Cipralex 20mg
₨ 1,800
Brand Name: H. Lundbeck A/S
Chemical Name: Escitalopram (as escitalopram oxalate)
Dosage Strength: 20mg film-coated tablet
Rx/OTC: Prescription only (Rx)
Cipralex 20mg is the maximum daily dose of this SSRI, used when 10mg doesn’t fully control depression, anxiety, panic disorder, social anxiety, or OCD. It works the same way as the 10mg tablet by gently raising serotonin in the brain. Adults over 65 and people with liver problems should not exceed 10mg per day, as the higher dose can affect heart rhythm (QT interval).
Key Benefits of Cipralex 20mg
How It Works
- Escitalopram is a selective serotonin reuptake inhibitor (SSRI) and is the S-enantiomer of citalopram.
- It blocks the serotonin transporter (SERT), increasing serotonin availability in synapses.
- This neurochemical adjustment progressively improves mood, anxiety, and obsessive-compulsive symptoms.
Dosage, Uses & Possible Side Effects
Dosage & Administration:
- 20mg is the maximum recommended daily dose for most indications.
- Patients are usually titrated up from 10mg after at least 1 week of treatment.
- For elderly patients (>65 years) and those with hepatic impairment: maximum 10mg/day.
- Take once daily, with or without food.
Uses:
- Major depressive disorder in adults requires a higher therapeutic dose.
- Generalised anxiety disorder (GAD).
- Panic disorder, with or without agoraphobia.
- Social anxiety disorder (social phobia).
- Obsessive-compulsive disorder (OCD).
Possible Side Effects:
- Common: nausea, headache, insomnia, fatigue, sexual dysfunction, sweating.
- Serious: QT interval prolongation (more common at 20mg), serotonin syndrome, hyponatraemia, increased bleeding risk, withdrawal syndrome.
- Boxed warning (US): increased risk of suicidal thinking and behaviour in children, adolescents, and young adults.
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Frequently Asked Questions
When the 10mg dose has not produced sufficient response after 4–6 weeks, or for patients with severe symptoms.
Escitalopram can prolong the QT interval, especially at 20mg. Inform your doctor about heart conditions, low potassium, or other QT-prolonging medications.
It can be split if scored, but this is usually not necessary. Talk to a pharmacist before doing so.
Reduce gradually over several weeks under medical supervision to avoid discontinuation symptoms.
Cipralex 20mg price in Pakistan at Medicine Store is ₨ 1,800.
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