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Cipralex

Escitalopram

Cipralex is an antidepressant which contains the active ingredient escitalopram. It belongs to a group of medicines known as SSRIs (selective serotonin reuptake inhibitors).

If you want to buy Cipralex online, you can only do so with a prescription. Our video consultation service allows you to consult one of our registered clinicians, who can provide advice regarding your symptoms, issue prescriptions or treatment, or refer you to specialists, where appropriate.

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Contains 5mg escitalopram oxalate.

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£ 29

This page is only to be used as an informative guide for this treatment. The price above is indicative of the cost of the treatment alone, and does not include the consultation fee (£25), prescribing fee (£9) and the 24 hour delivery fee (£5.50) if you choose to have the treatment dispensed at our pharmacy.

Contains 5mg escitalopram oxalate.

£40.00 Save 0
£ 40

This page is only to be used as an informative guide for this treatment. The price above is indicative of the cost of the treatment alone, and does not include the consultation fee (£25), prescribing fee (£9) and the 24 hour delivery fee (£5.50) if you choose to have the treatment dispensed at our pharmacy.

Contains 5mg escitalopram oxalate.

£23.00 Save 0
£ 23

This page is only to be used as an informative guide for this treatment. The price above is indicative of the cost of the treatment alone, and does not include the consultation fee (£25), prescribing fee (£9) and the 24 hour delivery fee (£5.50) if you choose to have the treatment dispensed at our pharmacy.

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Cipralex is an antidepressant which contains the active ingredient escitalopram. It belongs to a group of medicines known as SSRIs (selective serotonin reuptake inhibitors).

If you want to buy Cipralex online, you can only do so with a prescription. Our video consultation service allows you to consult one of our registered clinicians, who can provide advice regarding your symptoms, issue prescriptions or treatment, or refer you to specialists, where appropriate.

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Product information

What is Cipralex and how does it work? 

Cipralex contains the active ingredient escitalopram. Escitalopram belongs to a family of medications known as SSRIs (selective serotonin reuptake inhibitors). One leading factor in determining mental illness may surround serotonin levels in the brain. Low levels of this hormone have been linked with depression, anxiety and other mental health problems. While serotonin has several important functions in the body, it is thought to have an important role in regulating mood. 

The active ingredient in Cipralex, escitalopram, increases serotonin in the body. It can take time, in some cases several weeks, for these types of treatments to work, and for the symptoms of depression and anxiety-related disorders to begin to subside. 

Cipralex and depression

This treatment is used to help people who are experiencing depression. Depression is a persistent feeling of unhappiness, or a continual or recurring low mood. However, the condition is not alway easy to define. There are several different types and a clinical diagnosis isn’t always straightforward. The NHS mood self-assessment tool may serve as a useful guide, here. However, it’s important to note that this is only a guide, and should not be treated as a tool for self-diagnosis. If you think you may be experiencing depression, or any other mental health condition, we strongly recommend that you make an appointment with your doctor or a mental health specialist. 

Depression can be caused by a number of things, including life-changing events (such as a family bereavement or the end of a career). It can also stem from traumatic experiences. In some cases, depression may also be linked to a family history of mental illness. 

There is thought to be a connection between experiencing depression and low-levels of serotonin. One or a combination of these factors may play a role in the quality of an individual's mental health. 

Cipralex and anxiety disorders

Cipralex may also be used as a treatment for a number of other mental illnesses, often related in some way to generalised anxiety disorder. These illnesses include panic disorder, obsessive compulsive disorder (OCD) and social anxiety disorder. 

Panic disorder is linked with generalised anxiety disorder. It is characterised by regular episodes of feeling scared, fearful and panicked. It is also often associated with panic attacks, which are defined as a rush of mental and physical symptoms which can often feel unpleasant and uncomfortable. Symptoms of panic attacks may include an increased heart rate, feeling dizzy or faint, increased perspiration, pain in the chest area, trembling, tightness in the throat, numbness, ringing, the need to go to the toilet, an impending sense of dread, and feeling as if you are not connected to your body. Panic attacks can occur at different times for different people. Some experience frequent attacks, some less so. The frequency of a person’s panic attacks is thought to be linked with the severity of their condition. 

With panic disorder, feelings of panic or dread can occur as a consequence of specific triggers, or they may not have an identifiable trigger as such. Panic attacks can be linked with past trauma. If you think you may have a panic disorder, or think you’ve had a panic attack, seek an appointment with your general practitioner who can offer guidance on the next appropriate steps. 

