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Atpram (Escitalopram)

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Atpram is good for treating depression and anxiety. It's generally well-tolerated and has fewer drug interactions than other antidepressants. Atpram is a selective serotonin reuptake inhibitor (SSRI) antidepressant. It raises serotonin levels in the brain which regulates mood.

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Alwel, Ambulax, Anipram, Anxifree, Cilentra, Cipralex, Depran, Deptune, Dexanil, Elcit, Escidant, Escigold, Escimax, Escirise, Escita, Escitalopram, Escytop, Esjoy, Esopram, Espancy, Etizola, Excita, Firsito, Lifodep, Loptal, Nexito, Prasilex, Rhopram, Stalowil, Velpram

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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.


Take Generic Atpram tablets and liquid form orally with or without food. Do not crush or chew it, shake the liquid form of Generic Atpram. Generic Atpram can be used by 18 year-old patients or over. The treatment can be resulting after 4 weeks. Take Generic Atpram once a day at the same time every day with water. If you want to achieve most effective results do not stop taking Generic Atpram suddenly.


If you overdose Generic Atpram and you don't feel good you should visit your doctor or health care provider immediately. Symptoms of Generic Atpram overdosage: rapid heartbeat, vomiting, confusion, tremor, sweating, convulsions, loss of memory, dyspepsia, coma, feeling drowsy, nausea, lightheadedness.


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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To investigate the technique of phacoemulsification in situ for cataract extraction and elliptical intraocular lens (IOL) implantation. DREB2 genes have been identified and characterized in a variety of plants, and DREB2 genes are promising candidate genes for the improvement of stress tolerance in plants. The results show that there is a significant association between genetic structuring and geography. OAT1 and OAT3 mediated the basolateral uptake of hydroxycinnamic acid sulfates and glucuronide conjugates, respectively. Mixed chimerism in the B cell lineage is a rapid and sensitive indicator of minimal residual disease in bone marrow transplant recipients with pre-B cell acute lymphoblastic leukemia. Indirect bypass procedures for moyamoya disease in pediatric patients. On the problem of cooperation between lawyers and physicians in the campaign against alcoholism.

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This complex facilitates the action of sequence-specific, DNA-binding proteins in regulating target genes, possibly by altering chromatin structure. The central, abdominal distribution of adipose tissue in IDDM is associated with insulin resistance, hypertension, and the above lipoprotein abnormalities. While the outer rings contain alpha-type subunits, the inner ones comprise beta-type subunits. To evaluate the role of core antigen (Ortho trak-C assay) as a marker of active HCV infection in comparison to HCV RNA as detected by reverse transcription polymerase chain reaction (RT-PCR). Report on the use of an enzyme compound administered sub-lingually in dental practice.

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Cevimeline was well tolerated by patients with xerostomia after radiotherapy for head and neck cancer, and oral administration of 30-45 mg of cevimeline three times daily increased unstimulated salivary flow. At its maximum, the ppGpp level in relC49 was only one-fourth that observed in strain IMRU3720. Neither structural changes nor amplification of the M-CSF gene were detected, and Epstein-Barr virus infection was found to be not directly related to M-CSF production. A study of settling time, vessel geometry and sedimentation effects on the efficiency of separation. A possible explanation for the observation that IdiA was not only expressed under Mn deficiency but also under Fe deficiency is given in the discussion. After recovery, sites of prior bulk disease were to be radiated or resected if feasible. Risk factors associated with infections and need for permanent cerebrospinal fluid diversion in pediatric intensive care patients with externalized ventricular drains. ELISA results showed low seroconversion of OE1 and OE10 chickens prior to homologous challenge.

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Data of patients, who underwent patch testing to evaluate otitis externa were analyzed. In this prospective, population-based study, OHCA victims younger than age 21 years in 1 province of the Netherlands were registered through both emergency medical services and coroners over a period of 4.3 years. Our combined analysis will be a promising technique for screening of cancer-related splicing variants and their protein isoforms. To evaluate post-ischemic functional recovery, TRO40303 was tested in a model of isolated rat heart. Higher shrinkage was observed with recordings at lower intensities and in thinner layers. Eight cases of MEWDS patients visited Xingtai eye hospital between January 2009 and December 2010 were included in this study. Catastrophic pulmonary vasoconstriction associated with protamine reversal of heparin. Similar to pulmonary capillary pressure, pulmonary venous (or postcapillary) resistance was increased approximately four-fold over baseline at 0.5 and 0.75 hrs after initiating endotoxin administration, but returned to baseline values by the end of endotoxin administration and remained at baseline values throughout the remainder of the study. Estimate the variation in the incidence of new diagnoses of OM and URIs among 19 physicians working at 2 urgent care clinics between January 1, 1995, and March 31, 1995.

