Negara: Australia
Bahasa: Inggris
Sumber: Department of Health (Therapeutic Goods Administration)
Escitalopram oxalate
CNS Pharma Pty Ltd
Medicine Registered
ESIPRAM ® (ES-E-PRAM) _Escitalopram oxalate (ES-sigh-talo-pram OX-a-late)_ CONSUMER MEDICINE INFORMATION (CMI) WHAT IS IN THIS LEAFLET This leaflet contains answers to some common questions about Esipram. It does not contain all the information that is known about Esipram. It does not take the place of talking to your doctor or pharmacist. All medicines have risks and benefits. Your doctor has weighed the risk of you using this medicine against the benefits he/she expects it will have for you. IF YOU HAVE ANY CONCERNS ABOUT USING THIS MEDICINE, ASK YOUR DOCTOR OR PHARMACIST. KEEP THIS LEAFLET WITH THE MEDICINE. You may need to read it again. WHAT ESIPRAM IS USED FOR Esipram is used to treat depression. It belongs to a group of medicines called selective serotonin reuptake inhibitors (SSRIs). They are thought to work by their actions on brain chemicals called amines which are involved in controlling mood. Depression is longer lasting or more severe than the "low moods" everyone has from time to time due to the stress of everyday life. It is thought to be caused by a chemical imbalance in parts of the brain. This imbalance affects your whole body and can cause emotional and physical symptoms such as feeling low in spirit, loss of interest in activities, being unable to enjoy life, poor appetite or overeating, disturbed sleep, often waking up early, loss of sex drive, lack of energy and feeling guilty over nothing. Esipram corrects this chemical imbalance and may help relieve the symptoms of depression. Esipram may also be used to treat patients who may avoid and/or are fearful of social situations. Esipram may also be used to treat patients who have excessive anxiety and worry. Esipram may also be used to treat irrational fears or obsessional behaviour (obsessive-compulsive disorder). Obsessive-compulsive disorder involves having both obsessions and compulsions. Obsessions are unwanted thoughts that occur over and over again. Compulsions are the ongoing need to repeat certain actions as a result of Baca dokumen lengkapnya
Esipram PI 24 May 2013 v2 Page 1 of 26 PRODUCT INFORMATION ESIPRAM NAME OF THE MEDICINE: Escitalopram oxalate Chemical name: S(+)-1-(3-dimethylaminopropyl)-1-(4-fluorophenyl)-1,3-dihydroisobenzofuran-5- carbonitrile hydrogen oxalate. Chemical Abstracts No: 219861-08-2 Molecular formula and weight: C 20 H 21 FN 2 O, C 2 H 2 O 4 : 414.42 Structural formula: NC O CH 2 CH 2 CH 2 N(CH 3 ) 2 , HOOCCOOH F DESCRIPTION: Escitalopram is the active enantiomer (s-enantiomer) of citalopram. Escitalopram oxalate is a fine white to yellow, crystalline material. Escitalopram oxalate is sparingly soluble in water, slightly soluble in acetone, soluble in ethanol and freely soluble in methanol. No polymorphic forms have been detected. Excipients in tablets: cellulose-microcrystalline, silica - colloidal anhydrous, talc - purified, croscarmellose sodium, magnesium stearate, hypromellose, macrogol 400 and titanium dioxide. PHARMACOLOGY: Pharmacological actions Biochemical and behavioural studies have shown that escitalopram is a potent inhibitor of serotonin (5-HT)-uptake (_in vitro_ IC 50 2nM). Esipram PI 24 May 2013 v2 Page 2 of 26 The antidepressant action of escitalopram is presumably linked to the potentiation of serotonergic activity in the central nervous system (CNS) resulting from its inhibitory effect on the reuptake of 5-HT from the synaptic cleft. Escitalopram is a highly selective Serotonin Reuptake Inhibitor (SSRI). On the basis of _in vitro_ studies, escitalopram had no, or minimal effect on noradrenaline (NA), dopamine (DA) and gamma aminobutyric acid (GABA) uptake. In contrast to many tric Baca dokumen lengkapnya