Elicea 20 mg. 28 tablets

What Elicea is and what it is used for
Elicea contains escitalopram and is used to treat depression (major depressive episode) and anxiety disorders (such as panic disorder with or without agoraphobia, social anxiety disorder, generalized anxiety disorder, and obsessive-compulsive disorder).
Escitalopram belongs to the group of antidepressants called selective serotonin reuptake inhibitors (SSRIs). These drugs act on the serotonin system in the brain, increasing serotonin levels. Serotonin system disorders are considered an important factor in the development of depression and related disorders.
It can take two weeks before you feel better. Continue to take Elysea even if it takes some time before you feel an improvement in your condition.
You should consult a doctor if you do not feel better or if you feel worse.

2. What you need to know before taking Elicea

Do not take Elicea
• If you are allergic to escitalopram or to any of the other ingredients of this medicine (listed in section 6)
• If you are taking other medicines that belong to the group called MAOIs, including selegiline (used to treat Parkinson's disease), moclobemide (used to treat depression) and linezolid (an antibiotic).
• if you were born with or have had an episode of impaired heart rhythm (seen in ECG, a review that evaluates how the heart works);
• if you are taking medicines for heart rhythm problems or that can affect your heartbeat (see section 2 "Other medicines and Elysees").

Warnings and precautions
Tell your doctor or pharmacist before taking Elysees.
Please tell your doctor, if you are suffering from any other condition or illness,
as your doctor might consider it.

In particular, tell your doctor:
• If you suffer from epilepsy. Your doctor will stop treatment with Elysea if seizures occur or there is an increase in seizure frequency (see also section 4 "Possible side effects").
• If you suffer from impaired hepatic or renal function. Your doctor may need to adjust your dose.
• If you have diabetes. Elicase treatment can alter glycemic control (control of blood sugar). A dose adjustment of insulin and / or oral hypoglycaemic agents may be necessary.
• If you have a reduced level of sodium in the blood.
• If you have a tendency to bleeding easily or getting bruises.
• If you are undergoing electroconvulsive therapy (electroshock treatment).
• If you have coronary heart disease.
• If you suffer or have had heart problems or have recently had a heart attack.
• If you have a slow heart rate at rest and / or you know you may have lower salt values ​​as a result of persistent severe diarrhea and vomiting or diuretic use (drainage tablets).
• If you experience rapid or irregular heartbeat, fainting, collapse or vertigo on straightening, which may indicate abnormal heart rhythm functioning.
• If you have or have had eye problems, such as certain types of glaucoma (increased eye pressure).

Please, have in mind
Some patients with manic depressive illness could enter the manic phase. This is characterized by unusual and often changing ideas, an inadequate feeling of happiness and excessive physical activity. If you experience such sensations, contact your doctor.
Symptoms such as anxiety or difficulty sitting or standing together may also occur during the first weeks of treatment.

Tell your doctor immediately if you experience these symptoms:

Thoughts of suicide and worsening of your depression or anxiety disorder
If you are depressed and / or have anxiety disorder, you may sometimes have thoughts of self-harm or suicide. These thoughts can be tightened when you first take antidepressants because these drugs take time to start acting, usually two weeks, but sometimes more. You may be more prone to think this way:

if you have previously had thoughts of suicide or self-harm.
if you are a young adult. Information from clinical trials shows an increased risk of suicidal behavior in young people aged under 25 with mental illness treated with antidepressants.
If at any time you have thoughts of self-harm or suicide, contact your doctor or go to hospital immediately.
You may find it helpful to share with a relative or close friend that you are
depressed or have anxiety disorder and ask them to read this leaflet. You can ask them to tell you if they think your depression or anxiety is getting worse or worrying about changes in your behavior.

Children and adolescents
Other medications and Elysea
Tell your doctor or pharmacist if you are taking, have recently taken or can take any other medicines.

