Lexapro Side Effects

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Why Do Antidepressants Take So Long To Work? Side Effects 1 Views • 2 months ago

Antidepressants can take anywhere from 2 -6 weeks to see a therapeutic effect. You may notice a little improvement sooner than that, but the usual is weeks.

There's a couple reasons for this. The first is due to the way the drug works. Medications have to reach a steady state in your body before you can get a reliable effect. It takes approximately 5 half-lives to reach steady state. If you have a medication that has a half-life of 24 hours, it takes five days to reach steady state.

A second reason has to do with the delayed effect the increase in serotonin has on your thoughts. You have the increased serotonin, then a delay, then you have the downstream neuroadaptive effects which is reducing and increasing various receptors, then you have a change in mood that causes a change in emotional bias.

A cognitive model of depression is that negative thinking both causes and perpetuates depression. When you're depressed, you have more negative view of the world. Depression affects what you pay attention to. You're more likely to notice negative facial expressions, spot negative cues in your environment and draw negative conclusions about things. This is referred to as a negative bias or negative valence.

Thoughts, feelings and behaviors are all connected. There's still a model for endogenous depression where you develop depression soley based on brain changes. But we be still believe even that depression affects your thinking. It's debatable as to which came first, depression illness or thought depressed thoughts. But the mind and the body are one. And the best approach to depression is to address them both equally. The mind approach would be through therapy or self-help measures to address your mindset and the body approach would be diet, exercise, sleep hygiene and medication if appropriate.

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References
Wilson SJ, Bell C, Coupland NJ, Nutt DJ. Sleep changes during long-term treatment of depression with fluvoxamine – a home-based study. Psychopharmacology 2000; 149: 360–5.

Harmer CJ, O'Sullivan U, Favaron E, Massey-Chase R, Ayres R, Reinecke A, Goodwin GM, Cowen PJ. Effect of acute antidepressant administration on negative affective bias in depressed patients. Am J Psychiatry. 2009 Oct;166(10):1178-84. doi: 10.1176/appi.ajp.2009.09020149. Epub 2009 Sep 15. PMID: 19755572.

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Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.

How to use Escitalopram? (Lexapro) - Doctor Explains Side Effects 1 Views • 2 months ago

In this video we will cover everything you need to know about Escitalopram, also known as Lexapro. This video is part of a video series on mental health problems. So for more mental health related videos check out this playlist:
https://www.youtube.com/playli....st?list=PLaG3Bo3L0gX

Generic name: Escitalopram.
Brand names: Lexapro.
Available as a tablet and as drops.

How to use it?
Swallow the tablet completely with half a glass of water.
When using it as drops: add some drops in half a glass of water and drink it. You could also mix it with a sweet and sour drink, such as orange juice or apple juice.

Duration of treatment:
Furthermore if Escitalopram has no effect within 6-16 weeks, it is probably not effective for you. However if it is effective, you should usually keep using it for 6 months up to several years.

When to use it?
Escitalopram is part of a group of drugs called Specific serotonin re-uptake inhibitor (SSRI). It selectively inhibits the serotonin uptake in your brain. Escitalopram can be used to treat several mental health conditions:
- Depressive episode.
- Panic disorder.
- Anxiety Disorders.

What is the correct dosage?
Unfortunately I can’t provide you with guidelines for the correct dosages, as these differ a lot depending on the specific indication, the side effects you experience and the severity of your complaints. Therefore always use the prescribed dose and frequency your doctor gave you.

However the usual dose most doctors prescribing is 5-10mg of escitalopram, which if necessary can be increase up to max. 20 mg per day.

What are the side-effects?
- Very common (10%): headache, nausea and withdrawal symptoms when treatment is discontinued.
- Common (1-10%): altered appetite, anxiety, restlessness, abnormal dreams, decreased libido, insomnia, somnolence, dizziness, tremor, diarrhea, constipation, vomiting, excessive sweating, erectile dysfunction, fatigue, fever, and weight gain.
- Uncommon (0.1–1%): agitation, panic attack, confusion, disturbed taste, fast heart rate, nose bleed, rash, itching and weight loss.
- Rare (0.01–0.1%): severe allergic reaction, aggression, hallucinations and slow heart rate.