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Accordingly, peroxisomal remnants in PEX14-deficient cells have lost their ability to move along microtubules. To verify whether FFA infusion modifies the ACTH/cortisol response to physical exercise, a well-known activator of the HPA axis at suprapituitary level. Pertinent English-language articles were identified through a search of MEDLINE (1966-week 2, May 2006) using such search terms as 5alpha-reductase inhibitor, alpha-blocker, benign prostatic hyperplasia, dutasteride, efficacy, enlarged prostate, finasteride, and safety. Although exact underlying pathological mechanisms are unclear, both the ICA occlusion and MS-like brain white matter lesions could be attributed to SLE. p34 and p37 bind preferentially to heterogeneous RNA as compared with other nucleic acids. To assure the close relationship between thyroid hormone (L-thyroxin) and muscle contraction a group of patients who have undergone thyroidectomy was investigated in the same way. The time from presentation to diagnosis, administration of antibiotics before biopsy, blood culture results, admission C-reactive protein (CRP)/white cell count, presence of fever or neurological deficits, and soft tissue collections on MRI were analyzed. Minimal invasive strategies were introduced to benefit the healthy donors. Less evidence is available for mammalian target of rapamycin inhibitors but recent data support a key role of the phosphoinositide 3-kinase/Akt pathway in clear cell renal cell carcinoma and points toward poor response to angiogenic drugs when the pathway is activated.

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Review article: pharmacological treatment of the hepatorenal syndrome in cirrhotic patients. The present study showed that acidic food ingestion for 5 min has a significant effect on the outcome of standard dual-channel ambulatory pH testing. Some physiological indexes in the members of the engine-room crew under experimental conditions. MCF-7 cells were transfected with various metallothionein gene constructs which contain the insertion or the removal of the unique MT3 C- and N-terminal domains. Spontaneous bilateral hip fractures in a patient with steroid-induced osteoporosis--a case report. The question as to the possible beneficial effect of extended lymphadenectomy in gastric cancer is difficult and complex. CT angiography has been shown to have an accuracy comparable to that of conventional angiography in predicting renal arterial anatomy.

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The MAB was used to capture the antigen from the feces, and hyperimmune rabbit serum raised against the purified 26- to 28-kd glycoprotein was used to detect the coproantigen. A set of immunohistological reactions, including reactions to cytokeratins 13 and 19, vimentin and UEA-1 was found to facilitate the differential diagnosis of Bellini duct carcinomas from other renal cell carcinomas and infiltrating urothelial carcinomas of renal pelvis. We compare the dependence of the glass-transition temperature (Tg) and physical ageing on the interlayer distance in model nanocomposites with the dependence of silica nanoparticle content in real nanocomposites. Protection against amebic liver abscesses has also been reported by targeting other E. We investigated polymorphisms in the genes encoding tumor necrosis factor (TNF)-alpha, interleukin (IL)-10, and transforming growth factor (TGF)-beta1, which affect the amount of cytokine produced in vitro, in a liver transplant population to determine any association with acute rejection. Proton release and subsequent uptake by several forms of bacteriorhodopsin (bR), including 4-keto analogs of wild-type (WT) and D96N and D85N mutants as well as the 9-demethylretinal analog of WT and D96N mutants, have been measured using a highly sensitive electrochemical technique. Event-free survival (EFS) rates were estimated by Kaplan-Meier analysis. The effects of netrin-1 receptor signaling on mesocorticolimbic dopamine system function change across development. Surface-mediated nucleation in the solid-state polymorph transformation of terephthalic acid. Novel-agent-based induction and up-front autologous stem cell transplantation in medically fit patients remains the standard of care (1A).

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The authors report the case of a 17-week intact abdominal pregnancy diagnosed in the course of an investigation of lower abdominal pain. Divergence times this short or shorter are consistent with the abrupt appearances of many invertebrate species in the fossil record, commonly followed by millions of years of morphologic stasis. The operation resulted in effective portal decompression as demonstrated by decrease of the pressure gradient, rapid regression of clinical signs of portal hypertension, and definitive control of bleeding. Both pDMAEMA- and PEI-complexed DNA showed colocalization with fluorescently-labeled transferrin and cholera toxin after internalization by COS-7 cells, which indicates uptake via the clathrin- and caveolae-dependent pathways. Asthma is one of the most common illnesses among children, yet there is little reliable information on the number of children at the state and county level who are living with asthma. An examination of early neural and cognitive alterations in hippocampal-spatial function of ghrelin receptor-deficient rats. Further studies focusing on exposure to mixtures of EDCs are needed. 9-OH-E resistance was not modified in the transfected cells, while the cross-resistance of these cells to MDR-sensitive drugs, such as vincristine, actinomycin D, and taxol, was reversed roughly in proportion of the expression of the transfected myc. This modification reduces the average coordination number and consequently shifts the liquid-gas phase coexistence curve to low densities, thus facilitating the formation of gels without phase separation. Expression levels of 8 genes were significantly increased in HCV-MC patients versus control patients with noninflammatory idiopathic neuropathy, with the highest increase for metallothionein 1 H (MT1H), a hypoxic and oxidative stress protein.

