Zanrel-10 Tablets
Zanrel-10 contains Escitalopram (10mg), a selective serotonin reuptake inhibitor (SSRI) antidepressant. It restores serotonin balance in the brain, improving mood, sleep, appetite, energy, and reducing anxiety. It is prescribed for depression, generalized anxiety disorder (GAD), panic disorder, obsessive-compulsive disorder (OCD), and related conditions.
Ingredients
Active Ingredient: Escitalopram Oxalate 10mg
Inactive Ingredients: Microcrystalline cellulose, lactose monohydrate, croscarmellose sodium, magnesium stearate, film coating materials
Drug Class
Class: Selective Serotonin Reuptake Inhibitor (SSRI)
Category: Antidepressant / Anti-Anxiety
Dosage Form
Form: Film-coated tablet
Pack Size: 10 tablets per strip
Uses
- Major depressive disorder (MDD)
- Generalized anxiety disorder (GAD)
- Panic disorder (with or without agoraphobia)
- Obsessive-compulsive disorder (OCD)
- Social anxiety disorder (SAD)
- Post-traumatic stress disorder (PTSD)
Dosage
- Adults: 10mg once daily; may increase to 20mg as per response
- Elderly: Start with 5mg daily
- Oral route: swallow whole with water, with or without food
- 💊 Follow doctor’s prescription; do not adjust or stop suddenly
In Case of Overdose
Symptoms: Severe dizziness, fainting, fast heartbeat, tremors, nausea, vomiting, seizures
Action: Seek immediate medical attention or contact a poison control center.
Missed Dose
- Take as soon as remembered
- If near next dose, skip the missed one
- Do not double the dose
How To Use
- Take at the same time each day
- Can be taken with or without food
- Swallow whole; do not crush or chew
- Continue even if feeling better — improvement may take 2-4 weeks
- Do not stop suddenly; taper gradually under medical supervision
When Not to Use
- Allergic to Escitalopram or other SSRIs
- Using or recently stopped MAO inhibitors
- On linezolid or methylene blue therapy
- Uncontrolled epilepsy, severe liver disease, or bipolar disorder (without stabilizers)
- Pregnant or breastfeeding unless advised by a doctor
Side Effects
Common: Nausea, dry mouth, headache, dizziness, sleep disturbance, drowsiness, increased sweating, decreased libido
Serious (seek medical help): Suicidal thoughts, unusual behavior changes, severe agitation, irregular heartbeat, seizures, allergic reactions
Precautions & Warnings
- Use caution in heart rhythm disorders, liver impairment, seizure history
- May increase suicidal thoughts initially in young adults — monitor closely
- Avoid alcohol — worsens drowsiness and mood changes
- Inform doctor if pregnant, breastfeeding, or planning surgery
- Do not drive or operate machinery until you know its effect
Drug Interactions
- MAO inhibitors (e.g., selegiline, phenelzine)
- Other SSRIs, SNRIs, tricyclic antidepressants
- Blood thinners (warfarin, aspirin, NSAIDs)
- Lithium, tramadol, triptans (risk of serotonin syndrome)
- Antipsychotics, antiarrhythmics (QT prolongation risk)
- Alcohol or sedatives — enhanced drowsiness
Storage/Disposal
- Store below 30°C, away from heat, sunlight, and moisture
- Keep out of reach of children
- Do not use after expiry date
- Dispose of unused tablets safely — do not flush or discard in household waste
Control Drug
Prescription-only medicine (Not a controlled drug).
Quick Tips
- Take at the same time daily for consistent results
- Continue treatment even if feeling better; avoid abrupt discontinuation
- Avoid alcohol and recreational drugs
- Maintain a healthy diet, exercise, and proper sleep
- Report mood swings or suicidal thoughts immediately
- Therapy or counseling with Zanrel-10 improves outcomes
