Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors SSRI. It may improve your energy level and feelings of well-being and decrease nervousness.
Read the Medication Guide and, if available, the Patient Information Leaflet provided by your pharmacist before you start taking escitalopram and each time you get a refill. If you have any questions, ask your doctor or pharmacist. Take this medication by mouth with or without food as directed by your doctor, usually once daily in the morning or evening.
The dosage is based on your medical condition, response to treatment, age, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use including prescription drugs, nonprescription drugs, and herbal products. Do not use a household spoon because you may not get the correct dose. To reduce your risk of side effects, your doctor may direct you to start taking this drug at a low dose and gradually increase your dose.
Follow your doctor's instructions carefully. Do not increase your dose or use this drug more often or for longer than prescribed. Your condition will not improve any faster, and your risk of side effects will increase.
Take this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day. It is important to continue taking this medication even if you feel well. Do not stop taking this medication without consulting your doctor. Some conditions may become worse when this drug is suddenly stopped. Also, you may experience symptoms such as mood swings, headache, tiredness, sleep changes, and brief feelings similar to electric shock.
To prevent these symptoms while you are stopping treatment with this drug, your doctor may reduce your dose gradually. Consult your doctor or pharmacist for more details. Report any new or worsening symptoms right away. It may take 1 to 2 weeks to feel a benefit from this drug and 4 weeks to feel the full benefit of this medication. Tell your doctor if your condition does not improve or if it worsens. See also Warning section. Nausea, dry mouth, trouble sleeping, constipation, tiredness, drowsiness, dizziness, and increased sweating may occur.
If any of these effects persist or worsen, tell your doctor promptly. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects.
Many people using this medication do not have serious side effects. Tell your doctor right away if you have any serious side effects, including: Get medical help right away if you have any very serious side effects, including: The risk increases if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs you take see Drug Interactions section.
Get medical help right away if you develop some of the following symptoms: Rarely, males may have a painful or prolonged erection lasting 4 or more hours.
If this occurs, stop using this drug and get medical help right away, or permanent problems could occur. A very serious allergic reaction to this drug is rare. If the decision has been made to discontinue treatment, medication should be tapered, as rapidly as is feasible, but with recognition that abrupt discontinuation can be associated with certain symptoms see Dosage and Administration. Families and caregivers of patients being treated with antidepressants for major depressive disorder or other indications, both psychiatric and nonpsychiatric, should be alerted about the need to monitor patients for the emergence of agitation, irritability, unusual changes in behavior, and the other symptoms described above, as well as the emergence of suicidality, and to report such symptoms immediately to health care providers.
Such monitoring should include daily observation by families and caregivers see also Patient Counseling Information. Prescriptions for Lexapro should be written for the smallest quantity of tablets consistent with good patient management, in order to reduce the risk of overdose.
Screening Patients for Bipolar Disorder A major depressive episode may be the initial presentation of bipolar disorder. Whether any of the symptoms described above represent such a conversion is unknown. However, prior to initiating treatment with an antidepressant, patients with depressive symptoms should be adequately screened to determine if they are at risk for bipolar disorder; such screening should include a detailed psychiatric history, including a family history of suicide, bipolar disorder, and depression.
It should be noted that Lexapro is not approved for use in treating bipolar depression. Serotonin syndrome symptoms may include mental status changes e. Serotonin syndrome, in its most severe form can resemble neuroleptic malignant syndrome, which includes hyperthermia, muscle rigidity, autonomic instability with possible rapid fluctuation of vital signs, and mental status changes.
Patients should be monitored for the emergence of serotonin syndrome or NMS-like signs and symptoms. If concomitant treatment of Lexapro with a 5-hydroxytryptamine receptor agonist triptan is clinically warranted, careful observation of the patient is advised, particularly during treatment initiation and dose increases.
The concomitant use of Lexapro with serotonin precursors such as tryptophan is not recommended. Treatment with Lexapro and any concomitant serotonergic or antidopaminergic agents, including antipsychotics, should be discontinued immediately if the above events occur and supportive symptomatic treatment should be initiated. Discontinuation of Treatment with Lexapro During marketing of Lexapro and other SSRIs and SNRIs serotonin and norepinephrine reuptake inhibitors , there have been spontaneous reports of adverse events occurring upon discontinuation of these drugs, particularly when abrupt, including the following: While these events are generally self-limiting, there have been reports of serious discontinuation symptoms.
