\n\n5 mg, 10 mg, 15 mg, 20 mg film-coated tablets
escitalopram<\/p>\n\n\n\n
Escitalopram Krka contains the active substance escitalopram and is used to treat depression and anxiety disorders (such as panic disorder with or without market fear, social phobia, generalized anxiety disorder, and obsessive-compulsive disorder).
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Escitalopram Krka belongs to a group of antidepressant medicines called selective serotonin reuptake inhibitors ( SSRIs ). These drugs act on the serotonin system in the brain by increasing serotonin levels. Disorders of the serotonin system are considered an important factor in the development of depression and related diseases.
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It may take a few weeks before you start to feel better. Continue to take Escitalopram Krka even if it takes time before you experience any improvement in your condition.
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You need to talk to a doctor if you do not feel better or if you feel worse.
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Escitalopram contained in Escitalopram Krka may also be approved for the treatment of other conditions not mentioned in this leaflet. Ask your doctor, pharmacist, or another healthcare professional if you have any further questions, and always follow their instructions.
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Talk to your doctor or pharmacist before using Escitalopram Krka.<\/p>\n\n\n\n
Tell your doctor if you have other diseases, as your doctor may need to consider them.
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This is especially true if you:<\/p>\n\n\n\n
Note<\/strong><\/p>\n\n\n\n Some patients with manic-depressive illness may go into a manic phase. This is characterized by unusual and rapidly changing thoughts, unmotivated joy, and excessive physical activity. Contact your doctor if you experience these symptoms. Symptoms such as restlessness and difficulty sitting or standing still can also occur during the first weeks of treatment. Contact your doctor immediately if you experience these symptoms. Drugs such as Escitalopram Krka (so-called SSRIs \/ SNRIs) can cause symptoms of sexual dysfunction. In some cases, these symptoms persist after discontinuation of treatment. Suicidal ideation and worsening of your depression or anxiety disorder<\/strong><\/p>\n\n\n\n You who are depressed and \/ or suffer from worry \/ anxiety may sometimes have thoughts of harming yourself or committing suicide. These symptoms may worsen when you start using antidepressants, as it takes time for this type of medicine to take effect, usually about 2 weeks, sometimes longer. These thoughts may be common:<\/p>\n\n\n\n Contact a doctor as soon as possible or see the nearest hospital<\/strong> if you have thoughts of injuring yourself or committing suicide. It may be helpful to tell a relative or close friend<\/strong> that you are depressed and\/or suffering from anxiety. Feel free to ask them to read this leaflet. You can also ask them to tell you if they think you are feeling worse or if they think your behavior is changing.<\/p>\n\n\n\n Escitalopram Krka should not normally be used in the treatment of children and adolescents under 18 years of age. The risk of side effects such as suicide attempts, suicidal thoughts, and hostility (mainly aggression, defiance,e, and anger) is greater in patients under 18 years of age when taking drugs of this type. Despite this, Escitalopram Krka can be prescribed by a doctor to patients under 18 years of age, if the doctor deems it appropriate. If you are under 18 years of age and want to discuss why you were given this medicine, consult your doctor again. You should also inform your doctor if you notice any of the above symptoms or if they worsen when children and adolescents under the age of 18 use Escitalopram Krka. The long-term effects on growth, maturity,y, and cognitive and behavioral developmenhaveas not yet been established for children and adolescents in this age group.<\/p>\n\n\n\n Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines. Do not take Escitalopram Krka<\/strong> if you are taking medicines for heart rhythm problems or medicines that can affect your heart rhythm, such as Class IA and III antiarrhythmics, antipsychotics (eg phenothiazines, pimozide, haloperidol ), tricyclic antidepressants, certain antimicrobial medicines (eg sparfloxacin, moxifloxacin, erythromycin IV, pentamidine, treatment for malaria, especially halofantrine), certain antihistamines (astemizole, mizolastine). If you have any further questions on the use of this product, ask your doctor. Tell your doctor if you are taking the following medicines:<\/p>\n\n\n\n Escitalopram Krka can be taken with or without food (see section 3 \u201c How to use <\/em> Escitalopram Krka<\/em> \u201d). As with many other medicines, the use of alcohol during treatment with Escitalopram Krka is not recommended, although escitalopram is not expected to interact with alcohol.