Hello, Welcome to HCM, I have read your query, cipralex tablets contain the active ingredient escitalopram oxalate, which is a type of antidepressant known as a selective serotonin reuptake inhibitor (SSRI). Antidepressant medicines act on nerve cells in the brain. SSRIs work by preventing serotonin (chemical messenger) from being reabsorbed back into the nerve cells in the brain. This helps prolong the mood lightening effect of any released serotonin. In this way, escitalopram helps relieve depression, panic and fear. Some of the side effects that are known to be associated with this medicine are increased appetite, weight gain, anxiety, restlessness, abnormal dreams, decreased sex drive, difficulty sleeping, sleepiness, dizziness, shaking, usually of the hands (tremor), pins and needles sensations or numbness, pain in the muscles and joints, fatigue. If you have persistent problem which is bothersome, will advice to kindly consult your physician. Thanks