Cipralex Tablets (10MG, 15MG, 20MG) Uses Details
Cipralex Tablets (10 MG, 15 MG, 20MG) contains the active substance escitalopram. And Cipralex belongs to a group of antidepressants called selective serotonin reuptake inhibitors (SSRIs) . These medicines act on the serotonin system in the brain by increasing the serotonin level. Disturbance in the serotonin system are considered an important factor in the development of depression and related diseases.
More Useful Medicine: Efexor XR Tablets 75MG, 150 MG Uses Dosage Side Effects Benefits Formula Price Details
Cipralex Tablets contains escitalopram and is used for treatment of depression (major depressive episodes). And anxiety disorders (such as painc disorder with or without agoraphobia , social anxiety disorder. Or generalized anxiety disorder and obsessive compulsive disorder).
Contraindications Details
Do not take It
- If you are allergic to escitalopram or any of the other ingredients of this medicine .
- If you take other medicins which belong to a group called MAO inhibitors, including moclobemide (used in the treatment of depression ).
- At the same time as taking pimozide .
Cipralex Tablets Warnings And Precautions
Please tell your doctor if you have any other condition or illness , as your doctor may need to take this into consideration. In particular , tell your doctor:
- You have epilepsy, Treatment with this medication should be stopped if seizures occur for the first time. Or if there is an increase in the seizure frequency.
- If you suffer from impaired liver or kidney function . However, Your doctor need to adjust your capsules dosage .
- You have diabetes. Treatment with Cipralex (Escitalopram) Tab may alter glycaemic control. Meanwhile, Insulin and oral hypoglycaemic dosage may need to be adjusted .
- If you have a decreased levels of sodium in the blood.
- if you have a tendency to easily develop bleeding or bruises.
- You are receiving electroconvulsive treatment.
- If you have coronary heart disease.
Things To Note
However, patients with manic depressive illness can enter in a manic phase. However, it characterized by unusual and rapidly changing ideas, inappropriate happiness and excessive physical activity. If you experience this, contact your doctor.
Symptoms such as restlessness or difficulty to sit or stand still can also occur during the first weeks of the treatment. So most importantly, immediately tell your doctor if you experience these symptoms .
Suicide Thoughts And Worsening Your Depression Or Anxiety Disorders
If you are depressed and have anxiety disorder you can sometimes have thoughts of harming or killing yourself. These may be increased when first starting antidepressants. meanwhile, these medicines can take time to work nearly about two weeks but sometimes a bit longer
However, patient may be more likely to think like this;
- If you have previously face the problem of thoughts about killing or harming yourself.
- If you are a Young adult. Information from clinical trials has shown an increased risk of suicidal behavior in adults aged less than 25 years with psychiatric conditions who were treated with an antidepressant .
If you have thoughts of harming or killing yourself at any time. Immediately, contact your doctor or pharmacist or go to a hospital straight away. Because You find it helpful to tell a relative or close friend about your condition. That you are depressed or have an anxiety disorder and ask them read this leaflet. You might ask them to tell you if they think your depression or anxiety is getting worse. Or if they are worried about changes in yous behavior.
Cipralex Tablets Use In Children and adolescents
Cipralex Tablets should normally not be used for children and adolescents under 18 years. Also , you should known that patients under 18 have an increased risk of side effects such as. Suicide attempts, suicidal thoughts and hostility (predpminately aggression, oppositional behavior and anger) when they take this class of medicines. Despite this , your doctor may this is in their best interest. If your doctor has prescribed Cipralex 5MG, 10MG, 15MG, 20MG for a patients under 18. And you want to discuss this please go back to your doctor. You should inform your doctor if any symptoms listed above develop or worsen when patients under 18 are taking the capsules. Also, the long term safety effects concerning growth. Or maturation and cognitive and behavioral development of the drug in this age group have not yet been demonstrated .
Cipralex Tablets Drug Interactions
Tell your doctor or pharmacist if you are taking have recently taken or might take any other medicines.
- Non selective monoamine oxidase inhibtors (MAOls) containing
- Phenelzine
- Ipronizid
- Isocarboxzid
- Nialamide
- Tranylcypromine as active ingredients .
If you have taken any of these medicines you will need to wait 14 days before you start taking it. After stopping Cipralex Medicine you must allow 7 days before taking any of these medicines.
Other Drug Interactions
- Reversible, selective MAO A inhibitors , containing moclobemide (used to treat depression ).
- Irreversible MAO B inhibitors , containing selegiline (used to treat parkinson disease). These increase the risk of side effects .
- The antibiotic linzolid .
- Lithium (used in the treatment of manic depressive disorder ) and trytophan.
- Imipramine and desipramine (both used to treat depression.
- Sumatriptan and similar medicines (used to treat migraine ) and tramdol (used agints severe pain) these increase the risk of side effects.
- Cimetidine and omeprazole (used to treat stomach ulcers) , fluvoxamine ( antidepressant ) and ticlopidine (used to reduce the risk of stroke ) . These may cause increased blood levels of this product.
