ESCITALOPRAM 10MG 100 TB
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ESCITALOPRAM 10MG (100 TABLETS)
Generic Name: escitalopram
Brand Name: Cipralex
Drug class: Selective serotonin reuptake inhibitors
WHAT IS THE DOSAGE OF THIS MEDICATION?
Cipralex and its generic escitalopram tablets are available in the strength of 10 mg and 20 mg.
WHAT IS THIS MEDICATION USED FOR?
Escitalopram belongs to the group of medications called selective serotonin reuptake inhibitors (SSRIs). It is used to treat depression, obsessive-compulsive disorder (OCD), and generalized anxiety disorder (GAD). It works by increasing levels of a neurotransmitter called serotonin in the brain. Increased serotonin levels can lead to an improved mood.
Disturbances in the serotonin-system are considered an important factor in the development of depression and related diseases. Escitalopram works to increase serotonin levels in the brain by being a selective serotonin reuptake inhibitor. This medication binds to sites on the serotonin transporter preventing the reuptake of serotonin (5-HT) into the presynaptic terminals of serotonergic neurons. This may improve your energy levels, mood, appetite, sensation of anxiety/nervousness, and eventually overall general quality of life.
The medication usually begins to work within 2 to 4 weeks. However, it may take several weeks of treatment before the full effects are seen.
The recommended dose is usually started at 10 mg daily, preferably at the same time each day. Escitalopram should be taken once daily in the morning or evening, with or without food. The dose can be increased by your doctor as needed to a maximum of 20 mg daily. For seniors, people with liver problems, and people taking the medications omeprazole or cimetidine, the maximum recommended daily dose is 10 mg. In some cases, the doctor may recommend a 5 mg starting dose.
Regular tablets: The tablet should be swallowed whole (not chewed) with a glass of water.
Oral dispersible tablets: The tablet should be placed on the tongue. It will rapidly disintegrate and can be swallowed without water. The tablets break easily, so they should be handled carefully with dry hands.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.
It is important to take this medication exactly as prescribed by your doctor. If you miss a dose, skip the missed dose and continue on with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Store this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children. The oral dispersible tablets should be kept in their original package. Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.
Cipralex is not for use in children under 18 years of age.
WHO SHOULD NOT TAKE THIS MEDICATION
Do not take escitalopram if you:
are allergic to escitalopram, citalopram, or any ingredients of the medication
have a condition known as congenital long QT syndrome or have a heart rhythm disturbance called QT prolongation
are taking the medication pimozide
have taken a MAO inhibitor medication (e.g., phenelzine, tranylcypromine, moclobemide) in the past 2 weeks – MAO inhibitors should not be taken until at least 2 weeks after stopping treatment with escitalopram
Not for recommend for use in children under 18 years of age
POTENTIAL INTERACTION WITH OTHER MEDICATION
Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Inform your doctor about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.