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Current research efforts are being focused on the development of novel, safe immunospecific treatments. The plasma level of TRH was significantly higher (P less than 0.01) in the second trimester and significantly lower (P less than 0.05 1 month post partum than those values in nonpregnant controls. As a result, they are unable to discriminate sinus tachycardia and atrial arrhythmias from malignant ventricular rhythms. Asymmetrical autonomic dysfunction of the feet after retroperitoneal surgery in patients with testicular cancer: 2 case reports. Thus the ability to modulate prey capture behaviour in accordance with the characteristics of the food appears crucial.

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Thus changes in hemoglobin O2 affinity are more probably due to changes in 2,3-DPG concentrations than to alterations of body temperature. Morphologic and biosynthetic modulations of HeLa cells mediated by sodium butyrate. Posttraumatic stress ribavirin generic disorder: psychological factors and psychosocial interventions. Western immunoblot analyses detected MMP-1, TIMP-1 and TIMP-2 in the incubation fluids and in extracts from the UCA wall. Effects of antihypertensive drug classes on regression of connective tissue components of hypertension. The use of both IBGMS and RT-CGM significantly improved A1C levels in patients with type 2 diabetes treated with insulin in a randomized trial over a 6-month period. Reactivation of Snail genes in renal fibrosis and carcinomas: a process of reversed embryogenesis?. The durability of total hip arthroplasty (THA) is affected by patient-related factors such as age, gender, body weight, disease, and bone quality, as well as the materials and design factors of the hip implants, and the surgical technique employed. Choice of Insulin in Type 2 Diabetes: A Southeast Asian Perspective.

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Four randomized studies have failed to show significant benefits of thoracoscopic poudrage over bedside pleurodesis. However, with long-term low-level exposure, hAS3MT produces intracellular methylarsenite (MAs(III)) and dimethylarsenite (DMAs(III)), which are considerably more toxic than inorganic As(III) and may contribute to arsenic-related diseases. Forty-nine consecutive patients were randomized between either freehand or Ghajar Guide-assisted catheter placement. In the cortical keratinocytes striking patterns of keratin gene expression exist, suggesting that different transcriptional hierarchies operate in the various cell phenergan dosage forms types. VIP was about 100-fold less potent than glucagon and 1,000-fold less potent than ADH in causing activation of phosphorylase. A total of 470 nonduplicate MRSA blood isolates from adult patients (older than 18 years) were collected from January 2006 to December 2008. The maximization of average fitness by natural selection for a sex-linked locus. Differences in attenuation between the central and peripheral areas of the liver are probably unrelated to contrast administration. Pedunculated aortic mural thrombus attached at unusual site of normal aorta presenting with acute myocardial infarction. Transcription of COX2 does not require COX18 function, and a chimeric COX3-COX2 mRNA did not suppress the respiratory defect in the null mutant, indicating that the mutation does not impair transcription or translation of the mRNA.

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Booster immunoglobulin G (IgG) and IgM responses were elicited by all conjugates in BALB/c mice. Binding affinity and internalization were determined in vitro in prostate carcinoma PC-3 cells. Tenascin also appeared in the neointima formed by proliferating smooth muscle cells 2 weeks after balloon catheter injury of the carotid artery. Herein, we report a new electrochemical technique for studying the proteolysis of K-casein. Advances in imaging modalities and histopathological tools have minimized the need for surgery in the workup of pleural effusions. Twenty patients with anatomical and intrinsic sphincter deficiency stress urinary incontinence were surgically treated for evaluating the initial results of the vaginal wall sling, from February 5, 1994, to June 27, 1996. In a 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical-scavenging assay, 2 gave an ED50 value of 87.7 microM. A dominant negative mutation suppresses the function of normal epidermal growth factor receptors by heterodimerization.

