This medicine may increase your risk for bleeding problems. This will decrease the chance of having withdrawal symptoms such as increased anxiety, burning or tingling feelings, confusion, dizziness, headache, irritability, nausea, trouble sleeping, or unusual tiredness or weakness. Your doctor may want you to gradually reduce the amount you are taking before stopping it completely. Check with your doctor first before taking any other medicines with escitalopram.ĭo not suddenly stop taking this medicine without checking first with your doctor.

John's wort, amphetamines, or some pain or migraine medicines (eg, rizatriptan, sumatriptan, tramadol, Frova®, Imitrex®, Maxalt®, Relpax®, Ultram®, Zomig®). Do not use escitalopram with buspirone (Buspar®), fentanyl (Abstral®, Duragesic®), lithium (Eskalith®, Lithobid®), tryptophan, St. Let the doctor know if you or anyone in your family has bipolar disorder (manic-depressive) or has tried to commit suicide.Įscitalopram may cause a serious condition called serotonin syndrome if taken together with some medicines. If you or your caregiver notice any of these unwanted effects, tell your doctor right away. Some people may have trouble sleeping, get upset easily, have a big increase in energy, or start to act reckless. It may also cause some people to have suicidal thoughts and tendencies or to become more depressed. Using these medicines together can cause very serious heart problems.Įscitalopram may cause some teenagers and young adults to be agitated, irritable, or display other abnormal behaviors. If you take them together or do not wait the proper amount of time, you may develop confusion, agitation, restlessness, stomach or bowel symptoms, a sudden high body temperature, an extremely high blood pressure, or severe seizures.ĭo not take escitalopram with pimozide (Orap®). Wait 14 days after stopping escitalopram before you start taking a MAO inhibitor. Do not start taking escitalopram during the 14 days after you stop a MAO inhibitor. Blood tests may be needed to check for any unwanted effects.ĭo not take escitalopram with a monoamine oxidase (MAO) inhibitor (eg, isocarboxazid, linezolid (Zyvox®), methylene blue injection, phenelzine, selegiline, tranylcypromine ). It is very important that your doctor check your progress at regular visits to allow for changes in your dose and to help reduce any side effects. Children-Use and dose must be determined by your doctor.However, the dose is usually not more than 20 mg per day. Your doctor may adjust your dose as needed. Adults-At first, 10 milligrams (mg) once a day, taken either in the morning or evening.Children younger than 12 years of age-Use and dose must be determined by your doctor.

Older adults-10 mg once a day, taken either in the morning or evening.Adults and children 12 years of age and older-10 milligrams (mg) once a day, taken either in the morning or evening.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.įor oral dosage forms (solution or tablets): The amount of medicine that you take depends on the strength of the medicine. If your dose is different, do not change it unless your doctor tells you to do so. The following information includes only the average doses of this medicine. Follow your doctor's orders or the directions on the label. The dose of this medicine will be different for different patients.

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