Oxapro 5 mg (Tablet)

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

Medicine Details

Category Details
Generic Escitalopram oxalate
Company Square pharmaceuticals plc
Also available as

Indications

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

Pharmacology

  • Orally administered
  • Selective serotonin reuptake inhibitor (SSRI)
  • 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

Dosage

  • Safety of daily doses above 20 mg not demonstrated
  • Usually administered as a single daily dose
  • May be taken with or without food
  • Dose may be increased to a maximum of 20 mg daily depending on individual patient response
  • Initial dosage for panic disorder with or without agoraphobia is 5 mg, may be increased to 10 mg daily

Administration

  • Generally administered once daily
  • Morning or evening with or without food

Interaction

  • 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 or related antidepressant has been stopped

Contraindications

  • Contraindicated in patients with known hypersensitivity to Escitalopram or Citalopram or any of the inactive ingredients of the drug product
  • Concomitant use of escitalopram in patients taking monoamine oxidase/pimozide is contraindicated

Side Effects

  • Gastrointestinal effects
  • Anorexia with weight loss
  • Increased appetite and weight gain
  • Hypersensitivity reactions including rash, urticaria, angioedema
  • Dry mouth
  • Nervousness
  • Anxiety
  • Headache
  • Insomnia
  • Tremor
  • Dizziness
  • Asthenia
  • Hallucinations
  • Drowsiness
  • Convulsions

Pregnancy & Lactation

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

Precautions & Warnings

  • Use with caution in patients with epilepsy
  • History of mania
  • Cardiac disease
  • Diabetes mellitus
  • Angle-closure glaucoma

Use in Special Populations

  • Elderly patients (>65 years of age)
  • Children and adolescents (<18 years)
  • Reduced renal function
  • Reduced hepatic function
  • Poor metabolizers of CYP2C19

Overdose Effects

  • Symptoms mainly related to the central nervous system
  • Serotonin syndrome
  • Gastrointestinal symptoms
  • Cardiovascular symptoms
  • Electrolyte/fluid balance conditions

Therapeutic Class

  • SSRIs & related anti-depressant drugs

Storage Conditions

  • Store below 30°C temperature
  • Protect from light & moisture

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