Aspram 5mg Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- New or worsening suicidal thoughts or self-harm urges.
- Agitation, hallucinations, rapid heart rate, fever, or muscle stiffness (serotonin syndrome).
- Severe allergic reaction with swelling of face, lips, or throat, or difficulty breathing.
- Irregular heartbeat, palpitations, or fainting.
- Severe headache, confusion, weakness, or seizures (hyponatremia).
- Unusual bleeding or bruising.
- Eye pain, blurred vision, or halos around lights (angle-closure glaucoma).
If experiencing severe symptoms, call emergency services immediately.
What is citalop s 5mg tablet used for?
This medicine is an SSRI antidepressant containing Escitalopram Oxalate 5mg. It is used to treat depression and anxiety disorders by increasing serotonin levels in the brain. It is taken orally once daily, and the dose is individualized by a doctor. Common side effects include nausea, headache, and sleep changes. Do not stop it suddenly.
- Generic Name: Escitalopram Oxalate
- Manufacturer: RPG Life Sciences Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 citalop s 5mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एस्किटालोप्रम ऑक्सालेट 5 मिलीग्राम युक्त एक एंटीडिप्रेसेंट है, जिसका उपयोग अवसाद (डिप्रेशन) और चिंता विकारों के इलाज के लिए किया जाता है। यह मस्तिष्क में सेरोटोनिन नामक रसायन के स्तर को बढ़ाकर मूड को बेहतर बनाने में मदद करती है। यह दवा चिंता, घबराहट, और पैनिक अटैक को कम करने में भी प्रभावी है। इसे रोजाना एक बार मौखिक रूप से लिया जाता है, और खुराक डॉक्टर द्वारा तय की जाती है। इसे अचानक बंद नहीं करना चाहिए, क्योंकि इससे withdrawal symptoms हो सकते हैं।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में मतली, सिरदर्द, नींद न आना या अधिक नींद आना, पसीना आना, थकान, और मुंह सूखना शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ हफ्तों में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन सेरोटोनिन सिंड्रोम, एलर्जी प्रतिक्रिया, या आत्महत्या के विचार आने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं के बारे में बताएं, खासकर हृदय, यकृत, या गुर्दे की बीमारी, दौरे, या रक्तस्राव विकार। यदि आप गर्भवती हैं, स्तनपान करा रही हैं, या गर्भधारण की योजना बना रही हैं, तो डॉक्टर को सूचित करें। इस दवा को अचानक बंद न करें। शराब से बचें। ड्राइविंग या मशीनरी चलाते समय सावधानी बरतें। इसे बच्चों की पहुंच से दूर रखें।
💊 citalop s 5mg tablet Uses & Benefits
- [{"condition":"Major Depressive Disorder","description":"This medicine is used to treat depression by improving mood, energy levels, and interest in daily activities.
- It helps restore the balance of serotonin in the brain.","evidence":"Well-established"},{"condition":"Generalized Anxiety Disorder","description":"It reduces excessive worry, restlessness, and tension associated with generalized anxiety disorder, helping patients feel calmer and more in control.","evidence":"Well-established"},{"condition":"Panic Disorder","description":"This medicine helps reduce the frequency and intensity of panic attacks and the fear of having future attacks.","evidence":"Well-established"},{"condition":"Social Anxiety Disorder","description":"It is used to ease the intense fear and avoidance of social situations that characterize social anxiety disorder.","evidence":"Well-established"},{"condition":"Obsessive-Compulsive Disorder","description":"This medicine may be prescribed to reduce the repetitive thoughts and behaviors associated with obsessive-compulsive disorder.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Premenstrual Dysphoric Disorder","description":"Sometimes prescribed off-label to relieve severe mood swings, irritability, and depression before menstruation.","evidence":"Limited"},{"condition":"Hot Flashes","description":"Occasionally used off-label to reduce hot flashes in menopausal women, though evidence is mixed.","evidence":"Limited"},{"condition":"Post-Traumatic Stress Disorder","description":"May be used off-label as part of a comprehensive treatment plan for PTSD, but it is not a first-line treatment.","evidence":"Limited"}]
Primary treatment for: Major Depressive Disorder
Also treats: Generalized Anxiety Disorder, Panic Disorder, Social Anxiety Disorder, Obsessive-Compulsive Disorder
📋 Drug Information
| Generic Name(s) | Escitalopram Oxalate |
| Brand Name | Anxiset-E Tablet |
| Manufacturer | RPG Life Sciences Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Selective Seretonin Reuptake inhibitors (SSRIs) |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Keep away from direct sunlight, moisture, and heat. Do not refrigerate or freeze. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | The World Health Organization recommends selective serotonin reuptake inhibitors as first-line pharmacological treatment for moderate to severe depressive episodes in adults. However, specific recommendations for this medicine should be based on individual clinical judgment. |
| ICMR Guideline | The Indian Council of Medical Research guidelines for the management of depression recommend SSRIs as first-line treatment. This medicine is considered among the preferred agents due to its favorable efficacy and tolerability profile. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by selectively inhibiting the reuptake of serotonin, a neurotransmitter that plays a key role in regulating mood, anxiety, and emotional well-being. By blocking the serotonin transporter protein, it increases the amount of serotonin available in the synaptic cleft, which enhances serotonin signaling in the brain. This increased serotonergic activity is believed to underlie its therapeutic effects in depression and anxiety disorders. Unlike some other antidepressants, it has minimal effect on norepinephrine and dopamine reuptake, which contributes to its favorable side effect profile. The full therapeutic effect usually takes several weeks to develop, as it involves adaptive changes in brain receptors and neural circuits.
