خواص دارویی و گیاهی
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روش مصرف
شروع اثر
قرص sandoz برای چیست
پيك اثر
مدت اثر
خوراكي، والپروئيك اسيد يا والپروات سديم
نامشخص
1-4 ساعت
نامشخص
خوراكي، divalproex regular
نامشخص
3-5 ساعت
نامشخص
خوراكي، divalproex extended
نامشخص
7-14 ساعت
نامشخص
خوراكي، divalproex delayed
نامشخص
4 ساعت
نامشخص
وريدي
نامشخص
1 ساعت
نامشخص
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انواع ساده و کمپلکس صرع فوکال و جنرالیزه(Absenceو گراندمال) و انواع دیگر صرع ( میوکلونیک ، آتونیک)
مانیای حاد .
روفیلاکسی میگرن
E.C . Tab : 200 mg
Syrup : 200 mg/5 ml
E.C Tab (SR) : 500 mg
(Inj : 100 mg/ml (3 , 5 ml
Cap :300 mg
Powder for inj : 400 mg
Valproic Acid Tab : 250 , 500 mg
D – مطالعات کافی درباره مصرف داروی این گروه شواهدی مبنی بر وجود خطر برای جنین انسان وجود دارد ولی در بعضی از موارد منافع دارو ممکن است استفاده از آن را اجتناب ناپذیر نماید. و در مقابل منافع دارو خطرات احتمالی دارو را باید پذیرفت
از نظر مصرف در حاملگی در گروه Dاست . ممکن است در مادرانی که طی سه ماه اول حاملگی اسید والپروییک مصرف می کنن ، بروز نقص لوله عصبی افزایش یابد . مرکزکنترل و پیشگیری بیماری ها (CDC) خطر بروز اپسانیا بیفیدا در کودکان مادرانی که والپروات مصرف می کنند ، حدود 1 تا 2 درصد برآورده می کند . این میزان مشابه میزان زنان غیر صرعی است که کودکان مبتلا به نقص لوله عصبی ( آنانسفالی و اسپانیابیفیدا ) دارند . همچنین به تک نگار Phenytoinمراجعه کنید . غلظت اسید والپروییک در شیر 1تا10 درصد غلظت سرمی آن است . مشخص نیست این امر چه اثری بر شیرخوار دارد . یک مورد پورپورای ترومبوسیتوپنیک و آنمی در شیرخواری که مادرش از والپروات استفاده می کرد ، رخ داده است . کودک با قطع شیردهی و بهبود یافت . در تجویز به مادر شیرده احتیاط کنید
سدیم والپروات آثار خود را از طریق مهار کانال های سدیم وابسته به ولتاژ و نیز افزایش میزان GABA در مغز اعمال می کند.
سدیم والپروات به سرعت و به طور کامل از دستگاه گوارش جذب می شود. در صورتی که این دارو همراه یا بعد از غذا مصرف شود سرعت جذب آن، بدون تغییر میزان جذب کلی ،کاهش می یابد.
پلاسما در حدود 90 درصد است. سدیم والپروات به طور عمده ای در کبد متابولیزه می شود. قسمت اعظم متابولیسم این دارو از راه گلوکورونیداسیون و مابقی آن از طریق بتا- اکسیداسیون و امگا – اکسیداسیون در میتوکندری ها صورت می گیرد که برخی از متابولیت های حاصل نیز دارای فعالیت فارماکولیژیکی هستند . نیمه عمر والپروات تقریبا 15ساعت است که ممکن است در بیماران مبتلا به نارسایی کبدی ، بیماران مسن و کودکان زیر 2 سال طولانی تر و در بیمارانی که تحت درمان با سایر داروهای ضد صرع نیز هستند کوتاه تر باشد . این دارو به شکل متابولیت از طریق ادرار دفع می شودقرص sandoz برای چیست
