keyword
https://read.qxmd.com/read/24016243/selective-serotonin-reuptake-inhibitor-ssri-toxicosis-in-cats-33-cases-2004-2010
#21
JOURNAL ARTICLE
Cassandra M Pugh, Joseph T Sweeney, Christopher P Bloch, Justine A Lee, Justine A Johnson, Lynn R Hovda
OBJECTIVE: To evaluate a population of cats with selective-serotonin reuptake inhibitor (SSRI) toxicosis and characterize the population affected, list products ingested, the clinical signs observed, treatments performed, length of hospitalization, patient outcome, and overall prognosis. DESIGN: Retrospective study from 2004 to 2010. SETTING: Referral veterinary center. ANIMALS: Thirty-three witnessed cat SSRI ingestions...
September 2013: Journal of Veterinary Emergency and Critical Care
https://read.qxmd.com/read/23597074/fast-scan-cyclic-voltammetry-analysis-of-dynamic-serotonin-reponses-to-acute-escitalopram
#22
JOURNAL ARTICLE
Kevin M Wood, Parastoo Hashemi
The treatment of depression with selective serotonin reuptake inhibitors, SSRIs, is important to study on a neurochemical level because of the therapeutic variability experienced by many depressed patients. We employed the rapid temporal capabilities of fast scan cyclic voltammetry at carbon fiber microelectrodes to study the effects of a popular SSRI, escitalopram (ESCIT), marketed as Lexapro, on serotonin in mice. We report novel, dynamic serotonin behavior after acute ESCIT doses, characterized by a rapid increase in stimulated serotonin release and a gradual rise in serotonin clearance over 120 min...
May 15, 2013: ACS Chemical Neuroscience
https://read.qxmd.com/read/23271894/escitalopram-for-the-management-of-major-depressive-disorder-a-review-of-its-efficacy-safety-and-patient-acceptability
#23
JOURNAL ARTICLE
Eiji Kirino
Escitalopram (escitalopram oxalate; Cipralex(®), Lexapro(®)) is a selective serotonin reuptake inhibitor (SSRI) used for the treatment of major depressive disorder (MDD) and anxiety disorder. This drug exerts a highly selective, potent, and dose-dependent inhibitory effect on the human serotonin transport. By inhibiting the reuptake of serotonin into presynaptic nerve endings, this drug enhances the activity of serotonin in the central nervous system. Escitalopram also has allosteric activity. Moreover, the possibility of interacting with other drugs is considered low...
2012: Patient Preference and Adherence
https://read.qxmd.com/read/22545320/new-findings-in-delusions-of-parasitosis
#24
JOURNAL ARTICLE
Michael J Fellner
Two new cases are presented with delusions of parasitosis. Both were women, one middle-aged and one elderly, and exhibited classic symptoms of parasites and "strings" in the skin indicative of Morgellons disease. Each had an additional psychiatric disorder: drug addiction to cocaine and senile dementia. They also illustrate the difficulty encountered by the dermatologist in providing adequate therapy because of resistance to psychiatric referral as well as to standard accepted medication. Newer psychotropics, such as risperdal and lexapro, show promise in helping these patients and add to the therapeutic armamentarium of pimozide...
March 2012: Skinmed
https://read.qxmd.com/read/22421011/a-question-about-the-potential-cardiac-toxicity-of-escitalopram
#25
COMMENT
Robert H Howland
Previous reviews have focused on the potential cardiac toxicity of the racemic drug citalopram (Celexa(®)). Evaluating the safety of escitalopram (Lexapro(®)) is an important issue to consider, since it is the S-enantiomer of citalopram. Escitalopram has a small effect on the QTc interval. A prolonged QTc was seen in 2% to 14% of escitalopram overdose cases, without serious cardiac sequelae. The QTc prolongation effect of citalopram in beagle dogs has been attributed to the minor metabolite racemic didemethylcitalopram (DDCT)...
April 2012: Journal of Psychosocial Nursing and Mental Health Services
https://read.qxmd.com/read/21415162/economic-impact-of-therapeutic-substitution-of-a-brand-selective-serotonin-reuptake-inhibitor-with-an-alternative-generic-selective-serotonin-reuptake-inhibitor-in-patients-with-major-depressive-disorder
#26
COMPARATIVE STUDY
Eric Q Wu, Andrew P Yu, Veronique Lauzon, Karthik Ramakrishnan, Maryna Marynchenko, Rym Ben-Hamadi, Steven Blum, M Haim Erder
BACKGROUND: To reduce pharmacy costs, managed care organizations encourage therapeutic substitution from brand to a generic product. However, little is known about whether these cost-containment strategies can also potentially lower total expenditures for payers in treatment of major depressive disorder (MDD). OBJECTIVE: To compare economic outcomes of patients with MDD who were switched from a brand selective serotonin reuptake inhibitor (SSRI) to an alternative generic SSRI for nonmedical reasons versus patients who continued on the brand SSRI...
