Citanew (10mg) 14 Tablets

Citanew (10mg) 14 Tablets

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  • Manufacturer HILTON PHARMACEUTICALS (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 that acts as a selective serotonin reuptake inhibitor (SSRI). It increases serotonin levels in the brain by preventing the reabsorption of serotonin into sending neurons. This process allows serotonin to remain in the synaptic gap between neurons, extending its effect on the receiving neuron, and alleviating symptoms of depression and enhancing feelings of well-being. It can take several weeks for Escitalopram to manifest its full effects since neurons gradually adjust their serotonin receptor levels. While the drug's half-life is about 27 hours and primarily clears the body quickly, its active metabolite has a longer half-life of about 11 hours.

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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:

    • Treating depression and anxiety symptoms
    • Helping with panic attacks
    • Reducing nervousness and tension
    • Helping you feel more energetic
    • Boosting your appetite
    • Helping you sleep better
    • Improving your concentration
    • Curbing impulse behaviour such as binge eating or gambling

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  • Dosage

    Tailoring Treatment for Optimal Health, Prescribed Medication Dosage is:

    • For depression Take 1 tablet of Escitalopram 10mg daily
    • For anxiety Take 1 tablet of Escitalopram 10mg daily

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  • In case of Overdose

    Escitalopram is a medication that is commonly used to treat depression and anxiety, but an overdose of this medication can lead to serious symptoms such as blurred vision, dizziness, and seizures. Receiving immediate medical attention is crucial in order to prevent complications and ensure the best treatment possible; an Escitalopram overdose is considered a medical emergency.Treatment for an Escitalopram overdose may include several steps, such as pumping the stomach to remove the medication from the body, administering medications that can counteract the effects of Escitalopram, and closely monitoring the patient's vital signs. These steps are aimed at neutralizing the effects of the overdose and ensuring that the patient's vital signs are stable.

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  • Missed Dose

    Maintaining a regular medication schedule for drugs like Escitalopram is important because it helps guarantee the treatment stays effective. If you miss a dose, take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and return to your regular schedule. Avoid doubling up on doses to make up for the missed one, because this can result in an increased risk of side effects. If you have any doubts or concerns about missing a dose, contact your doctor or pharmacist to clarify any possible doubts and to guide you on how to proceed.

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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:

    • Allergy to Escitalopram or any of its ingredients - Do not take this medication if you are allergic to Escitalopram or any of its active or inactive ingredients. Be sure to inform your doctor of any known allergies you have as they will need to provide an alternative treatment for your condition.
    • Hypotension (low blood pressure) -Escitalopram may cause low blood pressure and could lead to lightheadedness, dizziness, or fainting. Therefore, if you have low blood pressure, inform your doctor beforehand to assess whether this medication is appropriate for you.
    • Angle-closure glaucoma - Escitalopram may increase the risk of angle-closure glaucoma, which is a sudden increase in pressure within the eye causing visual changes and headaches. If you have a history of this condition, let your doctor know as they may have to prescribe a different medication.
    • Concussion, brain injury, or stroke - Escitalopram may increase the risk of bleeding and can affect recovery. Therefore, it is important to inform your doctor if you have recently suffered a stroke, brain injury, or concussion to determine whether it is safe to take Escitalopram.
    • Other medications - Escitalopram may interact with medications like antibiotics, antifungals, antidepressants, and herbs or supplements with sedative effects. It is important to inform your doctor about all the medications you are currently taking before starting Escitalopram.
    • Pregnancy and breastfeeding - Escitalopram is categorized as a "Pregnancy Category C" medication, which means that it should be used during pregnancy only after evaluating the potential benefits and risks to the mother and baby.

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  • Side Effects

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

    • Dry mouth
    • Blurred vision
    • Dizziness
    • Constipation
    • Increased appetite
    • Tiredness
    • Difficulty sleeping
    • Irritability
    • Mood swings
    • Confusion

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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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