Escilex 5 mg (Tablet)

Unit Price: ৳ 7.00 (3 x 10: ৳ 210.00)
Strip Price: ৳ 70.00

Medicine Details

Title and Categories

  • Escilex
  • Medicine
  • SSRIs
  • Anti-depressants

Indications

  • Treatment of major depressive episodes
  • Treatment of panic disorder with or without agoraphobia
  • Treatment of social anxiety disorder
  • Treatment of generalised anxiety disorder
  • Treatment of obsessive-compulsive disorder

Pharmacology

  • Selective serotonin reuptake inhibitor (SSRI)
  • Racemic bicyclic phthalate derivative citalopram
  • Pure S-enantiomer
  • More potent than the R-enantiomer in inhibition of 5-HT reuptake
  • Low affinity for serotonergic or other receptors

Dosage

  • Usual dosage is 10 mg once daily
  • Maximum dosage of 20 mg daily
  • Time required for antidepressant response
  • Different dosages for different indications

Administration

  • Administered once daily
  • Can be taken with or without food

Interaction

  • 2 weeks gap required with MAOI
  • Different timelines for starting or stopping SSRI or related antidepressants

Contraindications

  • Known hypersensitivity to Escitalopram or Citalopram
  • Concomitant use with monoamine oxidase/pimozide

Side Effects

  • Less sedating and cardiotoxic effects than tricyclic antidepressants
  • Gastrointestinal effects
  • Hypersensitivity reactions
  • Hypomania or mania
  • Visual disturbances
  • Dry mouth
  • Insomnia

Pregnancy & Lactation

  • Consider risks and benefits during the third trimester of pregnancy
  • Excreted in human breast milk

Precautions & Warnings

  • Caution in patients with epilepsy, cardiac disease, diabetes mellitus, angle-closure glaucoma
  • Discontinue if convulsions develop
  • Use with caution in patients with hepatic and renal impairment

Use in Special Populations

  • Different dosages for elderly patients, children and adolescents
  • Dosage adjustment for renal and hepatic impairment
  • Caution in poor metabolizers of CYP2C19

Overdose Effects

  • Symptoms related to central nervous, gastrointestinal, and cardiovascular systems
  • No specific antidote
  • Recommended management measures

Therapeutic Class

  • SSRIs & related anti-depressant drugs

Storage Conditions

  • Store below 30°C
  • Protect from light and moisture
  • Keep out of reach of children

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