Cironex (10mg) 14 Tablets

Cironex (10mg) 14 Tablets

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  • Manufacturer Cell Laboratories (Pvt.) Ltd.
  • Generic Name Escitalopram

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Product Information

  • Description
  • Ingredients
  • Drug Class
  • Dosage Form
  • Uses
  • Dosage
  • In case of Overdose
  • Missed Dose
  • How To Use
  • When Not to Use
  • Side Effects
  • Precautions & Warnings
  • Drug Interactions
  • Storage/Disposal
  • Description

    Escitalopram is a type of antidepressant known as a selective serotonin reuptake inhibitor (SSRI). Serotonin is a neurotransmitter that helps to regulate emotions and feelings of well-being, and SSRIs increase the amount of serotonin available in the brain. This increase in serotonin helps to improve mood, energy level, and interest in things, providing an individual with therapeutic relief from depressive symptoms. One of the key mechanisms behind Escitalopram's efficacy is its ability to block the reuptake of serotonin. Typically, once a nerve cell releases serotonin, it is reabsorbed back into the cell, a process known as reuptake. By blocking this process, Escitalopram ensures that more serotonin remains in the brain, providing additional mood-enhancing effects. Given the variable nature of depression and individual brain chemistry, it's crucial to appreciate that Escitalopram may not work identically for every person. While it typically takes several weeks of consistent use to feel the full effects of Escitalopram, some people may experience benefits sooner than others, and individual responses vary. It is always advised to consult a medical professional for guidance on Escitalopram or any concerns you may have.

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  • Ingredients

    Escitalopram
  • Drug Class

    Selective Serotonin Reuptake Inhibitor (SSRI)

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  • Dosage Form

    Tablet

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  • Uses

    Unveiling its multifaceted uses and transformative applications as follows:

    • Escitalopram is an SSRI that regulates serotonin to treat depression and anxiety.
    • It takes several weeks to notice the effects of treatment and stopping escitalopram may result in withdrawal symptoms.

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  • Dosage

    Tailoring Treatment for Optimal Health, Prescribed Medication Dosage is:

    • Depression - 10mg is the usual dosage but may go up to 20mg if required
    • Anxiety - 10mg is the starting point for adults, an increase to 20mg is not necessarily required
    • Enuresis - in adults, the starting dose is usually 10mg daily
    • Musculoskeletal pain - 10mg is the starting point but dose escalation up to 40mg daily has been used

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  • In case of Overdose

    Escitalopram is a medication that is primarily used to treat anxiety and depression. This medication comes in tablet form and is usually ingested orally, often at a dosage of anywhere from 10-20mg daily. While this medication can be quite effective in treating the symptoms of anxiety and depression, an overdose can be dangerous.If you take too much escitalopram, it can lead to several severe side effects such as dizziness, confusion, agitation, sweating, a fast heart rate, tremors, seizures, flushed skin, constipation, and dry mouth. If you believe you have overdosed on escitalopram, it is crucial that you seek medical attention right away.Typically, treatment for such an overdose would include supportive care. This involves monitoring the heart and lungs, as well as dealing with any other symptoms that may arise. In more severe cases, you might need detoxification through dialysis or another method.

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  • Missed Dose

    Maintaining a regular medication schedule is crucial, especially when taking escitalopram. Nevertheless, if a dose is missed, it is safe to take the missed dose shortly after noticing the omission. If it is almost time for the next scheduled dose, it is better to skip the missed dose and revert to the regular schedule to avoid the possibility of an overdose. However, if you experience confusion or abnormal symptoms, it is imperative to seek professional assistance immediately.

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  • How To Use

    Before starting escitalopram, inform your doctor or pharmacist if you have had thoughts about hurting yourself, struggle with alcohol abuse, have a history of allergies to antidepressants, have heart, kidney, liver problems, glaucoma, or take other medications, vitamins, or herbal supplements. Escitalopram can make you sunburn more easily, so avoid sunlight and UV lamps for at least a year while taking this medication. Be aware of taking escitalopram with medications that cause drowsiness as it can worsen the effect. To take escitalopram, swallow the tablet whole with a glass of water; do not crush or chew the tablet. If you miss a dose, take it as soon as you remember. If it's near the time of the next dose, skip the missed dose and take the next dose at the regular time. You may need to take escitalopram for several weeks before you feel better, so don't stop taking it without talking to your doctor first. If you stop taking escitalopram suddenly, you may experience withdrawal symptoms such as nausea, dizziness, and nervousness. Please follow the instructions of your medical professional and only stop taking medications when advised to do so by your doctor.