گزارش شده است که در 6 کودک صرعی ، تجویز هم زمان آسپیرین ، کسر آزاد و نیمه عمر اسید والپروپیک را افزایش داده است .این امر حاکی از آن است که ممکن است سالیسیلات ها علاوه بر جابه جا کردن اسید والپروییک از محل اتصال آن به پروتئین ، متابولیسم آن را نیز مهار می کند . به علاهو سالیسیلات ها با افزایش خطر بروز سندرم ری در کودکان همراه هستند وترکیب با داروی هپاتوتوکسیک دیگری نظیر والپروات کاملا نامطلوب است . والپروات و آسپیرین ، هر دو برعملکرد پلاکت ها اثر می گذراند . ناپروکسن نیز جابه جایی جزیی در اسید والپروییک متصل به پروتئین ایجاد می کند : ولی این اثر احتمالا چندان قابل توجه نیست تا آثار کلینیکی داشته باشد . ممکن است داروهای ضد افسردگی با کاهش استانه تشنج به صورت آنتاگونیست فعالیت ضد صرعی والپروات (و همچنین سایر داروهای ضد صرع ) عمل می کنند . ضد صرع ها : فنوباربیتال می تواند کلیرانس و متابولیسم والپروات را افزایش دهد : والپروات نیز متابولیسم را مهار می کند کاربامازپین و فنی تویین داروهای القاء کننده آنزیم هستند و طبق انتظار متابولیسم والپروات را افزایش می دهند . ولی اثر والپروات برروی هر دودارو پیچیده است . برای مطالعه به تک نگار های Carbamazepineو Phenytoinمراجعه کنید . به دنبال تجویز هم زمان والپروات با لاموتریژین ممکن است غلظت سرمی والپرووات کاهش یابد ، در حالی که ممکن است غلظت لاموتریژین زیاد شود . دوز لاموتریژین را کاهش دهید . والپروات متابولیسم اتوسوکسماید را مهار می کند . غلظت سرمی هر دودارو را به خصوص در صورت مصرف هم زمان سایر داروهای ضد صرع کنترل کنید . آنتی سایکوتیک ها با کاهش آستانه تشنج به صورت آنتاگونیست فعالیت ضد صرع والپروات عمل می کنند . کلسترامین ممکن است جذب والپرووات را کاهش دهد . مشاهده شده است که تجویز اسید والپروییک با آنتی اسید هیدروکسید آلومینیوم و منیزیوم به طور مشخص فراهم زیستی آن را در فرد سالم افزایش می دهد . مصرف هم زمان دارو با الکل موجب کاهش اثر والپروییک اسید و تشدید عوارض جانبی مغزی آن می شد . مصرف الکل در این بیماران باید قطع شود
والپروات را به بیماران مبتلا یا دارای سابقه اختلال یا بیماری کبدی ، دارای سابقه فامیلی ابتلا به اختلال بسیار شدید کبدی و دارای حساسیت مفرط به دارو تجویز نکنید . کودکان کمتر از 3 سال و افراد مبتلا به بیماری های متابولیک ارثی، آسیب ارگانیک مغزی ، اختلالات تشنجی شدید همراه با عقب ماندگی ذهنی بیشتر در خطر مسمومیت کبدی هستند . در این افراد با احتیاط کامل تجویز کنید . در صورت امکان از تجویز با سایر داروهای ضد صرع که آن ها نیز ممکن است موجب آسیت کبد شوند ،اجتناب کنید. از تزریق والپروات به بیمار دچار ترومای حاد سرو به منظور پیشگیری از تشنج بعد از تروما استفاده نکنید ( این کار با میزان مرگ بیشتری همراه بوده است ) سودمندی واثر بخشی دی والپروئکس برای درمان مانیا در افراد کمتر از 18 سال و برای درمان میگرن در افراد کمتر از 16 سال ثابت نشده است . در تجویز والپروات با سایر داروهایی که با انعقاد خون در ارتباط هستند ( مثل آسپیرین و وارفارین ) احتیاط کنید . در بیماران مبتلا به لوپوس اریتماتوز با احتیاط تجویز کنید
در دمای 30-15 درجه سانتی گراد و در ظروف مقاوم به هوا نگهداری کنید
برای استفاده از خدمات مشاوره و نوبت دهی آنلاین با عضویت در دکتر ساینا به خانواده ی بزرگ سلامت الکترونیک ایران بپیوندید.
تمامی حقوق مادی و معنوی متعلق به شرکت دانش بنیان نوین فناوران همراه ساینا میباشد.
InChI=1S/C8H16O2/c1-3-5-7(6-4-2)8(9)10/h7H,3-6H2,1-2H3,(H,9,10) YKey:NIJJYAXOARWZEE-UHFFFAOYSA-N Y
والپروات و والپروات سدیم (به انگلیسی: sodium valproate) یا والپروئیک اسید (به انگلیسی: Valproic acid) با نام‌های تجاری دپاکین و والپاکین از داروهای ضد افسردگی هیجانی و عصبی، عدم تعادلات روحی و ضد صرع یا تشنج و جهت کنترل اختلالات دوقطبی است.
