Cipramil is an SSRI antidepressant that is prescribed to treat depression and anxiety related conditions. It is manufactured by Lundbeck Ltd.
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Cipramil is the branded version of Citalopram, an SSRI antidepressant. SSRI stands for selective serotonin reuptake inhibitor. This type of medicine works by increasing the levels of serotonin in the brain, which in turn enhances mood. It is manufactured and marketed by Lundbeck Limited. Cipramil is prescribed to treat several mental health conditions, including depression, anxiety, OCD, PTSD and panic disorders.
One in four Britons reportedly experience mental health issues. Not everyone will require treatment, but for those that do, talking therapies are often used alongside antidepressants in what is referred to as combination therapy.
Depression is defined by more than just low mood. Bad days are something almost everyone experiences, and the majority feel low at some point in their lives, but what marks depression out from these more typical ups and downs is the severity of the symptoms and how long they persist for.
In more severe cases, depression can lead to suicidal thoughts or acts of self-harm. Others may simply feel a sense of overwhelming hopelessness alongside a complete lack of motivation or sense of enjoyment.
What can cause depression?
Depression can be caused by many different things. For some, a profound experience, such as the loss of a loved one or losing a job, can trigger a bout of depression. In some cases, it is thought there is a genetic component, where mental illness runs in the family. It is also possible that depression has no obvious cause and occurs out of the blue.
What is anxiety?
Anxiety can be a debilitating condition that has profound health consequences. For this reason, chronic anxiety, where it is always present, requires some form of treatment. That could be meditation practice, talking therapies or medication. Anxiety is not the same thing as depression, but the two tend to go hand in hand, with one causing the other.
Anxiety can be present in many forms. OCD, or obsessive compulsive disorder, is one example. Symptoms can include the inability to leave the house due to an irrational fear that something isn’t right - for example the oven is on, no matter how many times it has been checked. For others, the compulsion to touch objects a specific amount of times, in a specific order, can make day to day situations difficult. In some cases, deeply unpleasant thoughts can become recurrent, causing significant distress.
What is post-traumatic stress disorder?
PTSD stands for post-traumatic stress disorder, and affects those who have experienced an event that has created severe trauma. These can include those who have been the victim of a violent encounter, a life-threatening event or a serious illness. The condition can cause flashbacks, reliving the event in deeply upsetting, vivid experiences. For others, nightmares may make sleep something to dread. It is thought that around a third of those who have experienced such trauma will suffer from some level of PTSD.
In order to have any mental health issue properly diagnosed, you will need to talk to a doctor or specialist about your symptoms. It is only then that the correct treatment can be provided. Treatment can be extremely varied, where a combination of them might be most suitable. It may take some experimentation to see how well you will respond to treatment, with drug dosages and different therapies being recommended. For example, CBT, or cognitive behavioural therapy, might work best for those with PTSD and OCD, as it focuses on the thought processes that heighten the symptoms.
Cipramil, like Seroxat and other SSRI (selective serotonin reuptake inhibitor) antidepressants, works by stopping the reabsorption of serotonin, which increases levels of it in the brain. Serotonin is a naturally occurring hormone that is related to mood. When levels are too low, this can cause depression.
You cannot buy Cipramil online without a prescription. It is recommended that you first talk to a doctor about your symptoms before starting treatment for the first time with any antidepressant. We provide a video consultation service where our registered clinicians can give you advice on any mental health issues or concerns you have. If it is deemed appropriate for you, they can provide a prescription, which allows you to buy Cipramil online from our regulated UK pharmacy.
Always follow the instructions given to you by your prescribing clinician. Failure to do so can hinder treatment, increase the risk of side effects and present a health risk. You should also read the patient information leaflet that comes with the medication thoroughly.
- To be taken once a day with water
- Typical starting dosage for depression is 20mg
- For panic disorders, it may be 10mg
- Depending on how treatment is going, the dosage may reach 40mg
- Should be taken at the same time every day
- Best taken after breakfast to reduce the possibility of nausea
- If you miss a tablet, do not take double up. Simply carry on treatment as normal
- It may take a few weeks before you notice an improvement
- If you haven't seen an improvement after several weeks, talk to your doctor
- If you have taken too much Cipramil, seek immediate medical advice
- Do not adjust your treatment without first discussing this with your doctor
- It is recommended that treatment continue for at least six months
- If you are beginning to feel better, do not discontinue use until speaking with your doctor
Side effects are a risk for any medication and Cipramil is no exception. While serious reactions are highly unlikely, it is important to know what these are before starting treatment. If you experience any of the following symptoms, seek immediate medical advice:
Swelling of face, mouth, lips, tongue or throat, problems swallowing and breathing, confusion with twitching muscles, irregular heartbeat, fainting, severe rashes, fits or seizures, euphoria, fever, extreme fatigue, suicidal thoughts, thoughts of self-harm, agitation and trembling.
Very common (present in more than 1 in 10 people)
Headaches, changes in sleep, weakness, sweating, dry mouth, nausea and sleepiness.
