Lexapro (escitalopram oxalate)
Class and Category of Drug
Before you buy Lexapro (Escitalopram oxalate) online, read common information about the medication.
Chemical class: Pure S+ enantiomer of racemic bicyclic phthalane derivative citalopram
Therapeutic class: Antidepressant
Pregnancy category: C
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Drug Indications and Dosages
Before purchase Lexapro (Escitalopram oxalate) online , you must read how it works.
To treat generalized anxiety disorder or major depression
Oral Solution,Tablets
Adults. Initial: 10 mg daily in morning or evening, increased to 20 mg daily after 1 or more wk, as needed.
To treat major depression
Oral Solution,Tablets
Adults. Initial: 10 mg daily, morning or evening, increased to 20 mg daily after 1 wk, as needed.
Adolescents ages 12 to 17. Initial: 10 mg daily, morning or evening, increased to 20 mg daily after 3 wk, as needed.
Dosage Adjustment Dosage shouldn't exceed 10 mg daily for elderly patients and those with hepatic impairment.
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Contraindications of Drug
Read contraindications if you want cheap Lexapro (Escitalopram oxalate) online.
Hypersensitivity to escitalopram, citalopram or its components; use within 14 days of MAO inhibitor therapy
Generic Drug Interactions
Drugs
aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), warfarin: Possibly increased risk of bleeding carbamazepine: Possibly increased clearance of escitalopram
cimetidine: Possibly increased plasma escitalopram level
CNS drugs: Additive CNS effects
lithium: Possible enhancement of the serotonergic effects of escitalopram
MAO inhibitors: Possibly hyperpyretic episodes, hypertensive crisis, serotonin syndrome, and severe seizures
metoprolol: Increased plasma metoprolol levels with decreased cardioselectivity of metoprolol
naratriptan, sumatriptan, zolmitriptan: Possibly weakness, hyperreflexia, and incoordination
St John's wort: Increased risk of serotonin syndrome
sibutramine: Increased risk of serotonin syndrome
Activities
alcohol use: Possibly increased cognitive and motor effects of alcohol
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Drugs Adverse Reactions
Central Nervous System: Abnormal gait, acute psychosis, aggression, akathisia, delirium, dizziness, dyskinesia, dystonia, extrapyramidal effects, fatigue, headache, hypomania, insomnia, lethargy, mania, myoclonus, neuroleptic malignant syndrome, paresthesia, seizures, serotonin syndrome, somnolence, suicidal ideation
Cardiovascular: Atrial fibrillation, cardiac failure, deep vein or phlebitis thrombosis, hypotension, MI, prolonged QT interval, thrombosis, torsades de pointes, ventricular arrhythmias
Eyes, Ears, Nose, And Throat: Diplopia, dry mouth, glaucoma, nystagmus, rhinitis, sinusitis, toothache, visual hallucinations
Endocrine: Diabetes mellitus, hyperprolactinemia, syndrome of inappropriate ADH secretion
Gastrointestinal: Abdominal pain, constipation, decreased appetite, diarrhea, flatulence, gastrointestinal bleeding or hemorrhage, hepatic necrosis, hepatitis, indigestion, nausea, pancreatitis, rectal hemorrhage, vomiting
Genitourinary: Acute renal failure, anorgasmia, decreased libido, ejaculation disorders, impotence, priapism
Hematologic: Bleeding, decreased prothrombin time, hemolytic anemia, leukopenia, thrombocytopenia
Musculoskeletal: Neck or shoulder pain, rhabdomyolysis
Respiratory: Pulmonary embolism
Skin: Ecchymosis, erythema multiforme, increased sweating, photosensitivity,
Stevens-Johnson syndrome, toxic epidermal necrolysis, urticaria
Other: Anaphylaxis, angioedema, flulike symptoms, hyponatremia
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Nursing Considerations for Generic Drugs
Use escitalopram cautiously in patients with history of mania or seizures, patients with severe renal impairment, and those with diseases or conditions that produce altered metabolism or hemodynamic responses.
Monitor patient especially elderly patient for hypoosmolarity of serum and urine and for hyponatremia (headache, trouble contentrating, impaired memory, weakness, unsteadiness) because they may may indicate escitalopram-induced syndrome of inappropriate ADH secretion.
Watch for signs of misuse or abuse, such as development of tolerance, increasing dosage without approval, and drug-seeking behavior; drug's potential for physical and psychological dependence is unknown.
Monitor patient for bleeding, especially if patient is also taking aspirin, an NSAID, or an anticoagulant. Bleeding can range from ecchymoses, hemtomas, epitaxis and petechiae to life-threatening hemorrhages.
Expect prescriber to reassess patient periodically to determine the continued need for therapy and evaluate dosage.
If patient (particularly a child or an adolescent) takes escitalopram for depression, watch closely for suicidal tendencies, especially when therapy starts or dosage changes, because depression may worsen temporarily.
If escitalopram will be stopped, expect to taper dosage to avoid serious adverse reactions.
Remember it if you buying Lexapro (Escitalopram oxalate) online.
Escitalopram Oxalate
Preparations
International Brand Drug Names
The information about drugs (tablets, pills, capsules, creams, solution, nasal spray, inhaler) around the world.
Proprietary Preparations
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