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LEXAPRO for the treatment of depression
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   Lexapro

Lexapro
Buy Lexapro

LEXAPRO®

Escitalopram oxalate

What Lexapro is used for

Lexapro is a Selective Serotonin Reuptake Inhibitor (SSRI) and belongs to a group of medicines known as antidepressants. These medicines help to normalize the levels of serotonin in the brain. Disturbances in the serotonin system of the brain are key factors in the development of depression and related disorders.

Lexapro is used for the treatment of depression. This disease is characterized by low/depressed mood, lack of energy, melancholia, feelings of little or no worth, sleeping disorders, withdrawal and being unable to cope with daily tasks. Depression may also be accompanied by suicidal thoughts. Depressed patients may further suffer from symptoms of anxiety.

Lexapro will relieve these symptoms and make you feel better.

Your doctor, however, may prescribe Lexapro for another purpose. Ask your doctor if you have any questions about why Lexapro has been prescribed for you.

Before you take Lexapro

When you must not take it.

Do not take Lexapro if you have ever had an allergic reaction to Lexapro or any of the ingredients listed at the end of this leaflet. If you have an allergic reaction you may get a skin rash, have difficulty in breathing, get symptoms of hayfever or feel faint.

Lexapro should not be taken at the same time as taking medication known as monoamine oxidase inhibitors (MAOIs), such as phenelzine and tranylcypromine and moclobemide which are also used for the treatment of depression, and selegiline, which is used for the treatment of Parkinsonīs disease.

One day must elapse after you have finished taking moclobemide before you start taking your Lexapro tablets. If you have taken any other MAOI you will need to wait 14 days. After stopping Lexapro you must allow 7 days before taking any MAOI.

The herbal remedy St John's wort (Hypericum perforatum) should not be taken at the same time as this medicine.

Do not take Lexapro after the expiry date (EXP) printed on the pack. It may have no effect at all or, an entirely unexpected effect if you take it after the expiry date.

Do not take Lexapro if the packaging is torn or shows signs of having been tampered with.

Do not take Lexapro to treat any other complaints unless your doctor has instructed you to do so.

Before you start to take it

Your doctor must know about all the following before you start to take Lexapro.

You must tell your doctor if:

  • you are allergic to any other medicines or any foods, dyes or preservatives.
  • you have any medical conditions, including:
    • heart disease
    • epilepsy
    • liver disease
    • kidney disease
    • diabetes
    • manic depression
    • bleeding tendency
    • Your doctor will take the necessary precautions to ensure safe use of Lexapro if you have any of these medical conditions.
  • you are taking any other medicines, including medicines that you buy without a prescription from a pharmacy, supermarket or health food shop. Some of the medicines in common use that may interfere with Lexapro include cimetidine, sumatriptan (Imigran), lithium, tricyclic antidepressants (eg imipramine, desipramine), tramadol and tryptophan. You may need to take different amounts of your medicine or you may need to take different medicines. Your doctor or pharmacist can tell you what to do if you are taking this or any other medicines.
  • you are pregnant or plan to become pregnant. Do not take Lexapro if you are pregnant or breastfeeding unless you and your doctor have discussed the risks and benefits involved. It is not recommended that you do breastfeed while taking Lexapro as it is excreted in breast milk.
  • you have heart disease. Lexapro may decrease your heart rate.

Use in children

Do not give Lexapro to children

Lexapro is not recommended for children as there is no specific information about such use. Always ask your doctor before giving medicines to children.

Use in elderly

Lexapro can be given to elderly patients. The effects of Lexapro in elderly patients are similar to that in other patients.

How to take Lexapro

How much to take

Your doctor will tell you how much Lexapro to take. Take the amount your doctor tells you to.

The usual dose is 10 mg per day. This may be increased by your doctor. The recommended maximum dose is 20 mg per day.

How to take it

Take Lexapro as a single dose either in the morning or in the evening. Lexapro may be taken with or without food.

It is best if the tablet is swallowed whole with a drink of water. Do not chew the tablets.

What to expect

As with other medicines for the treatment of depression it may take a few weeks before you feel any improvement. Therefore you should continue to take Lexapro even if it takes some time before you feel any improvement in your condition.

Individuals will vary greatly in their response to Lexapro. Your doctor will check your progress at regular intervals.

How long to take it

The duration of treatment may vary for each individual, but is usually at least 6 months. In some cases the doctor may decide that longer treatment is necessary. You should continue to take the tablets for as long as your doctor recommends, even if you begin to feel better. The underlying illness may persist for a long time and if you stop your treatment too soon, your symptoms may return.

When finishing a course

Abrupt cessation of this kind of medication may cause discontinuation symptoms such as dizziness, nausea and headache. When you have completed your course of treatment it is therefore advised that the dose of Lexapro is gradually reduced over a couple of weeks.

If you forget to take it

If you miss a dose and remember in less than 12 hours, take it straight away, then continue as normal the next day. Otherwise, skip that day's dose but be sure to take the next day's dose when it is due.

