Before taking this medicine
You should not use this medicine if you are allergic to escitalopram or citalopram (Celexa), or if:
- you also take pimozide. escitalopram bnf
Do not use escitalopram within 14 days before or 14 days after you have used an MAO inhibitor. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.
Be sure your doctor knows if you also take stimulant medicine, opioid medicine, herbal products, or medicine for depression, mental illness, Parkinson’s disease, migraine headaches, serious infections, or prevention of nausea and vomiting. These medicines may interact with escitalopram and cause a serious condition called serotonin syndrome. escitalopram bnf
To make sure escitalopram is safe for you, tell your doctor if you have ever had:
- liver or kidney disease;
- seizures;
- low levels of sodium in your blood;
- heart disease, high blood pressure;
- a stroke;
- bleeding problems;
- sexual problems;
- bipolar disorder (manic depression); or
- drug addiction or suicidal thoughts.
Some young people have thoughts about suicide when first taking an antidepressant. Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.
How should I take escitalopram?
Take escitalopram exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose.
Take escitalopram at the same time each day, with or without food.
Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).
It may take up to 4 weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve.
Tell your doctor if you have any changes in sexual function, such as loss of interest in sex, trouble having an orgasm, or (in men) problems with erections or ejaculation. Some sexual problems can be treated.
Your doctor will need to check your progress on a regular basis. A child taking escitalopram should be checked for height and weight gain.
Do not stop using escitalopram suddenly, or you could have unpleasant withdrawal symptoms. Follow your doctor’s instructions about tapering your dose.
Store escitalopram at room temperature away from moisture and heat.
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