<\/p>\n\n\n\n If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n Do not use Escitalopram Krka if you are pregnant unless you have discussed the benefits and possible risks of treatment with your doctor. If you are taking Escitalopram Krka during the last three months until delivery, you should be aware that the following symptoms may be seen in your newborn baby: difficulty breathing, bluish skin, cramps, difficulty regulating body temperature, breastfeeding difficulties, vomiting, low blood sugar, tense or slack muscles, overactive reflexes, tremors, jerkiness, irritability, listlessness, persistent crying, increased sleepiness and difficulty sleeping. If your child gets any of these symptoms, contact your doctor as soon as possible. Tell your midwife and\/or doctor that you are taking Escitalopram Krka. When drugs such as Escitalopram Krka are used during pregnancy, especially during the last three months, they may increase the risk of a serious condition called persistent pulmonary hypertension in the newborn (PPHN). This condition causes the baby to breathe faster and look blue. The symptoms usually appear within 24 hours of the baby being born. If this affects your baby, contact your midwife and \/ or doctor immediately. If Escitalopram Krka is used during pregnancy, abrupt discontinuation of treatment should be avoided. Escitalopram Krka is expected to be excreted in human milk. Do not use Escitalopram Krka if you are breast-feeding unless you have discussed the benefits and possible risks of treatment with your doctor. In animal studies, citalopram , a drug similar to escitalopram, has been shown to reduce sperm quality. In theory, this could affect fertility, but no such degrading effect on fertility has yet been demonstrated in humans.<\/p>\n\n\n\n Do not drive or use machines until you know how you are affected by Escitalopram Krka. You are responsible for assessing whether you are fit to drive motor vehicles or perform risky work. One of the factors that can affect your ability in these respects is the use of drugs due to their effects and \/ or side effects. Read all the information in this leaflet for guidance. If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<\/p>\n\n\n\n Always use this medicine exactly as your doctor or pharmacist has told you. Ask your doctor or pharmacist if you are unsure. Adults<\/strong><\/p>\n\n\n\n Depression<\/em><\/p>\n\n\n\n The usual recommended dose is 10 mg Escitalopram Krka once a day. Dose one can be increased by your doctor to a maximum of 20 mg per day. Panic syndrome<\/em><\/p>\n\n\n\n The starting dose is 5 mg Escitalopram Krka once daily for the first week, then 10 mg daily. Dose one can be increased by your doctor to a maximum of 20 mg per day.<\/p>\n\n\n\n Social Phobia<\/em><\/p>\n\n\n\n The usual recommended dose is 10 mg Escitalopram Krka once a day. Your doctor may either reduce the dose one to 5 mg per day or increase the dose one to a maximum of 20 mg per day, depending on how you respond to treatment. Anxiety<\/em><\/p>\n\n\n\n The usual recommended dose is 10 mg Escitalopram Krka once a day. Dose one can be increased by your doctor to a maximum of 20 mg per day. Obsessive-compulsive disorder<\/em><\/p>\n\n\n\n The usual recommended dose is 10 mg Escitalopram Krka once a day. Dose one can be increased by your doctor to a maximum of 20 mg per day. Elderly patients (over 65 years)<\/strong><\/p>\n\n\n\n The recommended starting dose is 5 mg Escitalopram Krka once daily. Your doctor may increase the dose one to 10 mg per day. Method of administration<\/strong><\/p>\n\n\n\n Escitalopram Krka can be taken with or without food. Swallow the tablet with water. Do not chew the tablet due to its bitter taste. 10 mg and 20 mg: The tablet can be divided into two equal doses. Duration of treatment<\/strong><\/p>\n\n\n\n It may take a few weeks before you start to feel better. Continue to take Escitalopram Krka even if it takes time before you experience any improvement in your condition.<\/p>\n\n\n\n Do not change the dosage without first talking to your doctor. Continue to take Escitalopram Krka for as long as your doctor recommends it. If you stop treatment too soon, the symptoms may return. It is recommended that you continue treatment for at least 6 months after feeling well again.<\/p>\n\n\n\n Escitalopram Krka should not normally be given to children and adolescents. For further information, see section 2 \u201c Before using Escitalopram Krka<\/em> \u201d.<\/p>\n\n\n\n If you have ingested too much medicine or if e.g. a child has ingested the medicine by mistake, contact a doctor, hospital or the Poison Information Center for risk assessment and advice. Do this even if you \/ the child does not notice any symptoms. Signs of overdose can include dizziness, tremors, anxiety, seizures, unconsciousness, nausea, vomiting, disturbed heart rhythm, decreased blood pressure and effects on the body’s salt and fluid balance. Take the Escitalopram Krka pack with you when contacting your doctor or hospital.<\/p>\n\n\n\n Do not take a double dose to make up for a forgotten dose . If you forget to take a dose and you come to this on the same day, take one dose at a time. Continue as usual the next day. If you forget during the night or the next day that you have missed a dose , do not miss the dose and continue as usual.<\/p>\n\n\n\n Do not stop taking Escitalopram Krka until your doctor tells you to. When it is decided that treatment with Escitalopram Krka should be stopped, your doctor will usually advise you to slowly reduce your dose for a few weeks.