Lexapro (escitalopram) Disease Interactions
There are 7 disease interactions with Lexapro (escitalopram):
Citalopram (Includes Lexapro) ↔ Renal Dysfunction
Moderate Potential Hazard, Low plausibility
Applies to: Renal Dysfunction
Citalopram (racemic) and escitalopram (the more pharmacologically active S-enantiomer) are extensively metabolized and only small amounts are excreted unchanged in the urine. No dosage adjustments are necessary in patients with mild to moderate renal impairment, as the oral clearance of citalopram has been shown to decrease only modestly (17%) in these patients compared to those with normal renal function. There is no information on the pharmacokinetics of citalopram or escitalopram in patients with severe renal impairment (CrCl < 20 mL/min). Therapy with these agents should be administered cautiously in such patients.
Ssris (Includes Lexapro) ↔ Liver Disease
Moderate Potential Hazard, High plausibility
Applies to: Liver Disease
Selective serotonin reuptake inhibitors (SSRIs) are primarily metabolized by the liver. The plasma concentrations of SSRIs and their metabolites may be increased and the half-lives prolonged in patients with impaired hepatic function. Dosage adjustments may be necessary in accordance with the individual product package labeling.
Ssris (Includes Lexapro) ↔ Mania
Moderate Potential Hazard, Moderate plausibility
Applies to: Bipolar Disorder, Mania
Selective serotonin reuptake inhibitors (SSRIs), like other antidepressants, may occasionally cause mania or hypomania. The reported incidence ranged from 0.1% to 2% in premarketing testing of several SSRIs. Patients with bipolar disorder are generally more likely to experience mania from antidepressants. Therapy with SSRIs should be administered cautiously in patients with a history of mania or bipolar disorder.
Ssris (Includes Lexapro) ↔ Platelet Function
Moderate Potential Hazard, High plausibility
Applies to: Bleeding, Coagulation Defect, Thrombocytopathy, Thrombocytopenia, Vitamin K Deficiency
The use of selective serotonin reuptake inhibitors (SSRIs) has been associated with altered platelet function. Petechiae, purpura, ecchymosis, increased bleeding times, epistaxis and gastrointestinal hemorrhage have been reported. Therapy with SSRIs should be administered cautiously in patients with severe active bleeding or a hemorrhagic diathesis.
Ssris (Includes Lexapro) ↔ Seizure Disorders
Moderate Potential Hazard, Moderate plausibility
Applies to: Seizures
Selective serotonin reuptake inhibitors (SSRIs) may trigger seizures in approximately 0.2% of patients. Therapy with SSRIs should be administered cautiously in patients with seizure disorders.
Ssris (Includes Lexapro) ↔ Siadh
Moderate Potential Hazard, Moderate plausibility
Applies to: Dehydration, Hyponatremia, SIADH
The use of selective serotonin reuptake inhibitors (SSRIs) has rarely been associated with hyponatremia, sometimes secondary to development of the syndrome of inappropriate secretion of antidiuretic hormone (SIADH). These events have generally been reversible following discontinuation of SSRI therapy and/or medical intervention. SSRI-related hyponatremia may be more common in elderly female patients and those who are volume-depleted or receiving concomitant diuretic therapy. Caution may be warranted when SSRI therapy is administered in these patients and patients with preexisting hyponatremia or SIADH. Serum electrolytes, especially sodium as well as BUN and plasma creatinine, should be monitored regularly.
Ssris (Includes Lexapro) ↔ Weight Loss
Minor Potential Hazard, Moderate plausibility
Applies to: Anorexia/Feeding Problems, Malnourished, Weight Loss/Failure to Thrive
The use of selective serotonin reuptake inhibitors (SSRIs) may occasionally cause significant weight loss, which may be undesirable in patients suffering from anorexia, malnutrition or excessive weight loss. Anorexia may occur in approximately 5% to 10% of patients. Weight change should be monitored during therapy if an SSRI is used in these patients.
You should also know about...
Lexapro (escitalopram) drug Interactions
There are 986 drug interactions with Lexapro (escitalopram)
Lexapro (escitalopram) alcohol/food Interactions
There is 1 alcohol/food interaction with Lexapro (escitalopram)
See also...
Drug Interaction Classification
The classifications below are a general guideline only. It is difficult to determine the relevance of a particular drug interaction to any individual given the large number of variables.
| Major | Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. |
| Moderate | Moderately clinically significant. Usually avoid combinations; use it only under special circumstances. |
| Minor | Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. |
Do not stop taking any medications without consulting your healthcare provider.
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