Escitalopram . 10 mg. 28 tablets

What Estsitalon and what it is used?

Estsitalon contains escitalopram and is used to treat depression / major depressive disorder /.

 

Escitalopram belongs to a group called selective serotonin re-uptake of serotonin / SSRI /. These drugs act on the serotonin system in the brain by increasing serotonin levels. Violations of the serotonin system is considered an important factor in the development of depression and related disorders.

 

Before you take Estsitalon

 

Do not take Estsitalon

  If you are allergic to escitalopram or any of the other ingredients of Estsitalon.

  If you are taking drugs that belong to MAO inhibitors, including selegiline, moclobemide and linezolid.

 

Take special care with Estsitalon

 

Use in children and adolescents under 18 years

 

Escitalopram should not normally be used in children or adolescents under 18 years. You should know that patients under the age of 18 years are at increased risk of side effects such as suicide attempt, suicidal thoughts and hostility when they take this class of drugs. Despite this, your doctor may prescribe escitalopram in patients younger than 18 years because he / she has chosen / and that it is in the interest of the patient. If your doctor has prescribed Estsitalon a patient under 18, please discuss this with him / her. If the patient is under the age of 18 years and accepts Estsitalon, you should inform your doctor if any of the symptoms listed below occur or worsen. In addition, long-term safety effects Estsitalon concerning growth, maturation and cognitive and behavioral development in this age group have not yet been established.

 

Thoughts of suicide and worsening of your depression or anxiety disorder.

 

If you are depressed and / or have anxiety disorders you can sometimes have thoughts of harming or killing themselves. These may be increased when first starting antidepressants, since these medicines all take time to start running - usually about two weeks but sometimes longer.

 

You may be more likely to think and live longer.

 

You may be more likely to think like this:

  If you have previously had thoughts about killing or harming yourself.

  If you are a young person. Clinical studies have shown an increased risk of behavior associated with suicide in young people with mental illness who were treated with an antidepressant.

 

If at any time in you have thoughts of harming or killing yourself, contact your doctor or go to hospital. You may find it helpful to tell a relative or close friend that you are depressed or have an anxiety disorder, and ask them to read this leaflet. You might ask them to tell you if they think your depression or anxiety is getting worse, or are worried about changes in your behavior.

 

In particular, tell your doctor if:

  Have epilepsy

  Suffer from impaired liver or kidney function.

  Have low levels of sodium in the blood

 Have a tendency to easy bleeding or bruising

  Hold your electroconvulsive therapy

  Have coronary heart disease.

 

Some patients with manic-depressive illness may enter a manic phase. It is characterized by rapid changes and unusual ideas, unjustified sense of happiness and excessive physical activity. It is important to consult with your doctor if you develop symptoms similar to those described.

 

Symptoms such as restlessness, inability to remain calm in a sitting or standing may also occur during the first weeks of treatment. Tell your doctor if you experience these symptoms.

 

Taking other medicines:

 

Tell your doctor if you use any of the following:

  Non-selective MAO inhibitors containing as active substances phenelzine, iproniazid, isocarboxazid, and tranylcypromine nilamid. If you have used any of these products must wait 14 days before you start taking Estsitalon. After discontinuation of Estsitalon must wait seven days before taking any of these medicines.

Reversible, selective MAO-A inhibitors moclobemide containing

  Irreversible MAO-B inhibitors containing selegiline. these drugs increase the risk of side effects

 The antibiotic linezolid

  Lithium and tryptophan

  Imipramine and desipramine

  Sumatriptan and similar medicines / treatment of migraine / and tramadol.

  Cimetidine and omeprazole, fluvoxamine, and ticlopidine

 St. John's Wort

  Aspirin and NSAIDs

 Warfarin, dipyridamole, and phenprocoumon

  Mefloquine, bupropion, tramadol

 Antipsychotics

  Flecainide, propafenone and metoprolol, desipramine, clomipramine and nortriptyline, risperidone, thioridazine and haloperidol

 

Pregnancy and lactation:

 

Pregnancy

 

Inform your doctor if you are pregnant or trying to become pregnant. Estsitalon Do not take if you are pregnant unless you have discussed with your doctor the risks and benefits.

 

If pregnancy Estsitalon use, this treatment should not be stopped suddenly.

 

Breastfeeding

 

Estsitalon Do not use if you are breastfeeding, unless you have discussed with your doctor include benefits and risks

 

Important information about some of the ingredients of Estsitalon

 

This medicinal product contains lactose. If your doctor tells you that you have an intolerance to some sugars, contact your doctor before taking Estsitalon.

 

 

How to take Estsitalon?

 

You can take Estsitalon with or without food. Swallow the tablets with a drink of water.

 

Only 10 mg Estsitalon: If you can split the tablets into two equal halves.

 

Only 20 mg Estsitalon: If you can split the tablets in four equal parts into two equal halves.

 

Only 15 mg Estsitalon: If they can split the tablet into three equal parts.

Adults:

 

The usual dose is 10 mg once daily. The dose may be increased by your doctor to a maximum dose of 20 mg once daily.

 

Elderly:

 

The usual starting dose is 5 ml once daily. We use a lower maximum dose.

 

Children and adolescents

 

It should not be used in children and adolescents.

Duration of treatment:

 

It may take several weeks before you begin to feel better. Therefore, you should continue to take Estsitalon even take some time before you feel better.

 

Do not change the dose of your medicine before you discuss this with your doctor.

 

Keep taking the tablets for as long as your doctor recommends. If you stop your treatment too soon, your symptoms may reappear. It is recommended that treatment be continued for at least 6 months after you feel well again.

What Estsitalon:

 

Each tablet Estsitalon containing 5 mg, 10 mg, 15 mg, 20 mg of the active ingredient escitalopram

 

The other ingredients are:

Tablet core: lactose monohydrate, microcrystalline cellulose, croscarmellose sodium, hypromellose, magnesium stearate, colloidal anhydrous silica

Tablet coating: hypromellose, macrogol 6000, titanium dioxide / E171 / talc