Q: What are the effects of taking Lexapro and over-the-counter drugs, such as Coricidin, vitamin C, Metamucil, zinc and Caltrate?
A: There are no known drug interactions found between Lexapro (Ipran) and the following over-the-counter medications: vitamin C, Caltrate, Coricidin, zinc, and Metamucil. Talk to your doctor if you have any concerns about your prescription or over-the-counter medications. Do not start or stop any medications or treatments without first talking to your doctor. I believe you will find the following link at everydayhealth.com also very helpful for your current situation: //www.everydayhealth.com/drugs/lexapro. Jennifer Carey, PharmD
What is Ipran?
Ipran is an antidepressant belonging to a group of drugs called selective serotonin reuptake inhibitors (SSRIs). It affects chemicals in the brain that may be unbalanced in people with depression or anxiety.
Ipran is used to treat anxiety in adults.
Ipran is also used to treat major depressive disorder in adults and adolescents who are at least 12 years old.
Q: I have been taking 10mg of Lexapro daily for 2 years. I want to stop taking it. What is the safest time frame for weaning off of the medication?
A: Lexapro (Ipran) is a selective serotonin reuptake inhibitor used to treat depression and other conditions as determined by your doctor. Lexapro does have a risk of withdrawal symptoms when stopping the medication, especially if Lexapro is stopped suddenly. Tapering down the dose of Lexapro slowly before completely stopping can help minimize withdrawal symptoms. Some possible withdrawal symptoms include dizziness, drowsiness, vivid dreams, irritability, nausea, tingling sensations, and headache. Everyone responds to medication differently. The packaging information recommends gradually tapering the dose of Lexapro, if intolerable symptoms occur following a decrease in dose or discontinuing medication then resume previous dose and use a more gradual taper. Lexapro tablets may be split to allow for lower doses. Tablet cutters which can be purchased at a local pharmacy can help with splitting tablets. It is important to speak with your doctor before you stop any medications. Your doctor may be able to give you suggestions on how to cope with withdrawal symptoms and how to taper your dose to help prevent withdrawal. Laura Cable, PharmD
Urgent advice: Call your doctor straight away if:
You have taken too much Ipran by accident and experience symptoms such as:
- feeling agitated
- being sick (vomiting)
- a fast heart rate
If you need to go to A&E straight away, do not drive yourself - get someone else to drive you or call for an ambulance.
Take the Ipran packet or the leaflet inside it, plus any remaining medicine, with you.
Like all medicines, Ipran can cause side effects in some people, but many people have no side effects or only minor ones.
Some of the common side effects of Ipran will gradually improve as your body gets used to it.
What are some things I need to know or do while I take Ipran Tablets?
For all patients taking this medicine (Ipran tablets):
- Tell all of your health care providers that you take this medicine (Ipran tablets). This includes your doctors, nurses, pharmacists, and dentists.
- Avoid driving and doing other tasks or actions that call for you to be alert until you see how this medicine (Ipran tablets) affects you.
- Do not stop taking this medicine (Ipran tablets) all of a sudden without calling your doctor. You may have a greater risk of side effects. If you need to stop this medicine (Ipran tablets), you will want to slowly stop it as ordered by your doctor.
- Avoid drinking alcohol while taking this medicine (Ipran tablets).
- Talk with your doctor before you use other drugs and natural products that slow your actions.
- In depression, sleep and appetite may get better soon after starting this medicine (Ipran tablets). Other low mood signs may take up to 4 weeks to get better.
- This medicine may raise the chance of bleeding. Sometimes, bleeding can be life-threatening. Talk with the doctor.
- Some people may have a higher chance of eye problems with this medicine (Ipran tablets). Your doctor may want you to have an eye exam to see if you have a higher chance of these eye problems. Call your doctor right away if you have eye pain, change in eyesight, or swelling or redness in or around the eye.
- This medicine can cause low sodium levels. Very low sodium levels can be life-threatening, leading to seizures, passing out, trouble breathing, or death.
- If you are 65 or older, use this medicine (Ipran tablets) with care. You could have more side effects.
- Tell your doctor if you are pregnant, plan on getting pregnant, or are breast-feeding. You will need to talk about the benefits and risks to you and the baby.
- Taking this medicine (Ipran tablets) in the third trimester of pregnancy may lead to some health problems in the newborn. Talk with the doctor.
- Use with care in children. Talk with the doctor.
- This medicine may affect growth in children and teens in some cases. They may need regular growth checks. Talk with the doctor.
FDA warning: Suic >
- This drug has a black box warning. This is the most serious warning from the Food and Drug Administration (FDA). A black box warning alerts doctors and patients about drug effects that may be dangerous.
- Suicide warning. Ipran, like many antidepressants, can increase the risk of suicidal thinking and behavior when you take it to treat depression or other psychiatric disorders. This risk is higher in children, teenagers, and young adults, especially within the first few months of treatment or when the dose is changed. You, family members, caregivers, and your doctor should pay attention to any unusual changes in mood, behaviors, thoughts, or feelings.
What Drugs, Substances, or Supplements Interact with Lexapro?
Do not use Ipran if you are using an MAO inhibitor such as:
- isocarboxazid (Marplan),
- tranylcypromine (Parnate),
- phenelzine (Nardil),
- rasagiline (Azilect), or
- selegiline (Eldepryl, Emsam)