CAS NO 128196-01-0
Taking certain medications with this product could result in serious (rarely
fatal) drug interactions. Avoid taking MAO inhibitors (e.g., furazolidone,
isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, rasagiline,
selegiline, tranylcypromine) with escitalopram for 2 weeks before treatment,
during treatment, or for 2 weeks after your last dose of escitalopram.
This drug should not be used with the following medications because very
serious interactions may occur: pimozide, tryptophan, weight loss drugs
(e.g., sibutramine, phentermine).
If you are currently using any of these medications, tell your doctor or
pharmacist before starting escitalopram.
Before using this medication, tell your doctor or pharmacist of all
prescription and nonprescription/herbal products you may use, especially of:
desipramine, metoprolol, "water pills" (diuretics such as furosemide), drugs
that can cause bleeding/bruising (e.g., aspirin, antiplatelet drugs such as
clopidogrel, NSAIDs such as ibuprofen, "blood thinners" such as heparin/warfarin).
Aspirin can increase the risk of bleeding when used with this medication
(see above). If your doctor has directed you to take low-dose aspirin for
heart attack or stroke prevention (usually at dosages of 81-325 milligrams a
day), you should continue taking it unless your doctor instructs you
otherwise. Discuss the risks and benefits with your doctor.
Also tell your doctor if you take any other drugs that increase serotonin,
such as buspirone, dextromethorphan, lithium, meperidine, propoxyphene,
phentermine, other SSRIs (e.g., paroxetine), SNRIs (e.g., duloxetine),
tryptophan, St. John's wort, drugs used to treat migraines such as "triptans"
and dihydroergotamine, street drugs such as MDMA/"ecstasy," amphetamine.
(See also Side Effects section.)
Tell your doctor or pharmacist if you also take drugs that cause drowsiness,
such as certain antihistamines (e.g., diphenhydramine), anti-seizure drugs
(e.g., carbamazepine), medicine for sleep or anxiety (e.g., lorazepam,
zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine),
psychiatric medicines (e.g., chlorpromazine, quetiapine, nortriptyline,
trazodone). Check the labels on all your medicines (e.g., cough-and-cold
products) because they may contain ingredients that cause drowsiness.