Concerns About Escitalo F.C. 5mg: Addiction and Withdrawal Symptoms - Psychiatry

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The medication Escitalo F.C. 5mg is used for the treatment of depression and anxiety disorders?


Hello, Doctor: I would like to ask if taking this medication, Escitalopram 5mg and Stapam 0.5mg, can lead to addiction? Are there withdrawal symptoms associated with it? My doctor did not inform me about the diagnosis of my symptoms, which is why this medication was prescribed.
The doctor mentioned that taking these medications could cause nausea and vomiting.
When I wanted to discuss my concerns in detail, the doctor told me that we could only confirm the symptoms during my next appointment.
Since this is my first time taking this medication, I am very worried about potential adverse effects, which is why I have been hesitant to take it...

Zhixuan, 30~39 year old female. Ask Date: 2015/09/17

Dr. Qiu Junda reply Psychiatry


Hello: This should involve two types of medications.
Medication E is a low-dose antidepressant (which may indeed have side effects such as nausea and vomiting, but these are not guaranteed to occur).
Medication S is an anxiolytic, and suddenly discontinuing long-term use at high doses may lead to withdrawal symptoms.
However, as long as you cooperate well with your physician, these can be avoided.
It is recommended that you continue with the treatment, and if you experience any side effects after taking the medication, please communicate with your physician for further evaluation and management.

Reply Date: 2015/09/17

More Info


Escitalopram, marketed under the brand name Escitalo F.C. 5mg, is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for the treatment of depression and anxiety disorders. Your concerns about addiction and withdrawal symptoms are valid, especially since this is your first experience with this medication.

To address your primary concern, escitalopram is generally not considered addictive in the same way that substances like opioids or benzodiazepines are. SSRIs, including escitalopram, work by increasing the levels of serotonin in the brain, which can help improve mood and reduce anxiety. Unlike some other classes of medications, SSRIs do not produce a euphoric "high," which is often associated with addiction. Therefore, the risk of developing a dependency on escitalopram is low.

However, it is important to note that while escitalopram is not addictive, discontinuing it suddenly can lead to withdrawal symptoms, sometimes referred to as "discontinuation syndrome." These symptoms can include dizziness, nausea, headaches, fatigue, irritability, and flu-like symptoms. The likelihood and severity of withdrawal symptoms can vary from person to person, and they are more common if the medication is stopped abruptly rather than tapered off gradually. For this reason, it is crucial to follow your physician's guidance regarding dosage and discontinuation.

Regarding the side effects you mentioned, such as nausea and vomiting, these are indeed common initial side effects of escitalopram. Many patients experience gastrointestinal disturbances when they first start the medication, but these symptoms often subside after a few weeks as the body adjusts to the medication. If you find that these side effects are persistent or intolerable, it is essential to communicate this with your healthcare provider, as they may need to adjust your dosage or consider alternative treatments.

It is also understandable that you feel anxious about taking a new medication, especially when you have not received a clear diagnosis or explanation from your doctor. Open communication with your healthcare provider is vital. If you have concerns about your diagnosis or the medication prescribed, do not hesitate to ask for clarification. You have the right to understand your treatment plan fully, including the reasons for prescribing escitalopram and what symptoms it is intended to address.

Lastly, if you are experiencing distressing symptoms, such as seeing yourself cry from a third-person perspective, it may be beneficial to discuss these experiences with your doctor. Such symptoms could indicate underlying emotional distress that may require additional therapeutic support, such as counseling or psychotherapy.

In summary, while escitalopram is not considered addictive, it is essential to use it under the guidance of a healthcare professional. Be sure to discuss any side effects or concerns with your doctor, and consider seeking additional support if you are struggling with your mental health. Your well-being is the priority, and there are many resources available to help you navigate this process.

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