Andepram 10 mg (Tablet)

Unit Price: ৳ 13.00 (2 x 14: ৳ 364.00)

Strip Price: ৳ 182.00

Medicine Details

Category	Details
Generic	Escitalopram oxalate
Company	Radiant pharmaceuticals ltd
Also available as	Andepram 5 mg tablet

Escitalopram is an orally administered selective serotonin reuptake inhibitor (SSRI)
Escitalopram is the pure S-enantiomer of the racemic bicyclic phthalate derivative citalopram
At least 100 fold more potent than the R-enantiomer with respect to inhibition of 5-HT reuptake
No or very low affinity for serotonergic or other receptors including alpha- and beta-adrenergic Dopamine, Histamine, Muscarinic and benzodiazepine receptors

Safety of daily doses above 20 mg has not been demonstrated
Usual dosage for major depressive episodes is 10 mg once daily, with a maximum of 20 mg daily
Initial dose of 5 mg is recommended for panic disorder before increasing to 10 mg daily, with a maximum of 20 mg daily
Usual dosage for social anxiety disorder is 10 mg once daily, with a maximum of 20 mg daily
Initial dosage for obsessive-compulsive disorder is 10 mg once daily, with a maximum of 20 mg daily

Escitalopram should generally be administered once daily, morning or evening with or without food

SSRI or related antidepressants should not be started until 2 weeks after stopping an MAOI
An MAOI should not be started until at least a week after an SSRI has been stopped

Escitalopram is contraindicated in patients with known hypersensitivity to Escitalopram or Citalopram
Concomitant use of escitalopram in patients taking monoamine oxidase/pimozide is contraindicated

Less sedating and have fewer antimuscarinic and cardiotoxic effects than tricyclic antidepressants
Side-effects include gastrointestinal effects, anorexia with weight loss or increased appetite and weight gain, hypersensitivity reactions, dry mouth, nervousness, anxiety, headache, insomnia, tremor, dizziness, and more

Physician should carefully consider the potential risks and benefits of treatment in pregnant women during the third trimester
Excreted in human breast milk

SSRIs should be used with caution in patients with epilepsy, cardiac disease, diabetes mellitus, angle-closure glaucoma, and more
Dosage adjustment is not necessary in patients with mild or moderate renal impairment

Initial dosage for elderly patients (>65 years of age) is 5 mg once daily
Use is not recommended for children and adolescents (<18 years)
No dosage adjustment is necessary in patients with mild or moderate renal impairment

Symptoms include mainly related to the central nervous system, gastrointestinal system, cardiovascular system, and electrolyte/fluid balance conditions
No specific antidote, general symptomatic supportive measures are recommended