Citanew (20mg) 14 Tablets

Citanew (20mg) 14 Tablets

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  • Manufacturer Hilton Pharma (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 functions as a selective serotonin reuptake inhibitor. It is the S-enantiomer of citalopram, and it regulates the levels of neurotransmitters in the brain. More specifically, Escitalopram helps to reduce symptoms of depression and anxiety by inhibiting the reuptake of serotonin in the brain, increasing the concentration of serotonin in the synaptic cleft, and increasing the stimulation of postsynaptic serotonin receptors. This effect on serotonin neurotransmission is what contributes to its therapeutic effects on depression and generalized anxiety disorder.

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  • Ingredients

    Escitalopram

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  • 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
    • Escitalopram is an SSRI that regulates neurotransmitters in the brain to assist with improving energy levels, motivation, and enjoyment of life.
    • It helps lighten the mood, providing calmness, clearing the mind, and improving decision-making abilities.
    • An excellent solution for mood swings, promoting positivity, and increasing energy levels.
    • Escitalopram is versatile and can help with a variety of psychiatric conditions such as panic disorder, obsessive-compulsive disorder, and aggression.

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  • Dosage

    Tailoring Treatment for Optimal Health, Prescribed Medication Dosage is:

    • Depression - Escitalopram is usually started at a dose of 10 mg per day. Depending on how you respond to the medication, your doctor may increase the dose to 20 mg per day.
    • Anxiety - The usual dose of Escitalopram is 10 mg per day. In some cases, your doctor may increase it to 20 mg daily depending on the severity of your condition and your response to the medication.
    • Panic disorder - Initially, Escitalopram is often prescribed at a dose of 10 mg daily. If this dose is not effective, your doctor may increase it to 20 mg per day.

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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 consistent schedule for taking antidepressants is crucial, as skipping doses can lead to withdrawal symptoms and a relapse of the condition. If you miss a dose of escitalopram, you may take it as soon as possible, but if it's already time for your next dose, simply continue with your regular schedule. Doubling up on the dose is not recommended. To ensure you're taking these medications safely and effectively, it's best to consult with your doctor or pharmacist about what to do in case you've missed a dose, as they can provide specific instructions and address any potential risks you may face.

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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:

    • Discuss your medical situation with a professional before starting or stopping any medication to ensure suitability and safety.
    • Avoid Escitalopram 20mg if you are allergic to Escitalopram or any of its ingredients. Allergic reactions to medications can be severe.
    • Escitalopram falls into category D for pregnancy, meaning it can harm an unborn baby. Consult a doctor before taking this medication if you are pregnant or planning to become pregnant.
    • Escitalopram can pass into breastmilk, raising the risk of side effects for a newborn baby. Consult a doctor before taking this medication if you are breastfeeding.
    • Escitalopram may not be suitable for individuals with existing medical conditions such as liver disease, kidney disease, or other conditions.

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  • Side Effects

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

    • Dry mouth
    • Blurred vision
    • Fatigue
    • Increased appetite
    • Constipation
    • Diarrhea
    • Headaches
    • Insomnia
    • Nausea
    • Irritability
    • Anxiety
    • Mood swings
    • Depression
    • Memory problems
    • Suicidal thoughts

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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

    Store escitalopram at room temperature, away from moisture, heat, and direct light. Keep it in its original packaging, tightly sealed, and out of reach of children and pets. Avoid storing it in the bathroom. For disposal, do not flush escitalopram down the toilet or pour it into drains unless instructed. Follow local disposal guidelines or use a drug take-back program to safely discard any unused or expired medication, ensuring it is not accessible to others.

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