والپروئیک اسید برای درمان صرع اَبسنس ساده و مرکب تجویز می‌شود. در این نوع صرع بیمار به‌طور ناگهانی دچار از دست دادن هوشیاری می‌شود به‌طوری که چهره‌اش بی‌حالت شده، بی‌حرکت باقی می‌ماند. والپروئیک اسید کمک می‌کند تا دفعات بروز این صرع کمتر گردد.
والپروئیک اسید برای تثبیت خلق در اختلال دوقطبی (افسردگی-مانیا) و میگرن هم به کار می‌رود. همچنین برای خوراک موش نمکی هم کاربرد دارد.
هرچند مکانیسم دقیق عملکرد این دارو روشن نیست اما احتمالاً جلوگیری از کاهش فسفاتیدیل اینوزیتول (۳٬۴٬۵) تری فسفات یا PIP3 موجب اثر کاهش تشنجی آن است. این دارو همچنین کانال‌های وابسته به ولتاژ سدیم غشا را بلوک می‌کند و سطح GABA مغزی را افزایش می‌دهد.
گیجی، تغییرات خلقی یا رفتاری؛ تاری دید؛ حرکت‌های غیرعادی چشمها به عقب و جلو، دوبینی، مشاهده لکه در میدان بینایی؛ افزایش دفعات صرع؛ کبودی یا خونریزی غیرعادی؛ لرزش در بدن (بخصوص دست ها و چانه )؛ راه رفتن پارکینسونی (نه با این معنا که بیمار پارکینسون دارد)؛ بی‌اشتهایی؛ تهوع و استفراغ؛ درد شکمی شدید؛ خستگی و ضعف؛ زردی پوست یا چشمها، اسهال، یبوست، سرگیجه یا خواب‌آلودگی خفیف، سوءهاضمه، سردرد، بی‌قراری، مشکل در به خواب رفتن، ریزش مو، تغییرات دوره ماهانه، بثورات جلدی، افت مهارت‌های حرکتی بدنی، یا کاهش یا افزایش وزن غیرعادی و همچنین قرمز شدن چشمها.
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Brand name
Olanzapine Sandoz
Active ingredient
Olanzapine
Schedule
S4
Please read this leaflet carefully before you start using Olanzapine Sandoz.
This leaflet answers some common questions about Olanzapine Sandoz.
It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risks of you taking this medicine against the benefits they expect it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
قرص sandoz برای چیست
Keep this leaflet with the medicine.
You may need to read it again.
This medicine is used:
It contains the active ingredient olanzapine.
Olanzapine belongs to a group of medicines called antipsychotics.
It works by helping to correct chemical imbalances in the brain, which may cause mental illness.
Ask your doctor if you have any questions about why this medicine has been prescribed for you.
Your doctor may have prescribed it for another reason.
This medicine is available only with a doctor’s prescription.
Olanzapine is not recommended for use in children under the age of 18 years as there is not enough information on its effects in this age group.
Do not take this medicine if you have an allergy to:
Some of the symptoms of an allergic reaction may include:
Do not take this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering.
If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking this medicine, talk to your doctor.
Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes.
Tell your doctor if you have or have had any of the following medical conditions:
Tell your doctor if you are pregnant or plan to become pregnant.
Like most antipsychotic medicines, Olanzapine Sandoz is not recommended for use during pregnancy. If there is a need to consider this medicine during your pregnancy your doctor will discuss with you the risks and benefits of using it.
Tell your doctor if you are breast-feeding or plan to breast-feed.
It is recommended that you do not breast-feed while taking this medicine.
Tell your doctor if you suffer from lactose intolerance (because Olanzapine Sandoz tablets contain lactose).
Tell your doctor if you will be in a hot environment or do a lot of vigorous exercise.
Olanzapine Sandoz may make you sweat less, causing your body to overheat.
This medicine is not recommended for use in children under the age of 18 years.
If you have not told your doctor about any of the above, tell him/her before you start taking Olanzapine Sandoz.
Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and Olanzapine Sandoz may interfere with each other. These include:
These medicines may be affected by Olanzapine Sandoz or may affect how well it works. You may need different amounts of your medicines, or you may need to take different medicines.
Smoking may also affect Olanzapine Sandoz or may affect how it works.
Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking this medicine.
Follow all directions given to you by your doctor or pharmacist carefully.
They may differ from the information contained in this leaflet.
If you do not understand the instructions, ask your doctor or pharmacist for help.
