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 is used to treat depression and Anxiety.

Uses of Madam Tablet

Depression
Panic disorder

Benefits of Madam Tablet

In Depression

Madam 40mg Tablet works by increasing the level of a chemical called serotonin in the brain. This improves your mood, relieves anxiety, tension, and helps you sleep better. It has fewer side effects than older antidepressants. It usually takes 4-6 weeks for this medicine to work so you need to keep taking it even if you feel it is not working. Do not stop taking it, even if you feel better unless your doctor advises you to.

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.

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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.

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.

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.

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.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Madam 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.

Fact Box

Chemical Class

Phenylbutylamine Derivative

Habit Forming

Therapeutic Class

NEURO CNS

Action Class

Selective Seretonin Reuptake inhibitors (SSRIs)

Patient concerns

Choose doctor at vishakapatnam

Dr. Vinod Raina

Sexology

Madam we are From Delhi

She is not happy with wt u did

Dr. Vinod Raina

Sexology

What do u mean madam

Sir/ madam is there any 100% cure for anxiety and depression

Dr. Jyoti Kapoor Madan

Psychiatry

Depression is a persistent state of sadness that is the result of interaction between one's inner biological and psychological state and gets triggered of with environmental stressors. Reactive depression is in response to a situation like loss, sickness, trauma etc. Endogenous depression occurs without any noticeable environmental stressors. Psychological symptoms include lack of interest, negative thinking, irritability, frustration, feeling demotivated etc. Somatic symptoms like fatigue/ weakness/ lack of sleep/ lack of appetite and other physical symptoms are common. Anxiety is common. In severe cases one may feel helpless and hopeless enough to wish for death or attempt suicide. Treatment includes physical and psychiatric work up following which medicines can be prescribed. In milder cases, psychotherapy or counselling is recommended. Depressive disorder can recur as it is an endogenous vulnerability. Recurrent Depressive Disorder or RDD doesn't mean that the first episode wasn't treated, it simply means that medicines are needed for longer. Since these are internal neuro chemical imbalances, they can re occur.

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 Ltd

Address: Ambala- Chandigarh Highway, Lalru – 140501, Punjab

Country of origin: India

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