Obsessive compulsive disorder (OCD) is a common mental health problem. It causes people to have obsessive or compulsive thoughts. It can develop in any person at any age, but there is thought to be a correlation between people experiencing OCD for the first time and puberty. To further understand this disorder, it helps to be aware of how it is defined. ‘Obsessive’ is defined as an idea that is hard to shake and continually occupies the mind. ‘Compulsive’ is defined as an ‘irresistible urge’ undertaken to try and relieve symptoms of the obsession. 

Obsessive compulsive disorder occurs when an obsessive thought gives rise to feelings of anxiety. People then try to combat the anxious feelings with a compulsive behaviour which then, for a time, relieves their anxiety. These four competing symptoms can act like a recurring cycle. 

For example:

  1. Someone has the idea that they may become ill as a result of harmful bacteria. 
  2. This causes them to feel anxious. 
  3. To combat this anxiety, they clean their house compulsively. 
  4. This cleaning process relieves symptoms of their anxiety, but only for a certain period of time.

There are treatments for OCD that can help. These may include various therapies, including cognitive behavioural therapy (CBT). Medication is thought to be another useful method of treatment. 

Getting cipralex online

If you think you may be experiencing depression, or an anxiety disorder, and it is the first instance of you noticing symptoms, you should make an appointment with your doctor or a mental health specialist. This will allow for a proper diagnosis to be made. 

Our video consultation service enables you to speak to one of our GPhC-registered doctors online. Our clinicians can offer advice, refer you to an expert, or prescribe treatment where appropriate. 

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Page last reviewed:  15/05/2020
Directions
  1. In most instances, a 10mg starting dose will be prescribed. 
  2. For certain mental health problems, a smaller dose of 5mg may be issued. 
  3. If symptoms do not improve after a couple of weeks, the dosage may be increased to 20mg. 
  4. It may take a couple of weeks before you begin to feel better. 
  5. Do not stop taking this treatment unless instructed. 
  6. Swallow your dose whole, with water. 
  7. Never change your dose unless instructed by a doctor. 
  8. If you think you’ve taken too much, seek immediate medical attention. 
  9. If you forget to take a dose, skip the dose you forgot to take and continue following your treatment course the following day.
Page last reviewed:  15/05/2020
Please read the patient information leaflet for this medicine fully before use:

Cipralex 5mg

Cipralex 10mg

Cipralex 20mg

Side effects

Side effects

People who take Lustral won’t always get side effects, but it’s important to be aware of what potential side effects may look like. If you notice any severe side effects such as an allergic reaction or suicidal thoughts, seek medical attention immediately.

Very common (1 in 10 people or more):

Feeling drowsy, tired or dizzy, an inability to sleep or problems relating to sleep, nausea, diarrhoea, headaches, erectile problems, fatigue or dry mouth. 

Common (1 in 10 people or less):

Sore throat, runny nose, reduced appetite, increased appetite, symptoms of anxiety, depression, agitation, loss in libido, feeling nervous, feeling strange, nightmares, teeth grinding, shaking, problems with the muscles including jerking or convulsions, sensations of numbness and/or tingling, tense or tight muscles, short attention span, changed taste, visual disturbance, audible ringing, palpitations, hot flushes, yawning,  upset stomach, constipation, abdominal pain, vomiting, gas, increased sweating, rash,  back pain, joint pain, muscle pain, menstrual irregularities, erectile dysfunction,  malaise, chest pain, weakness, fever, weight increased or injury. 

Uncommon (may affect up to 1 in 100 people):

Vomiting, diarrhoea, ear infection, tumours, hypersensitivity, seasonal allergies, low thyroid hormones, suicidal thoughts, suicidal behaviour, psychotic disorder, thinking abnormally, lack of caring, hallucinations, feeling aggressive, euphoric mood, paranoia,  amnesia, decreased feeling, involuntary muscle contractions, passing out, moving a lot, migraines, convulsions, dizziness while standing up, abnormal coordination, speech disorder, enlarged pupils, ear pain, fast heartbeat, heart problems, bleeding problems, internal bleeding, high blood pressure, hot flushes, blood in urine, shortness of breath, nose bleeds, respiratory problems, wheezing, red or blackened stool, tooth decay or tooth disease, gum problems, swollen wind-pipe, inflamed tongue, haemorrhoids, increased saliva, difficulty swallowing, burping, eye swelling, hives, hair loss, itching, spots or blemishes on the skin, blisters, dry skin, face oedema, cold sweat, osteoarthritis, muscle twitching, muscle cramps, muscular weakness, increase in frequency of urination, problem urinating unable to urinate, urinary incontinence, increase in urination, nighttime urination,  sexual dysfunction, excessive vaginal bleeding, vaginal haemorrhage, female sexual dysfunction, swelling in the legs, chills, difficulty walking, thirst, increase in liver enzyme levels, weight loss. 