Your doctor will tell you how many tablets you should take. The dose your doctor will prescribe for you will usually be in the range 5mg to 20mg per day.
Your doctor may increase or decrease your dose in order to find the appropriate dose for your condition.
A lower starting dose may be prescribed for elderly patients over the age of 65 years.
Ask your doctor or pharmacist if you are unsure of the correct dose for you.
They will tell you exactly how much to take.
Follow the instructions they give you.
If you take the wrong dose, Olanzapine Sandoz may not work as well and your condition may not improve.
Swallow the tablets whole with a full glass of water.
Olanzapine Sandoz tablets should be taken once a day as advised by your doctor.
Take your medicine at about the same time each day.
Taking it at the same time each day will have the best effect. It will also help you remember when to take it.
Olanzapine Sandoz can be taken with or without food.
Continue taking your medicine for as long as your doctor tells you. Do not stop taking Olanzapine Sandoz just because you feel better. It is important that you do NOT stop taking Olanzapine Sandoz unless your doctor tells you.
This medicine helps to control your condition, but does not cure it. It is important to keep taking your medicine even if you feel well.
Take your dose as soon as you remember, and continue to take it as you would normally.
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to.
Do not take a double dose to make up for the dose that you missed.
This may increase the chance of you getting an unwanted side effect.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
Immediately telephone your doctor or the Poisons Information Centre (telephone Australia 13 11 26 or New Zealand 0800 POISON or 0800 764766) for advice, or go to Accident and Emergency at the nearest hospital, if you think that you or anyone else may have taken too much Olanzapine Sandoz. Do this even if there are no signs of discomfort or poisoning.
You may need urgent medical attention.
Symptoms of an overdose may include a fast heartbeat, agitation/aggression, difficulty speaking, uncontrollable movements and sedation.
It is important that you remember to take Olanzapine Sandoz daily and at the dose prescribed by your doctor.
If you are about to be started on any new medicine, remind your doctor and pharmacist that you are taking Olanzapine Sandoz.
Tell any other doctors, dentists, and pharmacists who treat you that you are taking this medicine.
If you become pregnant while taking this medicine, tell your doctor immediately.
Keep all of your doctor’s appointments so that your progress can be checked.
Tell your doctor if you are female and your monthly periods are absent for six months or more.
Talk to your doctor or mental health professional if you have thoughts or talk about death or suicide; or thoughts or talk about self-harm or doing harm to others.
These may be signs of changes or worsening in your mental illness.
Do not take Olanzapine Sandoz to treat any other complaints unless your doctor tells you to.
Do not give your medicine to anyone else, even if they have the same condition as you.
Do not stop taking your medicine or lower the dosage, even if you are feeling better, without checking with your doctor.
Your doctor may want you to gradually reduce the amount you are taking before stopping completely.
Be careful driving or operating machinery until you know how Olanzapine Sandoz affects you.
This medicine may cause drowsiness in some people. If you experience this symptom, do not drive, operate machinery or do anything else that could be dangerous.
Be careful when drinking alcohol while you are taking this medicine.
The effects of alcohol could be made worse while taking Olanzapine Sandoz. Your doctor may suggest you avoid alcohol while you are being treated with this medicine.
If you feel light-headed, dizzy or faint when getting out of bed or standing up, get up slowly.
Standing up slowly, especially when you get up from bed or chairs, will help your body get used to the change in position and blood pressure. If this problem continues or gets worse, talk to your doctor.
If outdoors, wear protective clothing and use at least a 30+ sunscreen.
Olanzapine Sandoz may cause your skin to be much more sensitive to sunlight than it is normally. Exposure to sunlight may cause a skin rash, itching, redness, or severe sunburn
If your skin does appear to be burning, tell your doctor.
Make sure you keep cool in hot weather and keep warm in cool weather. This medicine may affect the way your body reacts to temperature changes.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Olanzapine Sandoz.
All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical attention if you get some of the side effects.
Side effects are likely to vary from patient to patient. Some side effects may be related to the dose of your medicine. Accordingly, it is important that you tell your doctor as soon as possible about any unwanted effects. Your doctor may then decide to adjust the dose of the medicine you are taking.
Do not be alarmed by the following lists of side effects. You may not experience any of them.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor or pharmacist if you notice any of the following and they worry you:
Some people may feel dizzy in the early stages of treatment, especially when getting up from a lying or sitting position. This side effect usually passes after taking Olanzapine Sandoz for a few days.
Tell your doctor if you notice any of the above side effects and they worry you.
