- Approval Id
- e6e67a092b90f220
- Drug Name
- S-OROPRAM FC TABLET 10MG
- Product Name
- S-OROPRAM FC TABLET 10MG
- Approval Number
- SIN16777P
- Approval Date
- 2023-05-11
- Registrant
- TEVA PHARMACEUTICAL INVESTMENTS SINGAPORE PTE. LTD.
- Licence Holder
- TEVA PHARMACEUTICAL INVESTMENTS SINGAPORE PTE. LTD.
- Drug Type
- Therapeutic
- Forensic Classification
- Prescription Only
- Dosage Form
- TABLET, FILM COATED
- Dosage
- <p><strong>4.2 Posology and method of administration</strong><br>
Safety of daily doses above 20 mg has not been demonstrated.<br>
S-OROPRAM is administered as a single daily dose and may be taken with or without food.</p>
<p><u>Major depressive episodes</u><br>
Usual dosage is 10 mg once daily. Depending on individual patient response, the dose may be increased to a maximum of 20 mg daily.<br>
Usually 2–4 weeks are necessary to obtain antidepressant response. After the symptoms resolve, treatment for at least 6 months is required for consolidation of the response.</p>
<p><u>Panic disorder with or without agoraphobia</u><br>
An initial dose of 5 mg is recommended for the first week before increasing the dose to 10 mg daily. The dose may be further increased, up to a maximum of 20 mg daily, dependent on individual patient response.<br>
Maximum effectiveness is reached after about 3 months. The treatment lasts several months.</p>
<p><u>Generalised anxiety disorder</u><br>
Usual dosage is 10 mg once daily. Depending on individual patient response, the dose may be increased to a maximum of 20 mg daily.</p>
<p>Treatment for 3 months is recommended to consolidate response. Long-term treatment of responders for 6 months has been shown to prevent relapse and can be considered on an individual basis; treatment benefits should be re-evaluated at regular intervals.</p>
<p><u>Obsessive-compulsive disorder (OCD)</u><br>
Usual dosage is 10 mg once daily. Depending on individual patient response, the dose may be increased to 20 mg daily.<br>
Long-term treatment has been studied for a maximum of 40 weeks. Patients responding to a 16-week open-label treatment phase were randomized to a 24-week placebo-controlled relapse prevention phrase, receiving 10 or 20 mg escitalopram daily. As OCD is a chronic disease, patients should be treated for a sufficient period to ensure that they are symptom free. This period may be several months or even longer.</p>
<p><u>Elderly patients (> 65 years of age)</u><br>
Initial treatment with half the usually recommended dose and a lower maximum dose should be considered (see section 5.2 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><u>Children and adolescents (<18 years)</u><br>
S-Oropram should not be used in the treatment of children and adolescents under the age of 18 years (see section 4.4 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><u>Reduced renal function</u><br>
Dosage adjustment is not necessary in patients with mild or moderate renal impairment. Caution is advised in patients with severely reduced renal function (CLCR less than 30 ml/min.) (see section 5.2 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><u>Reduced hepatic function</u><br>
An initial dose of 5 mg daily for the first two weeks of treatment is recommended.<br>
Depending on individual patient response, the dose may be increased to 10 mg daily (see section 5.2 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><u>Poor metabolisers of CYP2C19</u><br>
For patients who are known to be poor metabolisers with respect to CYP2C19, an initial dose of 5 mg daily during the first two weeks of treatment is recommended.<br>
Depending on individual patient response, the dose may be increased to 10 mg daily (see section 5.2 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
<p><u>Discontinuation symptoms</u><br>
When stopping treatment with S-Oropram the dose should be gradually reduced over a period of at least one to two weeks in order to avoid possible discontinuations symptoms (see section 4.4 and 4.8 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).</p>
- Route Of Administration
- ORAL
- Indication Info
- <p><strong>4.1 Therapeutic indications</strong><br>
Treatment of major depressive episodes.<br>
Treatment of panic disorder with or without agoraphobia. Treatment of generalised anxiety disorder.<br>
Treatment of obsessive-compulsive disorder.</p>
- Contraindications
- <p><strong>4.3 Contraindications</strong><br>
Hypersensitivity to the active substance or to any of the excipients, listed in section 6.1 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>.<br>
Concomitant treatment with non-selective, irreversible monoamine oxidase inhibitors (MAO inhibitors) (see section 4.5 – <em>please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information</em>).<br>
Concomitant treatment with pimozide.</p>
- Atc Code
- N06AB10
- Atc Item Name
- escitalopram
- Pharma Manufacturer Name
- TEVA PHARMACEUTICAL INVESTMENTS SINGAPORE PTE. LTD.