Citanew (5mg) 14 Tablets

Citanew (5mg) 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 an antidepressant that belongs to the selective serotonin reuptake inhibitor (SSRI) class of drugs. It is composed of the S-enantiomer of citalopram, which provides it with unique properties. Serotonin is a neurotransmitter that helps regulate emotional balance, mood stability, appetite, sleep cycles, and social behavior. Escitalopram helps alleviate symptoms of depression and anxiety by inhibiting the reuptake of serotonin in the brain. This mechanism of action increases serotonin levels in the neural synaptic gaps, enhancing its presence in the brain's nerve junctions. By boosting mood and promoting a sense of calmness, Escitalopram helps restore serotonin levels, providing relief from symptoms such as sadness, irritability, and a lack of interest in enjoyable activities. The increased serotonin levels triggered by Escitalopram can help alleviate depressive moods, anxieties, and a negative cognitive frame of mind. Escitalopram takes time to manifest its full effects since it aims to achieve a balanced serotonin level.

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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:

    • Treat anxiety in adults and adolescents
    • Treat depression in adults and adolescents who are aged 13 years and older
    • May be used for relief of symptoms of panic disorder with or without agoraphobia in adults
    • Used to treat dentitional distress in adults and adolescents who are aged 17 years and older

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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 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 for Escitalopram is vital, as it ensures the treatment stays effective. If you miss a dose, take it as soon as possible, but if it's almost time for the next dose, skip the missed one and continue with the regular schedule. Doubling up on Escitalopram should only be done under a doctor's guidance. In case of a missed dose, always consult a healthcare professional for safe and effective medication advice specific to your case.

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  • How To Use

    Before starting Escitalopram, be sure to read the medication guide provided by your pharmacist. It is important to understand the potential side effects of the medication. If you have any concerns, speak to your doctor or pharmacist. Escitalopram is intended for once-daily use, preferably in the morning. This helps manage anxiety and depression throughout the day. Remember to take it at the same time every day to develop a routine. Instead of crushing, breaking, or chewing the tablet, swallow it whole with water. If swallowing is an issue, you may use food to help, provided it doesn't interfere with the tablet's effectiveness. If you experience stomach irritation, taking it with food may help. If you miss a dose, take it as soon as you can. If your next dose is approaching, skip the missed dose and stay on your regular schedule. Do not take more to catch up. Store Escitalopram at room temperature in a cool, dry place, away from direct sunlight and heat. When taking this medication, be careful when driving or operating machinery. Escitalopram may cause dizziness or drowsiness. Inform your doctor if you experience any changes in mood or behavior, including suicidal thoughts. Suicidal thoughts may be a symptom of illness or a side effect of the medication. Always follow the instructions from your doctor. If you have questions or concerns about your treatment plan, speak to your doctor or pharmacist.

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  • When Not to Use

    Discerning instances where this medication may not be appropriate:

    • Are allergic to Escitalopram or any of its active or inactive ingredients. If you are unsure if you are allergic, consult a doctor before taking this medication.
    • Have experienced manic episodes due to bipolar disorder, or if you have agitated depression.
    • Have kidney disease
    • Have liver disease
    • Have heart disease or have had previous heart attacks
    • Have problems with your esophagus (tube leading to the stomach) or intestines
    • Have asthma
    • Have a gluten allergy
    • Are pregnant or plan to become pregnant
    • Are breastfeeding
    • Have a history of seizures
    • Have thoughts of suicide or are struggling with depression
    • Are taking any medications, including supplements, and herbal products
    • Have problems with dizziness or coordination
    • Drink alcohol
    • Are sensitive to sunlight

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  • Side Effects

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

    • Mild digestive problems such as upset stomach, nausea, vomiting, and constipation
    • Increased thirst and urination, resulting in frequent visits to the bathroom
    • Changes in appetite, weight loss, or weight gain
    • Dizziness, unsteadiness, and an increased risk of falling
    • Feeling tired or having difficulties sleeping
    • Emotional symptoms like crying spells, irritability, agitation, and suicidal thoughts or behaviors
    • Consult your doctor if you experience any of these symptoms persistently

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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 a type of antidepressant medication that is categorized as a serotonin-selective serotonin and norepinephrine reuptake inhibitor (SSNI). This medication is prescribed to patients to treat depression and anxiety. It is important to consult a doctor before taking Escitalopram to ensure that the user is suited for the medication and to administer the correct dosage according to their medical needs. The medication should be stored at room temperature to ensure maximum effectiveness. It is also crucial to keep this medication away from children or pets' reach. If a dose is missed, take it as soon as possible. However, if it is almost time for the next scheduled dose, skip the missed dose and proceed with the regular schedule. An overdose of Escitalopram could be harmful, so it is vital to adhere to the prescription given by the doctor. If any side effects occur, it is essential to contact a healthcare specialist immediately.

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