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Alwel (Escitalopram)

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Alwel is used to treat depression in adults and children and teenagers 12 years of ago or older. Alwel is also used to treat generalized anxiety disorder (GAD; excessive worry and tension that disrupts daily life and lasts for 6 months or longer) in adults.

Other names for this medication:
Anipram, Anxifree, Anxiset, Axipram, Censpram, Cilentra, Citel, Citofast, Cypram, Deptune, Dipwell, Escidant, Escimax, Escita, Escitacalm, Escitozan, Esdep, Esfancy, Eslika, Esopram, Espancy, Estal, Estalonix, Excita, Ezinite, Fluwic, Jopram, Petril, Pocital, Prasilex, Prasilife, Stalopam, Velpram, Xitzen

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Also known as: Escitalopram


{name} (escitalopram) is an antidepressant belonging to a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Escitalopram affects the levels of certain chemicals in the brain that may be altered in people suffering from depression or anxiety.

{name} is used to treat major depressive disorder in adults and adolescents at least 12 years old.

{name} is also used to treat anxiety in adults.


Usual Adult Dose for Generalized Anxiety Disorder:

Initial dose: 10 mg orally once a day; increase if necessary after at least 1 week of treatment to 20 mg once a day Maintenance dose: 10 to 20 mg orally once a day Maximum dose: 20 mg orally once a day Comment: Treatment should be periodically reassessed to determine the need for ongoing treatment; efficacy beyond 8 weeks has not been systematically studied. Use: Acute treatment of generalized anxiety disorder

Usual Adult Dose for Depression:

Initial dose: 10 mg orally once a day; increase if necessary after at least 1 week of treatment to 20 mg once a day Maintenance dose: 10 to 20 mg orally once a day Maximum dose: 20 mg orally once a day Comments: -Acute episodes may require several months or longer of sustained pharmacological therapy beyond response to the acute episode. -Patients should be periodically reassessed to determine the need for maintenance treatment. Use: Acute and maintenance treatment of major depressive disorder

Usual Geriatric Dose for Depression:

Recommended dose: 10 mg orally once a day Use: Acute and maintenance treatment of major depressive disorder

Usual Pediatric Dose for Depression:

12 years and older: -Initial dose: 10 mg orally once a day; increase if necessary after at least 3 weeks of treatment to 20 mg once a day -Maintenance dose: 10 to 20 mg orally once a day -Maximum dose: 20 mg orally once a day Comments: -Acute episodes may require several months or longer of sustained pharmacological therapy beyond response to the acute episode. -Patients should be periodically reassessed to determine the need for maintenance treatment. Use: Acute and maintenance treatment of major depressive disorder

Detailed Alwel dosage information


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.


Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) away from moisture and heat. Throw away any unused medicine after the expiration date. Keep out of reach of children.

Side effects

The most common side effects associated with Alwel are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Ask your doctor before taking a nonsteroidal anti-inflammatory drug (NSAID) such as aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib (Celebrex), diclofenac, indomethacin, meloxicam, and others. Using an NSAID with Alwel may cause you to bruise or bleed easily.

Avoid alcohol.

Avoid driving or hazardous activity until you know how this medicine will affect you. Your reactions could be impaired.

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A total of 2265 coronary angiograms (CA) and 1844 percutaneous coronary interventions (PCI) were analyzed. Effects of lactate-buffered and lactate-free dialysate in CAVHD patients with and without liver dysfunction. Avoiding tourniquet inflation may decrease the release of large venous emboli. Data on endocrine modifications in different neurodegenerative diseases have been reported, but results have often been non-conclusive, or conflicting. At the phylum level, Firmicutes, Bacteroidetes, and Proteobacteria were the predominant bacterial taxa. Here, we show that a low concentration of salt alleviates Cd-induced growth inhibition and increases Cd accumulation in Arabidopsis thaliana.

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Dieldrin exposure induces oxidative damage in the mouse nigrostriatal dopamine system. The study was a secondary analysis of a randomised clinical trial among TBI patients (MRC CRASH Trial). A total samples from 385 healthy blood donors from Kayseri, Turkey were examined for anti- T. The objective of this study was to assess the performance of CHWs in the promotion of basic child heath services in rural Mali. In children aged 6-12 months, energy in-take was sufficient but diets were high in proteins and II-pIns and fairly high in carbohydrates. The aims of this study were to characterize the effects of hindlimb ischemia-reperfusion on the periosteal microcirculation and to define the consequences of systemic phosphatidylcholine therapy during this condition. Thin slice CT revealed very high nonunion rates after uninstrumented spinal fusion in older patients. The effect of chronic administration of the putative atypical antipsychotic E-5842, a preferential sigma(1) receptor ligand, on ionotropic glutamate receptor subunit levels of mRNA and protein, was studied. Pain in children and adolescents a neglected area: Deficiencies in care according to a questionnaire. Fluorodeoxyglucose uptake was proportional to the duration of cholesterol feeding and peaked with plaque disruption and thrombosis.

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Immunocytochemistry is playing an increasingly important role in the field of congenital myopathies. On the problem of determination of spring stiffness parameters for spring-mesh models. The aim of the study was to assess their convergent and discriminant validity and inter-observer reliability. Precise diagnosis without delay and rapid surgical treatment are essential for the management of SSEH. During feeding stages, transcripts are detected in adult cerebral ganglia precursors and putative adult eye precursors, where it may have adult brain regionalization functions. At the personality level, Chileans exhibited higher scores in extroversion, neuroticism, esoteric and isolating tendencies.

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The operation was performed on an emergency basis: postpartum hysterectomy without adnexa was performed. Since EZH2 requires a binding partner for its histone methyltransferase activity, we surmised that evaluating interacting proteins might shed light on how the activity of EZH2 is regulated. The possibility of a benefit in some cases of inner ear sufferance by using proton pump inhibitors has been considered after a casual observation. The results show that the NEMLC has undergone tremendous transformation over the years. The lateral resolution of the microscope is diffraction limited to be about 390 nm. Cytogenetic testing at diagnosis yields critical prognostic information, but more refinement in prognosis is required. Results of growing numbers of descriptive and experimental studies show that altered expression of AMP in various tissues is important in the pathogenesis of several gastrointestinal, respiratory, and other diseases. The interplay of nematic and spin chirality orders is discussed.

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In 23 patients, suffering multiple inguinal hernia recurrence, the tissues degeneration and atrophy were manifested significantly. Of these, PAN is the most serious, with high morbidity and not inconsequential mortality rates. Further clinical studies hold the promise of successful alternatives for treating peripheral nerve injuries. By using one of the potentiometric fluorescent dyes, such as di-8-ANEPPS, it is possible to observe the variations of DeltaPhi on the cell membrane and to measure its value noninvasively. Acute cannabis use causes increased psychotomimetic experiences in individuals prone to psychosis. Liver colourations as well as performance and digestive tract characteristics of broilers may change as influenced by stage and schedule of feed restriction. Neurobiological vulnerability may be pronounced through cholinergic blockade. In this work, we sought to study in non-human primates the feasibility of repeated gene-transfer with intravenous administration of rAAV5 vectors under the effects of an intensive immunosuppressive regimen and to analyze its ability to circumvent T-cell immunity and thereby prolong transgene expression. However, it is found that there are criteria that make splitting possible only in certain conditions.

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How might corneal elasticity help us understand diabetes and intraocular pressure?. Thus, physiological concentrations of oestradiol are not needed for follicle development, although a role cannot be completely ruled out. A new near-infrared reflectance spectroscopy method for high-throughput analysis of oleic acid and linolenic acid content of single seeds in oilseed rape (Brassica napus L.). Mixed results have been found regarding the usefulness of Lc supplementation to increase the antigen-specific antibody response to an immune challenge. Protected by a biocompatible shell (Au/Ag/Si/C), high-moment nanoparticles can retain their magnetic property over a long time and disperse well. Importantly mAb 1339 significantly enhanced growth inhibitory effects of dexamethasone in vivo in SCID-hu mouse model of multiple myeloma. ACAT2 stimulates cholesteryl ester secretion in apoB-containing lipoproteins. Notably, comprehensive analyses of protein homology and genomic neighborhoods revealed that Hcp-ET3-4 is fused with 2 toxin domains (Pyocin S3 and Colicin-DNase) C-terminally, and its encoding gene is followed 3 duplications of the cognate immunity genes.

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There was no correlation between the artemisinin content and ADS activity found in the whole population, but the correlation was observed in the main subpopulation of the irradiated A. The EUROASPIRE III survey was ultram 50 mg dosage conducted in 76 centres in 22 European countries. 17.7 ng m(-2) h(-1)), whereas its highest ambient level (approx. Therefore, it is now possible to determine associations between phylogeny and many biological traits, such as virulence, antimicrobial resistance, environmental niche, geographical distribution, and host specificity. It is expected that a similar approach will be useful in developing tumor-targeting molecules of several other enzyme candidates of cancer prodrug therapy. Application of a Chemical Mass Balance Receptor Model to Respirable Particulate Matter in Mexico City.

