Madam 40mg Tablet
Prescription Required
Product introduction
Madam 40mg Tablet is a type of antidepressant belonging to the selective serotonin reuptake inhibitor (SSRI) group of medicines. It is prescribed to treat depression, where it helps to make you feel better and prevent new episodes of depression. This medicine is also used to treat panic disorder.
Madam 40mg Tablet can be taken with or without food. The dose and how often you need it will be decided by your doctor so that you get the right amount 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, vomiting, fatigue, dry mouth, increased sweating, insomnia (difficulty in sleeping), decreased sexual drive, delayed ejaculation, and erectile dysfunction. 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 Madam 40mg 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.
Madam 40mg Tablet can be taken with or without food. The dose and how often you need it will be decided by your doctor so that you get the right amount 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, vomiting, fatigue, dry mouth, increased sweating, insomnia (difficulty in sleeping), decreased sexual drive, delayed ejaculation, and erectile dysfunction. 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 Madam 40mg 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.
Uses of Madam Tablet
Benefits of Madam Tablet
In Panic disorder
Madam 40mg 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.
Side effects of Madam Tablet
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 Madam
- Nausea
- Vomiting
- Dizziness
- Fatigue
- Increased sweating
- Insomnia (difficulty in sleeping)
- Low sexual desire
- Erectile dysfunction
- Delayed ejaculation
How to use Madam Tablet
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. Madam 40mg Tablet may be taken with or without food, but it is better to take it at a fixed time.
How Madam Tablet works
Madam 40mg Tablet is one of a group of antidepressants called selective serotonin reuptake inhibitors, or SSRIs. It is thought to be work by enhancing the level of mood-enhancing neurotransmitters called serotonin in the brain. This may help you to improve your energy level and feelings of well-being.
Safety advice
Alcohol
UNSAFE
It is unsafe to consume alcohol with Madam 40mg Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Madam 40mg Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
CONSULT YOUR DOCTOR
Madam 40mg Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.
Babies should be monitored for behavioral side effects such as sleepiness or fussiness.
Babies should be monitored for behavioral side effects such as sleepiness or fussiness.
Driving
UNSAFE
Madam 40mg Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Madam 40mg Tablet should be used with caution in patients with severe kidney disease. Dose adjustment of Madam 40mg Tablet may be needed. Please consult your doctor.
Limited information is available on the use of Madam 40mg Tablet in these patients. No dose adjustment is recommended in patients with mild to moderate kidney disease.
Limited information is available on the use of Madam 40mg Tablet in these patients. No dose adjustment is recommended in patients with mild to moderate kidney disease.
Liver
CAUTION
Madam 40mg Tablet should be used with caution in patients with liver disease. Dose adjustment of Madam 40mg Tablet may be needed. Please consult your doctor.
What if you forget to take Madam Tablet?
If you miss a dose of Madam 40mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
Madam 40mg Tablet
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Citola 40mg Tablet
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C-Talo 40mg Tablet
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Quick tips
- It can take up to 8 to 12 weeks to see the medicine full effects on your mood.
- Take it with food to avoid stomach upset.
- It causes less drowsiness as compared to other antidepressant medications.
- Don't drive or do anything requiring concentration until you know how Madam 40mg Tablet affects you.
- Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.
- Inform your doctor if you experience decreased sex drive or difficulty having an orgasm.
- Do not stop taking the medication suddenly without talking to your doctor.
- It can take 2-3 weeks for Madam 40mg Tablet to start working.
- Do not stop treatment suddenly as this may cause upset stomach, flu-like withdrawal symptoms and sleep disturbance.
- If your doctor asks you to stop Madam 40mg Tablet, you should reduce the dose slowly over 4 weeks.
- Avoid consuming alcohol when taking Madam 40mg Tablet, as it may cause excessive drowsiness and calmness.
- The addiction/dependence potential of Madam 40mg Tablet is very less.
Fact Box
Chemical Class
Phenylbutylamine Derivative
Habit Forming
No
Therapeutic Class
NEURO CNS
Action Class
Selective Seretonin Reuptake Inhibitors (SSRIs)
Interaction with drugs
Taking Madam with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Both Aripiprazole and Citalopram can affect heart rhythm and if taken together this may be fatal.
