Cipralex Tablets (10MG, 15MG, 20MG)

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

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).

Cipralex Tablets Contraindications

Do not take Cipralex Tablets

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 Cipralex Tablet should be stopped if seizures occur for the first time. Or if there is an increase in the seizure frequency.

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 cipralex dosage .

You have diabetes. Treatment with Cipralex (Escitalopram) Tablets may alter glycaemic control. Meanwhile, Insulin and oral hypoglycaemic dosage may need to be adjusted .

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 Cipralex Drug. Also, the long term safety effects concerning growth. Or maturation and cognitive and behavioral development of Cipralex 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 Cipralex Drug. After stopping Cipralex Medicine you must allow 7 days before taking any of these medicines.

Cipralex 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 Cipralex . 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 Cipralex 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 dosae of Cipralex 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 Cipralex with alcohol is not advisable. Although Cipralex is not expected to interact with alcohol.

Cipralex In Pregnancy, Breast 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 Cipralex Medicine if you are pregnant or breast feeling. Unless you and your doctor have discussed the risks and benefits involved .

However, If you take Cipralex 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 Cipralex . When taken Cipralex (Escitalopram) during pregnancy particularly in the last 3 months of pregnancy. Meanwhile, Medicines like Cipralex 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 Cipralex will excreted into breast 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.

Cipralex Tablets 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

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

Cipralex For Depression

The normally recommended Cipralex Dose for depression is Cipralex 10 MG taken as one tablet daily dose. But, the cipralex dose may be increased by your doctor to a maximum of Cipralex 20 MG per day .

Cipralex Dose For Panic Disorder

However, the starting cipralex dose for panic disorders is Cipralex 5 MG as one daily cipralex dose for the first week before increasing the dose to Cipralex 10 MG per day. Meanwhile, the dose can further increased by your doctor to a maximum of 20 mg per day .

Cipralex Dosage For Social Anxiety Disorder

The normally recommended cipralex dose for social anxiety disorder is Cipralex 10 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.

Cipralex Dosage For Generalized Anxiety Disorder

However, the normally recommended dose for generalized anxiety disorder is Cipralex 10 MG taken as one daily dose. But, the dose may increased by your doctor to a maximum of Cipralex 20 mg per day.

Cipralex 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 Cipralex 20 mg per day .

Cipralex For Elderly Patients (above 65 years of age )

On the other hand, the normal recommended starting dose of Cipralex 5 mg taken as one daily dose.

Cipralex Use In Children And Adolescents

Consequently, Cipralex Durg should not normally be given to children and adolescents.

Meanwhile, You can take Cipralex 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 .

Cipralex Treatment Duration

Most importantly, you must know that It may take couple of weeks before you start feel better. Continue to take Cipralex 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 Cipralex 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 Cipralex

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.

Cipralex Side Effects usually 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 cipralex 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 erection. 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 erections (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 cipralex side effects are known to occur that work in a similar way to Escitalopram (the active ingredient of Cipralex). 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.

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Cipralex (Escitalopram) 5MG, 10MG, 15MG, 20MG

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