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In heart failure patients, renal impairment is related to hemodynamic and non-hemodynamic factors. These experiments were designed to determine if the fall in heart rate during peripheral sodium loading is 1) equivalent to bradycardia accompanying phenylephrine (PE) infusion, 2) mediated by the parasympathetic (PSNS) or sympathetic (SNS) nervous system, and 3) controlled by the median preoptic nucleus (MnPO). These results not only extended our understanding of BR-repressed gene expression, but also revealed multiple inputs of BR signaling into BR transcriptional networks. Sex determining genes and vitellogenin synthesis in Drosophila melanogaster. MBP became concentrated as fine punctate dots lining the edges of processes and as coarse grains in flattened sheet-like structures. The purpose of the present study was to investigate the effect of experimental T-2 toxin load (2.35 mg/kg of feed) and vitamin E supply in the drinking water (10.5 mg/bird/day) on vitamin E levels of the blood plasma and liver in broiler chickens in a 14-day experiment. The distal femur contains usually only fatty marrow in the adult. Executive function and attention in patients with stress-related exhaustion: perceived fatigue and effect of distraction. Simultaneous incidence of fibroelastosis and glycogenosis of the heart in an infant. Several novel components have been developed to address the unique safety and sample exposure challenges that accompany the research of these toxic, often very low vapor pressure, compounds.

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Here, we report that in G2 phase polo-like kinase 1 (Plk1) can trigger centrosome separation independently of Cdk1. OPERATION: Direct suture of nervous stumps utilizing auxiliary technical procedures:- joint-flexion, nerve transposition, tendon transplants, bone shortening. Rats treated with 2.5 mg/kg CsA for 2 weeks beginning 5 days after a single 3MC injection had tumor incidence similar to rats treated with 3MC only. Computer-assisted image processing for quantifying histopathologic variables in the healing of colonic anastomosis in dogs. Conversely, tropical ectotherms facing dry summers would have fewer opportunities to climatic niche partitioning and other processes rather than environmental filtering would mediate species coexistence. Adrenalectomy should be considered, especially when hypertension and/or non-insulin-dependent diabetes mellitus are present. We found that the mRNA expression of Topo II and TS were elevated in tumor tissue versus corresponding normal tissue. Development of neurons expressing estrogen receptor alpha transiently in facial nucleus of prenatal and postnatal rat brains. Unlike normal bronchial epithelial cells, which undergo terminal squamous differentiation in caverta 50 mg tablet uses in tamil vitro in response to fetal bovine serum, HB56B cells were only minimally affected by serum. Phosphatidylinositol-3-kinase (PI3K)/AKT signaling is essential for growth and metabolism and is elevated in many cancers.

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Amphetamine and the dopamine D(2) agonist quinpirole increased the severity of dystonia after systemic and striatal injections, while the dopamine D(1) agonist SKF 38393 exerted only moderate prodystonic effects after systemic administration of a high dose but not after striatal injections. To examine effects of light and heavy cigarette smoking on the incidence of low birth weight (LBW) and preterm births in African American women. Active site occupancy by this compound could be monitored following fluorescence resonance energy transfer between the dansyl fluorophore and protein tryptophan residues and could be used to 1) unambiguously assess active site binding of NS3 protease inhibitors, 2) directly determine equilibrium and pre-steady-state parameters of enzyme-inhibitor complex formation, and 3) dissect, using site-directed mutagenesis, the contribution of single residues of NS3 to inhibitor binding in direct binding assays. Stimulation of hemoglobin synthesis in chick blastoderms by certain 5beta androstane and 5beta pregnane steroids. Fungal levels in houses in the Fukushima verapamil tablet size Daiichi Nuclear Power Plant evacuation zone after the Great East Japan Earthquake. These differences between centre and periphery are reflected in distinct patterns in junctional markers. Therefore, immune reactions to hirudin in man during therapeutic measures requiring several exposures to the inhibitor should not to be expected under normal circumstances. Doses of 50, 75, 150, or 250 microgram were given to groups of individuals as a single dose subcutaneous injection.

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Endothelial proliferation, migration, and differentiation are blunted by conditionally expressed protein kinase C pseudosubstrate peptides. To properly resolve transmission events, these processes need to be taken into account. The pores in unwilted control plants of both tobacco and bean were invariably plugged. Otolaryngologists are increasingly expected to perform a variety of minor surgical procedures in both elective and emergency situations. Assessment of myocardial protection during global ischemia with myocardial gas tension monitoring.

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Extracorporeal shockwave lithotripsy for cholecystolithiasis using a new mini-lithotripter. SUMMARY: In patients with pathologically altered erythrocytes, red blood cell exchange is a very efficient therapeutic measure without important side effects. Women and patients with symptoms from the distal part of the tendon had significantly less improvement. Matching ventilatory support strategies to respiratory pathophysiology. The knowledge of the correct structures is important in view of an ongoing study to establish relationships between the nature of the peptide chains of pyoverdins and their recognition by outer membrane proteins. Each medial branch divides to form 3-6 end bulbs along the rostrocaudal orientation of a single tonotopic band, and each magnocellular neuron receives 1-4 end bulbs. Decision-making strategy is influenced by personality traits and genetic variations in patients with MDD. Theta (6 Hz), alpha (10 Hz) and gamma (40 Hz) beat frequencies, as well as a control stimulus were applied to healthy participants for 5 min.

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