Do not try to make up for missed doses by taking more than one dose at a time. If you have trouble remembering when to take your medicine, ask your pharmacist for some hints.

If you take too much (Overdose)

Immediately telephone your doctor or go to the Accident and Emergency or Casualty department at your nearest hospital if you think that you or anyone else may have taken too much Lexapro. Do this even if there are no signs of discomfort or poisoning. Keep telephone numbers for these places handy.

Symptoms of overdosage may include:

  • nausea (feeling sick)
  • vomiting
  • sweating
  • drowsiness
  • blue discolouration of the skin
  • convulsions
  • unconsciousness
  • fast heart beats
  • tremor

While you are taking Lexapro

Things you must do

Take Lexapro exactly as your doctor has prescribed.

If you do not follow your doctor's instructions, you may not get relief from your depression.

Try not to miss any doses and continue to take the medicine even if you feel well.

Tell your doctor immediately if you become pregnant while taking Lexapro.

Tell all doctors, dentists and pharmacists who are treating you that you are using Lexapro, especially if you are being started on any new medicines.

Things you must not do

Do not give this medicine to anyone else even if their symptoms seem similar to yours.

Things to be aware of

As with any new medicines you should take care when driving, operating machinery or drinking alcohol until you know how Lexapro affects you.

Side effects

Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Lexapro.

Lexapro helps most people with depression, but it may have unwanted side effects in some people.

All medicines have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.

Ask your doctor or pharmacist to answer any questions you may have.

The side effects of Lexapro are, in general, mild and disappear after a short period of time.

Tell your doctor if you notice any of the following and they worry you:

  • Sinusitis (clogged or running nose)
  • Decreased appetite
  • Difficulties falling asleep
  • Feeling sleepy
  • Dizziness
  • Yawning
  • Nausea
  • Diarrhoea
  • Constipation
  • Increased sweating
  • Sexual disturbances (delayed ejaculation, problems with erection, decreased sexual drive and women may experience difficulties getting orgasm)
  • Fatigue
  • Fever

Less frequent side effects may include:

  • Disturbed sleep
  • Taste disturbance

In addition a number of rare side-effects are known to occur with drugs that work in a similar way to Lexapro). These are:

  • Dizziness when you stand up due to low blood pressure
  • Decreased levels of sodium in the blood (the symptoms are feeling sick and unwell with weak muscles or confused)
  • Blurring of vision
  • Vomiting
  • Dry mouth
  • Abnormal liver function test (increased amounts of liver enzymes in the blood)
  • Pains in muscles and joints
  • High fever, agitation, confusion, trembling and abrupt contractions of muscles may be signs of a rare condition called serotonin syndrome
  • Seizures, tremors, movement disorders (involuntary movements of the muscles)
  • Hallucinations, mania, confusion, panic attacks, depersonalisation, anxiety, nervousness, agitation
  • Difficulties urinating
  • Flow of milk in women that are not nursing
  • Rash, increased tendency to develop bruises, itchings, patches of circumscribed swellings

Tell your doctor if you notice anything else that is making you feel unwell.

Some people may get other side effects while using Lexapro.

There is no evidence that Lexapro is addictive, however, if you suddenly stop taking Lexapro, you may get side effects. Tell your doctor if you get any side effects after stopping Lexapro.

After taking Lexapro

Storage

Lexapro has a shelf life of 2 years.

Keep Lexapro in a cool place where the temperature stays below 30°C (86°F).

Keep Lexapro in the blister pack until it is time to take them.

Do not freeze Lexapro.

Do not leave Lexapro in the car on hot days.

Keep Lexapro away from direct sunlight.

Do not store Lexapro or any other medicine in the bathroom or near a sink or stove. Heat, light and dampness can destroy some medicines.

Keep Lexapro where young children cannot reach it.

A locked cupboard at least one-and-a-half metres above ground is a good place to store medicines.

Disposal

Dispose of the tablets where children cannot reach them.

Ask your pharmacist what to do with any Lexapro you may have left over if your doctor tells you to stop using it, or you find that the tablets have passed the expiry date.

Lexapro description

What Lexapro looks like

Lexapro is presented as 5mg, 10mg, 15mg & 20mg tablets and is available in packs of 28 tablets. The tablets are described below.

5mg: Round, white biconvex film-coated tablets marked with "EK" on one side.

10mg: Oval, white film-coated tablets. The tablets are scored and marked with "E" and "L" on each side of the score on one side of the tablet.

15mg: Oval, white film-coated tablets. The tablets are scored and marked with "E" and "M" on each side of the score on one side of the tablet.

20mg: Oval, white film-coated tablets. The tablets are scored and marked with "E" and "N" on each side of the score on one side of the tablet.

Ingredients

Each Lexapro tablet contains either 5mg, 10mg, 15mg or 20mg escitalopram (as oxalate salt).

Lexapro tablets also contain:

  • cellulose - microcrystalline
  • colloidal silica
  • talc
  • croscarmellose sodium
  • magnesium stearate
  • hypromellose
  • macrogol
  • titanium dioxide


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