OX (LEXAPRO) INDICATIONS
Ox is used for treating depression or generalized anxiety disorder. Ox is a selective serotonin reuptake inhibitor (SSRI). It works by restoring the balance of serotonin, a natural substance in the brain, which helps to improve certain mood problems.
OX (LEXAPRO) INSTRUCTIONS
Use Ox as directed by your doctor.
- Take Ox by mouth with or without food.
- Taking Ox at the same time each day will help you remember to take it.
- Continue to take Ox even if you feel well. Do not miss any dose.
- Do not suddenly stop taking Ox without checking with your doctor. Side effects may occur. They may include mental or mood changes, numbness or tingling of the skin, dizziness, confusion, headache, trouble sleeping, or unusual tiredness. You will be closely monitored when you start Ox and whenever a change in dose is made.
- If you miss a dose of Ox, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Ox.
OX (LEXAPRO) STORAGE
Store Ox at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Ox out of the reach of children and away from pets.
OX (LEXAPRO) MORE INFO:
Active Ingredient: Escitalopram oxalate.
Do NOT use Ox if:
- you are allergic to any ingredient in Ox
- you are taking citalopram
- you are taking or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort within the last 14 days
- you are taking a fenfluramine derivative (eg, dexfenfluramine), an H1
Contact your doctor or health care provider right away if any of these apply to you.
Some medical conditions may interact with Ox. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you or a family member has a history of bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
- if you have a history of seizures, liver problems, severe kidney problems, stomach or bowel bleeding, or metabolism problems
- if you are dehydrated, have low blood sodium levels, or drink alcohol
- if you will be having electroconvulsive therapy (ECT).
Some medicines may interact with Ox. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Fenfluramine derivatives (eg, dexfenfluramine), linezolid, lithium, MAOIs (eg, phenelzine), metoclopramide, nefazodone, selegiline, serotonin 5-HT1
- Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) because the risk of bleeding, including stomach bleeding, may be increased
- Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood sodium levels may be increased
- Tramadol because the risk of seizures may be increased
- Carbamazepine or cyproheptadine because they may decrease Ox's effectiveness
- Clozapine, pimozide, risperidone, or tricyclic antidepressants (eg, amitriptyline) because the risk of their side effects may be increased by Ox.
This may not be a complete list of all interactions that may occur. Ask your health care provider if Ox may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
Important safety information:
- Ox may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Ox with caution. Do not drive or perform other possible unsafe tasks until you know how you react to it.
- Do not drink alcohol while you are using Ox.
- Check with your doctor before you use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Ox; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
- One to 4 weeks may pass before your symptoms improve. Do NOT take more than the recommended dose, change your dose, or use Ox for longer than prescribed without checking with your doctor.
- Children, teenagers, and young adults who take Ox may be at increased risk for suicidal thoughts or actions. Watch all patients who take Ox closely. Contact the doctor at once if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur.
- Ox and a medicine called citalopram have the same active ingredient. Do not take Ox if you are also taking citalopram.
- If your doctor tells you to stop taking Ox, you will need to wait for several weeks before beginning to take certain other medicines (eg, MAOIs, nefazodone). Ask your doctor when you should start to take your new medicines after you have stopped taking Ox.
- Ox may rarely cause a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.
- Serotonin syndrome is a possibly fatal syndrome that can be caused by Ox. Your risk may be greater if you take Ox with certain other medicines (eg, "triptans," MAOIs). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea, vomiting, or diarrhea. Contact your doctor at once if you have any of these symptoms.
- Neuroleptic malignant syndrome (NMS) is a possibly fatal syndrome that can be caused by Ox. Symptoms may include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor at once if you have any of these symptoms.
- Use Ox with caution in the elderly; they may be more sensitive to its effects, especially low blood sodium levels.
- Caution is advised when using Ox in children; they may be more sensitive to its effects, especially increased risk of suicidal thoughts or actions.
- Ox should be used with extreme caution in children younger 12 years; safety and effectiveness in these children have not been confirmed.
- Ox may cause weight changes. Children and teenagers may need regular weight and growth checks while they take Ox.
- Pregnancy and breast-feeding: Ox may cause harm to the fetus if it is used during the last 3 months of pregnancy. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Ox while you are pregnant. Ox is found in breast milk. Do not breastfeed while taking Ox.
All medicines may cause side effects, but many people have no, or minor, side effects.
Check with your doctor if any of these most common side effects persist or become bothersome:
Constipation; decreased sexual desire or ability; diarrhea; dizziness; drowsiness; dry mouth; headache; increased sweating; lightheadedness when you stand or sit up; loss of appetite; nausea; stomach upset; tiredness; trouble sleeping.
Seek medical attention right away if any of these severe side effects occur:
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bizarre behavior; black or bloody stools; chest pain; confusion; decreased concentration; decreased coordination; fainting; fast or irregular heartbeat; hallucinations; memory loss; menstrual period changes; new or worsening agitation, panic attacks, aggressiveness, impulsiveness, irritability, hostility, exaggerated feeling of well-being, restlessness, or inability to sit still; persistent or severe ringing in the ears;persistent, painful erection; red, swollen, blistered, or peeling skin; seizures; severe or persistent anxiety or trouble sleeping; severe or persistent headache; stomach pain; suicidal thoughts or attempts; tremor; unusual bruising or bleeding; unusual or severe mental or mood changes; unusual weakness; vision changes; worsening of depression.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider.