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Escitalopram

Escitalopram is a selective serotonin reuptake inhibitor used to treat major depressive disorder and generalised anxiety disorder. It is taken by mouth as a film-coated tablet and is intended for long-term use. Symptoms usually begin to ease after 2 to 4 weeks.

Medicine containing Escitalopram

Escitalopram

Major Depressive Disorder

5 · 10 · 20mg

Escitalopram is an SSRI tablet for major depressive disorder and generalised anxiety disorder. You can choose from several strengths and pack sizes. You see the price per tablet for each option.

FromUS$0.47/ tabletView

Key points

  • Escitalopram blocks the reuptake of serotonin, so more of it stays available in the brain.
  • It is not for use in children under 18.
  • Treatment should not be stopped abruptly, and changes in mood need to be watched.

What escitalopram is used for

The two main uses are major depressive disorder and generalised anxiety disorder. It is also used for panic disorder. By adjusting chemical signalling in the brain, it supports a steadier mood and less reactivity to everyday stress. The aim is to reduce symptom intensity over time rather than to treat a single episode and stop.

How it works

Escitalopram inhibits the reuptake of serotonin (5-HT) in the synaptic cleft. Serotonin therefore stays in the gap between nerve cells for longer, which raises its level in the brain and helps improve mood and reduce anxiety symptoms. The effect builds gradually, which is why a response is usually seen after 2 to 4 weeks and why treatment continues long term.

Forms and strengths

Escitalopram is supplied as a film-coated tablet in 5 mg, 10 mg and 20 mg strengths. It sits within the wider antidepressants group. Generic and branded generic versions are available, and several brand names exist alongside the generic, all with the same active ingredient. Orders are shipped to Malaysia by pharmacy partners in India in discreet packaging.

Before you start

Escitalopram must not be taken with MAO inhibitors. Combining it with other substances that raise serotonin can trigger serotonin syndrome, which needs immediate medical attention. It is not for use in children under 18. In pregnancy it should be used only if the benefits outweigh the risks, and it is not recommended during breastfeeding. Mention all current medicines, including herbal preparations, so interactions can be checked.

Side effects and interactions

Nausea, dry mouth and insomnia are common early effects, and these often settle as the body adjusts. Anxiety, changes in libido and dizziness are also reported. Serotonin syndrome and suicidal ideation are serious effects and both require immediate medical attention; monitoring for suicidal ideation is part of treatment. St John’s wort, MAO inhibitors and aspirin are the interactions to note. Stopping treatment abruptly should be avoided.

Further reading

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