Mechanism Steps
💡 How to Take citalop s 5mg tablet
Strength: This medicine is available as an immediate-release tablet containing 5 mg of Escitalopram Oxalate.
Dosage Information
| Adult Dosage | The usual starting dose of this medicine for adults is 10 mg once daily for depression and generalized anxiety disorder. Your doctor may increase the dose to a maximum of 20 mg once daily after at least one week, based on your response and tolerability. For panic disorder, the recommended starting dose is 5 mg once daily, which may be increased to 10 mg once daily after one week. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and other medications you are taking. Do not adjust your dose without consulting your doctor. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | In elderly patients, the recommended starting dose is 5 mg once daily, and the maximum dose should not exceed 10 mg once daily. Elderly patients are more sensitive to the side effects of this medicine, especially hyponatremia and QT prolongation. Close monitoring is advised. |
| Renal Impairment | No dose adjustment is required for patients with mild to moderate renal impairment. In patients with severe renal impairment (creatinine clearance less than 20 mL/min), caution is advised, and a lower starting dose may be considered. Consult your doctor for personalized dosing. |
| Hepatic Impairment | In patients with mild to moderate hepatic impairment, the recommended starting dose is 5 mg once daily, and the maximum dose should not exceed 10 mg once daily. In severe hepatic impairment, this medicine should be used with caution, and a lower dose may be necessary. Regular monitoring of liver function is advised. |
| Maximum Daily Dose | The maximum recommended daily dose is 20 mg for adults and 10 mg for elderly patients and those with hepatic impairment. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of citalop s 5mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| MAOIs | Major | |
| Tramadol | Major | |
| Warfarin | Major | |
| Aspirin/NSAIDs | Moderate | |
| Omeprazole | Moderate | |
| Rifampicin | Moderate | |
| Ketoconazole | Moderate | |
| Diuretics | Moderate | |
| Pimozide | Major | |
| Sumatriptan | Moderate |
🚨 Major Interactions
- Monoamine Oxidase Inhibitors (MAOIs)
- Other Serotonergic Drugs (e.g., tramadol, triptans, SSRIs, SNRIs)
- Pimozide
- Anticoagulants (e.g., warfarin) and Antiplatelets (e.g., aspirin, NSAIDs)
⚡ Moderate Interactions
- CYP2C19 Inhibitors (e.g., omeprazole, fluconazole)
- CYP3A4 Inhibitors (e.g., ketoconazole, ritonavir)
- CYP2C19 Inducers (e.g., rifampicin, carbamazepine)
- Diuretics
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. Alcohol can increase the sedative effects of this medicine, impair your ability to drive or operate machinery, and may worsen depression or anxiety. It can also increase the risk of liver problems. If you have a history of alcohol abuse, discuss with your doctor before taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to escitalopram or any component of the formulation","Concomitant use with monoamine oxidase inhibitors (MAOIs) or within 14 days of stopping an MAOI","Concomitant use with pimozide","Congenital long QT syndrome","Severe hepatic impairment"]
⚠️ Warnings & Precautions
["Increased risk of suicidal thoughts and behaviors in children, adolescents, and young adults, especially during the first few months of treatment.","Serotonin syndrome may occur, particularly with concomitant serotonergic drugs.","QT prolongation and ventricular arrhythmias, including torsades de pointes, have been reported.","Hyponatremia may occur, especially in elderly patients and those taking diuretics.","Abnormal bleeding may occur, especially with concomitant NSAIDs, aspirin, or anticoagulants.","Angle-closure glaucoma may be precipitated in patients with untreated narrow anterior chamber angles.","Activation of mania/hypomania in patients with bipolar disorder.","Withdrawal symptoms may occur upon abrupt discontinuation; taper gradually.","Use with caution in patients with a history of seizures.","May impair cognitive and motor performance; caution with driving or operating machinery."]
🤱 Lactation Safety
This medicine is excreted in human breast milk. There is limited information on its effects on the breastfed infant. The decision to breastfeed while taking this medicine should be made in consultation with your doctor, weighing the benefits of breastfeeding against the potential risks to the infant.
