Antidepressants · SSRIs
Escitalopram
Brand: Lexapro
Selective serotonin reuptake inhibitor (SSRI)
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1.Why is escitalopram called the 'cleanest' SSRI?
2.Escitalopram dose range, and what is the max dose in elderly/hepatic impairment?
3.What cardiac risk does escitalopram carry at higher doses, and when should you get an ECG?
4.What is the conversion between citalopram and escitalopram, and when does it matter?
5.A patient is on aripiprazole + metoprolol (both CYP2D6 substrates). Why is escitalopram the safest SSRI choice?
6.An elderly patient on escitalopram + HCTZ develops confusion. Sodium is 124. What happened?
7.Why must you counsel patients about NSAIDs and anticoagulants when starting any SSRI?
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