Escitalopram
.svg)
Drug Status
Government Approvals
US(FDA), UK(BNF)
WHO Essential Medicine
NO
Known Teratogen
No
Pharmaceutical Class
Serotonin Reuptake Inhibitor
Controlled Drug Substance
No
Escitalopram
Summary
Escitalopram is used to treat depression and anxiety disorders, which are mental health conditions characterized by persistent sadness and excessive worry, respectively.
Escitalopram increases serotonin levels in the brain, which is a chemical that helps regulate mood, by blocking its reabsorption, leading to improved mood and reduced anxiety.
The usual starting dose for adults is 10 mg once daily, with a maximum of 20 mg. It is taken orally, either in the morning or evening, with or without food.
Common side effects include nausea, headache, and insomnia, which are unwanted reactions to the medication affecting more than 10% of users.
Escitalopram can increase suicidal thoughts, especially in young people, and should not be used with MAO inhibitors, which are another type of antidepressant, due to the risk of serotonin syndrome.
Indications and Purpose
How does Escitalopram work?
Escitalopram works by increasing serotonin levels in the brain. Serotonin is a neurotransmitter, which is a chemical that helps transmit signals in the brain. By blocking the reabsorption of serotonin, Escitalopram allows more of it to be available, which can improve mood and reduce anxiety. Think of it like a sponge that holds more water, allowing serotonin to have a greater effect on mood regulation.
Is Escitalopram effective?
Yes, Escitalopram is effective for treating depression and anxiety disorders. It works by increasing serotonin levels in the brain, which can improve mood and reduce anxiety. Clinical studies show that Escitalopram significantly improves symptoms in people with these conditions. It may take several weeks to notice the full benefits. Always follow your doctor's instructions and attend regular check-ups to monitor your progress.
What is Escitalopram?
Escitalopram is a medication used to treat depression and anxiety disorders. It belongs to a class of drugs called selective serotonin reuptake inhibitors, which work by increasing serotonin levels in the brain. Serotonin is a chemical that helps regulate mood. Escitalopram can improve mood, reduce anxiety, and help you feel more balanced. It is often used as part of a comprehensive treatment plan, including therapy and lifestyle changes.
Directions for Use
For how long do I take Escitalopram?
Escitalopram is usually taken long-term for chronic conditions like depression and anxiety. The duration depends on your response and doctor's advice. Some people may need it for several months, while others might require longer treatment. Always follow your doctor's instructions and do not stop taking Escitalopram without consulting them, as it can cause withdrawal symptoms.
How do I dispose of Escitalopram?
Dispose of unused Escitalopram by taking it to a drug take-back program or collection site at a pharmacy or hospital. If these options are unavailable, mix the medication with an undesirable substance like used coffee grounds, seal it in a plastic bag, and throw it away in the trash. This helps prevent accidental ingestion and protects the environment.
How do I take Escitalopram?
Take Escitalopram once daily, either in the morning or evening, with or without food. Swallow the tablet whole; do not crush it. If you miss a dose, take it as soon as you remember unless it's close to your next dose. In that case, skip the missed dose. Do not take two doses at once. Avoid alcohol while on this medication, as it can increase side effects. Always follow your doctor's specific instructions regarding your dosage and any dietary restrictions.
How long does it take for Escitalopram to start working?
Escitalopram may start to improve symptoms within 1 to 2 weeks, but it can take 4 to 6 weeks to feel the full therapeutic effect. Individual factors like age, overall health, and severity of symptoms can affect how quickly it works. Be patient and continue taking the medication as prescribed. Regular check-ups with your doctor can help monitor your progress.
How should I store Escitalopram?
Store Escitalopram at room temperature, away from moisture and light. Keep it in a tightly closed container. Do not store it in the bathroom, where humidity can affect the medication. Keep it out of reach of children and pets. Check the expiration date regularly and dispose of any unused or expired medication properly.
What is the usual dose of Escitalopram?
The usual starting dose of Escitalopram for adults is 10 mg once daily. Your doctor may adjust the dose based on your response and needs, with a maximum recommended dose of 20 mg daily. For elderly patients or those with liver problems, a lower starting dose may be recommended. Always follow your doctor's specific dosing instructions for your health needs.
Warnings and Precautions
Can Escitalopram be taken safely while breastfeeding?
