Cipralex. Instructions for use

Medication "Tiprapex" is an antidepressant. The drug depresses the reuptake of serotonin, which provokes an increased concentration in the synaptic cleft of this neurotransmitter, an increase and an increase in the duration of its effect on the postsynaptic receptor regions. The active substance is escitalopram. Absorption of the drug is not dependent on eating. Bioavailability of the active ingredient is about 80%. After repeated administration, the average achievement of the highest concentration is about four hours. The process of metabolism takes place in the liver cells. Most of it is excreted in the form of decay products through the kidneys.

Indications for taking Citralex

The drug is recommended for depressive episodes of varying severity, panic disorder without or with agoraphobia.

Scheme of dosing

Medication "Tipraplex" instruction for use recommends taking once a day, regardless of food. Against the backdrop of depressive episodes, the drug is usually prescribed at ten milligrams per day. In accordance with the tolerability of the patient, the amount of the drug can be increased to 20 mg / day. After two to four weeks from the start of therapy, a persistent antidepressant effect develops.

The "Cipralex" agent (the instruction for use confirms this) is recommended to take another six months after the elimination of manifestations of the pathological condition to fix the effect achieved. In panic disorders without and with agoraphobia, treatment with 5 mg / day is started. Subsequently, the amount of the drug is increased to 10 mg / day. Taking into account individual tolerance, the dosage can be increased to twenty milligrams per day. The highest therapeutic effect of the drug reaches approximately the third month of treatment.

Tablets "Cipralex". Adverse Reactions

During therapy, nausea, anorexia, dry mouth, constipation or diarrhea, insomnia, hallucinations, and increased irritability may occur. Medication can provoke motor disorders, serotonin syndrome, convulsive seizures, excessive sweating, mania, anxiety, hyperthermia. On the basis of therapy, orthostatic hypotension occurs , hyponatremia, galactorrhea, myalgia, depersonalization, agitation are likely. In a number of cases, impotence, decreased libido, anorgasmia, ejaculation disorder, anaphylactic reactions are noted. The medicine causes a delay in urine, angioedema, purpura, sinusitis, rash, itching of the skin, arthralgia. Against the backdrop of a sharp cessation of therapy with the drug "Tiprapex" (instructions for use warns about this) probably dizziness, nausea, headache. As a rule, these reactions are not very pronounced and are of short duration. Usually, unwanted effects develop during the first two weeks of treatment, gradually disappearing as the medication continues.

Contraindications

"Cipralex" means the instruction for use does not allow for prescription in pregnancy, in combination with MAO inhibitors, with hypersensitivity. Do not appoint it to patients under 15 years of age. Contraindications include the period of lactation.