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Escitalopram ( ess-sit-AL-oh-pram) is used to treat mental depression.
Escitalopram belongs to a group of medicines known as selective serotonin reuptake inhibitors (SSRIs). These medicines are thought to work by increasing the activity of the chemical serotonin in the brain.
This medicine is available only with your doctor's prescription, in the following dosage forms:
Before Using This Medicine
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For escitalopram, the following should be considered:
Allergies- Tell your doctor if you have ever had any unusual or allergic reaction to escitalopram or citalopram (e.g. Celexa). Also tell your doctor and pharmacist if you are allergic to any other substances, such as foods, preservatives, or dyes.
Pregnancy- Studies have not been done in pregnant women. However, studies in animals in medicines similar to this one have shown that it may cause decreased survival rates and slowed growth in offspring when given to the mother in doses many times higher than the usual human dose. Before taking this medicine, make sure your doctor knows if you are pregnant or if you may become pregnant.
Breast-feeding- It is not known whether escitalopram passes into breast milk. A similar drug has been found to pass into breast milk and it may cause unwanted effects, such as drowsiness, decreased feeding, and weight loss in the breast-fed baby. It may be necessary for you to take another medicine or to stop breast-feeding during treatment. Be sure you have discussed the risks and benefits of the medicine with your doctor.
Children- Studies on this medicine have been done only in adult patients, and there is no specific information comparing use of escitalopram in children with use in other age groups.
Older adults- This medicine has been tested in elderly patients and has not been shown to cause different side effects or problems in older people than it does in younger adults. However, escitalopram is removed from the body more slowly in older people and an older person may need a lower dose than a younger adult.
Other medicines- Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking escitalopram, it is especially important that your doctor and pharmacist know if you are taking any of the following:
Other medical problems- The presence of other medical problems may affect the use of escitalopram. Make sure you tell your doctor if you have any other medical problems, especially:
Proper Use of This Medicine
Take this medicine only as directed by your doctor to help your condition as much as possible. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.
Escitalopram may be taken with or without food on a full or empty stomach. If your doctor tells you to take it a certain way, follow your doctor's instructions.
You may have to take escitalopram for 1 to 4 weeks before you begin to feel better .
Do not stop taking this medication without checking first with your doctor
The dose of escitalopram will be different for different patients. Follow your doctor's orders or the directions on the label . The following information includes only the average doses of escitalopram. If your dose is different, do not change it unless your doctor tells you to do so.
The number of tablets that you take depends on the strength of the medicine.
Because escitalopram may be taken by different patients at different times of the day, you and your doctor should discuss what to do if you miss any doses.
To store this medicine:
Precautions While Using This Medicine
It is important that your doctor check your progress at regular visits, to allow for changes in your dose and to help reduce any side effects.
Do not take escitalopram with or within 14 days of taking a drug with Monoamine oxidase (MAO) inhibitor activity (isocarboxazid [e.g., Marplan], phenelzine [e.g., Nardil], procarbazine [e.g., Matulane], selegiline [e.g., Eldepryl], tranylcypromine [e.g., Parnate]). Do not take an MAO inhibitor within 14 days of taking escitalopram . If you do, you may develop extremely high blood pressure or convulsions (seizures).
Avoid drinking alcoholic beverages while you are taking escitalopram.
This medicine may cause some people to become drowsy, to have trouble thinking, or to have problems with movement. Make sure you know how you react to citalopram before you drive, use machines, or do anything else that could be dangerous if you are not alert or well-coordinated.
Side Effects of This Medicine
Side Effects of This Medicine
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome.
Other side effects may occur after you stop taking the medicine. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT