Description
রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন*
Indications:
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Major depressive disorder (MDD)
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Generalized anxiety disorder (GAD)
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Panic disorder
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Social anxiety disorder
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Obsessive-compulsive disorder (off-label)
Pharmacology:
Escitalopram is a selective serotonin reuptake inhibitor (SSRI). It increases serotonin levels in the synaptic cleft by inhibiting its reuptake in the presynaptic neuron. This helps improve mood and reduce anxiety symptoms.
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Onset of action: May take 1–4 weeks
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Half-life: ~27–32 hours
Dosage & Administration:
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Adults: 10 mg once daily, may be increased to 20 mg if needed
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Administration: Can be taken with or without food
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Swallow whole with water, preferably at the same time daily
Interaction:
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May interact with MAO inhibitors, other SSRIs, NSAIDs, anticoagulants
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Risk of serotonin syndrome when used with triptans or tramadol
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Alcohol may increase side effects like dizziness or drowsiness
Contraindications:
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Known hypersensitivity to Escitalopram
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Concurrent use with MAO inhibitors
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QT interval prolongation
Side Effects:
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Common: Nausea, headache, insomnia, dry mouth, dizziness
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Less common: Sexual dysfunction, fatigue, increased sweating
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Rare: Serotonin syndrome, suicidal thoughts (especially in young adults)
Pregnancy & Lactation:
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Pregnancy: Use only if clearly needed; potential neonatal complications
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Lactation: Excreted in breast milk; monitor infant or consider alternatives
Precautions & Warnings:
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Monitor for suicidal thoughts, especially in first weeks
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Caution in patients with liver/kidney impairment or seizure history
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Gradual tapering required before discontinuation
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Not approved for use in children under 12 without specialist advice
Therapeutic Class:
Selective Serotonin Reuptake Inhibitors (SSRIs)
Storage Conditions:
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Store below 25°C in a cool, dry place
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Protect from light and moisture
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Keep out of reach of children
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Do not use after expiry date
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