Tell your doctor as soon as possible if you notice any of the following:
Tell your doctor if your monthly periods are absent for six months or more.
The above list includes serious, uncommon side effects that may require medical attention.
If any of the following happen, tell your doctor immediately or go to Accident and Emergency at your nearest hospital:
The above list includes very serious side effects. You may need urgent medical attention or hospitalisation. All of these side effects are very rare.
The following additional side effects may occur in some group of people taken olanzapine.
Elderly patients with dementia-related psychosis
may notice the following side effects:
Parkinson’s disease psychosis
Some patients with Parkinson’s disease may hallucinate (see, feel or hear things that are not there) or develop worsening symptoms of Parkinson’s Disease.
Patients with bipolar mania taking Olanzapine Sandoz in combination with lithium or valproate may notice the following side effects:
These are the more common side effects of Olanzapine Sandoz.
Tell your doctor or pharmacist if you notice anything that is making you feel unwell.
Other side effects not listed above may also occur in some people.
Tell your doctor if you notice anything unusual or if you are concerned about any aspect of your health, even if you think the problems are not connected with this medicine and are not referred to in this leaflet.
Some of these side effects, such as changes to liver function, cholesterol or triglycerides can occur. These can only be found when your doctor does tests from time to time to check your progress.
Keep your medicine in the original container until it is time to take them.
If you take it out of its original container it may not keep well.
Keep your medicine in a cool dry place where the temperature stays below 25°C.
Do not store Olanzapine Sandoz or any other medicine in the bathroom or near a sink. Do not leave it on a window sill or in the car.
Heat and dampness can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor tells you to stop taking this medicine or the expiry date has passed, ask your pharmacist what to do with any medicine that is left over.
Olanzapine Sandoz comes in four types of tablets:
Olanzapine Sandoz 2.5mg – white, round, film-coated tablet.
Olanzapine Sandoz 5mg – white, round, film-coated tablet with breaking notch on one side.
Olanzapine Sandoz 7.5mg – white, round, film-coated tablet.
Olanzapine Sandoz 10mg – white, round, film-coated tablet with breaking notch on one side.
Available in blisters of 28 tablets.
Active ingredients:
Inactive ingredients:
This medicine does not contain sucrose, gluten, tartrazine or any other azo dyes.
Olanzapine Sandoz is supplied in Australia by:
Sandoz Pty Ltd
ABN 60 075 449 553
54 Waterloo Road,
Macquarie Park, NSW 2113
Australia
Tel: 1800 726 369
Australian Register Number(s)
2.5mg tablets: AUST R 148450 (blisters)
5mg tablets: AUST R 148469 (blisters)
7.5mg tablets: AUST R 148474 (blisters)
10mg tablets: AUST R 148451 (blisters)
This leaflet was revised in October 2018.
Published by MIMS January 2019
Reasonable care is taken to provide accurate information at the time of creation. This information is not intended as a substitute for medical advice and should not be exclusively relied on to manage or diagnose a medical condition. NPS MedicineWise disclaims all liability (including for negligence) for any loss, damage or injury resulting from reliance on or use of this information. Read our full disclaimer. This website uses cookies. Read our privacy policy.
© 2019 NPS MedicineWise. Providing independent, evidence-based information about medicines, medical tests and other health technologies for all Australians.
PO Box 1147 Strawberry Hills NSW 2012
Level 7, 418A Elizabeth St, Surry Hills NSW 2010
ABN: 61 082 034 393
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Brand name
Escitalopram Sandoz Tablets
Active ingredient
Escitalopram
Schedule
S4
Please read this leaflet carefully before you start using Escitalopram Sandoz.
This leaflet contains answers to some common questions about ESCITALOPRAM SANDOZ.
It does not contain all the information that is known about ESCITALOPRAM SANDOZ. It does not take the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risk of you using this medicine against the benefits he/she expects it will have for you.
If you have any concerns about using this medicine, ask your doctor or pharmacist.
قرص sandoz برای چیست
Keep this leaflet with the medicine.
You may need to read it again.
ESCITALOPRAM SANDOZ is used to treat depression.
It belongs to a group of medicines called selective serotonin reuptake inhibitors (SSRIs). They are thought to work by their actions on brain chemicals called amines which are involved in controlling mood.
Depression is longer lasting or more severe than the “low moods” everyone has from time to time due to the stress of everyday life. It is thought to be caused by a chemical imbalance in parts of the brain. This imbalance affects your whole body and can cause emotional and physical symptoms such as feeling low in spirit, loss of interest in activities, being unable to enjoy life, poor appetite or overeating, disturbed sleep, often waking up early, loss of sex drive, lack of energy and feeling guilty over nothing.