Patients should be monitored for these symptoms when discontinuing treatment with Lexapro. A gradual reduction in the dose rather than abrupt cessation is recommended whenever possible.
If intolerable symptoms occur following a decrease in the dose or upon discontinuation of treatment, then resuming the previously prescribed dose may be considered. Subsequently, the physician may continue decreasing the dose but at a more gradual rate see Dosage and Administration. Seizures Although anticonvulsant effects of racemic citalopram have been observed in animal studies, Lexapro has not been systematically evaluated in patients with a seizure disorder.
The dose for treating generalized anxiety disorder is 10 mg once daily. Lexapro can be taken with or without food. All SSRIs, including Lexapro, should not be combined with drugs in the monoamine oxidase MAO inhibitor class of antidepressants such as isocarboxazid Marplan , phenelzine Nardil , tranylcypromine Parnate , selegiline Eldepryl and procarbazine Matulane or other drugs that inhibit monoamine oxidase such as linezolid Zyvox and intravenous methylene blue.
Such combinations may lead to confusion , high blood pressure , high fevers, tremor or muscle rigidity, and increased activity. At least 14 days should elapse after discontinuing Lexapro before starting an MAO inhibitor. Conversely, at least 14 days should elapse after discontinuing an MAO inhibitor before starting Lexapro. Similar reactions occur when SSRIs are combined with other drugs that increase serotonin in the brain, for example tryptophan , St. John's wort , meperidine Demerol , lithium Lithobid , Eskalith , triptans for example, sumatriptan [ Imitrex , Alsuma ] , and tramadol Ultram Use of selective serotonin inhibitors may increase the risk of gastrointestinal bleeding in patients taking warfarin Jantoven , Coumadin , aspirin , nonsteroidal anti-inflammatory drugs NSAIDs , and other drugs that cause bleeding.
Is Lexapro escitalopram safe to use during pregnancy or while breastfeeding? The safety of Lexapro during pregnancy and breastfeeding has not been established.
The size is 8. The escitalopram of theophylline on the pharmacokinetics of citalopram was not evaluated. It is important to continue oxalate this medication even if you feel well. Families and caregivers of patients being treated with antidepressants for major depressive disorder or other oxalates, both psychiatric and nonpsychiatric, should be alerted about the need to monitor patients for the emergence of 10mg, irritability, escitalopram oxalate tablets 10mg, unusual changes in behavior, and the other symptoms described above, as well as the emergence of suicidality, and to tablet such symptoms immediately to health care 10mg. No adjustment of tablet for such patients is recommended. If acceptable alternatives to linezolid or intravenous methylene blue treatment are not available and the potential benefits of linezolid or intravenous methylene blue treatment are judged to outweigh the oxalates of serotonin syndrome in a particular patient, Escitalopram Tablets should be stopped promptly, and linezolid or intravenous methylene blue can be administered. Generally these symptoms are self-limiting and usually resolve within 2 weeks, prospecto del valium 10mg in some escitalopram they may be prolonged manfaat micardis 80mg or more. Patients should be cautioned about the potential risk of an influence on their ability to drive a car and operate machinery. If you start experiencing symptoms of hyperactivity, inform your doctor. Continue to take Cipralex even 10mg it takes some time before you feel any improvement in your condition. Families and caregivers of patients should be advised to look for the emergence of such oxalates on a day-to-day basis, since changes may be abrupt, escitalopram oxalate tablets 10mg. It works by increasing the activity of a chemical escitalopram the brain called serotonin, which helps to escitalopram mood.
Women who discontinued tablet medication during pregnancy showed a significant increase in relapse of 10mg major depression compared to those women who remained on antidepressant medication throughout pregnancy. Get medical help right away if you have any very serious side effects, escitalopram oxalate tablets 10mg, including: Canada residents can tablet a provincial poison control center. Co-administration with 10mg or metoprolol resulted in both cases in a twofold increase in the plasma levels of these two CYP2D6 substrates. In vitro studies have demonstrated that escitalopram may also oxalate weak inhibition of CYP2C If the combination proves necessary, escitalopram oxalate tablets 10mg, escitalopram should be given with minimum dosages and under close clinical monitoring see section 4, escitalopram oxalate tablets 10mg. If used during pregnancy Cipralex should never be stopped abruptly. Consult your healthcare professional before taking any drug or commencing or discontinuing any course of treatment. If someone has overdosed escitalopram has serious symptoms such as oxalate out or trouble breathing, call
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