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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Reduce The Dosage Of Escitalopram After Having Dizziness And Dry Mouth?

Last week I went to doc for my anxiety related issues, she prescribed me Escitalopram 10mg, but after taking it for two days, I felt dry mouth and dizzingness so I stopped it yesterday, is it OK to reduce my medicine to 5mg, or should I take any multivitamin to help me better cope with Escitalopram?
posted on Fri, 20 Sep 2013
Twitter Fri, 9 May 2014 Answered on
Twitter Fri, 9 May 2014 Last reviewed on
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General & Family Physician,  's  Response
Escitalopram, like other SSRIs, has been shown to affect sexual functions causing side effects such as decreased libido, delayed ejaculation, genital anesthesia,[17] and anorgasmia.[18][19]

An analysis conducted by the FDA found a statistically insignificant 1.5 to 2.4-fold (depending on the statistical technique used) increase of suicidality among the adults treated with escitalopram for psychiatric indications.[20][21][22] Similarly, the UK MHRA data indicate an 80% increase of suicide-related events, not reaching statistical significance, in the escitalopram vs. placebo patients.[23] The authors of a related study note the general problem with statistical approaches: due to the rarity of suicidal events in clinical trials, it is hard to draw firm conclusions with a sample smaller than two million patients.[24] A single case report described a patient developing suicidal ideations after beginning treated with escitalopram, and suicidal ideation disappearing after stopping the treatment
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Should I Reduce The Dosage Of Escitalopram After Having Dizziness And Dry Mouth?

Escitalopram, like other SSRIs, has been shown to affect sexual functions causing side effects such as decreased libido, delayed ejaculation, genital anesthesia,[17] and anorgasmia.[18][19] An analysis conducted by the FDA found a statistically insignificant 1.5 to 2.4-fold (depending on the statistical technique used) increase of suicidality among the adults treated with escitalopram for psychiatric indications.[20][21][22] Similarly, the UK MHRA data indicate an 80% increase of suicide-related events, not reaching statistical significance, in the escitalopram vs. placebo patients.[23] The authors of a related study note the general problem with statistical approaches: due to the rarity of suicidal events in clinical trials, it is hard to draw firm conclusions with a sample smaller than two million patients.[24] A single case report described a patient developing suicidal ideations after beginning treated with escitalopram, and suicidal ideation disappearing after stopping the treatment