<\/p>\n\n\n\n When you stop taking Escitalopram Krka, and especially if it happens quickly, you may experience so-called withdrawal symptoms. These are common when treatment with Escitalopram Krka is stopped. The risk is higher if Escitalopram Krka has been used for a long time or in higher doses , or if dose one is reduced too quickly. In most cases, these symptoms are mild and usually resolve within two weeks, although in some individuals they may persist for a longer period (2-3 months or more). Contact your doctor if you experience severe withdrawal symptoms after stopping treatment. He or she may ask you to start taking the tablets again, and then put them out more slowly. The symptoms of withdrawal include: dizziness (feeling of instability or balance difficulties), sensory disturbances such as ant crawling, burning sensation and (less common) feeling of electric shock (including such feelings in the head), sleep disturbances (vivid dreams, nightmares, inability to sleep), feeling of anxiety , headache, nausea, sweating (including night sweats), feeling of restlessness or agitation, tremor (tremors), feeling confused or disoriented, emotional instability or irritability, diarrhea, visual disturbances, palpitations. <\/p>\n\n\n\n If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n Like all medicines, this medicine can cause side effects , although not everybody gets them. The side effects usually disappear after a few weeks of treatment. Be aware that several of the effects described below can be symptoms of your illness and will therefore subside as you begin to feel better. Contact your doctor or see a hospital immediately if you experience any of the following side effects during treatment:<\/strong> Uncommon<\/em> (affects up to 1 in 100 people):<\/p>\n\n\n\n Rare<\/em> (affects up to 1 in 1,000 people):<\/p>\n\n\n\n No known frequency<\/em> (cannot be calculated from the available data):<\/p>\n\n\n\n In addition, the following side effects have been reported:<\/strong> Very common<\/em> (affects more than 1 user in 10):<\/p>\n\n\n\n Common<\/em> (affects up to 1 in 10 people):<\/p>\n\n\n\n Uncommon<\/em> (affects up to 1 in 100 people):<\/p>\n\n\n\n Rare<\/em> (affects up to 1 in 1,000 people):<\/p>\n\n\n\n No known frequency<\/em> (cannot be calculated from the available data):<\/p>\n\n\n\n In addition to the above, a number of side effects have been observed with the use of drugs that act in a similar way to escitalopram. These are:<\/p>\n\n\n\n Keep out of sight and reach of children. Do not use this medicine after the expiry date which is stated on the carton after EXP. The expiration date is the last day of the specified month. Store in the original package. Moisture sensitive. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.<\/p>\n\n\n\n 5 mg film-coated tablets:<\/em> white, round, biconvex film-coated tablets with bevelled edges and 5.5 mm in diameter, marked with \u201c5\u201d in black on one side of the tablet. 10 mg film-coated tablets:<\/em> white, oval, biconvex film-coated tablets, with a scoreline on one side and dimensions 9 x 6 mm, marked with \u201c10\u201d in black on one side of the tablet. The tablet can be divided into two equal doses . 15 mg film-coated tablets:<\/em> white, round, biconvex film-coated tablets with bevelled edges and 8.5 mm in diameter, marked with \u201c15\u201d in black on one side of the tablet. 20 mg film-coated tablets:<\/em> white, oval, biconvex film-coated tablets, with a scoreline on one side and dimensions 12 x 7.5 mm, marked with \u201c20\u201d in black on one side of the tablet. The tablet can be divided into two equal doses . Escitalopram Krka film-coated tablets are available in cartons of 14, 20, 28, 30, 50, 56, 60, 90 and 100 film-coated tablets in blisters (OPA \/ Alu \/ PVC-Alu). Not all pack sizes may be marketed.<\/p>\n\n\n\n Manufacturer<\/strong><\/p>\n\n\n\n KRKA, dd, Novo mesto, \u0160marje\u0161ka cesta 6, 8501 Novo mesto, Slovenia<\/p>\n\n\n\n TAD Pharma GmbH, Heinz-Lohmann-Stra\u00dfe 5, 27472 Cuxhaven, Germany<\/p>\n\n\n\n KRKA – FARMA doo, V. Holjevca 20 \/ E, 10450 Jastrebarsko, Croatia 5 mg, 10 mg, 15 mg, 20 mg film-coated tablets
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<\/p>\n\n\n\nChildren and young people under 18 years of age<\/h2>\n\n\n\n
Other medicines and Escitalopram Krka<\/h2>\n\n\n\n
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<\/p>\n\n\n\nEscitalopram Krka with food, drink, and alcohol<\/h2>\n\n\n\n
<\/p>\n\n\n\nPregnancy, breastfeeding and fertility<\/h2>\n\n\n\n
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<\/p>\n\n\n\nDriving and using machines<\/h2>\n\n\n\n
<\/p>\n\n\n\nEscitalopram Krka contains lactose<\/h2>\n\n\n\n
How to use Escitalopram Krka<\/h2>\n\n\n\n
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<\/p>\n\n\n\nUse for children and adolescents (under 18 years)<\/h2>\n\n\n\n
If you use more Escitalopram Krka than you should <\/h2>\n\n\n\n
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<\/p>\n\n\n\nIf you forget to use Escitalopram Krka<\/h2>\n\n\n\n
If you stop using Escitalopram Krka<\/h2>\n\n\n\n
<\/p>\n\n\n\n4. Possible side effects<\/h2>\n\n\n\n
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<\/p>\n\n\n\n5. How to store Escitalopram Krka<\/h2>\n\n\n\n
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<\/p>\n\n\n\n6. Contents of the packaging and other information<\/h2>\n\n\n\n
Content declaration<\/h2>\n\n\n\n
<\/li>What the medicine looks like and contents of the pack<\/h2>\n\n\n\n
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