💊 Overdose Management
Overdose of this medicine can cause symptoms such as nausea, vomiting, dizziness, tachycardia, tremor, and somnolence. In severe cases, it can lead to serotonin syndrome, QT prolongation, coma, and cardiac arrest. There is no specific antidote. Treatment should be symptomatic and supportive, including gastric lavage if appropriate, activated charcoal, and monitoring of vital signs and ECG. In case of overdose, seek immediate medical attention or contact a poison control center.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take two doses at the same time to make up for a missed dose. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
Before starting this medicine, tell your doctor about all your medical conditions, especially heart problems, liver or kidney disease, seizures, or a history of bleeding disorders. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Do not stop this medicine suddenly, as it can cause withdrawal symptoms such as dizziness, nausea, and irritability. Your doctor will usually reduce the dose gradually over several weeks. Avoid alcohol while taking this medicine, as it can increase drowsiness and impair your ability to drive or operate machinery. Be cautious when driving or doing activities that require alertness until you know how this medicine affects you. Do not take this medicine with MAO inhibitors or within 14 days of stopping an MAOI. Also, avoid taking it with other medicines that increase serotonin, such as tramadol, triptans, or St. John's wort, without consulting your doctor. Keep this medicine out of reach of children and store it at room temperature away from moisture and heat. If you miss a dose, take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Never double the dose.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the side effects of this medicine, particularly hyponatremia and QT prolongation. A lower starting dose of 5 mg daily is recommended, and the maximum dose should not exceed 10 mg daily. Regular monitoring of electrolytes and cardiac function is advised.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss with your doctor before conception. This medicine should be used during pregnancy only if clearly needed. Your doctor may consider alternative treatments or adjust the dose. Do not stop the medicine suddenly if you become pregnant; consult your doctor immediately.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine before any surgery. It may interact with certain anesthetic agents and increase the risk of serotonin syndrome. Your doctor may advise temporary dose adjustment or monitoring.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. It may increase the risk of bleeding, especially if you are also taking NSAIDs. Your dentist may take extra precautions.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is generally safe and beneficial while taking this medicine. However, if you experience dizziness, fatigue, or muscle stiffness, avoid strenuous activities and consult your doctor. Stay hydrated during exercise.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness or dizziness in some people, especially during the first few weeks. Avoid driving or operating heavy machinery until you know how it affects you. It is important to take it at the same time daily to maintain effectiveness. Discuss with your employer if you need flexible hours during dose adjustments.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. Your doctor will gradually reduce the dose over several weeks to prevent withdrawal symptoms and relapse. If you experience severe side effects, contact your doctor immediately for guidance.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe and effective for preventing relapse of depression and anxiety. However, some patients may experience sexual dysfunction, emotional blunting, or weight changes. Regular monitoring by a doctor is recommended to assess ongoing need and manage side effects. Do not stop the medicine without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A type of talk therapy that can be as effective as medication for mild to moderate depression and anxiety.
Evidence: Well-establishedPhysical activity can boost mood and reduce anxiety through endorphin release.
Evidence: Well-establishedHelps manage stress and anxiety by focusing on the present moment.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, always inform your healthcare provider about all medicines you are taking before receiving any vaccine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Keep it in your carry-on luggage to avoid loss or temperature extremes. If crossing time zones, adjust the timing of your dose gradually to match your new schedule, but do not take a double dose. Store it at room temperature and away from direct sunlight. Check local customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Initial effects may be seen in 1 to 2 weeks, but full therapeutic benefits usually take 4 to 6 weeks.
A: No, you should not stop without consulting your doctor. Stopping suddenly can cause withdrawal symptoms and relapse.
A: Take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
A: It should be used during pregnancy only if the potential benefit justifies the potential risk. Consult your doctor.
A: It is best to avoid alcohol as it can increase drowsiness and worsen depression.
🤔 Common Patient Concerns
🔄 Substitutes for citalop s 5mg tablet
View AllAlternative brands with exact same active ingredient:
-
davaindia escitalopram oxalate 5mg tabletDavaindia Generic Pharmacy ₹13.13 51.4% CHEAPER
-
sitaram 5mg tabletApostle Remedies ₹26.25 2.8% CHEAPER
-
jovil 5mg tabletEskag Pharma Pvt Ltd ₹26.37 2.3% CHEAPER
-
elcit 5 tabletElite Pharma Pvt Ltd ₹27.19 0.7% COSTLIER
-
excita 5mg tabletElder Pharmaceuticals Ltd ₹27.91 3.4% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a sleeping pill.
Fact: This medicine is an antidepressant, not a sleeping pill. It may cause drowsiness or insomnia as side effects, but it is not used as a sleep aid. - Myth: This medicine works immediately.
Fact: It may take 1 to 2 weeks for initial effects and 4 to 6 weeks for full therapeutic benefits. - Myth: You can stop this medicine once you feel better.
Fact: Stopping suddenly can cause withdrawal symptoms and relapse. Always consult your doctor before stopping. - Myth: This medicine is addictive.
Fact: This medicine is not considered addictive, but it can cause dependence and withdrawal symptoms if stopped abruptly.
🔄 Alternative Options
Generic Alternatives
- Escitalopram Oxalate 5mg Tablet
Brand Alternatives
- Nexito 5mg Tablet
- Cipralex 5mg Tablet
- Lexapro 5mg Tablet