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Esto Injection

Sanjivani Parenteral Ltd

Composition for Esto Injection

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Primary uses of Esto Injection

1 ml in 1 vial

Medicine Overview of Esto Injection


Esto Injection side effects


Side Effects of Esto are Low sexual desire, Delayed ejaculation, Orthostatic hypotension (sudden lowering of blood pressure on standing), Nausea, Stomach upset.


How to use Esto Injection

Your doctor or nurse will give you this medicine. Kindly do not self administer.

How Esto Injection works

Esto Injection is a selective serotonin reuptake inhibitor (SSRI) antidepressant. It works by increasing the levels of serotonin, a chemical messenger in the brain. This improves mood and physical symptoms in depression and relieves symptoms of panic and obsessive disorders.

In Depth Information on Esto Injection

Expert advice for Esto Injection

  • It is one of the most well tolerated antidepressant.
  • Esto Injection effectively treats a variety of mental health conditions such as depression, anxiety, and panic disorders.
  • It can take 2-3 weeks for Esto Injection to start working.
  • It may cause lesser sexual dysfunction than other similar medications.
  • Take it in the morning since it can keep you awake if taken late at night.
  • Talk to your doctor if you notice sudden mood changes or develop suicidal thoughts.
  • The addiction/dependence potential of Esto Injection is very less.
  • Do not stop taking the medication suddenly without talking to your doctor.
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Esto Injection related warnings
Special precautions for Esto Injection
Esto Injection may cause excessive drowsiness and calmness with alcohol.
Esto Injection may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
Esto Injection is probably unsafe to use during lactation. Limited human data suggest that the drug could represent a significant risk to the baby.
Esto Injection may cause side effects which could affect your ability to drive.
Esto Injection should be used with caution in patients with severe kidney disease. Dose adjustment of Esto Injection may be needed. Please consult your doctor.
Esto Injection should be used with caution in patients with liver disease. Dose adjustment of Esto Injection may be needed. Please consult your doctor.

What if you miss a dose of Esto Injection?uses

If you miss a dose of Esto Injection, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Patient Concerns

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Frequently asked questions about Esto Injection

Frequently asked questions about Escitalopram

Esto works by increasing the levels of serotonin, a chemical messenger in the brain. This improves mood and physical symptoms in depression and relieves symptoms of panic and obsessive disorders.
Q. Can I take Esto with coffee?
There is usually no significant effect of taking coffee with Esto but a very high quantity of consumption of coffee may cause restlessness and anxiety.
No. Esto is not addictive. Its abrupt discontinuation may cause some withdrawal symptoms. But still is not addictive as there is no drug-seeking behaviour and it has no abuse liability.
Esto increases the activity of serotonin a chemical which is also involved in the vomiting process so makes the person nauseating.
Tiredness is usually associated with depression. Esto can alter the sleep quality and can make the person feel tired most of the time.
Esto is not approved for the treatment of a migraine. It is used in the treatment of depression, anxiety disorder, phobia, post-traumatic stress disorder and obsessive-compulsive disorder.
Esto should not be used for the treatment of bipolar disorder as it can aggravate the problem. Only in few cases, it can be used that too with caution with other drugs if depression is the more persistent feature of person's bipolar illness. But the person should be very regular with drugs prescribed for the mania part also called mood stabilisers.
There are some case reports of hair loss with the use of Esto. It is very infrequent and it usually stops after the discontinuation of the drug. It can be very distressing for a person, especially for the females. So a person should tell his doctor if he is having hair loss with the use of Esto.
Esto may itself cause sleep disorders. So it is not recommended for the sleep problem.
Esto can be used for the treatment of obsessive-compulsive disorder (OCD) but there are better alternatives available, in case they don't work then Esto can be used. Although it is prescribed in a higher dose and for longer duration in case of OCD in comparison to depression.
Q. Which is better medication, Esto or sertraline?
Esto is the safest drug in its class. Sertraline can be used in case Esto doesn't work for depression. However, setraline can be preferred in case of obsessive-compulsive disorder (OCD).
Q. Which is better medication, Esto or citalopram?
Esto is more effective than citalopram for major depression. Although some studies have shown that there is no difference among two in case of effectiveness but some recent studies have shown Esto to be superior to citalopram for major depression.
Q. Can I take Esto with diphenhydramine?
It is better to avoid diphenhydramine with Esto. Diphenhydramine can aggravate side effects of Esto and can cause dizziness, confusion and difficulty in concentrating.
Q. Can I take Esto with aspirin?
It is usually avoided as it can increase the chances of bleeding.
Q. Can I take Esto with Ibuprofen?
No. Combined these two drugs may increase the chances of bleeding especially in persons already on a blood thinner. Nasal bleeding is usually the first symptom.
Q. Can I take Esto with methylphenidate?
It is better to avoid methylphenidate with Esto. Because methylphenidate can increase the blood levels of Esto and its effects and rarely can cause a serious condition called serotonin syndrome with symptoms like anxiety, restlessness, extreme changes in heart rate and blood pressure, blurred vision, incoordination, nausea, vomiting, diarrhoea.
Q. Can Esto be given with lisdexamfetamine?
It is better to avoid this combined therapy of lisdexamfetamine with Esto, it leads to increased anxiety, restlessness and sometimes serotonin syndrome. Serotonin syndrome includes vomiting, diarrhoea, extreme changes in blood pressure and even seizure may occur. It can be life-threatening.
Q. Can I take Esto with alprazolam?
It is better to avoid the combination, it can lead to increased dizziness, confusion and difficulty in concentrating. Please consult your doctor before taking these two medicines together.
Q. Can I take Esto with clonazepam?
It is better to avoid the combination, it can lead to increased dizziness, confusion and difficulty in concentrating. Please consult your doctor before taking these two medicines together.
Q. Can Esto be used with hydrocodone?
It is better to avoid the combination, it can lead to increased dizziness, confusion and difficulty in concentrating. Please consult your doctor before taking these two medicines together.
Q. Can I take Esto with dextromethorphan?
You should not take Dextromethorphan with Esto. It can lead to the seotonin syndrome. Before taking any medications with Esto, your should consult with your doctor.
Q. Can I take Esto and paracetamol?
Yes. There is no known interaction between Esto and paracetamol.
Q. How does Esto differ from fluoxetine?
Esto and fluoxetin belongs to same class of medicine called as selective serotonin reuptake inhibitor (SSRI).
Q. How doses Esto differ from amitriptyline?
Esto is a newer drug belongs to class selective serotonin reuptake inhibitor (SSRI) while amitryptiline is an older drug belonging to class tricyclic antidepressants (TCA). Both drugs are almost equally effective for treating depression but Esto has much lesser side effects in comparison to amitryptiline and so preferred over amitryptiline for the treatment of depression.
Q. How does Esto differ from imipramine?
Esto is much safer than imipramine and is preferred in most of the conditions over imipramine. However, imipramine can be preferred in bed-wetting in children.
You may experience withdrawal symptoms which can be in the form flu like symptoms, anxiety, suicidal thoughts, nausea or sleep problems. These symptoms usually last for one to two weeks. Do not stop taking this medicine without consulting your doctor.
You should consult your doctor before stopping the treatment. It would depend on the number and severity of depressive episodes.The dose should be tapered slowly to prevent intense withdrawal symptoms.
No. Esto is not a benzodiazepine. Benzodiazepines decrease the anxiety and induce sleep. Esto belongs to the class of selective sertonin reuptake inhibitor (SSRI). It may cause insomnia and restlessness initially as the side effect which usually goes away with time.
No. Esto is not a narcotic drug. Narcotics are drugs with sleep inducing properties, usual derivatives of Opium like Heroin and Morphine.