April 2011: Annals of Pharmacotherapy
https://read.qxmd.com/read/20806989/escitalopram-a-review-of-its-use-in-the-management-of-major-depressive-disorder-in-adults
#27
REVIEW
Karly P Garnock-Jones, Paul L McCormack
Escitalopram (escitalopram oxalate; Cipralex, Lexapro), a selective serotonin reuptake inhibitor (SSRI) indicated for the treatment of major depressive disorder (MDD), demonstrates a highly selective and potent, dose-dependent inhibition of the human serotonin transporter, inhibiting serotonin reuptake into presynaptic nerve terminals and thus increasing serotonergic activity in the CNS. With regard to primary endpoints (such as improved scores on the Montgomery-Asberg Depression Rating Scale [MADRS] and the Hamilton Depression Rating Scale [HAM-D]), escitalopram was generally more effective than placebo, at least as effective as citalopram, and generally at least as effective as other comparator drugs, including the SSRIs fluoxetine, paroxetine and sertraline, the serotonin-noradrenaline (norepinephrine) reuptake inhibitors (SNRIs) venlafaxine extended release and duloxetine, and the aminoketone bupropion in adult patients with MDD in short-term, well designed trials...
September 2010: CNS Drugs
https://read.qxmd.com/read/20650049/comparative-bioavailability-of-two-escitalopram-formulations-in-healthy-human-volunteers
#28
RANDOMIZED CONTROLLED TRIAL
G D Mendes, T Babadopulos, F R Bau, L S Chen, G De Nucci
OBJECTIVE: To assess the bioequivalence of two escitalopram formulations (Test formulation: escitalopram (10 mg tablet) manufactured by Apsen Farmacêutica S.A.) Reference formulation: escitalopram (Lexapro; 10 mg tablet) from Lundbeck Brasil Ltda) in healthy volunteers of both sexes. METHODS: The study was conducted using an open, randomized, two-period crossover design with at least a 21-day washout interval. Plasma samples were obtained over a 168 h period. Plasma escitalopram concentrations were analyzed by liquid chromatography coupled to tandem mass spectrometry (LC-MS-MS) with positive ion electrospray ionization using multiple reaction monitoring (MRM)...
August 2010: International Journal of Clinical Pharmacology and Therapeutics
https://read.qxmd.com/read/19095159/tales-of-bugs-delusions-of-parasitosis-and-what-to-do
#29
JOURNAL ARTICLE
Michael J Fellner, Muhammad Hassan Majeed
Delusions of parasitosis are usually a monosymptomatic dermatopsychiatric disorder manifested by the fixed false belief that insects are crawling over the body producing an intractable itch. Also known as parasitophobia, this disease can also be associated with other psychiatric disorders, such as schizophrenia or obsessive compulsive disorders. In most cases, the delusion is encapsulated and other mental functions remain intact. Parasitophobia is usually seen in middle-aged women and has proven a vexing problem for dermatologists to treat because patients are often reluctant to obtain a psychiatric consultation and wary of taking antipsychotic or antidepressant medication...
2009: Clinics in Dermatology
https://read.qxmd.com/read/19091289/serotonin-syndrome-in-a-patient-taking-lexapro-and-flexeril-a-case-report
#30
JOURNAL ARTICLE
Luke T Day, Rebecca K Jeanmonod
The serotonin syndrome is a rare toxicological emergency increasingly seen in emergency practice, secondary to increased use of proserotinergic drugs. In this case report, the condition is described in a patient taking the selective serotonin reuptake inhibitor Lexapro and the muscle-relaxant Flexeril. Based on this case, Cyclobenzaprine should be considered on the growing list of medications that can precipitate the serotonin syndrome. With the increasing prevalence of proserotinergic polypharmacy, this uncommon toxidrome should be considered by the alert emergency medicine physician...
November 2008: American Journal of Emergency Medicine
https://read.qxmd.com/read/17439330/fluorimetric-quantitation-of-citalopram-and-escitalopram-in-plasma-developing-an-express-method-to-monitor-compliance-in-clinical-trials
#31
JOURNAL ARTICLE
Victor Serebruany, Alex Malinin, Vadim Dragan, Dan Atar, Louis van Zyl, Anatoly Dragan
BACKGROUND: Selective serotonin reuptake inhibitors (SSRIs) in general, and citalopram/escitalopram in particular, are widely used to treat clinical depression. However, SSRI bioavailability and non-compliance represent major issues, especially in the clinical trials setting. In this context, frequent drug-level measurements for compliance monitoring would be a desirable tool to improve clinical outcomes with SSRIs. However, the liquid chromatography techniques available are expensive, requiring excessive sample preparation, and suffer from high complexity...
2007: Clinical Chemistry and Laboratory Medicine: CCLM
https://read.qxmd.com/read/16953656/escitalopram-a-review-of-its-use-in-the-management-of-anxiety-disorders
#32
REVIEW
Sohita Dhillon, Lesley J Scott, Greg L Plosker
Escitalopram (Cipralex, Lexapro, Seroplex, Sipralexa), the therapeutically active S-enantiomer of racemic citalopram (RS-citalopram), is a potent and highly selective serotonin reuptake inhibitor. It is effective and generally well tolerated in the treatment of moderate to severe generalised anxiety disorder (GAD) or social anxiety disorder (SAD), panic disorder (with or without agoraphobia) as well as obsessive-compulsive disorder (OCD). Moreover, escitalopram is at least as effective as paroxetine for the treatment of GAD, SAD or OCD and appears to achieve a more rapid response than racemic citalopram in the management of panic disorder...