ESCITALOPRAM SANDOZ corrects this chemical imbalance and may help relieve the symptoms of depression.
ESCITALOPRAM SANDOZ may also be used to treat patients who may avoid and/or are fearful of social situations.
ESCITALOPRAM SANDOZ may also be used to treat patients who have excessive anxiety and worry.
ESCITALOPRAM SANDOZ may also be used to treat irrational fears or obsessional behaviour (obsessive-compulsive disorder). Obsessive-compulsive disorder involves having both obsessions and compulsions. Obsessions are unwanted thoughts that occur over and over again. Compulsions are the ongoing need to repeat certain actions as a result of these thoughts.
Your doctor, however, may prescribe it for another purpose.
Ask your doctor if you have any questions about why it has been prescribed for you.
This medicine is only available with a doctor’s prescription.
ESCITALOPRAM SANDOZ is not addictive. However, if you suddenly stop taking it, you may get side effects.
Tell your doctor if you get any side effects after stopping ESCITALOPRAM SANDOZ.
Do not take ESCITALOPRAM SANDOZ if you are allergic to it, to any medicine containing citalopram, or any of the ingredients listed at the end of this leaflet.
Symptoms of an allergic reaction may include shortness of breath, wheezing or difficulty breathing, swelling of the face, lips, tongue or other parts of the body, or rash, itching or hives on the skin.
Do not take ESCITALOPRAM SANDOZ at the same time as the following other medicines:
One day must elapse after you have finished taking moclobemide before you start taking ESCITALOPRAM SANDOZ. If you have taken any other MAOI you will need to wait 14 days. After stopping ESCITALOPRAM SANDOZ you must allow 14 days before taking any MAOI including moclobemide.
Taking ESCITALOPRAM SANDOZ with MAOIs may cause a serious reaction with a sudden increase in body temperature, extremely high blood pressure and severe convulsions. Your doctor will know when it is safe to start ESCITALOPRAM SANDOZ after the MAOI has been stopped.
Do not take it after the expiry date printed on the pack.
If you take it after the expiry date has passed, it may not work as well. The expiry date refers to the last day of the month.
Do not take it if the packaging is torn or shows signs of tampering.
Tell your doctor if:
Do not take ESCITALOPRAM SANDOZ if you are pregnant unless you and your doctor have discussed the risks and benefits involved.Make sure your doctor and/or midwife know you are on ESCITALOPRAM SANDOZ.When taken during pregnancy, particularly in the last three months of pregnancy, medicines like ESCITALOPRAM SANDOZ may affect the general condition of your newborn baby and may increase the risk of a serious condition in babies, called persistent pulmonary hypertension of the newborn (PPHN), making the baby breathe faster and appear bluish. These symptoms usually begin during the first 24 hours after the baby is born. If this happens to your baby you should contact your doctor and/or midwife immediately.If used during pregnancy ESCITALOPRAM SANDOZ should never be stopped abruptly.Ask your doctor or pharmacist for advice before taking any medicine.
Do not take ESCITALOPRAM SANDOZ if you are breast-feeding unless you and your doctor have discussed the risks and benefits involved. It is not recommended that you breastfeed while taking ESCITALOPRAM SANDOZ as it is excreted in breast milk.
Do not give ESCITALOPRAM SANDOZ to a child or adolescent.
There is no experience with its use in children or adolescents under 18 years old.
ESCITALOPRAM SANDOZ can be given to elderly patients over 65 years of age with a reduced dose.
The effects of ESCITALOPRAM SANDOZ in elderly patients are similar to that in other patients.
If you have not told your doctor about any of the above, tell them before you use ESCITALOPRAM SANDOZ.
Tell your doctor if you are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and ESCITALOPRAM SANDOZ may interfere with each other. These include:
These medicines may be affected by ESCITALOPRAM SANDOZ, or may affect how well it works. You may need to use different amounts of your medicines, or take different medicines. Your doctor will advise you.
Some combinations of medicines may increase the risk of serious side effects and are potentially life threatening.
Your doctor or pharmacist has more information on medicines to be careful with or avoid while taking ESCITALOPRAM SANDOZ.
Your doctor will decide what dose you will receive.
The standard dose for this medicine is 10 mg per day. This may be increased by your doctor to 20 mg per day.
The recommended maximum dose in elderly patients is 10 mg per day.
