Description
রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন*
Indications:
NIRVANA 5 MG is indicated for:
-
Major Depressive Disorder (MDD)
-
Generalized Anxiety Disorder (GAD)
-
Panic Disorder (low-dose initiation)
-
Social Anxiety Disorder (off-label)
Pharmacology:
Escitalopram, a selective serotonin reuptake inhibitor (SSRI), increases the level of serotonin in the brain. It works by blocking the reabsorption of serotonin in the brain, thereby improving mood, emotional balance, and reducing anxiety symptoms.
Dosage & Administration:
-
Initial dose: 5 mg once daily
-
May be increased based on patient response (usually up to 10–20 mg/day)
-
Should be taken with or without food
-
Best taken at the same time each day
-
Elderly or liver-impaired patients may require lower doses
Interaction:
-
Risk of serotonin syndrome with MAOIs, triptans, or other serotonergic agents
-
May enhance effects of alcohol and sedatives
-
Increased bleeding risk with NSAIDs or anticoagulants
-
QT prolongation risk with certain antiarrhythmics
Contraindications:
-
Hypersensitivity to Escitalopram
-
Concurrent use with MAOIs or linezolid
-
Uncorrected electrolyte imbalance (e.g. hypokalemia) in patients at risk for QT prolongation
Side Effects:
-
Common: Nausea, drowsiness, insomnia, dizziness, dry mouth
-
Less common: Fatigue, sexual dysfunction, sweating, restlessness
-
Rare: Suicidal thoughts, serotonin syndrome, hyponatremia, seizures
Pregnancy & Lactation:
-
Should be used during pregnancy only if clearly necessary
-
May cause neonatal withdrawal symptoms
-
Caution during lactation as it is secreted in breast milk
Precautions & Warnings:
-
Close monitoring is advised during initial weeks of therapy
-
Avoid abrupt discontinuation to prevent withdrawal symptoms
-
Caution in patients with a history of mania or seizures
-
Avoid alcohol and activities requiring alertness initially
Therapeutic Class:
Selective Serotonin Reuptake Inhibitors (SSRIs)
Storage Conditions:
Store below 30°C in a cool, dry place, away from sunlight and moisture. Keep out of reach of children.
.jpg)
.jpg)
Change Language