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Escitalopram, tablets are used to relieve the symptoms of depression, anxiety, and obsessive-compulsive disorder (OCD) in adults. This medication works by increasing the levels of serotonin, a natural substance in the brain that helps maintain mental balance.
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Mysimba Prolonged-Release Tablets are a prescription-only weight loss aid that contain the active ingredients: naltrexone hydrochloride and bupropion hydrochloride. Naltrexone works by reducing food cravings, whilst bupropion reduces appetite.
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Mysimba tablets are a weight loss medication that contains two active substances: naltrexone hydrochloride and bupropion hydrochloride. To be used in obese or overweight adults, Mysimba aims to manage weight when combined with reduced caloric intake and more physical exercise.
Obesity in adults over the age of 18 years of age is defined as a body mass index greater than or equal to 30 and overweight adults over 18 years of age is defined as a body mass index greater than or equal to 27 and less than 30.
Achieving a healthy weight can be a struggle for many people in the UK despite exercising and having a well-balanced calorie-controlled diet. Mysimba is approved for use in patients with an initial body max index of 30 or greater; it can also be given to those with a body mass index between 27 and 30 if they have additional weight-related conditions such as controlled high blood pressure, type 2 diabetes or high levels of lipid in the blood.
Mysimba tablets may be discontinued by a doctor after 16 weeks if the patient hasn’t lost at least 5 percent of their initial body weight. Treatment may also be stopped if there is any concern about increased blood pressure or other concerns regarding the safety and tolerability of this medicine.
Mysimba UKMysimba are only used when your pharmacist or doctor thinks it’s the right medicine for you. Mysimba UK is only available via prescription, with Alli being the only weight loss medication product available over the counter. This is directly from pharmacies and under the supervision of a pharmacist.
Once a Mysimba Tablets course has been started, after 16 weeks your GP or doctor may order a review. This review will cover whether or not you’ve lost weight and will give your GP or doctor the information needed to see if you should continue using Mysimba tablets.
If you have been losing weight and are making steady progress, your doctor may suggest to you that you continue using. They’ll also discuss any further benefits, limitations, and short/long-term side effects with you.
Mysimba Before And AfterMysimba Tablets Before And After will vary, person to person. Some people may notice a slight difference when using this medicine, whilst others may notice more of a significant effect.
Although you may find it difficult to find images of Mysimba Before And After, you may be able to seek out reviewers and or users of this product and ask them directly what they thought of this medicine.
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Escitalopram, tablets are used to relieve the symptoms of depression, anxiety, and obsessive-compulsive disorder (OCD) in adults. This medication works by increasing the levels of serotonin, a natural substance in the brain that helps maintain mental balance.
Escitalopram is a widely prescribed antidepressant medication that belongs to a class of drugs known as Selective Serotonin Reuptake Inhibitors (SSRIs). It is primarily used to treat major depressive disorder (MDD) and generalized anxiety disorder (GAD). Below is a comprehensive overview of the drug:
🔬 Chemical and Pharmacological DetailsGeneric Name: Escitalopram
Brand Names: Lexapro (USA), Cipralex (EU), among others
Chemical Structure: (S)-(+)-1-[3-(Dimethylamino)propyl]-1-(4-fluorophenyl)-1,3-dihydroisobenzofuran-5-carbonitrile
Molecular Formula: C20H21FN2O
Drug Class: SSRI (Selective Serotonin Reuptake Inhibitor)
Escitalopram is the S-enantiomer of citalopram, meaning it is the more pharmacologically active part of the citalopram molecule.
🧠 Mechanism of ActionEscitalopram works by increasing serotonin levels in the brain. It does this by inhibiting the reuptake (reabsorption) of serotonin (5-HT) into the presynaptic neuron, thereby increasing its availability in the synaptic cleft. This improved serotonin signaling is believed to enhance mood and reduce anxiety.
