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Atpram (Escitalopram)

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Atpram is used to treat depression in adults and children and teenagers 12 years of ago or older. Atpram is also used to treat generalized anxiety disorder (GAD; excessive worry and tension that disrupts daily life and lasts for 6 months or longer) in adults.

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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


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.


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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Solvation-induced helicity inversion of pseudotetrahedral chiral copper(II) complexes. Identification of a human synaptotagmin-1 mutation that perturbs synaptic vesicle cycling. In particular, it can provide insight into the optimal configuration of multiple plant systems. CI is based on Loewe additivity, but focused on the identification and quantification of synergism and antagonism. Aneurysmal Membranous Septum As an Exceptional Cause of Paroxysmal Atrioventricular Block.

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Decreased resistance to infection in exercised mice exposed to NO2 and O3. Teaching infection control methods to ancillary service personnel. SIRT1 Functions as a Negative Regulator of Eukaryotic Poly(A)RNA Transport. Observation and treatment of 2 cases of cystinuria with recurring lithiasis. Mini-AVR is associated with decreased ventilator time, blood product use, early discharge, and reduced total hospital cost.

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Here, we show that vancomycin also induces similar zinc homeostasis systems in a range of other bacteria and demonstrate that vancomycin binds to Zn(II) in vitro. To investigate if a national pediatric primary care quality improvement collaborative (QIC) could improve and sustain adherence with process measures related to diagnosis and management of children with genetic disorders. Standardisation in clinical bacteriology comparison of minitek(r) and enterotube(r) with PDR (provisional diagnostic register) and with differential diagnosis for computer storage of antibiotic resistance. The present results indicate that the marginal and the intermediate cells are the primary target for EA-induced ototoxicity. New indicator for evaluation of the secretory function of liver cells assessed by means of I-131 bengal red. Prospective evaluation of a continuous infusion vancomycin dosing nomogram in critically ill patients undergoing continuous venovenous haemofiltration. Since alveolar ridge topography is influenced by many variables, it would be a mistake to claim that either denture technique was proven superior by this research effort. All fractures healed and there was only one case of avascular necrosis. Clinical assessments included the 24-item Hamilton Rating Scale for Depression, the National Institutes of Health Stroke Scale, and the Mini-Mental State Examination. Editorial: Pressure ulcer prevention: is it time to accept the need for universal precautions.

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The continent ileal bladder for urinary tract reconstruction after cystectomy: a survey of 44 patients. Because of the efficient trapping of the Raman reporters within the uniquely distributed electromagnetic hotspots, the surface enhanced Raman scattering enhancement from the morphed plasmonic gel was found to be nearly 40 times higher compared to that from the pristine plasmonic gel. The stereochemistry of the reaction is controlled by RNA-diene interactions. Effect of captopril on the life expectancy of patients with chronic heart failure. Influence of bronchodilators and biogenic amines in experimental induction in rats. The present study was aimed at evaluating and comparing the accuracy of age estimation using translucent dentin and cemental dose of acarbose annulations. Besides the consensus meeting in Amersfoort in 1988 and the Bethesda conference in 1994 recommendations are not available in the Netherlands for screening and evaluation of athletes with cardiac arrhythmias. An answer to the question is sought as to whether DALK is an equal or better alternative to penetrating keratoplasty (PKP) given all indications with intact corneal endothelium.

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In addition, possible mechanisms of immune induction are explored. Visual acuity in an opportunistic raptor, the chimango caracara (Milvago chimango). To identify studies, we searched electronic databases, undertook lateral searches and contacted experts. These studies show that three commercially available CHOP antibodies out of seven tested were non-specific. Epoxide hydrolase activities and epoxy fatty acids in the mosquito Culex quinquefasciatus. The family of proteins homologous to the green fluorescent protein (GFP) from Aequorea victoria exhibits striking diversity of features, including several different types of autocatalytically synthesized chromophores. A statistical approach for the characterization of Additive Manufacturing (AM) processes is presented in this paper. The aim of the study was to examine the mechanism of ROS increase by high glucose in aspirin-treated platelets. The excited SPPs are locally bound and focused at the interface between the dielectric NPs and the underlying metallic nanostructures, thereby greatly enhancing the local electromagnetic field.

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Improved method for detection of anti-tissue antibody by indirect immunofluorescence using fixed tissue. Central and peripheral glucocorticoid receptor function in abdominal obesity. Medical care consists of the symptomatic treatment of complications, aiming to improve life expectancy and quality of life. Combined 17alpha-hydroxylase/17,20-lyase deficiency (17OHD), caused by mutations in the CYP17A1 gene, is a rare autosomal recessive form of congenital adrenal hyperplasia and characterized by hyporeninemic hypokalemic hypertension, primary amenorrhea and absence of secondary sexual characteristics. Studies of platelets from patients with sickle cell disease, and diabetes suggest a correlation between mitochondrial ROS and platelet dysfunction. At the same time they call into question some of the most commonly used criteria in elavil 25 mg side effects the diagnosis of essential thrombocythemia. Endurance training in elderly subjects increases muscle respiratory capacity, decreases glucose production and oxidation, and increases fat oxidation thereby correcting or compensating for the alterations in substrate oxidation associated with aging. Serum 25OHD, serum alkaline phosphatase (AP), sun exposure, and dietary calcium intake.

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