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Atpram (Escitalopram)

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Atpram is in a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs). It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance.

Other names for this medication:
Cipralex, Citel, Depran, Dipwell, Ection, Elcit, Elonzep, Escidant, Escimax, Escitacalm, Escitalent, Escitapax, Escitrac, Escopam, Esitopa, Espancy, Espar, Etilive, Etizola, Ezeepam, Jbcloz, Jopram, Lifodep, Nexpram, Recita, Velpram, Xitzen

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Also known as: Escitalopram


{name} (escitalopram) is an antidepressant belonging to a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Escitalopram affects the levels of certain chemicals in the brain that may be altered in people suffering from depression or anxiety.

{name} is used to treat major depressive disorder in adults and adolescents at least 12 years old.

{name} is also used to treat anxiety in adults.


Usual Adult Dose for Generalized Anxiety Disorder:

Initial dose: 10 mg orally once a day; increase if necessary after at least 1 week of treatment to 20 mg once a day Maintenance dose: 10 to 20 mg orally once a day Maximum dose: 20 mg orally once a day Comment: Treatment should be periodically reassessed to determine the need for ongoing treatment; efficacy beyond 8 weeks has not been systematically studied. Use: Acute treatment of generalized anxiety disorder

Usual Adult Dose for Depression:

Initial dose: 10 mg orally once a day; increase if necessary after at least 1 week of treatment to 20 mg once a day Maintenance dose: 10 to 20 mg orally once a day Maximum dose: 20 mg orally once a day Comments: -Acute episodes may require several months or longer of sustained pharmacological therapy beyond response to the acute episode. -Patients should be periodically reassessed to determine the need for maintenance treatment. Use: Acute and maintenance treatment of major depressive disorder

Usual Geriatric Dose for Depression:

Recommended dose: 10 mg orally once a day Use: Acute and maintenance treatment of major depressive disorder

Usual Pediatric Dose for Depression:

12 years and older: -Initial dose: 10 mg orally once a day; increase if necessary after at least 3 weeks of treatment to 20 mg once a day -Maintenance dose: 10 to 20 mg orally once a day -Maximum dose: 20 mg orally once a day Comments: -Acute episodes may require several months or longer of sustained pharmacological therapy beyond response to the acute episode. -Patients should be periodically reassessed to determine the need for maintenance treatment. Use: Acute and maintenance treatment of major depressive disorder

Detailed Atpram dosage information


If you overdose Generic Atpram and you don't feel good you should visit your doctor or health care provider immediately. Symptoms of Generic Atpram overdosage: rapid heartbeat, vomiting, confusion, tremor, sweating, convulsions, loss of memory, dyspepsia, coma, feeling drowsy, nausea, lightheadedness.


Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) away from moisture and heat. Throw away any unused medicine after the expiration date. Keep out of reach of children.

Side effects

The most common side effects associated with Atpram are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


You should not use Atpram if you are allergic to escitalopram or citalopram (Celexa), or if:

you also take pimozide or citalopram.

Do not use Atpram within 14 days before or 14 days after you have used an MAO inhibitor. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

Be sure your doctor knows if you also take stimulant medicine, opioid medicine, herbal products, or medicine for depression, mental illness, Parkinson's disease, migraine headaches, serious infections, or prevention of nausea and vomiting. These medicines may interact with escitalopram and cause a serious condition called serotonin syndrome.

To make sure Atpram is safe for you, tell your doctor if you have ever had:

liver or kidney disease; seizures; low levels of sodium in your blood; heart disease, high blood pressure; a stroke; bleeding problems; bipolar disorder (manic depression); or drug addiction or suicidal thoughts.

Some young people have thoughts about suicide when first taking an antidepressant. Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.

Atpram is not approved for use by anyone younger than 12 years old.

Ask your doctor about taking this medicine if you are pregnant. Taking an SSRI antidepressant during late pregnancy may cause serious medical complications in the baby. However, you may have a relapse of depression if you stop taking your antidepressant. Tell your doctor right away if you become pregnant. Do not start or stop taking Atpram without your doctor's advice.

If you are pregnant, your name may be listed on a pregnancy registry to track the effects of escitalopram on the baby.

If you are breastfeeding, tell your doctor if you notice drowsiness, agitation, feeding problems, or poor weight gain in the nursing baby.

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Injury surveillance data, gathered over a 2 year period in professional football, cricket and rugby union to produce 335 diagnoses, were coded with both OSICS-8 and OSICS-10. The underlying mechanism leading to cognitive decline is still unclear. The patient then underwent an encephalo-duro-arterio-myo-synangiosis (EDAMS) operation. These resins showed comparatively lower levels than the other hard resins regarding the bending strength, hardness, compression strength, and fracture strength of the jacket crown. Results from experiments and finite element analysis indicate that, in the presence of a stiffness discontinuity within the composite (such as poled elements adjacent to unpoled ones), a secondary wave that propagates laterally through the composite may be generated during the receive transduction. Longstanding Eosinophilia in a Case of Late Diagnosis Chronic Granulomatous Disease. We hypothesized that the frequency and timing of eyeblinks also depends on the social signals contained in videos. Morphologic and metabolic complications seen during the course of HIV infection encompass a variety of entities that may share a common pathophysiologic pathway.

