Escitalopram
Uses of Escitalopram
Escitalopram is commonly used to treat Anxiety Disorder, Depression
How Escitalopram Works
Escitalopram specifically inhibits serotonin (5-HT) re-uptake in the central nervous system and potentiates serotonergic activity which may be low in patients with certain mental disorder. However, it has low affinity on norepinephrine or dopamine neuronal receptor.
Side Effects of Escitalopram
Loss of appetite or increased appetite, Increased weight, Restlessness, Abnormal dreams, Decreased libido, Headache, Insomnia, Somnolence, Dizziness, Paraesthesia, Tremor, Sinusitis, Diarrhea, Constipation, Vomiting, Dry mouth, Sweating increased, Musculoskeletal pain
Warnings
Kidney Use With Care
Escitalopram should be used with caution in patients with severe kidney disease. On the other hand dose adjustment of EsEscitalopram may be needed for patients with mild to moderate kidney disease. Please consult your doctor before using it.
Alcohol Not Advisable
There's no known interactions between alcohol and Escitalopram. However, users of centrally- acting medications are always advised not to consume it concurrently with alcoholic beverages. Please consult your doctor before using it.
Pregnancy Not Safe
Animal studies have shown adverse effects on the fetus, however, there are limited human studies. The benefits from use in pregnant women may outweigh the risk. Please consult your doctor before using it.
Driving Not advisable
Because Escitalopram is a centrally- acting medication which may cause side effects such as dizziness, headaches, nausea or tiredness, all of which could affect your ability to concentrate and drive. Do not drive unless you are feeling well.
Liver Use With Care
EsEscitalopram should be used with caution in patients with liver disease. Dose adjustment of EsEscitalopram may be needed. Please consult your doctor before using it.
Lactation Not Advisable
Escitalopram is probably excreted into the breastmilk. Hence, patients on EsEscitalopram are advised to withhold breastfeeding while on this medication.
Frequently Asked Questions
Written by Dr Sri Viknarajan, MD (Universiti Hasanuddin, Indonesia)
Reviewed by Dr Nur Syuhada binti Zulkifli, MD, Universiti Kebangsaan Malaysia (UKM).
