qt prolongation definition lexapro


FDA evaluated the results of …

Data from drug manufacturers, package inserts, and the ArizonaCERT database were also utilized. As of March 27, 2012, this table has been updated to provide comparative information for escitalopram.

Ciprofloxacin/QT Prolonging Agents Interactions. This information is generalized and not intended as specific medical advice. This information is generalized and not intended as specific medical advice.

Consult your healthcare professional before taking or discontinuing any drug or commencing any course of treatment.Moderate. Significant QT prolongation may occur through drug-drug interactions when another medication known to affect the QT interval is used concomitantly or when a medication alters the metabolism of another drug with known effects on the QT interval. IMS, Vector One®: National (VONA). QT prolongation is an established side effect of Class I and Class III antiarrhythmic medicines and a rare side effect of a wide range of other medicines that lead to cardiac dysrhythmia. FDA has received post-marketing reports of QT interval prolongation and Torsade de Pointes associated with Celexa (citalopram) and its generic equivalents. Lexapro can also prolong the QT interval, but the amount of prolongation is only about one-half that produced by Celexa 1 2 5. Excessive QT prolongation can trigger tachycardias such as … Do not start, stop, or change the dosage of any medicine before checking with them first.Selected from data included with permission and copyrighted by First Databank, Inc.

This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.Things to remember when you fill your prescription.WebMD does not provide medical advice, diagnosis or treatment. Drug Safety and Availability Fatigue is the other reported difference between Lexapro and Celexa. In addition, clinical trials do not show any added effectiveness of citalopram at 60 mg/day compared to 40 mg/day. QT prolongation is a measure of delayed ventricular repolarisation, which means the heart muscle takes longer than normal to recharge between beats. It is an electrical disturbance which can be seen on an electrocardiogram (ECG). The QT interval represents the summation of cardiac action potentials.2 Drug-induced QT prolongation is thought to be caused by the inhibition of the delayed potassium rectifier current IKr (rapid) by specific drugs.2 IKr is an outward current controlled by potassium channels that is responsible, in part, for the repolarization of ventricular myocytes.2 When a drug interferes with this current, thereby disrupting repolarization, the QT interval is prolonged.2
This update provides additional information related to a previous An official website of the United States government: Given that these findings were not observed with escitalopram, there are no changes planned for escitalopram at this time.1. Extracted February 2012. doctor or pharmacist) know that you are taking these medicines together. Contact your healthcare professional (e.g. d . (The following changes have now been made to the citalopram drug label as of 3/27/12:FDA has received post-marketing reports of QT interval prolongation and Torsade de Pointes associated with Celexa (citalopram) and its generic equivalents. Patients at particular risk for developing prolongation of the QT interval include those with underlying heart conditions and those who are predisposed to having low levels of potassium and magnesium in the blood.The citalopram drug label was revised on August 12, 2011 and again on March 27, 2012, to include new warnings about the potential for QT interval prolongation and Torsade de Pointes, as well as new drug dosage and usage recommendations.
Important safety information about the potential for QT interval prolongation and Torsade de Pointes with updated drug dosage and usage recommendations have been added to the citalopram drug label.

Citalopram use at any dose is discouraged in patients with certain conditions because of the risk of QT prolongation, but because it may be important for some of those patients to use citalopram, the drug label has been changed to describe the particular caution that needs to be taken when citalopram is used in such patients.

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