It is recommended that patients with liver disease receive an initial dose of 5 mg daily for the first two weeks. Your doctor may increase the dose to 10 mg daily. This brand of tablet is not scored. Use alternative brands that have scored tablets for accurate 5 mg dosing.
Your doctor may have prescribed a different dose.
Ask your doctor or pharmacist if you are unsure of the correct dose for you.
They will tell you exactly how much to take.
Follow the instructions they give you.
If you take the wrong dose, ESCITALOPRAM SANDOZ may not work as well and your condition may not improve.
Swallow the tablets whole with a full glass of water.
Do not chew them.
Take ESCITALOPRAM SANDOZ as a single dose either in the morning or in the evening.
Take ESCITALOPRAM SANDOZ with or without food.
Continue to take ESCITALOPRAM SANDOZ even if it takes some time before you feel any improvement in your condition.
As with other medicines for the treatment of these conditions it may take a few weeks before you feel any improvement.
Individuals will vary greatly in their response to ESCITALOPRAM SANDOZ. Your doctor will check your progress at regular intervals.
The duration of treatment may vary for each individual, but is usually at least 6 months.
In some cases the doctor may decide that longer treatment is necessary.
Continue taking your medicine for as long as your doctor tells you, even if you begin to feel better.
The underlying illness may persist for a long time and if you stop your treatment too soon, your symptoms may return.
Do not stop taking this medicine suddenly.
If ESCITALOPRAM SANDOZ is stopped suddenly you may experience mild, but usually temporary, symptoms such as dizziness, pins and needles, electric shock sensations, sleep disturbances (vivid dreams, inability to sleep), feeling anxious or agitated, headaches, feeling sick (nausea), vomiting, sweating, tremor (shaking), feeling confused, feeling emotional or irritable, diarrhoea, visual disturbances, or fast or irregular heart beats.
When you have completed your course of treatment, the dose of ESCITALOPRAM SANDOZ is gradually reduced over a couple of weeks rather than stopped abruptly.
Your doctor will tell you how to reduce the dosage so that you do not get these unwanted effects.
If you miss a dose and remember in less than 12 hours, take it straight away, and then go back to taking it as you would normally.
Otherwise, if it is almost time for your next dose, skip the dose you missed and take the next dose when you are meant to.
Do not take a double dose to make up for the dose you have missed. If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering when to take your medicine, ask your pharmacist for hints.
Immediately telephone your doctor, or the Poisons Information Centre (Tel: 13 11 26), or go to Accident and Emergency at your nearest hospital, if you think you or anyone else may have taken too much ESCITALOPRAM SANDOZ. Do this even if there are no signs of discomfort or poisoning.
You may need urgent medical attention.
Symptoms of an overdose may include dizziness, low blood pressure, nausea (feeling sick), vomiting, agitation, tremor (shaking) and rarely convulsions and coma.
If you are about to be started on any new medicine, remind your doctor and pharmacist that you are taking ESCITALOPRAM SANDOZ.
Tell any other doctors, dentists and pharmacists who treat you that you are taking this medicine.
If you become pregnant while taking ESCITALOPRAM SANDOZ, tell your doctor immediately.
Persons taking ESCITALOPRAM SANDOZ may be more likely to think about killing themselves or actually trying to do so, especially when ESCITALOPRAM SANDOZ is first started or the dose is changed. Tell your doctor immediately if you have thoughts about killing yourself or if you are close to or care for someone using ESCITALOPRAM SANDOZ who talks about or shows signs of killing him or herself.
All mentions of suicide or violence must be taken seriously.
Occasionally, the symptoms of depression may include thoughts of suicide or self-harm. It is possible that these symptoms continue or get worse until the full antidepressant effect of the medicine becomes apparent. This is more likely to occur if you are a young adult, i.e. 18 to 24 years of age, and you have not used antidepressant medicines before.
Patients and care givers should pay attention for any of the following warning signs of suicide-related behaviour while taking ESCITALOPRAM SANDOZ.
Tell your doctor immediately, or even go to the nearest hospital for treatment:
Do not stop taking this medicine or change the dose without consulting your doctor, even if you experience increased anxiety at the beginning of treatment.
At the beginning of treatment, some patients may experience increased anxiety which will disappear during continued treatment.
Tell your doctor immediately if you experience symptoms such as restlessness or difficulty in sitting or standing still.
These symptoms can occur during the first weeks of treatment.
Contact your doctor as soon as possible if you suddenly experience an episode of mania.
