panic disorder
Elpram S 20mg Tablet can help relieve symptoms of many panic disorders including panic attacks. It can help you feel calmer and improve your ability to deal with problems. Do not stop taking it, even when you feel better unless your doctor advises you to.

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Citograph

• Anorgasmia (decreased orgasm) in women
• Decreased libido
• Delayed ejaculation
• Fatigue
• Increased sweating
• Insomnia (difficulty in sleeping)
• Nausea
• Sleepiness

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Elpram S 20mg Tablet may be taken with or without food, but it is better to take it at a fixed time.

Elpram S 20mg Tablet is a selective serotonin reuptake inhibitor (SSRI) antidepressant. It works by increasing the levels of serotonin, a chemical messenger in the brain. This improves mood and physical symptoms of depression and also relieves symptoms of anxiety, panic attacks and obsessive-compulsive disorders.

• Take it in the morning since it can keep you awake if taken late at night.

• Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.

• It has a lower chance of causing sexual dysfunction than other similar medications.

• The addiction or dependence potential of Elpram S 20mg Tablet is very less.

• Do not stop taking the medication suddenly without talking to your doctor first.

• Some people can develop dizziness or drowsiness after taking this medicine. Do not drive or do anything that requires mental focus until you know how this medicine affects you

Stahl SM, editor. Escitalopram Oxalate. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 225-29.

Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 494-96.

Escitalopram. Copenhagen, Denmark: H Lundbeck A/S; 2016. [Accessed 23 Jan. 2019] (online) Available from:

Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Escitalopram. [Updated 2020 Jan 20]. [Accessed 20 Feb. 2020] (online) Available from:

Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from: