Earlier than taking escitalopram, inform your physician or pharmacist if you’re allergic to it; or to citalopram; or you probably have some other allergic reactions. This product could comprise inactive elements, which might trigger allergic reactions or different issues. Speak to your pharmacist for extra particulars.
Earlier than utilizing this remedy, inform your physician or pharmacist your medical historical past, particularly of: private or household historical past of bipolar/manic-depressive dysfunction, private or household historical past of suicide makes an attempt, liver illness, seizures, intestinal ulcers/bleeding (peptic ulcer illness) or bleeding issues, low sodium within the blood (hyponatremia), private or household historical past of glaucoma (angle-closure kind).
Escitalopram could trigger a situation that impacts the center rhythm (QT prolongation). QT prolongation can not often trigger critical (not often deadly) quick/irregular heartbeat and different signs (similar to extreme dizziness, fainting) that want medical consideration immediately.
The chance of QT prolongation could also be elevated you probably have sure medical situations or are taking different medication that will trigger QT prolongation. Earlier than utilizing escitalopram, inform your physician or pharmacist of all of the medication you are taking and you probably have any of the next situations: sure coronary heart issues (coronary heart failure, sluggish heartbeat, current coronary heart assault, QT prolongation within the EKG), household historical past of sure coronary heart issues (QT prolongation within the EKG, sudden cardiac demise).
Low ranges of potassium or magnesium within the blood may enhance your danger of QT prolongation. This danger could enhance should you use sure medication (similar to diuretics/”water drugs”) or you probably have situations similar to extreme sweating, diarrhea, or vomiting. Speak to your physician about utilizing escitalopram safely.
This drug could make you dizzy or drowsy. Alcohol or marijuana (hashish) could make you extra dizzy or drowsy. Don’t drive, use equipment, or do something that wants alertness till you are able to do it safely. Keep away from alcoholic drinks. Speak to your physician if you’re utilizing marijuana (hashish).
The liquid type of this remedy could comprise sugar and/or aspartame. Warning is suggested you probably have diabetes, phenylketonuria (PKU), or some other situation that requires you to restrict/keep away from these substances in your food plan. Ask your physician or pharmacist about utilizing this remedy safely.
Earlier than having surgical procedure, inform your physician or dentist about all of the merchandise you utilize (together with prescribed drugs, nonprescription medication, and natural merchandise).
Older adults could also be extra delicate to the unintended effects of this drug, similar to QT prolongation (see above), lack of coordination, or bleeding. They might even be extra more likely to lose an excessive amount of salt (hyponatremia), particularly if they’re additionally taking “water drugs” (diuretics) with this remedy. Lack of coordination can enhance the danger of falling.
Kids could also be extra delicate to the unintended effects of this drug, particularly lack of urge for food and weight reduction. Monitor weight and top in kids who’re taking this drug.
Throughout being pregnant, this remedy must be used solely when clearly wanted. It could hurt an unborn child. Additionally, infants born to moms who’ve used this drug over the past 3 months of being pregnant could not often develop withdrawal signs similar to feeding/respiratory difficulties, seizures, muscle stiffness, or fixed crying. For those who discover any of those signs in your new child, inform the physician promptly.
Since untreated psychological/temper issues (similar to melancholy, anxiousness, obsessive-compulsive dysfunction, panic dysfunction) could be a critical situation, don’t cease utilizing this remedy until directed by your physician. In case you are planning being pregnant, turn into pregnant, or suppose you might be pregnant, instantly focus on together with your physician the advantages and dangers of utilizing this remedy throughout being pregnant.
This remedy passes into breast milk and will have undesirable results on a nursing toddler. Seek the advice of your physician earlier than breast-feeding.