For most, these symptoms will subside as the body becomes used to treatment. If you experience a dry mouth, as roughly 10 percent of users do, you should take extra care with your dental hygiene.
Common (present in up to 1 in 10 people)
Migraines, extra anxiety, nervousness, lower sex drive, loss of appetite, tremors, agitation, numb finger and toes, sometimes tingling, flatulence, constipation, blocked sinuses, problems focusing, apathy, nightmares, problems ejaculating, failure to reach orgasm, skin prickliness, weight loss, palpitations, diarrhoea, vomiting and dizziness.
Uncommon (present in up to 1 in 100 people)
Menstrual changes, aggression, mania, hallucinations, rapid heartbeat, slowed heartbeat, bruising more easily than normal, rash, hair loss, sensitivity to sunlight, fainting, weight gain, increased menstrual, problems urinating and swelling of the arms and legs.
Rare (present in up to 1 in 1,000 people)
Convulsions, changes in taste sensation, higher sex drive, unexplained bleeding, muscle jerks and excessive coughing.
Suicidal thoughts, an increase in bleeding, muscle sensitivity, low potassium levels, twitching, panic attacks, nosebleeds, swelling of skin, painful erections, abnormal liver function, heightened risk of bone fractures, teeth grinding, low blood pressure and increased risk of internal bleeding.
Conditions to be aware of
If you suffer from any health condition, you must tell your doctor about this before starting treatment. Cipramil isn’t suitable for people with:
Abnormal heart rhythm
Allergies to any of its ingredients
The following conditions may make Cipramil unsuitable and another treatment might therefore be suggested:
Bipolar disorder, liver disease, kidney disease, mania, panic disorders, seizures, glaucoma, a low resting heart rate, regular salt depletion due to diarrhoea or vomiting, a propensity for fainting or dizziness, mania, bleeding disorders and diabetes.
Taking it with other medications
As is the case with any conditions that you are, or have suffered from, it is essential that you inform your doctor of any medication you are currently taking, or have taken in the recent past, including any herbal supplements. Some drugs will make Cipramil entirely inappropriate as a treatment and your doctor will not prescribe it alongside them. These include:
MAOI and tricyclic antidepressants, selegiline (Parkinson’s medication), linezolid (an antibiotic), antipsychotics, antiarrhythmics, some antihistamines, some antimicrobial agents and anticoagulants.
The following medications may mean that your doctor will suggest another course of action due to the risks involved:
Other antidepressants, sumatriptan (migraines), lithium (mania), pimozide (a neuroleptic), cimetidine (stomach ulcers), mefloquine (malaria), tramadol (opioid painkiller), NSAIDs (such as Ibuprofen), aspirin (painkiller) and metoprolol (beta blocker).
Pregnancy and breastfeeding
If you are pregnant, suspect you might be or are planning to be in the near future, it is important to tell your doctor. There are some small, but serious risks associated with Cipramil and newborn babies, particularly when taken in the last three months of pregnancy. The most serious of these is PPHN, a condition that affects the child within the first 24 hours of life. It can lead to the baby struggling to breathe, flushing and a lack of interest in feeding.
Breastfeeding is not recommended while using Cipramil as trace amounts have been found in breast milk.
Driving and using machinery
Before starting a course of Cipramil, you should be aware that you may find it hard to focus and feel dizzy. This usually subsides over a matter of a few weeks, but you should avoid driving until you are sure this has passed.
Food, drink and alcohol
Cipramil can be taken with or without food, although some find it reduces the risks of nausea when taken after breakfast. It is sensible to avoid using alcohol while receiving any antidepressant treatment, but there is no evidence to suggest that Cipramil increases its effects.
While one study did find that fertility in animals decreased slightly, this has never been recreated for humans.
Can I drink while taking Cipramil?
It is not ideal to consume alcohol while using any antidepressant or suffering from depression. There is no evidence, however, to suggest that alcohol and Cipramil cause any issues when mixed.
Can I drive?
This will depend on the individual. Some find that Cipramil makes it hard for them to focus at the beginning of treatment. For this reason, it is best to avoid driving until you are sure that you know what the effects of the medication are. If you do experience side effects that make it hard for you to focus that last beyond a few weeks, you should contact your doctor.
Can I buy Cipramil over the counter?
No, you will need to have a prescription in order to receive Cipramil.
How do I buy Cipramil online?
A doctor must first issue a prescription for Cipramil before you will be able to buy it, whether online or from your local pharmacy. If it is your first time taking Cipramil, you should first talk to a doctor face to face about your symptoms and what might be the best course of action. Our clinicians will not be able to prescribe this medication unless you have previously been issued it by your doctor.
We provide a video consultation service, which allows you to speak to a GMC registered doctor, who can provide advice, fit notes and referral to specialist services if they feel this is right for you. If medication is required, a repeat prescription can be written that allows you to buy Cipramil from our UK based, GPhC registered pharmacy. You will then receive your discreetly packaged item by next day delivery.
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