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Escitalopram
Trade NameLexapro
IndicationMajor depressive disorder, anxiety disorder, PCD, PTSD, social phobia
ActionIncreases the extracellular levels of serotonin in the synaptic cleft by selectively inhibiting its reuptake
Therapeutic ClassAntidepressant
Pharmacologic ClassSSRI
Nursing Considerations• Contraindicated with MAOI • May cause suicidal thoughts, insomnia, drowsiness, diarrhea, nausea, serotonin syndrome • May cause QT prolongation with certain medications • Assess for sexual dysfunction • May take 4-6 weeks for full affect to take place • Monitor for serotonin syndrome (mental changes, NV, tachycardia, hyperthermia)
By Jon Haws, RN CCRN Alumnus4.4
157157 ratings
Escitalopram
Trade NameLexapro
IndicationMajor depressive disorder, anxiety disorder, PCD, PTSD, social phobia
ActionIncreases the extracellular levels of serotonin in the synaptic cleft by selectively inhibiting its reuptake
Therapeutic ClassAntidepressant
Pharmacologic ClassSSRI
Nursing Considerations• Contraindicated with MAOI • May cause suicidal thoughts, insomnia, drowsiness, diarrhea, nausea, serotonin syndrome • May cause QT prolongation with certain medications • Assess for sexual dysfunction • May take 4-6 weeks for full affect to take place • Monitor for serotonin syndrome (mental changes, NV, tachycardia, hyperthermia)

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