Safety:
You should be careful to combine Escitalopram with alcohol. As this might increase the dazing effect of this drug.
In addition it is usually safe to drive while using Escitalopram, however it can cause you to become drowsy, sleepy and/or dizzy. If you experiencing any of these side effects then please do not drive.
Furthermore, Escitalopram can have interactions with several drugs. Therefore always discuss this with your treating physician.

Pregnancy and Lactation:
Escitalopram can be dangerous in both cases, however there are some exceptions. Therefore always discuss this with your doctor.

- Disclaimer: this video and the comments are meant purely informational! This is not medical advice! If you are looking for medical advice always contact your own doctor. -

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Literature:
1: Farmacotherapeutisch Kompas. (2020). Escitalopram
2: Apotheek.nl (2020). Escitalopram.

* The images in this video are used for educational purposes only. Most of the images and video material in this video come from https://www.canva.com/.

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SSRI Differences | What Sets These Antidepressants Apart? Side Effects 0 Views • 2 months ago

Dr. Aly compares the 6 most common SSRIs and fills you in on what sets them apart! ***Link to Dr. Aly's FREE "Antidepressants: A Beginner's Guide" ➡️ https://free.dralywood.com/antidepressants

📝 Other FREE Antidepressant Guides 📝
1️⃣ How To Dose Antidepressants: https://free.dralywood.com/dosingantidepressants
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⏰ TIMESTAMP ⏰
0:00 Intro
0:31 Types Of SSRI Medications
1:05 How Do SSRIs Work?
3:43 SSRI #1: Fluoxetine (Prozac)
7:27 SSRI #2: Sertraline (Zoloft)
9:41 SSRI #3: Paroxetine (Paxil)
14:12 SSRI #4: Fluvoxamine (Luvox)
15:22 SSRI #5: Citalopram (Celexa)
17:13 SSRI #6: Escitalopram (Lexapro)

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This information is for educational and informational purposes only and solely as a self-help tool for your own use. I am not providing medical, psychological, or nutrition therapy advice. Watching the videos or getting answers to comments/questions does not establish a doctor-patient relationship. You should not use this information to diagnose or treat any health problems or illnesses without consulting your own medical practitioner. Always seek the advice of your own medical practitioner and/or mental health provider about your specific health situation. If you think you may have a medical emergency, call 911 or go to the nearest emergency room immediately.

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Lexapro: long term side effects | Doctor explains! Side Effects 0 Views • 2 months ago

This video looks at the long term side effects of Lexapro.It examines Lexapro side effects, when you have to call the Doctor. Lexapro belongs to a class of drugs known as Serotonin Reuptake Inhibitors, SSRIs for short. The generic name is Escitalopram.

Read entire transcript here: https://drthinkyourhealth.com/....lexapro-long-term-si

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▶ TIMESTAMPS ▶

00:00 Intro
00:22 What is Lexapro?
00:35 What is Lexapro used for?
01:06 How does Lexapro work?
01:40 Lexapro dosing
02:02 Lexapro WARNING!!!
02:23 Lexapro side effects
02:48 When to call your DOCTOR?

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#Lexapro

Lexapro (escitalopram) Side Effects 0 Views • 2 months ago

Dr. Pagnani of Rittenhouse Psychiatric Associates discusses Lexapro (escitalopram) an SSRI or selective serotonin reuptake inhibitor that is an isomer (mirror image) of Celexa (citalopram). This medication can be utilized for the treatment of depression and various anxiety disorders.

Dr. Pagnani is the founder and medical director of Rittenhouse Psychiatric Associates, an Instructor at The Johns Hopkins Hospital for the Department of Psychiatry, he supervises psychiatric residents at Jefferson Hospital, he serves on the Young Professional Board of Uplift, the Center for Grieving Children and he maintains a private practice of Psychiatry in Philadelphia where he sees patients for one-time psychiatric evaluations and second opinions. He is a licensed physician and surgeon in NJ, PA, NY, MD, DE, FL and CA and can provide consultations to individuals via HIPAA compliant Telehealth visits living in these locations.

Rittenhouse Psychiatric Associates is a private practice of psychiatry consisting of about 25 psychiatrists, psychiatric nurse practitioners and psychotherapists with physical locations in Philadelphia and Paoli, PA and serving all of PA, NJ, NY and FL virtually via HIPAA compliant tele-psychiatry. Individuals seeking not only evaluations but long-term psychiatric care, can contact Rittenhouse Psychiatric Associates directly.

