Escitalopram
Uses of Escitalopram
Escitalopram is mainly used to manage major depressive disorder and generalised anxiety disorder. It belongs to the class of medicines known as selective serotonin reuptake inhibitors (SSRIs).
It is also prescribed for off-label uses such as social anxiety, obsessive-compulsive disorder (OCD), and premenstrual dysphoric disorder (PMDD).
Side effects of Escitalopram
Nausea
Dry mouth
Insomnia
Fatigue
Increased sweating
How Escitalopram works
Escitalopram belongs to the selective serotonin reuptake inhibitor (SSRI) class of medicines.
It works by keeping more serotonin, a chemical in the brain that helps control mood, available between nerve cells. It does this by blocking the reabsorption of serotonin, which helps improve feelings of depression and anxiety. It's designed to focus mainly on serotonin, making it effective with fewer effects on other brain chemicals.
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Written By
Doctor of Medicine
Reviewed By
BMS, FMC, MD Resident
Expert Advice
Dosage Forms Available
Escitalopram is available in tablet form and suspension form for oral administration.
Age and Dose Restrictions
Escitalopram is prescribed for adults and pediatric patients over the age of 12 for Major Depressive Disorder (MDD). For Generalized Anxiety Disorder (GAD), it is prescribed for adults and pediatric patients over the age of 7.
Contraindications
Escitalopram is contraindicated in individuals with hypersensitivity to Escitalopram oxalate or citalopram.
It is also contraindicated in patients who have taken monoamine oxidase inhibitors (MAOIs) within the last 14 days.
Other Medications to Avoid with This Medicine
Escitalopram may interact with monoamine oxidase inhibitors (eg., isocarboxazid and selegiline), selective serotonin reuptake inhibitors (SSRIs) (eg., fluoxetine and paroxetine), and serotonin-norepinephrine reuptake inhibitors (SNRIs) (eg., duloxetine and levomilnacipran), triptans (eg., sumatriptan and zolmitriptan), and antipsychotics (eg., chlorpromazine and haloperidol).
Overdose and Missed Dose
An overdose could lead to symptoms like drowsiness, nausea, vomiting, rapid heartbeat, dizziness, agitation, and restlessness. If you suspect an overdose, contact a doctor immediately.
If you miss a dose of the medicine, take it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose. Never alter your dose to make up for a missed dose.
Management of Side Effects
Most side effects are temporary, generally harmless, and are resolved when you stop taking this medicine. However, if you experience severe side effects or worsening symptoms, consult your doctor immediately.
If you experience dry mouth, try sipping water regularly.
For those who experience insomnia, taking Escitalopram in the morning may help.
Use in Driving and Operating Machinery
Escitalopram may cause drowsiness or dizziness. If you experience these effects, avoid driving or operating heavy machinery.
Use in Pregnancy and Lactation
Always consult your doctor before starting this medication if you are pregnant or breastfeeding. This medicine should only be considered if the potential benefit justifies the risk to the foetus or infant.
Caution in Other Conditions
Patients with a history of depression or mania, liver issues, or kidney disease should exercise caution when taking this medicine.
Special Dietary and Lifestyle Recommendation
Regular exercise can be beneficial for managing mood disorders such as Major Depressive Disorder (MDD) and generalised anxiety disorder (GAD).
Limiting the intake of caffeine and alcohol may reduce anxiety symptoms and improve the effectiveness of the medicine.
Frequently asked questions
What is Escitalopram used for?
Escitalopram is used to treat depression and generalised anxiety disorder (GAD). It works by increasing the activity of the chemical serotonin in the brain.
Can I suddenly stop taking Escitalopram?
You should not stop taking Escitalopram suddenly, as it may lead to withdrawal symptoms. Always consult your doctor before stopping your medication.
Does Escitalopram affect mood swings?
Yes, Escitalopram is used to manage major depressive disorder and generalised anxiety disorder, which are both associated with mood swings. It helps increase serotonin levels in the brain, which can improve mood and reduce anxiety.
Are there any natural alternatives to Escitalopram?
While some natural remedies might help manage symptoms of depression or anxiety, they are not replacements for prescribed medication.
Is it safe to take Escitalopram daily?
You should take this medicine, as prescribed by your doctor. If your doctor determines it is safe for use daily, you can take it safely.
How long does Escitalopram take to work?
While the medicine starts showing effects within 1-2 weeks of starting it, it generally shows its full effects in 6-8 weeks.
When is the best time to take Escitalopram?
There is no specific time to take the medicine, you should take it as directed by your doctor.
Escitalopram in other salts
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