Tell your doctor if you are taking any of the following medicines:

"non-selective monoamine oxidase inhibitors (MAOIs)" (used to treat depression) containing phenelzine, iproniazide, isocarboxyside, nyalamide and tranylcypromine as active substances. If you take any of these medicines, you will have to wait 14 days before taking Elysees. After stopping Elicase, you should wait 7 days before taking any of these medicines.
"Reversible selective MAO-A inhibitors" containing moclobemide (used to treat depression).
"Irreversible MAO-B Inhibitors" containing selegiline (used to treat Parkinson's disease). This increases the risk of side effects. Antibiotic linezolid.
Lithium (used to treat manic-depressive illness) and tryptophan (used to treat depression).
Imipramine and desipramine (both used to treat depression). Sumatriptan and similar medicines (used to treat migraine) and tramadol (used against severe pain). They increase the risk of side effects. Cimetidine, lansoprazole and omeprazole (used to treat gastric ulcer), fluvoxamine (antidepressant) and ticlopidine (used to reduce the risk of stroke). They can cause an increase in blood levels of escitalopram. St John's wort (Hypericum perforatum) - a plant product used in depression. Acetylsalicylic acid and non-steroidal anti-inflammatory drugs (medicines used to relieve pain or dilute blood, so-called anticoagulants). They may increase the tendency to bleed.
Warfarin, dipyridamole and phenprocoumon (medicines used to dilute blood, so-called anticoagulants). Your doctor will probably check your blood coagulation time when it starts or stops treatment with Ellias to check if the anti-coagulant dose you are taking is still adequate.
Meflocin (used to treat malaria), bupropion (used to treat depression) and tramadol (used against severe pain) due to a possible risk of lowering of the seizure threshold.
Neuroleptics (medicines to treat schizophrenia, psychoses) and antidepressants (tricyclic antidepressants and SSRIs) due to a possible risk of lowering of the seizure threshold.
Flecainide, propafenone and metoprolol (used to treat cardiovascular diseases), clopiramine and nortriptyline (antidepressant) and antidepressants and risperidone, thioridazine and haloperidol (antipsychotics). Elicase's dose may need to be adjusted.
Medicines that lower blood levels of potassium and magnesium as these conditions
increase the risk of life-threatening heart rhythm disturbances.
Do not take Elysea if you are taking medicines for heart rhythm problems or medicines that can affect heart rhythm such as antiarrhythmics class 1A and III, antipsychotics (eg phenothiazine derivatives, pimozide, haloperidol), tricyclic antidepressants, some antimicrobial agents (eg sparfloxacin, moxifloxacin, erythromycin IV, pentamidine, or you are on an antimalarial treatment), some antihistamines (astemizole, mizolastine). If you have any further questions about this, you should talk to your doctor.

Elicia with food and alcohol
Elicase can be taken with or without food (see section 3 "How to take Elysea").
As with many medicines, combining Elicase with alcohol is not recommended, although escitalopram is not expected to interact with alcohol.

Pregnancy, breastfeeding and fertility
If you are pregnant or breast-feeding, if you think you may be pregnant or are planning to have a baby, talk to your doctor or pharmacist before taking this medicine.
Do not take Elicase if you are pregnant unless you have discussed with your doctor the risks and benefits that result from this.

If you take Elysea during the last 3 months of your pregnancy, you should be aware that the following side effects could be observed in your newborn: difficulty in breathing, bluish skin, seizures, changes in body temperature, eating difficulties, vomiting, low blood pressure sugar, stiff or relaxed muscles, live reflexes, tremor, nervousness, irritability, lethargy, constant crying, drowsiness and difficulty falling asleep. If your newborn baby has any of these symptoms, please contact your doctor immediately.
Make sure your midwife / doctor knows that you are taking Elysea. When taken during pregnancy, especially during the last 3 months of pregnancy, medicines such as Elysea may increase the risk of serious illness in infants called BHH, in which the baby breathes faster and brightens. These symptoms usually begin within the first 24 hours after the birth of the baby. If this happens
Obsessive-compulsive disorder
The usual recommended dose of Elysea is 10 mg once a day. The dose may be increased by your doctor to a maximum of 20 mg per day.

Elderly (over 65 years of age)
The recommended starting dose of Ellia is 5 mg once a day. The dose may be increased by your doctor to 10 mg daily.

Use in children and adolescents
Usually, Elysea should not be given to children or adolescents. For more information, please see section 2 "What you need to know before you take Elysees".