Some patients with bipolar disorder (manic depression) may enter into a manic phase. This is characterised by profuse and rapidly changing ideas, exaggerated gaiety and excessive physical activity.
Sometimes you may be unaware of the above-mentioned symptoms and therefore you may find it helpful to ask a friend or relative to help you to observe the possible signs of change in your behaviour.
Do not give the tablets to anyone else, even if they have the same condition as you.
Do not take ESCITALOPRAM SANDOZ to treat any other complaints unless your doctor tells you to.
Do not stop taking ESCITALOPRAM SANDOZ, or lower the dosage, without checking with your doctor.
Do not let yourself run out of medicine over the weekend or on holidays.
Suddenly stopping ESCITALOPRAM SANDOZ may cause unwanted discontinuation symptoms such as dizziness, headache and nausea. Your doctor will tell you when and how ESCITALOPRAM SANDOZ should be discontinued. Your doctor will gradually reduce the amount you are using, usually over a period of one to two weeks, before stopping completely.
Be careful driving or operating machinery until you know how ESCITALOPRAM SANDOZ affects you.
It may cause nausea, fatigue and dizziness in some people, especially early in the treatment. If you have any of these symptoms, do not drive, operate machinery, or do anything else that could be dangerous.
Avoid alcohol while you are taking this medicine.
It is not advisable to drink alcohol while you are being treated for depression.
All medicines may have some unwanted side effects. Sometimes they are serious, but most of the time they are not. Your doctor has weighed the risks of using this medicine against the benefits he/she expects it will have for you.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking ESCITALOPRAM SANDOZ.
It helps most people with depression, social anxiety disorder (social phobia), generalised anxiety disorder and obsessive-compulsive disorder, but it may have unwanted side effects in a few people.
The side effects of ESCITALOPRAM SANDOZ are, in general, mild and disappear after a short period of time.
Tell your doctor if you notice any of the following and they worry you:
Tell your doctor as soon as possible if you notice any of the following:
These may be serious side effects of ESCITALOPRAM SANDOZ. You may need urgent medical attention.
Tell your doctor immediately, or go to Accident and Emergency at your nearest hospital, if you notice any of the following:
These are very serious side effects. You may need urgent medical attention or hospitalisation.
*The side effects marked with an asterisk (*) are a number of rare side effects that are known to occur with medicines that work in a similar way to ESCITALOPRAM SANDOZ.
Tell your doctor if you notice anything else that is making you feel unwell.
Other side effects not listed above may occur in some people.
Do not be alarmed by this list of possible side effects.
You may not experience any of them.
Keep ESCITALOPRAM SANDOZ tablets in the blister pack until it is time to take them.
If you take the tablets out of the box or the blister pack they may not keep well.
Keep ESCITALOPRAM SANDOZ tablets in a cool dry place where the temperature stays below 25°C.
Do not store it or any other medicine in the bathroom, near a sink, or on a window-sill.
Do not leave it in the car.
Heat and damp can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor tells you to stop taking ESCITALOPRAM SANDOZ, or the medicine has passed its expiry date, ask your pharmacist what to do with any that is left over.
Return any unused medicine to your pharmacist.
ESCITALOPRAM SANDOZ comes in two types of tablets:
A box contains 28 tablets.
Active ingredient(s):
Inactive ingredients:
Cipla Australia Pty LtdLevel 1, 132-136 Albert RoadSouth Melbourne, Vic, 3205
Sandoz Pty LtdABN 60 075 449 55354 Waterloo RoadMacquarie Park, NSW 2113Australia
This leaflet was prepared in June/2017.
Australian Registration Numbers:
ESCITALOPRAM SANDOZ tablets10 mg – AUST R 29045520 mg – AUST R 290456
Reasonable care is taken to provide accurate information at the time of creation. This information is not intended as a substitute for medical advice and should not be exclusively relied on to manage or diagnose a medical condition. NPS MedicineWise disclaims all liability (including for negligence) for any loss, damage or injury resulting from reliance on or use of this information. Read our full disclaimer. This website uses cookies. Read our privacy policy.
© 2019 NPS MedicineWise. Providing independent, evidence-based information about medicines, medical tests and other health technologies for all Australians.
PO Box 1147 Strawberry Hills NSW 2012
Level 7, 418A Elizabeth St, Surry Hills NSW 2010
ABN: 61 082 034 393
We are always looking for ways to improve our website
Get medicines information:
Report a problem with medicines, medical devices or vaccines:
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