Severely interacts with other drugs like

Taking Esto with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Esto with Moclobemide
Medicines with composition Moclobemide: Trima, Rimarex
Esto with Tizanidine
Medicines with composition Tizanidine: Sirdalud, Tizalide, Ginox, Tizpa
Esto with Reboxetine
Medicines with composition Reboxetine: Rebotin, Reboot
Esto with Selegiline
Medicines with composition Selegiline: Jumex, Selgin, Elegelin, Eldepryl
Esto with Rasagiline
Medicines with composition Rasagiline: Rasalect, Relgin, Rasipar, Rasagin
Esto with Sibutramine
Medicines with composition Sibutramine: Reduce, MEDISLIM (MERIDIAN), Sintrim, Sibutrex, Sibutrim, Sibuslim, Deobese, Keep Fit, Sibunet
Esto with Terfenadine
Medicines with composition Terfenadine: Terfed, Trexyl, Daylert
Esto with Fosphenytoin
Medicines with composition Fosphenytoin: Fosphen, Fosentin, Fosolin, Neofost, Rapitoin
Esto with Cyclandelate
Medicines with composition Cyclandelate: Cevadil, Cyclospasmol
Esto with Oxazepam
Medicines with composition Oxazepam: Zaxpam
Esto with Bupropion
Medicines with composition Bupropion: Bupep, Unidep, Zyban, Bulet, Atydep, Ession, Smoquit, Zupion
Esto with Pimozide
Medicines with composition Pimozide: R Zep, Pimoz, Arkazid, Pimide, Mozep, Orap
Esto with Pentazocine
Medicines with composition Pentazocine: Fortwin, Pentawin, Riddof, Pentalab, Nicozocin, Fortstar, Unizocine
Esto with Paliperidone
Medicines with composition Paliperidone: Psycodon, Paliris, Invega Sustenna, Palivega, Palica OD, Palip
Esto with Celiprolol
Medicines with composition Celiprolol: Celipress
Esto with Penfluridol
Medicines with composition Penfluridol: Penridol
Esto with Ethylmorphine
Medicines with composition Ethylmorphine: Dionindon
Esto with Fenoverine
Medicines with composition Fenoverine: Spasmopriv
Esto with Blonanserin
Medicines with composition Blonanserin: Elicia
Esto with Eletriptan
Medicines with composition Eletriptan: Elipran
Esto with Galantamine
Medicines with composition Galantamine: Galamer
Esto with Indinavir
Medicines with composition Indinavir: Indivan
Esto with Fentanyl
Medicines with composition Fentanyl: Fent, Trofentyl
Esto with Oxyphenonium
Medicines with composition Oxyphenonium: Antrenyl
Esto with Iloperidone
Medicines with composition Iloperidone: Ilofast, Ilopt, Ilopride, Ilosure, Iiosure
Esto with Darunavir
Medicines with composition Darunavir: Virem
Esto with Butorphanol
Medicines with composition Butorphanol: Butodol, Butrum
Esto with Asenapine
Medicines with composition Asenapine: Welenuf, Definium
Esto with Camylofin
Medicines with composition Camylofin: Bigspas
Medicines with composition Hyoscine butylbromide: Hyocimax, Spaslin H, Biscotas, Xspas, Belloid, Hyoswift, Buscogast, Hyoscine Bromide, Hikin, Hyosil, Hylac, Hyopil
Esto with Zuclopenthixol
Medicines with composition Zuclopenthixol: Clopixol-Acuphase
Esto with Exenatide
Medicines with composition Exenatide: Exapride
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