Amphetamines such as dextroamphetamine, methamphetamine, and amphetamine derivative phentermine cause serotonin syndrome by increasing the release and inhibiting the reuptake of serotonin, leading to an overall increase of serotonin levels. Escitalopram, sold under the brand names Lexapro and Cipralex, among others, is an antidepressant medication of the selective serotonin reuptake inhibitor (SSRI) class. [9] It is mainly used to treat major depressive disorder , [ 9 ] generalized anxiety disorder , [ 9 ] panic disorder , obsessive–compulsive disorder (OCD), and social anxiety Lexapro may cause weight gain because it blocks the serotonin transporter, which increases levels of serotonin in the brain, but also increases appetite and decreases metabolism. Research has shown approximately 40% of people taking antidepressants such as Lexapro will gain 7% or more of their starting body weight. Potentially life-threatening serotonin syndrome has been reported with SSRIs and SNRIs as monotherapy, but particularly with concomitant use of other serotonergic drugs and drugs that impair the metabolism of serotonin. Serotonin syndrome has been reported with racemic citalopram. SSRIs, including Lexapro, can precipitate serotonin syndrome, a potentially life-threatening condition. The risk is increased with concomitant use of other serotonergic drugs (including triptans, tricyclic antidepressants, fentanyl, lithium, tramadol, meperidine, methadone, tryptophan, buspirone, amphetamines, and St. John’s Wort) and with Excessive accumulation of serotonin in the body creates the symptoms of serotonin syndrome. Typically, nerve cells in the brain and spinal cord produce serotonin that helps regulate attention, behavior and body temperature. Lexapro works by increasing the levels of serotonin, a neurotransmitter in the brain, which helps to improve mood and reduce feelings of anxiety. It is thought to be effective in treating depression by restoring the balance of chemicals in the brain. Lexapro is typically taken orally as a tablet or as an oral solution. Selective serotonin reuptake inhibitors (SSRIs) are a class of antidepressants that includes medications like fluoxetine (Prozac), sertraline (Zoloft), and escitalopram (Lexapro). Before starting treatment with an SSRI — and while you’re taking one — it’s good to be aware of potential interactions. Each SSRI has its own potential interactions. While gabapentin does not inherently cause serotonin syndrome, the potential for interactions exists when combined with these medications. Clinical studies have shown no direct link between gabapentin usage and the onset of serotonin syndrome. Gabapentin and Lexapro can interact with each other and may have an impact on your health. Potential interactions include increased drowsiness, impaired coordination, difficulty concentrating, and an increased risk of serotonin syndrome. A potentially lethal condition, serotonin syndrome (SS) is caused most often when certain antidepressant agents are taken concurrently with other drugs that modulate synaptic serotonin levels. 1,2 When patients take two or more antidepressants from different pharmacologic classes, drug-drug interactions may occur; these interactions may lead to While there are no guidelines or high-quality studies to guide clinicians in post–serotonin syndrome care, rational prescribing principles are likely effective in preventing recurrences. 8 These principles aim to reduce the total serotonergic load by decreasing doses of — or ideally discontinuing — medications that precipitated the Find patient medical information for Escitalopram (Lexapro) on WebMD including its uses, side effects and safety, interactions, pictures, warnings, and user ratings Lexapro is in the drug class called selective serotonin reuptake inhibitors (SSRIs). Some of the side effects of Lexapro include agitation or restlessness, blurred vision, diarrhea, drowsiness, difficulty sleeping, dry mouth, frequent urination, headache, indigestion, nausea, sweating, and sexual difficulties. Serotonin syndrome (ie, serotonin toxicity) is a potentially life-threatening condition associated with increased serotonergic activity in the central nervous system. It is seen with therapeutic medication use, inadvertent interactions between drugs, and intentional self-poisoning [1]. Escitalopram is used to treat depression in adults and children and teenagers 12 years of ago or older. Escitalopram is also used to treat generalized anxiety disorder (GAD; excessive worry and tension that disrupts daily life and lasts for 6 months or longer) in adults, teenagers, and children 7 years of age and older. Lexapro is a kind of antidepressant called a selective serotonin reuptake inhibitor (SSRI). It contains the active ingredient escitalopram. It contains the active ingredient escitalopram. (An Research has indicated that gabapentin can cause serotonin syndrome, especially when taken with other drugs like tramadol. One study found that a 66-year old man who took a combination of tramadol and gabapentin after spinal surgery experienced serotonin syndrome. 1 SSRIs are antidepressant medications that work by blocking the reuptake of the neurotransmitter serotonin. This results in increased serotonin levels in the brain, which can improve mood and reduce anxiety. SNRIs inhibit the reabsorption of both serotonin and norepinephrine in the brain. Monitor patients for signs and symptoms of serotonin syndrome, particularly during Lexapro initiation and dosage increases. If serotonin syndrome occurs, consider discontinuation of Lexapro and/or concomitant serotonergic drugs [see WARNINGS AND PRECAUTIONS]. Drugs That Interfere With Hemostasis (NSAIDs, Aspirin, Warfarin, etc.) Clinical Impact:
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