💊 Therapeutic UsesMajor Depressive Disorder (MDD)
Generalized Anxiety Disorder (GAD)
Obsessive-Compulsive Disorder (OCD) – off-label
Panic Disorder – off-label
Social Anxiety Disorder (SAD) – off-label
Post-Traumatic Stress Disorder (PTSD) – off-label
Premenstrual Dysphoric Disorder (PMDD) – off-label
Typical Adult Dose for Depression or Anxiety:
Initial: 10 mg once daily
Maximum: 20 mg/day
Elderly or Hepatic Impairment:
Recommended: Start at 5 mg daily
Pediatric Use:
Approved for adolescents (≥12 years) in some countries
It is usually taken orally once daily, with or without food.
⏳ PharmacokineticsBioavailability: ~80%
Time to peak plasma concentration: 4–5 hours
Half-life: ~27–32 hours
Metabolism: Primarily in the liver via CYP2C19, CYP2D6, and CYP3A4
Excretion: Renal (kidneys)
Black Box Warning (USA): May increase the risk of suicidal thoughts and behaviors in children, adolescents, and young adults.
Serotonin Syndrome: Risk increases when combined with other serotonergic agents (e.g., MAOIs, triptans, tramadol).
QT Prolongation: Can cause abnormal heart rhythms at higher doses.
Discontinuation Syndrome: Abrupt stopping may lead to symptoms like dizziness, insomnia, irritability, and brain “zaps”.
Nausea
Headache
Drowsiness or insomnia
Dry mouth
Increased sweating
Sexual dysfunction (e.g., decreased libido, delayed ejaculation)
Fatigue or dizziness
Appetite or weight changes
Concurrent use with monoamine oxidase inhibitors (MAOIs)
Known hypersensitivity to escitalopram or citalopram
Use with pimozide (due to QT prolongation risk)
MAOIs: Risk of serotonin syndrome; avoid concurrent use
NSAIDs, anticoagulants: Increased risk of bleeding
Other SSRIs/SNRIs: Risk of serotonin syndrome
CYP enzyme inhibitors/inducers: May affect escitalopram levels
Alcohol: Escitalopram does not potentiate alcohol effects, but caution is still advised
Pregnancy Category (varies by country): C
Potential risks include persistent pulmonary hypertension of the newborn (PPHN) and neonatal withdrawal syndrome
Breastfeeding: Present in breast milk; caution advised
Individuals with CYP2C19 poor metabolizer status may have increased drug levels and a higher risk of side effects.
Genetic testing can help guide dosing in some cases.
Compared to other SSRIs:
More selective for serotonin reuptake inhibition
Generally better tolerated
Fewer drug-drug interactions
Commonly preferred in the elderly and those sensitive to side effects
The morning-after pill is a form of emergency contraception used to help prevent pregnancy after unprotected sex or if regular birth control fails (e.g., condom break, missed pills).
💊 Types of Morning-After PillsLevonorgestrel-based pills
Examples: Plan B One-Step, Take Action, Levonelle.
Most effective when taken within 72 hours (3 days) after unprotected sex.
Effectiveness decreases the longer you wait.
Ulipristal acetate pill
Example: ella.
Can be taken within 120 hours (5 days).
Maintains effectiveness better over the 5-day period than levonorgestrel.
Prevents or delays ovulation (release of an egg from the ovary).
May also prevent fertilization or implantation of a fertilized egg.
Does NOT end an existing pregnancy — it’s not an abortion pill.
As soon as possible after unprotected sex.
The sooner it’s taken, the more effective it is.
Available in most pharmacies without a prescription in many countries.
Common:
Nausea
Fatigue
Headache
Breast tenderness
Changes in next menstrual period (earlier, later, heavier, or lighter)
Rare but serious:
Allergic reaction
Severe abdominal pain (could indicate ectopic pregnancy — seek medical help)
Not for regular birth control — less effective than standard contraception.
If you vomit within 2 hours of taking it, you may need another dose.
May be less effective for people with higher body weight/BMI (especially levonorgestrel-based pills).
If your period is more than a week late, take a pregnancy test.