Lexapro (Escitalopram oxalate) - Anti-Depressant/Anti-Anxiety
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Top » Catalog » Anti-Depressant/Anti-Anxiety » Lexapro (Escitalopram oxalate)


Lexapro (Escitalopram oxalate)

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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.

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Escitalopram Oxalate

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International Brand Drug Names

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