Escitalopram is generally considered safe while breastfeeding, but it can pass into breast milk in small amounts. Most studies show no significant adverse effects on breastfed infants. However, monitor your baby for any unusual symptoms, such as irritability or poor feeding. Discuss with your doctor whether to continue Escitalopram while breastfeeding. They can help you weigh the benefits and potential risks.
Can Escitalopram be taken safely while pregnant?
The safety of Escitalopram during pregnancy is not well-established. Limited evidence suggests potential risks, such as affecting fetal development. However, untreated depression can also harm both mother and baby. If you're pregnant or planning to become pregnant, discuss the risks and benefits of Escitalopram with your doctor. They can help create a treatment plan that considers your health and your baby's safety.
Can I take Escitalopram with other prescription drugs?
Escitalopram can interact with other medications, increasing the risk of side effects. Avoid using it with MAO inhibitors, which are another type of antidepressant, as this can cause serotonin syndrome, a serious condition. Combining Escitalopram with blood thinners like warfarin can increase bleeding risk. Always inform your doctor about all medications you take to avoid interactions.
Does Escitalopram have adverse effects?
Yes, Escitalopram can have adverse effects, which are unwanted reactions to a medication. Common adverse effects include nausea, headache, and insomnia. These occur in more than 10% of users. Serious effects, like serotonin syndrome or suicidal thoughts, are rare but require immediate medical attention. If you notice any new or worsening symptoms, contact your doctor to discuss your treatment.
Does Escitalopram have any safety warnings?
Yes, Escitalopram has important safety warnings. It can increase the risk of suicidal thoughts, especially in young people. Monitor for mood changes and report them to your doctor. Escitalopram can also cause serotonin syndrome, which is a serious condition. Symptoms include confusion and rapid heart rate. If you experience these, seek medical help immediately. Always follow your doctor's advice and report any unusual symptoms.
Is Escitalopram addictive?
No, Escitalopram is not considered addictive or habit-forming. It does not cause cravings or compulsive use. However, stopping it suddenly can lead to withdrawal symptoms like dizziness, irritability, or sleep disturbances. To avoid these, your doctor may gradually reduce your dose when it's time to stop. Always follow your doctor's guidance when discontinuing Escitalopram.
Is Escitalopram safe for the elderly?
Yes, Escitalopram is generally safe for the elderly, but they may be more sensitive to its effects. Older adults are at higher risk for side effects like dizziness, which can increase the risk of falls. Doctors may prescribe a lower starting dose and monitor closely for any adverse effects. Always follow your doctor's instructions and report any new symptoms.
Is it safe to drink alcohol while taking Escitalopram?
It's best to avoid alcohol while taking Escitalopram. Alcohol can increase the risk of side effects like drowsiness and dizziness. It may also worsen depression or anxiety symptoms. If you choose to drink, do so in moderation and be aware of how alcohol affects you. Talk to your doctor about alcohol use while on Escitalopram for personalized advice.
Is it safe to exercise while taking Escitalopram?
Yes, it's safe to exercise while taking Escitalopram. Regular physical activity can improve mood and reduce anxiety. However, Escitalopram can cause dizziness or fatigue, which might affect your exercise capacity. Start with light activities and gradually increase intensity. Stay hydrated and listen to your body. If you experience any unusual symptoms during exercise, talk to your doctor.
Is it safe to stop Escitalopram?
No, stopping Escitalopram suddenly is not safe. It can cause withdrawal symptoms like dizziness, irritability, and sleep disturbances. These symptoms can be uncomfortable and may last for several weeks. Always talk to your doctor before stopping Escitalopram. They may suggest gradually reducing your dose to minimize withdrawal effects and ensure your safety.
What are the most common side effects of Escitalopram?
Common side effects of Escitalopram include nausea, headache, and insomnia, affecting more than 10% of users. Side effects are unwanted reactions to a medication. These symptoms may be temporary and unrelated to the medication. If you experience new symptoms, talk to your doctor before stopping the medication. They can help determine if the symptoms are related to Escitalopram.
Who should avoid taking Escitalopram?
Do not take Escitalopram if you are allergic to it or its ingredients. It is contraindicated with MAO inhibitors, which are another type of antidepressant, due to the risk of serotonin syndrome. This condition can cause confusion and rapid heart rate. Avoid using Escitalopram if you have a history of bipolar disorder, as it may trigger manic episodes. Always consult your doctor about your medical history before starting Escitalopram.
Forms / Brands
