Cipralex 10 mg 28 tablets
Lundbeck
Lundbeck
Tradename
Cipralex (Cipralex)
Compound
Each tablet contains
escitalopram (as oxalate) 10 mg
Auxiliary components
Microcrystalline cellulose, talc, croscarmellose sodium, magnesium stearate.
Properties
Antidepressant. Selectively inhibits the reuptake of serotonin; increases the concentration of the neurotransmitter in the synaptic cleft, enhances and prolongs the action of serotonin on postsynaptic receptors. Escitalopram practically does not bind to serotonin (5-HT), dopamine (D1 and D2) receptors, α-adrenergic, m-cholinergic receptors, as well as benzodiazepine and opioid receptors.
The antidepressant effect usually develops after 2-4 weeks. after the start of treatment. The maximum therapeutic effect of the treatment of panic disorders is achieved approximately 3 months after the start of treatment.
Indications
Depression, panic disorders (including with agoraphobia).
Dosage and administration
Taken orally, regardless of food intake. Depending on the indications, a single dose is 10-20 mg / day. The maximum daily dose is 20 mg. The duration of treatment is several months. When treatment is stopped, the dose should be gradually reduced over 1-2 weeks. in order to avoid the occurrence of the “withdrawal” syndrome.
For elderly patients (over 65 years old), the recommended dose is 5 mg / day, the maximum daily dose is 10 mg.
In case of impaired liver function, the recommended initial dose during the first 2 weeks. treatment is 5 mg / day. Depending on the individual response, the dose may be increased to 10 mg / day.
Contraindications
Simultaneous use of MAO inhibitors, children and adolescents under 15 years of age, pregnancy, lactation, hypersensitivity to escitalopram.
Precautionary measures
During the period of treatment, patients should avoid driving vehicles. Side effects:
From the nervous system: dizziness, weakness, insomnia or drowsiness, convulsions, tremors, movement disorders, serotonin syndrome.
On the part of the digestive system: nausea, vomiting, dryness of the oral mucosa, taste disturbances, loss of appetite, diarrhea, constipation, changes in liver function.
From the side of the cardiovascular system: orthostatic hypotension.
From the endocrine system: decreased secretion of ADH, galactorrhea.
From the reproductive system: decreased libido, impotence, impaired ejaculation, anorgasmia (in women).
From the urinary system: urinary retention.
Dermatological reactions: skin rash, itching, ecchymosis, purpura, increased sweating.
Allergic reactions: angioedema, anaphylactic reactions.
From the side of metabolism: hyponatremia, hyperthermia.
From the musculoskeletal system: arthralgia, myalgia.
Storage method
Store at a temperature not exceeding 25 degrees.
Package
The cardboard box contains 28 tablets, paper instructions.