Do not consume Aripiprazole with Citalopram.
Concomitant use may affect heart rhythm and can be fatal.
Do not consume Moclobemide with Citalopram. If Moclobemide is essential, ensure a gap of at least 1 week after discontinu
Concomitant use may affect heart rhythm and may be fatal.
Do not consume Amiodarone with Citalopram.
Concomitant use may affect heart rhythm and may be fatal.
Do not consume Thioridazine with Citalopram.
Concomitant use may affect heart rhythm and may be fatal.
Do not consume Pimozide with Citalopram.
Patient concerns
FAQs
What is Madam 40mg Tablet used for? How does it work?
Madam 40mg Tablet belongs to a class of medicines known as selective serotonin reuptake inhibitors (SSRIs). Madam 40mg Tablet is used to treat depression and panic disorder. It helps to improve your energy levels and elevates your mood. This medication works by restoring the balance of a chemical substance (serotonin) in the brain which helps to relieve depression and symptoms of panic disorder such as excessive fear, sweating, rapid heart rate, trembling or shaking, shortness of breath, chills etc.
Does Madam 40mg Tablet make you gain weight?
Weight changes may be seen while using Madam 40mg Tablet, so monitor your weight closely. Madam 40mg Tablet belongs to a class of medicines known as selective serotonin reuptake inhibitors (SSRIs). Although SSRIs are associated with weight loss at first, long-term use of SSRIs may cause an increase in the weight. Long-term use is considered when the treatment lasts longer than six months. If these weight changes bother you, please consult your doctor.
Can you drink alcohol while taking Madam 40mg Tablet?
No, it is advised not to take alcohol while taking Madam 40mg Tablet. Madam 40mg Tablet can cause sleepiness or may affect your ability to make decisions, think clearly, or react quickly. And taking alcohol with this medicine will only worsen these side effects. Therefore, you must avoid alcohol if you are on Madam 40mg Tablet.
Can Madam 40mg Tablet cause abnormal heartbeat or arrhythmia?
Yes, Madam 40mg Tablet has been found to cause prolongation of the QT interval (a type of ECG abnormality) that can lead to arrhythmia (abnormal heartbeat or heart rhythm), which can be dangerous. However, this is very rare according to scientific research reports. Moreover, abnormalities in electrolyte levels (such as potassium and magnesium) may also increase the risk of abnormalities in the heartbeat of people suffering from heart problems. Such people must have an ECG review, before as well as during treatment with Madam 40mg Tablet. However, the final decision will be only made by your doctor, after analyzing your health condition and considering all possible risks and benefits of this medicine.
What are the side effects of Madam 40mg Tablet?
The most common side effects of Madam 40mg Tablet are low sexual desire, vomiting, insomnia (difficulty in sleeping), orthostatic hypotension (sudden lowering of blood pressure on standing), anorgasmia (decreased orgasm), nausea, weight gain, erectile dysfunction, stomach upset, and restlessness. Please consult your doctor if these do not resolve or worry you. Your doctor will suggest ways to prevent or treat these side effects.
Is it better to take Madam 40mg Tablet in the morning or at night?
It is usually recommended to take Madam 40mg Tablet once a day in the morning since it can keep you awake if taken late at night. You can take it with or without food. You should prefer taking it at the same time each day so that you remember to take it.
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Disclaimer:
Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.References
- Stahl SM, editor. Citalopram. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 123-28.
- 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. 281-85.
- Citalopram hydrobromide. St Albans, UK: Lundbeck Limited; 1995 [revised Dec. 2016]. [Accessed 23 Jan. 2019] (online) Available from:
- Citalopram. St. Louis: Forest Pharmaceuticals; [revised 2013]. [Accessed 22 Mar. 2019] (online) Available from:
- Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 20 Mar. 2019] (online) Available from:
- Central Drugs Standard Control Organisation (CDSCO). [Accessed 20 Mar. 2019] (online) Available from:
Marketer details
Name: Panacea Biotec Pharma Ltd
Address: "Panacea Biotec Pharma Ltd B-1,Extn/A-27,Mohan Co-operative Industrial Estate Mathura Road, New Delhi-110044"
Country of origin: India
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