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Histochemical aspects of nucleoprotein metabolism in human embryos. In nine of the 17 procedures the tunica albuginea was intact and the only pathological finding was a ruptured dorsal vein. The first 20 patients accepted for atrial septal defect device occlusion, on the basis of transoesophageal echocardiography. Because the compound affected the tumor cells at a lower concentration than primary keratinocytes, it may have potential as an antitumor therapy. The peptide bond between E292-A293 of Escherichia coli leucyl-tRNA synthetase is essential for its activity. aeruginosa interacted with at the level of the cell surface, suggesting that asialo-GM1 ligands were not the only structure that this bacterium could interact with in order to associate with host cells. From the results it was concluded that mutation induction in bacterial spores by very heavy ions is mainly caused by secondary electrons. The present study confirms that neutrophil chemotaxis and random migration are normal in clinically stable CF patients. The alpha(2,3) and alpha(2,8) sialylations were accomplished by use of 5N,4O-carbonyl and 7,8-O-isopropyliden as well as 5N,4O-carbonyl- and 7,8-di-O-chloroacetyl-protected sialyl donors in good yields with excellent alpha-selectivity, respectively.

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Neonatal alloimmune thrombocytopenia (NAIT) is in most cases due to pregnant women with HPA-1b platelet phenotype producing antibodies to HPA-1a platelets of the fetus, which may lead to intracranial haemorrhage with subsequent death or life-long morbidity. Leucocyte responses (rolling and adhesion) were then analysed in ileal venules 2 - 48 hours after high dose irradiation, made possible by an inverted approach using intravital fluorescence microscopy. Thus only the schistosome egg antigen-specific T cells expressed NK-1R. Based on the phylogenetic relationship of the plants, it is possible that the same chemical or related chemical inactivator(s) exist. Among 308 patients with biopsy-proven anal epidermoid cancer, there have been 39 isolated locoregional failures after sphincter-preserving therapy. Novel predictions are made, and relevance to neuroscience is discussed.

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MRI-Guided percutaneous biopsy of breast lesions: materials, techniques, success rates, and management in patients with suspected radiologic-pathologic mismatch. With this data base, the physician can prescribe an individualized management plan that addresses the fluid, metabolic, and nutritional capecitabine tab 500mg necessities of the child. The present paper presents an improvement on that technique, which now allows more sensitive detection of all three periodontal pathogens. Malignant peripheral nerve sheath tumor (MPNST) is a rare malignant tumor, for which only a few cultured cell lines are available to date. Sampling in the Hudson under conditions of low and high river flow shows that 234Th/7Be in suspended sediment increases from low salinity to higher salinity waters at all sampling times. The association between cancer and thrombophilia has been known since 1865 since Trousseau described it. Both times the chest x-ray showed extensive pulmonary infiltrates. Most interestingly, we note that conformers in the ensemble of calculated structures have highly conserved basic residues (located in the persistent helical turn of the basic region and in the loop) known to be important for specific binding in a conformation that matches that of the DNA-bound state. This demonstration that restoring circulating levels of leptin in deltaFosB transgenic mice failed to rescue the bone phenotype further indicates that the marked increase in bone formation is autonomous to the osteoblast lineage.

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For this reason, we assessed the association between the ENPP1 K121Q polymorphism in T2D and obesity phenotypes in the Moroccan population. Post-transfusion increases of peripheral blood neutrophil counts in the following morning were 300 to approximately 6,900/ml. Conserved, solvent exposed residues shared between different thioredoxins cluster to continuous surface regions potentially forming cross-reactive conformational B-cell epitopes responsible for IgE- bisoprolol fumarate zebeta 5 mg tablet mediated cross-reactivity and autoreactivity. Mitogen-activated protein kinases (MAPKs) are inactivated by dual-specificity and protein tyrosine phosphatases (PTPs) in yeasts. Optimal Langevin modeling of out-of-equilibrium molecular dynamics simulations. Female athletes were also more likely than male athletes to demonstrate scores on neurocognitive testing that exceeded reliable change cutoffs and were predictive of a protracted recovery. It is concluded that the hypothesis can be used for studying ontogeny and explaining the mechanisms of inheritance of the morphoses providing the stability and evolution of species. When expressed in an alpha-cell line, PAX4 represses transcription through the glucagon or insulin promoters or through an isolated PAX4 binding site. The three esthetic concepts followed were natural, supernormal, and denture look.

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Clinical characterization of human metapneumovirus infection among patients with cancer. These values were higher for the more electron-deficient (Br(8)TMPyP)Co. In detail, we concentrate on the energetic penalty that intercalation of daunomycin introduces into DNA by disturbing it from its unbound conformation. The HPrR17A and -K mutants are both strongly impaired in stimulation of CcpA binding to cre, but only HPrR17A is defect in binding to CcpA indicating that these residues affect allostery of CcpA. Measurement of glomerular filtration rate in SCD is problematic, which makes identification and monitoring of chronic kidney disease difficult in patients with SCD. The results show that short-term exposure to Cd, even at low concentrations, interferes with transmission processes that affect the recognition and penetration of cercariae, the migration and survival of metacercariae within the second intermediate host, or both. Recorded incidence and lifetime prevalence of multiple allergic disorders in England have increased substantially in recent years. The goal of systems genetics is to understand the impact of genetic variation across all levels of biological organization, from mRNAs, proteins, and metabolites, to higher-order physiological and behavioral traits.

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