- St john wort (hypericum perforatum a herbal remedy used for depression.
- Acetylsalicylic acid and non steroidal anti inflammatory drugs (medicines used for pain relief or to thin the blood , so called anti coagulant). These may increase bleeding tendency .
- Wafarin, dipyridamole and phenprocoumon (medicines used to thin the blood , so called anti coagulant ). your doctor will probably check coaulation time of your blood when starting and discontinuing this medication in order to verify that dose of anti coagulant is still adequate .
- Mefloquin (used to treat Malaria ) , bupropion (used to treat depression ) and tramadol (used to treat severe pain) due to a possible risk of a lowered threshold for seizures.
- Neuroleptics (medicines to treat schizophrenia , psychosis ) due to a possible risk of a lowered threshold for seizures, and antidepressants .
- Flecainide, proafenone , and metoprolo (used in cardio vascular disease) , clomipramine , and nortriptyline (antidepressants ) and risperidone, thioridazine , and haloperidol (antipsychotics ). The dosage of this medication may need to be adjusted.
Cipralex Use with Food, Drink And Alcohol
Cipralex can be taken with or without food.
As with many medicines, combining this tab with alcohol is not advisable. Although it is not expected to interact with alcohol.
Cipralex In Pregnancy, Baby Feeding And Fertility
Immediately, Inform your doctor if you are using Ciprales During pregnancy or planning to become pregnant.
On the other hand, Do not take it if you are pregnant or baby feeling. Unless you and your doctor have discussed the risks and benefits involved .
However, If you take it during the last 3 months of your pregnancy you should be aware. That the following Cipralex Side Effects may be seen in your newborn baby:
- Trouble with breathing
- Bluish skin
- Fits
- Body temperature changes
- Feeding difficulties
- Vomiting
- Low blood sugar
- Stiff or floppy muscles
- Vivid reflexes
- Tremor
- Jitteriness
- Irritability
- Lethargy
- Constant crying
- Sleepiness and sleeping difficulties
If your newborn baby has any of these symptoms , please contact your doctor immediately .
Most importantly, make sure your midwife and doctor known you are on this product. When taken Cipralex (Escitalopram) during pregnancy particularly in the last 3 months of pregnancy. Meanwhile, Medicines like the medicine may increase the risk of a serious condition in babies. Therefore, It called persistent pulmonary hypertension of the newborn (PPHN). Which making the baby breathe faster and appear bluish. However, these symptoms usually begin during the first 24 hours after the baby is born. Therefore, If this happens to your baby you should contact your midwife and doctor immediately.
However, If used Cipralex during pregnancy should never be stopped abruptly. Therefore, It expected that it will excreted into human milk.
Citalopram, a medicine like Escitalopram, has shown to reduce the quality of sperm in animal studies. Theoretically, this could affects fertility , bit impact on human fertility has not observed as yet.
Effects On Driving And Using Machines
You are advised not to drive a car or operate machinery until you know how Cipralex Side Effects effects you.
Cipralex Dosage & Administration
Most importantly remember that, always take Cipralex Medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
Cipralex (Escitalopram) Dosage For Adult
For Depression
The normally recommended initial Dose for depression is 10 MG taken as one tablet daily dose. But, the dose may be increased by your doctor to a maximum of 20 MG per day .
Dose For Panic Disorder
However, the starting cipralex dose for panic disorders is 5 MG as one daily dose for the first week before increasing the dose to 10 MG per day. Meanwhile, the dose can further increased by your doctor to a maximum of 20 mg per day .
Dosage For Social Anxiety Disorder
The normally recommended medicine dose for social anxiety disorder is10 MG taken as one daily dose. Furthermore, your doctor can either decrease your dose to Cipralex 5 mg per day, depending on how you respond to the medicine.
Dosage For Generalized Anxiety Disorder
However, the normally recommended dose for generalized anxiety disorder is 10 MG taken as one daily dose. But, the dose may increased by your doctor to a maximum of Cipralex 20 mg per day.
For Obsessive Compulsive Disorder
Firstly, the normally recommended dose of Cipralex 10 mg taken as one daily dose. However, the dose may increased by your doctor to a maximum of 20 mg per day .
For Elderly Patients (above 65 years of age )
On the other hand, the normal recommended starting dose of 5 mg taken as one daily dose.
Use In Children And Adolescents
Consequently, the drug should not normally be given to children and adolescents.
Meanwhile, You can take this medciine with or without food. On the other hand, Swallow the tablet with some water. Furthermore, Do not chew them , as the taste is bitter. However, If necessary, you can divide the tablets by firstly placing the tablet on a flat surface with the score facing upwards. On the other hand, The tablet may then broken by pressing down on each end of the tablet. And using both forefingers as shown in the drawing .
The Treatment Duration
Most importantly, you must know that It may take couple of weeks before you start feel better. Continue to take it even if it takes some time before you feel any improvement in your condition. Meanwhile, Do not change the dose of your medicine without talking to your doctor first.
