Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of escitalopram in the elderly. However, elderly patients are more likely to have hyponatremia low sodium in the blood and age-related liver problems, which may require caution and an adjustment in the dose for patients receiving escitalopram.
Studies in women breastfeeding have demonstrated harmful infant effects. An alternative to this medication should be prescribed or you should stop breastfeeding while using this medicine. Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary.
When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is not recommended.
Your doctor may decide not to treat you with this medication or change some of the other medicines you take. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases.
If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you.
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:. Take this medicine only as directed by your doctor to benefit your condition as much as possible.
Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. This medicine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor or pharmacist if you have any questions.
Escitalopram may be taken with or without food. If your doctor tells you to take it at a specific time, follow your doctor's instructions. If you are using the oral liquid, shake the bottle well before measuring each dose.
Use a marked measuring spoon, oral syringe, or medicine cup to measure each dose. The average household teaspoon may not hold the right amount of liquid. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine.
Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. Call your doctor right away if you have serious side effects. Serious side effects and their symptoms can include the following:. Disclaimer: Our goal is to provide you with the most relevant and current information.
However, because drugs affect each person differently, we cannot guarantee that this information includes all possible side effects. This information is not a substitute for medical advice. Always discuss possible side effects with a healthcare provider who knows your medical history.
Escitalopram oral tablet can interact with other medications, vitamins , or herbs you may be taking. An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well. To help avoid interactions, your doctor should manage all of your medications carefully.
Escitalopram can thin your blood a little. If you take escitalopram with blood thinners, your risk of bleeding is increased. Examples of blood thinning drugs include:. Certain migraine drugs called triptans may work similarly to escitalopram. Taking them with escitalopram could increase your risk of side effects. Examples of migraine drugs include:. Certain psychiatric drugs may work similarly to escitalopram.
Taking them together may increase your risk of side effects. Examples of these drugs include:. Taking these drugs with escitalopram may increase levels of escitalopram in your body and increase your risk of side effects.
An example of these drugs includes:. Certain water pills can decrease sodium levels in your body. Escitalopram may also decrease sodium. Taking water pills with these drugs may increase your risk of low sodium levels. Taking these drugs with escitalopram may increase your risk of serotonin syndrome, which can be fatal.
If you take any of these drugs, your doctor will start you on a lowered dosage of escitalopram and monitor you for signs of serotonin syndrome. Symptoms can include agitation, sweating, muscle twitches, and confusion. Serotonergic drugs include:. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions.
Always speak with your healthcare provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking. If you have an allergic reaction, call your doctor or local poison control center right away. If your symptoms are severe, call or go to the nearest emergency room.
Taking it again could be fatal cause death. Drinking alcohol while taking escitalopram can increase your risk of sleepiness or dizziness. If you drink alcohol, talk to your doctor. People with a history of suicidal thoughts or behaviors: This drug can increase the risk of suicidal thoughts and behavior.
This risk is higher in children, teenagers, and young adults. Tell your doctor if you have a history of suicidal thoughts or behaviors. People with glaucoma : This drug may dilate your pupils make them wider , which may trigger a glaucoma attack. Tell your doctor if you have glaucoma before taking this drug.
People with bipolar disorder : Let your doctor know if you have a history of bipolar disorder. If you have a history of bipolar disorder, taking this drug alone may trigger a mixed or manic episode. People with seizure disorders: This drug may cause seizures. If you have ever had a seizure, notify your doctor before taking this drug. Taking this drug can increase your risk of having more seizures.
People with heart problems: Taking this drug may cause a prolonged QT interval. This is a heart rhythm issue that may cause your heartbeat to be abnormal.
National Alliance on Mental Illness. Escitalopram Lexapro. Updated December Yasui-Furukori N, Hashimoto K, et al. Characteristics of escitalopram discontinuation syndrome: a preliminary study. Clin Neuropharmacol. Efficacy of escitalopram in the treatment of social anxiety disorder: A meta-analysis versus placebo. Eur Neuropsychopharmacol. Long-term use of escitalopram and a high level of carcinoembryonic antigen. Korean J Fam Med. Escitalopram for the treatment of major depression and anxiety disorders.
Expert Rev Neurother. A comparative review of escitalopram, paroxetine, and sertraline: are they all alike? Int Clin Psychopharmacol. National Library of Medicine. Updated February 15, Your Privacy Rights. To change or withdraw your consent choices for VerywellMind. At any time, you can update your settings through the "EU Privacy" link at the bottom of any page. These choices will be signaled globally to our partners and will not affect browsing data.
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