The following medications could potentially interact with escitalopram:
acetylsalicylic acid (ASA)
alcohol
amiodarone
amphetamines (e.g., dextroamphetamine, lisdexamfetamine)
anticoagulants (e.g., apixaban, clopidogrel, dabigatran, rivaroxaban, warfarin)
antihistamines (e.g., cetirizine, doxylamine, diphenhydramine, hydroxyzine, loratadine)
antipsychotics (e.g., chlorpromazine, clozapine, haloperidol, olanzapine, paliperidone, pimozide, quetiapine, risperidone)
anagrelide
apalutamide
asenapine
barbiturates (e.g., butalbital, pentobarbital, phenobarbital)
benzodiazepines (e.g., alprazolam, diazepam, lorazepam)
bosentan
buserelin
buspirone
chloral hydrate
chloroquine
cimetidine
clonidine
deferasirox
desmopressin
dextromethorphan
diabetes medications (e.g., canagliflozin, chlorpropamide, glyburide, insulin, metformin, rosiglitazone)
dipyridamole
disopyramide
dofetilide
domperidone
efavirenz
entacapone
enzalutamide
ergot alkaloids (e.g., ergotamine, dihydroergotamine)
etravirine
flecainide
fluconazole
heparin
herbal products that affect blood clotting (e.g., cat's claw, chamomile, fenugreek, evening primrose, feverfew, garlic, ginger, ginseng, glucosamine, turmeric)
itraconazole
ketoconazole
laxatives
lanreotide
linezolid
lithium
lopinavir
low molecular weight heparins (e.g., dalteparin, enoxaparin, tinzaparin)
macrolide antibiotics (e.g., clarithromycin, erythromycin)
metoclopramide
methadone
methylphenidate
metoclopramide
mexiletine
mifepristone
mirtazapine
mitotane
monoamine oxidase inhibitors (MAOIs; e.g., moclobemide, rasagiline, selegiline, tranylcypromine, methylene blue)
multivitamin supplements
modafinil
muscle relaxants (e.g., baclofen, cyclobenzaprine, methocarbamol, orphenadrine)
narcotic pain relievers (e.g., codeine, fentanyl, morphine, oxycodone)
nefazodone
non-steroidal anti-inflammatory medications (NSAIDs; e.g., diclofenac, ibuprofen, naproxen)
obinutuzumab
octreotide
omeprazole
pasireotide
pentamidine
pentoxifylline
procainamide
propafenone
protein kinase inhibitors (e.g., crizotinib, nilotinib, lapatinib, pazopanib, sunitinib)
quinidine
quinine
quinolone antibiotics (e.g., ciprofloxacin, ofloxacin)
rifampin
St. John's wort
saquinavir
scopolamine
seizure medications (e.g., clobazam, levetiracetam, phenobarbital, phenytoin, primidone, topiramate, valproic acid, zonisamide)
other selective serotonin reuptake inhibitors (SSRIs; e.g., citalopram, fluoxetine, paroxetine, sertraline)
serotonin antagonists (anti-emetic medications; e.g., dolasetron, granisetron, ondansetron)
serotonin/norepinephrine reuptake inhibitors (SNRIs; e.g., desvenlafaxine, duloxetine, venlafaxine)
siltuximab
sotalol
stiripentol
sulfonamide antibiotics ("sulfas"; e.g., sulfisoxazole, sulfamethoxazole)
tapentadol
tetrabenazine
thiazide diuretics (water pills; e.g., hydrochlorothiazide, indapamide, metolazone)
thyroid replacements (e.g., desiccated thyroid, levothyroxine)
tipranavir
tocilizumab
tolcapone
tramadol
trazodone
tricyclic antidepressants (e.g., clomipramine, desipramine, imipramine)
triptans (e.g., naratriptan, sumatriptan, zolmitriptan)
tryptophan
vitamin E
voriconazole
zolpidem
zopiclone
WHAT ARE THE SIDE EFFECTS OF THIS MEDICATION?
Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
Inform your doctor about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.
Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.
This is not a complete list of possible side effects. If you notice other effects not listed, please contact your doctor or pharmacist.
Possible side effects include:
changes in heart rate
congested or runny nose
constipation
diarrhea
difficulty sleeping
dizziness
drowsiness
dry mouth
fatigue
fever
heartburn
increased sweating
insomnia
loss of appetite
muscle or joint pain
nausea
sexual dysfunction including:
decreased libido (sex drive)
erectile dysfunction (difficulty getting or keeping an erection)
inability to have an orgasm
stomach pain
stomach upset
yawning
anxiety
bruising or unusual bleeding from the skin or other areas
difficulty controlling blood sugar levels
feeling of skin prickling
hallucinations
inability to urinate
involuntary movements of the body or face
low blood sodium (confusion, seizures, drowsiness, dryness of mouth, increased thirst, lack of energy)
mania (overactive behavior and thoughts)
new or worsening emotional symptoms
severe agitation or restlessness
symptoms of glaucoma, e.g.:
increased pressure in the eye
eye pain
blurred vision
symptoms of liver damage, e.g.:
abdominal pain
dark urine
clay-coloured stools
itching
loss of appetite
nausea and vomiting
yellow skin or eyes
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