2006: CNS Drugs
https://read.qxmd.com/read/16478291/spotlight-on-escitalopram-in-the-management-of-major-depressive-disorder
#33
JOURNAL ARTICLE
David Murdoch, Susan J Keam
Escitalopram (Cipralex), Lexapro), the active S-enantiomer of the racemic SSRI citalopram (RS-citalopram), is a highly selective inhibitor of the serotonin transporter protein. It possesses a rapid onset of antidepressant activity, and is an effective and generally well tolerated treatment for moderate-to-severe major depressive disorder (MDD). Pooled analyses from an extensive clinical trial database suggest that escitalopram is consistently more effective than citalopram in moderate-to-severe MDD. Preliminary studies suggest that escitalopram is as effective as other SSRIs and the extended-release (XR) formulation of the serotonin/noradrenaline (norepinephrine) reuptake inhibitor venlafaxine, and may have cost-effectiveness and cost-utility advantages...
2006: CNS Drugs
https://read.qxmd.com/read/16477587/an-open-label-study-of-escitalopram-lexapro-for-the-treatment-of-depression-of-alzheimer-s-disease-dad
#34
JOURNAL ARTICLE
V Rao, J R Spiro, P B Rosenberg, H B Lee, A Rosenblatt, C G Lyketsos
BACKGROUND: Depression is a frequent neuropsychiatric complication of Alzheimer's Disease. METHODS: This study investigated the safety and effectiveness of escitalopram (LEXAPRO) for depression in AD (dAD) as defined by the NIMH consensus criteria in an 8-week, open-label treatment study. CONCLUSION: Escitalopram was efficacious and safe for the treatment of dAD in this study. Larger, controlled studies are warranted to further assess the efficacy for mood and behavioral disturbances in this medically fragile population...
March 2006: International Journal of Geriatric Psychiatry
https://read.qxmd.com/read/16266205/escitalopram-a-review-of-its-use-in-the-management-of-major-depressive-disorder
#35
REVIEW
David Murdoch, Susan J Keam
Escitalopram (Cipralex, Lexapro), the active S-enantiomer of the racemic selective serotonin reuptake inhibitor (SSRI) citalopram (RS-citalopram), is a highly selective inhibitor of the serotonin transporter protein. It possesses a rapid onset of antidepressant activity, and is an effective and generally well tolerated treatment for moderate-to-severe major depressive disorder (MDD). Pooled analyses from an extensive clinical trial database suggest that escitalopram is consistently more effective than citalopram in moderate-to-severe MDD...
2005: Drugs
https://read.qxmd.com/read/15206668/improved-potency-of-escitalopram-on-the-human-serotonin-transporter-demonstration-of-an-ex-vivo-assay-technique
#36
RANDOMIZED CONTROLLED TRIAL
Jeffrey L Rausch, Katina M Corley, H Mac Hobby
The potency of escitalopram ("Lexapro," s-citalopram, LU-26-054) was compared with that of racemic citalopram ("Celexa") using plasma samples from drug-treated normal controls applied to an assay of human serotonin [5-hydroxytryptamine (5-HT)] transport inhibition in blood platelets. Samples were available for both 4-hour and 24-day drug administration. The data indicated that 5-HT transport inhibition was fully manifest for each drug within 4 hours of administration, without significant increase in platelet transport inhibition by 24-day treatment...
April 2004: Journal of Clinical Psychopharmacology
https://read.qxmd.com/read/14677669/escitalopram-lexapro-for-depression
#37
REVIEW
Santhi Masilamani, Sara C Ruppelt
Escitalopram (Lexapro) is the active s-enantiomer of the selective serotonin reuptake inhibitor (SSRI), citalopram (Celexa). It is labeled for the treatment of major depressive disorder.
December 1, 2003: American Family Physician
https://read.qxmd.com/read/12888468/there-is-a-new-antidepressant-escitalopram-lexapro-that-is-a-cousin-of-citalopram-celexa-how-are-these-two-different-and-does-the-newer-drug-have-any-advantages
#38
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
July 2003: Harvard Mental Health Letter
https://read.qxmd.com/read/12387707/escitalopram
#39
REVIEW
William J Burke
Escitalopram oxalate (S-citalopram, Lexapro), a selective serotonin re-uptake inhibitor antidepressant which is the S-enantiomer of citalopram, is in clinical development worldwide for the treatment of depression and anxiety disorders. Preclinical studies demonstrate that the therapeutic activity of citalopram resides in the S-isomer and that escitalopram binds with high affinity to the human serotonin transporter. Conversely, R-citalopram is approximately 30-fold less potent than escitalopram at this transporter...
October 2002: Expert Opinion on Investigational Drugs
https://read.qxmd.com/read/12360121/escitalopram-lexapro-for-depression
#40
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
September 30, 2002: Medical Letter on Drugs and Therapeutics
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