Escitalopram Oxalate (Lexapro)

Active Ingredient: escitalopram oxalate

Brand Names: Lexapro, Cipralex

Dosages: 5 mg, 10 mg, 20 mg tablets

Buying Escitalopram (generic Lexapro, Cipralex) Without Prescription

Manufacturer: Micro Labs
International online pharmacy: 4RX

• Payment methods: VISA
• No prior prescription required.
• Delivery: Registered Air Mail; average delivery time 12 business days.

Medical uses:

Escitalopram (Lexapro) is a prescription antidepressant from the family of Sselective Serotonin Reuptake Inhibitors or SSRIs. Escitalopram is indicated for the treatment of:

• Generalized Anxiety Disorder
• Major Depressive Disorder

Lexapro is reputed to be one of the most effective and well tolerated antidepressants. Because escitalopram has little cytochrome P450 activity, it is unlikely to be troublesome in the context of drug interactions.

Escitalopram may not be ideal SSRI for people with renal impairment because of the potential for accumulation. It should be used with caution in those with a creatinine clearance <20 mL/min.

Dosage:

Lexapro has less complex dose titration compared with other SSRIs.

Generalized Anxiety Disorder:
Initial: 10 mg/day; dose may be increased to 20 mg/day after at least 1 week.

Depression:
Initial: 10 mg/day; dose may be increased to 20 mg/day after at least 1 week. However, 20 mg has not shown a clinical benefit over 10mg.

Elderly, hepatic function impairment: 10 mg/day. Bioavailability and half-life are increased by 50% in the elderly.

Side effects:
Escitalopram is well tolerated by most people. Because it relieves depression by increasing serotonin levels with minimal effect on the other chemicals in the brain, it may cause relatively few and mild side effects, which generally tend to go away and usually do not force the discontinuation of escitalopram.

Gastrointestinal: nausea (18%); diarrhea (14%); dry mouth (9%); constipation, indigestion (6%).

Nervous system: headache (24%); insomnia (14%); somnolence (13%); decreased libido, dizziness (7%).

Urogenital: ejaculatory delay (14%); anorgasmia (6%); impotence (3%).

General: fatigue (8%); increased sweating (4%).

Contraindications

• Concurrent use of MAOIs or within 14 days of discontinuing MAO inhibitor.
• Coadministration of pimozide
• Hypersensitivity to escitalopram or citalopram

Drug interactions:

It is important to tell you doctor about all prescription and non-prescription drugs you are taking. Escitalopram can interact with:

• Serotonergic agents, triptans, St. John's wort, sibutramine: concurrent use may cause serotonin syndrome.
• MAOIs: concomitant use contraindicated. Allow at least 2 weeks to elapse between discontinuance of an MAO inhibitor and initiation of escitalopram, or vice versa.
• Pimozide: concurrent use is contraindicated.

Pregnancy and Lactation:

Pregnancy Risk Factor C.
There are no adequate and well-controlled studies in pregnant women. Use during pregnancy only if the potential benefit to the mother outweighs the possible risk to the fetus. If treatment during pregnancy is required, consider tapering therapy during the third trimester.

Lactation
Enters breast milk/not recommended.

Price:
If you would like to buy generic Lexapro (Escitalopram) with no prescription, choose the offer from the above table.

Storage:
Keep out of the reach of children. Store away from heat and direct light. Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down. Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

References:

• 1. U.S. FDA Escitalopram (Lexapro) Prescribing Information