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|Escitalopram Solution

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Escitalopram Solution

Generic Name: Escitalopram Oral Solution (ess-sit-AL-oh-pram)
Brand Name: Lexapro

Antidepressants can increase suicidal thoughts and actions in some children and teenagers. This risk may be higher in individuals with bipolar illness (also called manic-depressive illness), a family history of bipolar illness, or a history of attempting suicide. Pay close attention to changes in moods or actions, especially if changes occur suddenly. Contact your health care provider right away if any of the following effects occur or worsen: depression, anxiety, restlessness or irritability, panic attacks, thoughts or attempts of suicide, or other unusual changes in behavior or mood.

Escitalopram Solution is used for:

Treating depression and anxiety. It may also be used for other conditions as determined by your doctor.

Escitalopram Solution is a selective serotonin reuptake inhibitor (SSRI) type of antidepressant. It works by increasing the activity of a chemical in the brain called serotonin, which helps to elevate mood.

Do NOT use Escitalopram Solution if:

you are allergic to any ingredient in Escitalopram Solution or to citalopram
you are taking a prescription monoamine oxidase (MAO) inhibitor (eg, phenelzine; certain medicines for depression, psychiatric, or emotional conditions) or for 2 weeks after stopping the MAO inhibitor
you are taking citalopram, linezolid, pimozide, selegiline, tramadol, or any weight loss medicines (eg, phentermine)

Contact your doctor or health care provider right away if any of these apply to you.

Before using Escitalopram Solution:

Some medical conditions may interact with Escitalopram Solution. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any other prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you have or have ever had a bipolar condition (mania or manic-depression) or have considered or attempted suicide
if you have or have ever had kidney or liver problems; a heart attack; seizures; or stomach or intestinal bleeding

Some MEDICINES MAY INTERACT with Escitalopram Solution. Tell your health care provider if you are taking any other medicines, especially any of the following:

Citalopram should not be taken with Escitalopram Solution because they have the same chemical formula
MAO inhibitors (eg, phenelzine), linezolid , or selegiline, because they can cause serious, sometimes fatal, reactions including restlessness, fever, excessive sweating, confusion, twitching, and seizures. Do NOT take MAO inhibitors (eg, phenelzine), linezolid, or selegiline within 2 weeks of taking Escitalopram Solution.
L-tryptophan, lithium, St. John"s wort, tramadol, sumatriptan, or weight loss medicines (eg, phentermine) because side effects such as restlessness, fever, excessive sweating, confusion, twitching, and seizures, which can rarely be life-threatening, may occur
Beta-blockers (eg, propranolol, metoprolol) because side effects such as very slow heart rate may be increased by Escitalopram Solution
Nonsteroidal anti-inflammatory agents (NSAIDs; eg, ibuprofen, celecoxib) or salicylates (eg, aspirin) because risk of stomach bleeding may be increased by Escitalopram Solution
Pimozide because side effects such as racing heartbeat, dizziness, fainting, life-threatening irregular heartbeat leading to unconsciousness and lack of heartbeat may increase by Escitalopram Solution

This may not be a complete list of all interactions that may occur. Ask your health care provider if Escitalopram Solution may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Escitalopram Solution:

Use Escitalopram Solution as directed by your doctor. Check the label on the medicine for exact dosing instructions. Check the label on the medicine for exact dosing instructions.

Escitalopram Solution comes with an additional patient information sheet called a Medication Guide. Read it carefully and reread it each time you get Escitalopram Solution refilled.
Escitalopram Solution may be taken with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure this dose.
Several weeks may pass before Escitalopram Solution reaches full effect. Continue to use Escitalopram Solution even if you feel well. Do not miss any doses.
If you miss a dose of Escitalopram Solution, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Escitalopram Solution.

Important safety information:

Escitalopram Solution may cause drowsiness, dizziness, and lightheadedness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Escitalopram Solution. Using Escitalopram Solution alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
Avoid drinking alcohol or taking other medications that cause drowsiness (eg, sedatives, tranquilizers) while taking Escitalopram Solution. Escitalopram Solution will add to the effects of alcohol and other depressants. Ask your pharmacist if you have questions about which medicines are depressants.
Antidepressants can increase suicidal thoughts and actions in some children and teenagers. This risk may be higher in individuals with bipolar illness (also called manic-depressive illness), a family history of bipolar illness, or a history of attempting suicide. Pay close attention to changes in moods or actions, especially if changes occur suddenly. Contact your health care provider right away if any of the following effects occur or worsen: depression, anxiety, restlessness or irritability, panic attacks, thoughts or attempts of suicide, or other unusual changes in behavior or mood.
Use Escitalopram Solution with caution in the ELDERLY because they may be more sensitive to its effects.
Escitalopram Solution is not recommended for use in CHILDREN. Safety and effectiveness have not been confirmed.
PREGNANCY and BREAST-FEEDING: If you become pregnant, discuss with your doctor the benefits and risks of using Escitalopram Solution, especially during the third trimester. Escitalopram Solution is excreted in breast milk. If you are or will be breast-feeding while you are using Escitalopram Solution, check with your doctor or pharmacist to discuss the risks to your baby.

WITHDRAWAL: DO NOT SUDDENLY STOP taking Escitalopram Solution without your doctor"s approval. Stopping Escitalopram Solution suddenly may cause serious withdrawal symptoms including a state of feeling unwell or unhappy, abnormal skin sensations, agitation, anxiety, confusion, dizziness, sudden emotional swings, headache, inability to sleep, irritability, lethargy, nausea, and sweating. If therapy is to be discontinued, it will usually be decreased gradually.

Possible side effects of Escitalopram Solution:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Back pain; constipation; decreased sex drive; diarrhea; delay in ejaculation; dizziness; drowsiness; dry mouth; impotence; increased sweating; lack of orgasms in females; loss of appetite; nausea; trouble sleeping; unusual fatigue; upset stomach; vomiting.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); agitation; anxiety; black or tarry stools; changes in amount of urine; chest pain; hostility; impulsiveness; irritability; mania; muscle cramps; painful or prolonged erection; panic attacks; restlessness; seizures; sleeplessness; stomach pain; suicidal thoughts; thoughts of hurting yourself; uncontrolled movements (tremors); unusual bleeding or bruising; unusual or severe mental/mood changes; unusually fast or slow heartbeat; vision changes; vomit that looks like coffee grounds; worsening of depression.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center ( http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include amnesia; coma; confusion; dizziness; fever; loss of consciousness; racing heartbeat alone or with dizziness or fainting; rapid breathing; seizures; severe drowsiness; sweating.

Proper storage of Escitalopram Solution:

Store Escitalopram Solution at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Escitalopram Solution out of the reach of children and away from pets.

General information:

If you have any questions about Escitalopram Solution, please talk with your doctor, pharmacist, or other health care provider.
Escitalopram Solution is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Escitalopram Solution. Additionally, your doctor may have prescribed Escitalopram Solution for a use not mentioned above. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: November 1, 2006

Database Edition 06.4.1.002

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