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  • When Not to Use

    Discerning instances where this medication may not be appropriate:

    • You should not take Escitalopram (10mg) if you are allergic to Escitalopram or any of its ingredients.
    • Do not take Escitalopram if you are taking a monoamine oxidase inhibitor (MAOI) such as phenelzine or isocarboxazid, or have taken one within the last 14 days.
    • Avoid taking Escitalopram if you have a history of seizures or epilepsy.
    • The drug is not suitable for you if you have bleeding problems or take blood thinners.
    • Take caution and consult your physician if you have glaucoma or cataracts.
    • Talk to your doctor or pharmacist if you have liver or kidney disease.
    • Escitalopram is categorized as Category D drug by the FDA as to its safety for use during pregnancy. This category demonstrates potential risk to the fetus, and therefore, should only be taken if the physician deems its potential benefits outweigh the risks.
    • Escitalopram is excreted in breast milk and can induce drowsiness and sedation in the nursing infant. Thus, it is advised to exercise caution and inform your physician if you are pregnant, intend to conceive, or are breastfeeding.
    • Interactions and side effects can vary from person to person, and that you should always consult with a medical professional or pharmacist before starting any new medication.
    • It is advisable to only stop or start a drug like Escitalopram under medical supervision.

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  • Side Effects

    Unraveling the side effects lurking behind this medications are as follows:

    • Dry mouth
    • Increased risk of bleeding and bruising
    • Low libido
    • Mood swings & depression
    • Constipation
    • Agitation
    • Sweating
    • Dizziness

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  • Precautions & Warnings

    Before using this medication, it’s important to consider the following precautions and warnings:

    • Caution is advised for patients with a history of seizure disorder or conditions predisposing to seizures (e.g., brain damage, alcoholism), controlled epilepsy, or those with a history of mania/hypomania or suicide-related events, and significant degrees of suicidal ideation.
    • Use with care in individuals with diabetes, known bleeding tendencies, bradycardia, recent acute myocardial infarction (MI), uncompensated heart failure, electrolyte disturbances (e.g., hypokalemia, hypomagnesemia), angle-closure glaucoma or a history of glaucoma, and metabolic disease.
    • Avoid abrupt withdrawal of the medication.
    • Avoid use in patients with unstable epilepsy.
    • Use with caution in patients undergoing concomitant electroconvulsive therapy.
    • Consider the patient’s CYP2C19 metabolic status, including ultrarapid, intermediate, or poor metabolizers.
    • Use with care in individuals with hepatic impairment and severe renal impairment (CrCl <30 mL/min).
    • Special consideration is required when administering this medication to children and the elderly.
    • Consult a healthcare professional before using the medication during pregnancy and lactation to ensure safety.

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  • Drug Interactions

    Drug interactions with escitalopram include:

    • Monoamine oxidase inhibitors (MAOIs) (e.g., phenelzine) (may cause severe serotonin syndrome- avoid concomitant use)
    • Other antidepressants (e.g., SSRIs, SNRIs) (may increase the risk of serotonin syndrome- use with caution)
    • CYP2C19 inhibitors (e.g., omeprazole) (may increase escitalopram levels- monitor for increased side effects)
    • CYP3A4 inhibitors (e.g., ketoconazole) (may increase escitalopram levels- monitor for increased side effects)
    • Warfarin (may increase bleeding risk- monitor INR closely)
    • Non-steroidal anti-inflammatory drugs (NSAIDs) (e.g., ibuprofen) (may increase bleeding risk- use cautiously)
    • Benzodiazepines (e.g., diazepam) (may enhance sedative effects- monitor for increased sedation)
    • Alcohol (may enhance sedative effects and increase risk of adverse effects- use with caution)
    • Antiepileptic drugs (e.g., phenytoin) (may alter the metabolism of escitalopram- monitor for efficacy and side effects)
    • St. John’s Wort (may increase the risk of serotonin syndrome- use with caution)

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  • Storage/Disposal

    Escitalopram is an antidepressant that falls into the category of serotonin-norepinephrine reuptake inhibitors (SNRIs), and it is used to treat depression and generalized anxiety disorder (GAD). It is important to follow guidelines for proper storage of Escitalopram in order to ensure its effectiveness and safety. The medication should be stored in a cool, dry place, away from direct heat and sunlight. The ideal temperature range for storing Escitalopram is between 68°F and 77°F (20°C and 25°C), and it should not be kept in places where the temperature rises above 86°F (30°C) as it can degrade under such conditions. Hence, it is best to avoid storing it in locations such as cars, bathrooms, or any area where it may become hot. It is also necessary to keep the medication in its original container or packaging, and to always keep it securely closed to prevent moisture and light from affecting the drug's effectiveness. Moreover, Escitalopram should be kept out of reach of children, pets, and other individuals who might accidentally take it. It is crucial to follow these guidelines to ensure that Escitalopram is efficient and safe for use. If you have any questions or concerns about storing Escitalopram, it is recommended to consult your doctor or pharmacist for more information.

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