Escitalopram (Common Indian Brands: Nexito, Cipralex, S-Citadep)
Introduction
Escitalopram is a commonly prescribed medication used to treat mental health conditions like depression and anxiety. It belongs to a group of medicines called Selective Serotonin Reuptake Inhibitors (SSRIs), which work by balancing the levels of serotonin, a chemical in the brain that affects mood and emotions. When taken as prescribed, escitalopram can help improve your mood, reduce feelings of worry, and restore your ability to enjoy daily life.

Purpose of the Medication
Used to Treat:
Depression
Generalized Anxiety Disorder (GAD)
How It Works:
Helps restore the balance of serotonin in the brain, improving mood and reducing anxiety.
Key Information
How to Take It:

Common starting dose: 5-10 mg once daily.
Maximum dose: 20 mg once daily (as advised by your doctor).
Take at the same time every day, with or without food.
Swallow the tablet whole; do not crush or chew.
Common Side Effects:

Nausea
Dry mouth
Drowsiness or fatigue
Increased sweating
Difficulty sleeping (insomnia)
Serious Side Effects:

Contact your doctor immediately if you experience:
Thoughts of self-harm or suicide.
Severe agitation, confusion, or hallucinations.
Symptoms of serotonin syndrome (e.g., rapid heart rate, fever, or muscle stiffness).
Precautions
Before Taking:
Inform your doctor if you have:
A history of epilepsy, seizures, or bipolar disorder.
Liver or kidney problems.
Pregnancy or are breastfeeding.
Any allergies or are using Ayurvedic, herbal, or homeopathic supplements.
While Taking:
Avoid alcohol, as it may increase drowsiness or dizziness.
Be cautious while driving or operating machinery until you understand how the medication affects you.
Storage
Store in a cool, dry place away from sunlight and moisture.
Keep out of reach of children and pets.
Missed Dose
Take it as soon as you remember unless it is close to your next scheduled dose.
Do not double the dose to make up for the missed one.
Interactions
Medicines to Avoid Without Doctor’s Advice:
Painkillers like ibuprofen or aspirin (risk of increased bleeding).
Other antidepressants or mood stabilizers.
Supplements like St. John’s Wort or Ayurvedic remedies (risk of interactions).
Always inform your doctor about all medications, including traditional or alternative therapies.
Emergency Contact
Overdose Symptoms: Severe dizziness, tremors, rapid heart rate, or seizures.
Contact the Poison Information Centre, AIIMS New Delhi at 011-26589391 or visit the nearest emergency room.
Additional Notes
Brands Available in India:
Nexito (Cipla): 5 mg, 10 mg, 20 mg tablets.
S-Citadep (Sun Pharma): 5 mg, 10 mg tablets.
Cipralex (Lundbeck): 5 mg, 10 mg, 20 mg tablets.
It may take 1-4 weeks to feel the full effect of the medication.
Do not stop the medication abruptly without consulting your doctor, as it may cause withdrawal symptoms.
Regular follow-up with your doctor is important to monitor your progress and adjust the dose if necessary.
For more information, consult your healthcare provider or pharmacist. Taking the right steps with escitalopram can lead to significant improvement in your mental well-being.