Cipralex 10 mg 28 tablets

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Product Description:

Escitalopram 10 mg tablets

What is Escitalopram and what are its uses?

Escitalopram belongs to a group of antidepressants called selective serotonin reuptake inhibitors (SSRIs).

These drugs work on the serotonin system in the brain by increasing the level of serotonin. Disorders in the serotonin system are an important factor in the development of depression and related diseases.

Escitalopram is used to treat depression (major depressive episode) and anxiety disorders (such as panic disorder with or without agoraphobia, social anxiety disorder, generalized anxiety disorder, and obsessive-compulsive disorder).

It may take up to two weeks before you start to feel better.

Continue taking escitalopram, even if it takes some time before you feel any improvement in your condition.

You should talk to your doctor if you do not feel better or if you feel worse.

What you need to know before using Escitalopram:

Do not use Escitalopram:

If you are allergic to escitalopram or any of the other ingredients of this medicine

If you were born with or have had an abnormal heart rhythm (shown on an electrocardiogram; a test to evaluate how the heart is working).

Warnings and precautions:

You should tell your doctor if:

If you suffer from epilepsy. Treatment with escitalopram should be stopped if seizures occur at the same time or if there is an increase in the frequency of seizures.

If you have liver or kidney dysfunction. Your doctor may need to adjust your dose.

If you have diabetes. Treatment with escitalopram may alter blood sugar control. Your insulin dose and/or oral hypoglycemic agent dose may need to be adjusted.

If you have low sodium levels in your blood.

If you have a tendency to bleed or bruise easily.

If you are receiving electroconvulsive therapy.

If you have coronary heart disease.

If you have or have had heart problems or have recently had a heart attack.

If you have a low resting heart rate and/or know you may be salt depleted as a result of severe diarrhea and prolonged vomiting (illness) or use of diuretics (water tablets).

If you experience a fast or irregular heartbeat, fainting, collapse, or dizziness upon standing, which may indicate an abnormal heart rate.

If you have or have ever had eye problems, such as certain types of glaucoma (increased pressure in the eye).

Other medications and escitalopram:

Tell your doctor about the medicines you are taking, especially tell your doctor if you are taking:

“Non-selective monoamine oxidase inhibitors (MAOIs)”, which contain phenelzine, iproniazid, isocarboxazid, nialamide, and tranylcypromine as active ingredients. If you have taken any of these medicines, you will need to wait 14 days before starting to take escitalopram. After you stop taking escitalopram, you should wait 7 days before taking any of these medicines.

"Selective reversible MAO-A inhibitors," which contain moclobemide (used to treat depression).

"Irreversible MAO-B inhibitors," which include selegiline (used to treat Parkinson's disease). These increase the risk of side effects.

The antibiotic linezolid.

Lithium (used to treat bipolar disorder) and tryptophan. • Imipramine and desipramine (both used to treat depression).

Sumatriptan and similar medicines (used to treat migraines) and tramadol (used for severe pain). These increase the risk of side effects.

Cimetidine, lansoprazole and omeprazole (used to treat stomach ulcers), fluconazole (used to treat fungal infections), fluvoxamine (an antidepressant), ticlopidine (used to reduce the risk of stroke). These may cause increased blood levels of escitalopram.

St. John's Wort (Hypericum perforatum) - an herbal remedy used to treat depression.

Acetylsalicylic acid and non-steroidal anti-inflammatory drugs (NSAIDs) (medicines used to relieve pain or to thin the blood, called anticoagulants) may increase the tendency to bleed.

Warfarin, dipyridamole, and phenprocoumon (medicines used to thin the blood, also called anticoagulants). Your doctor will likely check your blood clotting time when you start and stop escitalopram to check that your dose of anticoagulants is still adequate.

Mefloquine (used to treat malaria), bupropion (used to treat depression) and tramadol (used to treat severe pain) because of a possible risk of a lower risk of seizures.

Antipsychotics (medicines to treat schizophrenia and psychosis) and antidepressants (tricyclic antidepressants and selective serotonin reuptake inhibitors) because of a possible risk of a lower degree of seizures.

Flecainide, propafenone, metoprolol (used for cardiovascular disease), clomipramine, nortriptyline (antidepressants), risperidone, thioridazine, haloperidol (antipsychotics). The dose of escitalopram may need to be adjusted.

Medicines that reduce potassium or magnesium levels in the blood, because these conditions increase the risk of life-threatening heart rhythm disturbances.

Children and adolescents

Escitalopram should not usually be used in children and adolescents under 18 years of age.

How to use Escitalopram:

Always take escitalopram exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.

The usual recommended dose of escitalopram is 10 mg taken as a single daily dose.

Your doctor may increase the dose to a maximum of 20 mg per day.

Panic disorder:

The starting dose of escitalopram is 5 mg as a single daily dose for the first week before increasing the dose to 10 mg per day.

Your doctor may increase the dose to a maximum of 20 mg per day.

Social anxiety disorder:

The usual recommended dose of escitalopram is 10 mg taken as a single daily dose.

Your doctor may either lower your dose to 5 mg per day or increase your dose to a maximum of 20 mg per day, depending on how you respond to the medication.

Generalized anxiety disorder:

The usual recommended dose of escitalopram is 10 mg taken as a single daily dose.

Your doctor may increase the dose to a maximum of 20 mg per day.

Obsessive-compulsive disorder:

The usual recommended dose of escitalopram is 10 mg taken as a single daily dose.

Your doctor may increase the dose to a maximum of 20 mg per day.

Elderly patients (over 65 years old):

The recommended starting dose of escitalopram is 5 mg taken as a single dose daily.

Your doctor may increase the dose to 10 mg per day.

Use in children and adolescents:

Escitalopram should not usually be given to children and adolescents.

How to take the tablets:

You can take escitalopram with or without food.

Swallow the tablet with some water.

Do not chew, as the taste is bitter. If necessary, you can split the tablets by first placing the tablet on a flat surface with the points facing up.

The tablets can then be broken by pressing on each end of the tablet, using both index fingers.

Possible side effects:

Stop using the product and seek immediate medical attention if:

Swelling of the face, lips, tongue, or throat that may cause difficulty breathing or swallowing

How to store Escitalopram:

Keep this medicine out of the sight and reach of children.

Do not use Escitalopram after the expiry date which is stated on the label or carton after EXP.

The expiration date refers to the last day of the same month.

This medicine does not require any special storage conditions.

Do not dispose of any medicine via wastewater or household waste.

Ask your pharmacist how to dispose of any medicines you no longer use. These measures will help protect the environment.