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Generic Name:
Brand Names: Cipralex
Cipralex : Important Information
- You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are less than 18 years of age. Consult your doctor about this risk. While you are taking Cipralex tablets you will need to be monitored for worsening symptoms of depression and/or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to your being alert to changes in your own symptoms, your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.
- Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/or physical hyperactivity), thoughts of suicide or hurting yourself.
- Do not take Cipralex tablets together with a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate). You must wait at least 14 days after stopping an MAOI before you can take Cipralex.
What is Cipralex?
- Cipralex is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Cipralex affects chemicals in the brain that may become unbalanced and cause depression or anxiety.
- Cipralex tablets are used to treat anxiety and major depressive disorder.
- Cipralex may also be used for purposes other than those listed in this medication guide.
What to Discuss before Using
- You may have an increased risk of suicidal thoughts or behavior at the start of treatment with an antidepressant medication, especially if you are below 18 years. Talk to your doctor about this risk. While you are taking Cipralex, you will need to be monitored for worsening symptoms of depression and/or suicidal thoughts during the first weeks of treatment, or whenever your dose is changed. In addition to you watching for changes in your own symptoms, your family or other caregivers should be alert to changes in your mood or symptoms. Your doctor will need to check you at regular intervals for at least the first 12 weeks of treatment.
- Do not use Cipralex tablets if you are using an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam). Serious and sometimes fatal reactions can occur when these medicines are taken with Cipralex. You must wait at least 14 days after stopping an MAO inhibitor before you can take Cipralex.
- Before taking Cipralex tablets, tell your doctor if you have:
- liver or kidney disease
- seizures or epilepsy
- bipolar disorder (manic depression) or
- a history of drug abuse or suicidal thoughts
- If you have any of these conditions, you may not be able to use Cipralex, or you may need a dosage adjustment or special tests during treatment.
- FDA pregnancy category C: This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
- Cipralex can pass into breast milk and may harm a nursing baby. Do not use Cipralex without telling your doctor if you are breast-feeding a baby.
Cipralex Dosage Method
- Take Cipralex tablets exactly as it is prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Your doctor may occasionally change your dose to make sure you get the best results from the medication.
- Take each dose with a full glass of water.
- Try to take the medicine at the same time each day.
- To be sure you get the correct dose of liquid Cipralex, measure the liquid with a marked measuring spoon or medicine cup, not with a regular tablespoon. If you do not have a dose-measuring device, ask your pharmacist for one.
- It may take 4 weeks or more for you to start feeling better. Do not stop using Cipralex tablets without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.
- Store Cipralex tablets at room temperature away from moisture and heat.
Miss a dose: Problems?
Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose
Cipralex Overdose?
- Seek emergency medical attention if you think you have taken too much of this medication. Symptoms of a Cipralex overdose may include nausea, vomiting, tremor, sweating, rapid heartbeat, confusion, dizziness, seizures, and coma.
Avoid During Treatment
- Do not take Cipralex together with citalopram (Celexa), isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).
- Avoid drinking alcohol, which can increase some of the side effects of Cipralex.
- Avoid using other medicines that make you sleepy (such as cold medicine, other pain medication, muscle relaxants). They can add to sleepiness caused by Cipralex.
- Cipralex can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Cipralex Side Effects
- Get emergency medical help if you have any of these signs of an allergic reaction: skin rash or hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
- Contact your doctor promptly if you have any of the following side effects, especially if they are new symptoms or if they get worse: mood changes, anxiety, panic attacks, trouble sleeping, irritability, agitation, aggressiveness, severe restlessness, mania (mental and/or physical hyperactivity), thoughts of suicide or hurting yourself.
- Call your doctor at once if you have any of these serious side effects:
- seizure (convulsions)
- tremors, shivering, muscle stiffness or twitching
- problems with balance or coordination or
- agitation, confusion, sweating, fast heartbeat.
- Other less serious side effects are more likely to occur, such as:
- feeling nervous, restless, or unable to sit still
- headache, trouble concentrating
- drowsiness, dizziness
- sleep problems (insomnia)
- nausea, diarrhea, heartburn
- weight changes
- decreased sex drive, impotence, or difficulty having an orgasm or
- dry mouth, ringing sensation in ears
- Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs to avoid while undergoing treatment
- Talk to your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), indomethacin, piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine) and others. Taking any of these drugs with Cipralex may cause you to bruise or bleed easily.
- Before taking Cipralex, tell your doctor if you are using any of the following medicines:
- carbamazepine (Tegretol)
- cimetidine (Tagamet)
- lithium (Lithobid, Eskalith)
- a blood thinner such as warfarin (Coumadin)
- any other antidepressants such as amitriptyline (Elavil), citalopram (Celexa), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor), paroxetine (Paxil), or sertraline (Zoloft) or
- almotriptan (Axert), frovatriptan (Frova), sumatriptan (Imitrex), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig)
- If you are using any of these drugs, you may not be able to use Cipralex, or you may need dosage adjustments or special tests during treatment.
- There may be other drugs not listed that can affect Cipralex. Tell your doctor about all the prescriptions and over-the-counter medications you use. This includes vitamins, minerals, herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.
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