On the other hand, Continue to take it for as long as your doctor recommends. If you stop your treatment too soon, symptoms may return. Therefore, It recommended that treatment should continued for at least 6 months after you feel well again.
Cipralex Overdose
Meanwhile, If you take Cipralex Overdose, contact your doctor or nearest hospital emergency department immediately. Therefore, Do this even if there are no signs of discomfort. Meanwhile, Some of the signs of an overdose could
- Dizziness
- Termor
- Agitation
- Convulsion
- Coma
- Nausea
- Vomiting.
- Change in heart rhythm
- Decreased blood pressure
- Change in body fluid salt balance.
Meanwhile, Take the Cipralex box container with you when you go to the doctor or hospital.
If You Forget To Take It
Meanwhile, Do not take a double dose to make up for forgotten doses. However, If you do forget to take a dose. And you remember before you go to bed, take it straight away. On the other hand, Carry on as usual the next day. However, If you only remember during the night, or the next day, leave out the missed dose and carry on as usual.
Cipralex Side Effects
Like all medicines Cipralex Side Effects also caused some disorders, although not everybody get them.
Usually the side effects slowly disappear after a few weeks of treatment . Most importantly, Please be aware that many of the effects may also be symptoms of your illness. And therefore will improve when you start to get better. Meanwhile, See your doctor if you get any of the following side effects during treatment:
Uncommon (May Affect Up To 1 In 100 People)
- Unusual bleeds, including gastrointestinal bleeds
Rare (May Affect Up To 1 In 1,000 People)
- If you experience swelling of skin, tongue , lips, or face , or have difficulties breathing or swallowing (allergic , reaction) , contact your doctor or go to a hospital straight away.
- You have a high fever , agitation , confusion , trembling and abrupt contractions of muscles. However, these may be signs of a rare condition called serotonin syndrome. If you feel like this contact your doctor .
However, If you experience the following side effects you should contact your doctor or go to the hospital straight away.
- Difficulties urinating
- Seizures , see also section Warnings and precautions
- Yellowing of the skin and the white in the eyes are signs of liver function impairment / hepatitis.
In addition To Above The Following Side Effects Have Been Reported:
Very Common (May Affect More Than 1 In 10 people)
- Feeling sick (nausea)
Common (May Affect Up To 1 In 10 People)
- Blocked or runny nose (sinusitis )
- Decreased or runny nose (sinusitis )
- Anxiety, restlessness, abnormal dreams, difficulties falling asleep, feeling sleepy, dizziness, yawning tremors, pricking of the skin
- Diarrhoea, constipation, vomiting, dry month
- Increased sweating
- Pain in muscle and joint (arthragia and myalgia )
- Sexual disturbances (delayed ejaculation, problems with. However decreased sexual drive and women may experience difficulties achieving orgasm)
- Fatigue
- Fever
- Increased weight
Uncommon (May Affect Up To 1 In 100 People)
- Nettle rash (urticaria ), rash , itching (pruritus)
- Grinding one teeth , agitation , nervousness, panic attack, confusion state
- Disturbed sleep , taste disturbance , fainting (syncope)
- Enlarged pupils (mydriasis ) , visual disturbnace , ringing in the ears (tinnitus )
- Loss of hair
- Excessive menstrual bleeding
- Irregular menstrual period
- Decreased weight
- Fast heart beat
- Swelling of the arms or legs
- Nosebleeds
Rare (May Affect Up To 1 In 1,000 People)
- Aggression, depresonalisation, hallucination
- Slow heart beat
Not Known (Frequency Cannot Estimated From The Available Data)
- Thoughts of harming yourself or thoughts of killing yourself , see also section Warnings and precaution
- Decreased levels of sodium in the blood (the symptoms are feeling sick and unwell with weak muscles or confused )
- Dizziness when you stand up due to low blood pressure (orthostaic hypotension)
- Abnormal liver function test (increased amounts of liver enzymes in the blood )
- Movement disorder (involuntary movements of the muscles
- Painful (priapism)
- Bleeding disorder including skin and mucous bleeding (ecchymosis )and low levels of blood platelets (thrombocytopenia)
- Sudden swelling of skin or mucosa (angioedemas)
- Increased in the amount of urine excreted (inappropriate) ADH secretion )
- Flow of milk in men and in women that are not nursing
- Mania
- An increased risk of bone fractures has observed in patients taking this type of medicines.
In addition , a number of side effects with this medicine are known to occur that work in a similar way to Escitalopram (the active ingredient of this medicine). These are:
- Motor restlessness (akathisia)
- Anorexia
Cipralex Storage Instructions
Most Importantly, always remember to keep cipralex out of the sight and reach of children. On the other hand, store this drug above 30 C temprature. Most importantly, do not use the drug after the expiry date. Furthermore, do not through any medicines via wastewater or household waste. However, these measures also help to protect the environment.
More Medicine Information: Ceporex Tablets Capsules Syrup Suspension Uses, Dosage, Side Effects
Cipralex (Escitalopram) 5MG, 10MG, 15MG, 20MG Price (Rs. 1022 PKR)