Rare (may affect up to 1 in 1,000 people)

Diverticulitis, swollen lymph glands, decrease in clotting cells, decrease in white blood cells, severe allergic reaction, endocrine problems, high cholesterol, diabetic problems, low blood sugar, increase in blood sugar levels, low blood salt, physical symptoms due to stress or emotions, terrifying abnormal dreams, drug dependence, sleep walking, premature ejaculation, coma, abnormal movements, difficulty moving, increased sensation, sudden severe headache, sensory disturbance, spots in front of eyes, glaucoma, double vision, light hurts eye, blood in the eye, unequal sized pupils, vision abnormal, tear problem,  heart attack, light-headedness, fainting, or chest discomfort or heart irregularities, slow heartbeat, poor circulation of arms and legs, breathing fast, scarring of lung tissue, closing up of the throat, difficulty talking, breathing slow, hiccups, mouth ulceration, pancreatitis, blood in stool, tongue ulceration, sore mouth,  problems with liver function, serious liver function problems, jaundice, skin reaction to sun, skin oedema, hair texture abnormal, skin odour abnormal, hair rash, breakdown of muscle tissue, bone disorder, urinary hesitation, decreased urination, breast discharge, dry vaginal area, genital discharge, red painful penis and foreskin, breast enlargement, prolonged erection, hernia, drug tolerance decreased, increase in blood cholesterol levels, abnormal laboratory tests, semen abnormality, problems with clotting,  relaxation of blood vessels. 

Frequency unknown: 

Wetting the bed, lockjaw.

Warnings

Conditions to look out for

Certain medications are not suitable for everyone. It is vital you make your prescriber aware of any past or current medical conditions you have.

It is especially important that you tell your prescriber if you suffer from, or have ever suffered with, a history of fits or epilepsy, bipolar disorder, manic depressive disorder, schizophrenia, suicidal thoughts, depression, serotonin syndrome, lower sodium levels in the blood, liver disease, diabetes, bleeding disorders or blood thinning medication, eye problems or any form of heart disease. 

This treatment may not be suitable for certain elderly people. If you are pregnant or breastfeeding, this must also be brought to the attention of your prescriber. 

Taking it with other medications

It's important that you tell your prescriber about any other medications you may be taking. Do not take Lustral if you are allergic to its active ingredient, sertraline, if you are taking monoamine oxidase inhibitors such as selegiline or moclobemide, or if you are taking medication for psychosis such as pimozide or any other medication for any other mental disorder. 

Driving and operating machinery 

Because Lustral can cause tiredness, drowsiness or similar side effects, some people opt to take their medication during the evening at a time they know they will not have to drive or operate machinery. 

If these side effects are present in the morning, and you still feel tired, dizzy or drowsy, driving or operating any machinery is not advisable. 

Food, drink and alcohol

There are no specific foods or drinks that cannot be consumed in conjunction with this treatment. The only drinks you should not consume with this medication are alcohol and grapefruit juice. Alcohol can boost your mood in the short-term, but in the long-term will serve to lower mood and can exacerbate side effects associated with this treatment. 

Fertility

The effect on sperm count and fertility is unknown in humans. 

Page last reviewed:  15/05/2020
Please read the patient information leaflet for this medicine fully before use:

Cipralex 5mg

Cipralex 10mg

Cipralex 20mg

Q&A

Can I still drink alcohol?

We do not recommend mixing alcohol with this treatment.

Will I still be able to drive?

Not if you encounter any side effects that are related to physical impairment or competency, such as dizziness or tiredness. 

Can I take the medicine while pregnant?

No, this treatment should not be taken while pregnant or breastfeeding. 

How should I store it?

No temperature requirements are associated with this treatment. Keep it in a dry place out of reach of children. 

Am I allergic to anything in the medicine?

This medicine contains escitalopram as the active ingredient. It also contains microcrystalline cellulose, colloidal anhydrous silica, talc, croscarmellose sodium and magnesium stearate and hypromellose, macrogol 400 and titanium dioxide (E 171).

Is it available over-the-counter?

No. This is a prescription-only medication. 

Is it possible to buy Sertraline online?

Yes. However, if you encounter any symptoms of depression, anxiety or any other mental illness, we advise that you make an appointment with your GP or see a mental health specialist, in order for a proper diagnosis to be made and so that all options of treatment can be discussed. 

Following consultation, you can order Cipralex online pending a prescription, which may be issued through our service. Our consultants are GMC-registered doctors who work from 9am to 5pm, Monday to Friday. They can offer advice and guidance, put you in touch with specialists or prescribe treatment. 

Page last reviewed:  15/05/2020
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