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Madam 20 MG Tablet

Manufacturer: Panacea Biotec Ltd
Medicine composition: Citalopram
Prescription vs.OTC: Prescription by Doctor required
Last Updated: December 02, 2019

Madam 20 MG Tablet is an antidepressant and belongs to a group of drugs called selective serotonin reuptake inhibitors (SSRIs). It is used to treat depression by helping to restore the balance of a certain natural substance called serotonin in the brain. It may improve your energy level and feelings of well-being.

Some side effects like nausea, loss of appetite, dry mouth, tiredness, drowsiness, blurred vision, sweating, and yawning may occur. Tell your doctor right away if you have any serious side effects, including tremor, changes in sexual ability, decreased interest in sex, fast and irregular heartbeat, easy bruising or bleeding, fainting, black stools, seizures, widened pupils or vision changes.

Do not start or stop taking Madam 20 MG Tablet during pregnancy without consulting a doctor. Breast-feed while you are using this medicine can be harmful for the baby. It is not approved for use by anyone who is under 18 years of age or younger. Some medicines like socarboxazid, tranylcypromine, linezolid, rasagiline, methylene blue injection, phenelzine, selegiline, and others can inhibit the proper functioning of Madam 20 MG Tablet It is not safe for you to use this medicine if you have the following conditions :

The usual Initial dose of Madam 20 MG Tablet is 20 mg orally, once a day. Gradually the dose can increase in the following days but the maximum limit should be restricted to 60mg per day. Acute episodes of depression may require several months of sustained therapy. Your doctor may occasionally change your dose depending on your response to the medicine. Do not use this medication in larger or smaller amounts or for longer than prescribed.

Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Psychiatrist before using this medicine.
  • Depression

    Madam 20 MG Tablet is used in the treatment of depression which is a serious mood disorder characterized by feeling sad, irritable and devoid of energy.
  • Allergy

    Not recommended in the patients allergic to Madam 20 MG Tablet or other antidepressants.
  • How long is the duration of effect?

    The effect of this medicine lasts for an average duration of 2 to 3 days.
  • What is the onset of action?

    The peak effect of this medicine can be observed in 1 to 6 hours. The antidepressant effect can be seen in 1 to 4 weeks.
  • Are there any pregnancy warnings?

    This medicine is not recommended for use during pregnancy unless absolutely necessary. The risk of feeding difficulties, irritability, and respiratory problems is more in the third trimester. Consult your doctor about the potential benefits and risks before deciding to take this medicine.
  • Is it habit forming?

    No habit forming tendency has been reported.
  • Are there any breast-feeding warnings?

    This medicine is known to excreted in breastmilk. It is not recommended in breastfeeding women unless absolutely necessary. Close monitoring of behavioral changes like drowsiness or fussiness and body weight is necessary.

Below is the list of medicines, which have the same composition, strength and form as Madam 20 MG Tablet , and hence can be used as its substitute.

  • Missed Dose instructions

    Take the missed dose as soon as you remember. If it’s almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.
  • Overdose instructions

    Seek emergency medical treatment or contact the doctor if any symptoms of the overdose like dizziness, loss of consciousness appear.
  • India

  • United States

  • Japan

This medicine belongs to the class selective serotonin reuptake inhibitors. It works by inhibiting the reuptake of serotonin thus increasing its concentration in the brain and helps in reducing the symptoms.

Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.

  • Interaction with Alcohol

    Alcohol

    Consumption of alcohol with this medicine is not recommended as it can result in dizziness and difficulty in concentration. Avoid activities that need mental alertness like driving or operating machinery.
  • Interaction with Lab Test

    Lab

    Information not available.
  • Interaction with Medicine

    Clarithromycin

    These medicines are recommended together due to increase in the risk of irregular heart rhythm. Inform the doctor if you are receiving any antibiotics. Close monitoring of symptoms like breathlessness, dizziness and heart palpitations is necessary. An alternate medicine should be considered based on clinical condition.

    Ketoconazole

    These medicines are recommended together due to increase in the risk of irregular heart rhythm. Inform the doctor if you are receiving any antibiotics. Close monitoring of symptoms like breathlessness, dizziness and heart palpitations is necessary. An alternate medicine should be considered based on clinical condition.

    sulfonylureas

    Madam 20 MG Tablet may increase the effect of antidiabetic medicines like glimepiride, glipizide and may cause hypoglycemia. Close monitoring of symptoms like dizziness, headache, weakness is necessary. An alternate class of medicines or dose adjustments should be made based on the clinical condition.

    Diuretics

    Madam 20 MG Tablet may increase the risk of blood sodium levels if coadministered with diuretics like hydrochlorothiazide or furosemide. Inform the doctor if you may have symptoms like dizziness, lightheadedness after taking these medicines. Consider regular monitoring of blood pressure and sodium level.
  • Interaction with Disease

    Depression

    Use with caution in adults and pediatrics with depression as it may worsen the symptoms of depression. Close monitoring of these symptoms like changes in the behavior and suicidal thoughts is necessary. Discontinue the medicine if symptoms persist.

    Seizures

    This medicine may increase the seizures. It should be used with caution in the patients with the history of epilepsy and not recommended in the patients with unstable epilepsy.
  • Interaction with Food

    Food

    Information not available.
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

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Table of Content
About Madam 20 MG Tablet
What are the uses of Madam 20 MG Tablet
What are the contraindications of Madam 20 MG Tablet ?
What are the side effects of Madam 20 MG Tablet ?
Key highlights of Madam 20 MG Tablet
What are the substitutes for Madam 20 MG Tablet ?
What are the dosage instructions?
Where is the Madam 20 MG Tablet approved?
How does this medication work?
What are the interactions of Madam 20 MG Tablet ?