These videos aim to increase awareness and discussion of mental health topics and to encourage struggling individuals to schedule an appointment directly with a mental health provider. Mental health needs to be normalized, and simply speaking about mental health topics openly, is an important first step.

Dr. Pagnani and Rittenhouse Psychiatric Associates are NOT advocating for or against the use of any mentioned psychiatric medications for any specific individual. Additionally, any side effects mentioned are not a complete list of potential side effects or contraindications to taking any mentioned medications, and all risks and benefits of a medication should be discussed with an individual’s provider at an appointment, before starting, stopping or making changes to a medication regimen.

This video is INFORMATIVE ONLY - NOT MEDICAL ADVICE.

If you are researching a specific topic, please view our Youtube channel, click all videos and use the search function.

Please also visit and follow us on instagram and FB: @RittenhousePsych.

www.RittenhousePA.com
www.ChrisPagnaniMD.com

Escitalopram vs Vortioxetine: A comparison of two antidepressants Side Effects 0 Views • 2 months ago

In this video, we compare escitalopram or Lexapro with vortioxetine or Trintellix.
Intro 00:00
How do Escitalopram (Lexapro) and Vortioxetine (Trintellix) work? 00:51
What are Escitalopram (Lexapro) and Vortioxeitn (Trintellix) used for? 01:47
Common side effects of escitalopram (Lexapro) and vortioxetine (Trintelllix) 03:09
Considerations when taking escitalopram (Lexapro) or vortioxetine (Trintellix) 06:20
Final thoughts on escitalopram (Lexapro) and vortioxetine (Trintellix) 08:59

Resources:
Deprescribing Guide: https://amzn.to/4dZEUMk
Stahl's Prescribing Guide: https://amzn.to/3UXj8QL

🎥 This video was edited by:
Rahul Kanchi https://www.linkedin.com/in/rahulkanchi24/

🚑 If you are in a mental health crisis, please dial 9-8-8 from the U.S. Or text HOME to 741741 and connect to a crisis counselor.
You can find a list of international crisis lines here: https://blog.opencounseling.com/suicide-hotlines/

References:
Baune BT, Brignone M, Larsen KG. A Network Meta-Analysis Comparing Effects of Various Antidepressant Classes on the Digit Symbol Substitution Test (DSST) as a Measure of Cognitive Dysfunction in Patients with Major Depressive Disorder. Int J Neuropsychopharmacol. 2018 Feb 1;21(2):97-107. doi: 10.1093/ijnp/pyx070. PMID: 29053849; PMCID: PMC5793828.

Citrome L. (2016). Vortioxetine for major depressive disorder: An indirect comparison with duloxetine, escitalopram, levomilnacipran, sertraline, venlafaxine, and vilazodone, using number needed to treat, number needed to harm, and likelihood to be helped or harmed. Journal of affective disorders, 196, 225–233. https://doi.org/10.1016/j.jad.2016.02.042

Escitalopram FDA label (2017). Retrieved from https://www.accessdata.fda.gov..../drugsatfda_docs/lab

Jacobsen, P. L., Mahableshwarkar, A. R., Chen, Y., Chrones, L., & Clayton, A. H. (2015). Effect of Vortioxetine vs. Escitalopram on Sexual Functioning in Adults with Well-Treated Major Depressive Disorder Experiencing SSRI-Induced Sexual Dysfunction. The journal of sexual medicine, 12(10), 2036–2048. https://doi.org/10.1111/jsm.12980

Stahl,S. (2017). Stahl’s Essential Psychopharmacology: Prescriber’s Guide, 6th Ed. Cambridge University Press.

Vortioxetine (Trintellix). FDA Label (2018). Retrieved from https://www.accessdata.fda.gov..../drugsatfda_docs/lab

Patient Resources
Free Web MD drug interaction tracker https://www.webmd.com/interact....ion-checker/default.

Trintellix Patient Assistance Program
http://www.takeda.us/responsib....ility/patient_assist

Disclaimer: All of the information on this channel is for educational purposes only and not intended to be specific/personal medical advice or substitute for diagnosis and treatment of any conditions discussed herein. Furthermore, watching these videos or getting answers to comments/questions, does not establish a provider-patient relationship. Please consult with your own health care provider for proper diagnosis and treatment.

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Lexapro Side Effects

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