Method and method of administration
You may take Elysea with or without food. Swallow the tablets with a little water. Do not chew them because they have a bitter taste. 10 mg and 20 mg tablets: The tablet can be divided into equal doses.
Duration of treatment It may take several weeks before you feel an improvement. Continue to take Elysea, even if it takes some time before you feel an improvement in your condition,
Never change the dose before talking to your doctor.

Keep taking Elysea for as long as your doctor has recommended. If you discontinue treatment too early, the symptoms may recur. It is recommended that your treatment lasts for at least 6 months after you feel well again.

If you take more Elysea than you should
If you take more than your prescribed dose of Elysea, contact your doctor or nearest emergency medical center immediately. Do this even if you have no signs of discomfort. Some signs of overdosage may be dizziness, tremor, agitation, convulsions and coma, nausea, vomiting, changes in heart rhythm, decreased blood pressure, and electrodynamic balancing disturbances. Take the Elysea package with you show the doctor or the hospital.

If you forget to take Elysea
Do not take a double dose to make up for the missed dose. If you miss taking your dose and think about it before going to bed, take it immediately. The next day, continue to take your dose as usual. If you remember the missed dose at night or the next day, do not take the dose, then proceed as usual.

If you stop taking Elysea
Do not stop taking Elysea until your doctor tells you to. When completing the course of treatment, it is usually recommended that the dose of Elysea be gradually reduced over several weeks.
When you stop taking Elysea, especially if it is sudden, you may experience withdrawal symptoms. They are common in stopping treatment with Elysea. The risk is greater when Elysea is used for longer or higher doses, or when the dose is reduced too quickly. Most people find these symptoms as mild and self-limiting within two weeks. However, in some patients, they may be severe in intensity or longer (2-3 months or more). If you experience severe withdrawal symptoms when you stop taking Elysea, please contact your doctor. He or she may ask you to start taking your tablets again and stop taking them more slowly.
Symptoms of withdrawal include: feeling dizzy (instability or loss of balance), feelings of needles, burning sensation and (less often) electric shock, including headaches, sleep disturbances (excessive vivid dreams, nightmares, inability Sleepiness, Feeling of nervousness and agitation, Tremor, Feeling of confusion and disorientation, Hypersensitivity or irritability, Diarrhea (rare stools), Dizziness, visual interference, co slow or fast heartbeat (palpitations).
If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everyone gets them.
The side effects most often resolve after a few weeks of treatment. Please keep in mind that some of the reactions can also be symptoms of your illness and therefore disappear when you begin to improve.
If you develop any of the following symptoms, you should contact your doctor or pharmacist immediately to go to hospital:

Uncommon (may affect up to 1 in 100 people):
• Unusual bleeding, including from the gastrointestinal tract

Rare (may affect up to 1 in 1,000 people):
• Swelling of the skin, tongue, lips or face or having difficulty in breathing or swallowing (allergic reaction).
• High temperature, kinetic restlessness (agitation), confusion, trembling and sudden muscle contractions may be signs of a rare condition called serotonin syndrome.

Not known (can not be estimated from the available data):
Not known (frequency can not be estimated from the available data):

Reduced levels of sodium in the blood (symptoms are nausea and discomfort with muscle weakness or confusion)
Dizziness due to low blood pressure (orthostatic hypotension)
Abnormal liver function tests (elevated liver enzymes in the blood)
Motion disorders (unconscious movements of the muscles)
Painful erections (priapism)
Bleeding disorders, including skin and mucous membranes, ecchymosis)
Sudden swelling of the skin and mucous membranes (angioedema)
Increased urinary excretion (inadequate secretion of antidiuretic hormone)
Drainage of breast milk from men and women who do not breastfeed
Mania
Change in heart rhythm (called "prolonged QT interval" observed in ECG, electrical activity of the heart)
In addition, a number of side effects known to occur with medicines acting in an escitalopram-like manner are known. They are:
• Motor anxiety (unable to rest in motion without akathisia)
• Loss of appetite (anorexia)
There is an increased risk of bone fractures in patients taking this type of medicine.

 

 

 

 

 

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