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The inverse transformations of the mu-map template into the individual spaces were performed, and the transformed template was forward projected to generate the AC factor. Performance evaluation of mapping and linear imaging FTIR microspectroscopy for the characterisation of paint cross sections. This model is easy to implement and flexible and can be used in ART programmes at national and local level. The resistant subline was characterized by a 2.5-fold degree of resistance. Areas such as communications and day-to-day activities are examined to identify both problems and strategies for such change. Experimental data in animal and observational studies in obese patients suggest that obesity is associated with substantial changes in the composition and metabolic function of the gut microbiota. Thymidine phosphorylase as a prognostic factors of breast cancers.

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We demonstrate here that this last methodology, validated only in the case of neutral sugar-protein interactions, i.e., where dipole-dipole interactions are crucial, is not relevant in the case of strong electrostatic interactions. This approach may be a feasible and effective procedure for selected cases. The presence of enhancing tissue within the sphenoid sinus created a diagnostic dilemma which leads to a transsphenoidal biopsy. Lupus nephritis reoccurs following transplantation in the lupus prone mouse. Another patient suffered a major thrombo-embolic event of the right leg, for which she underwent embolectomies and despite fasciotomy a necrotectomy. Increased histopathological scores of liver and pancreas shown in FFRs were further increased in those combined with portal endotoxaemia. We demonstrate the need for expatriate staff for its most senior academic positions in the interim period and how this can be phased out. With the increasing concern for health and nutrition, dietary fat has attracted considerable attention.

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While it can preserve intrinsic conduction during minor or moderate first degree AV block, its efficacy is reduced at higher degree AV block conditions. The VEGF demonstrated a bimodal behavior, increasing at the onset of nephropathy and decreasing in the final stages. A responsible physician was in charge of personally distributing the survey during a 2-week period and to explain the possible doubts that could arise on it. The contralateral joint was evaluated as a secondary treatment, and sham surgery was performed in a separate group of animals (controls). As our knowledge of PTH grows, this is an exciting time for researchers, clinicians, and cozaar drug dosage patients who study, treat, and live with the devastating consequences of progressive osteoporosis. Novel molecular markers identified may aid in the diagnosis of early hepatocellular carcinoma in patients with chronic hepatitis C virus. Here we report a case of persistent unilateral pleural effusion secondary to pancreaticopleural fistula. No effects of adalimumab therapy on the activation of NF-kappaB in lymphocytes from patients with severe rheumatoid arthritis.

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A novel image encoding approach based on linear frequency-swept excitation has been recently proposed to overcome artifacts induced by various field perturbations in single-shot echo planar imaging. Hypercalcemic encephalopathy in a patient cleocin antibiotic uses with hepatocellular carcinoma. Especially, during the 7-day cultivation, osteoclast formation was suppressed by the treatment with ED-DNAM-1 on days 6 and 7, when the mononuclear preosteoclasts fused into multinucleated osteoclasts. The S-phase inhibitory activity of PSM-RB could be attenuated by the coinjection of SV40 T-antigen, adenovirus E1A, or a high level of E2F-1 expression plasmids. Single cell clones were established and identified by immunofluorescence staining. Oral amino acids improve cognitive function in response to hypoglycemia and enhance the response of glucagon in nondiabetic and diabetic subjects. It was concluded that implant stability can be achieved even with immediate loading. Dramatic improvement of LV function after coronary sinus thromboembolectomy. Hypoxia upregulates amino acid transport in a human neuroblastoma cell line.

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The applications are classified into four categories, which are applications based on blood supply, lymphatic drainage, the enhanced permeability and retention (EPR) effect, and the other mechanisms. We determined the specific mesenchymal to ES cell ratios necessary to dictate organ-specific differentiation while completely suppressing teratomatous growth. In addition, a comparison with GC/MS and GC/IRMS showed that the best performance was achieved with the LC/IRMS method making it the method of choice for the measurement of 13C-isotopic enrichment in plasma samples. The BiolAD-DB system schema, client, and installation instructions are freely available at It provides evidence of the contribution of a shift from the keto to the enol tautomer during aldehyde reduction. We wished to estimate the incidence of preeclampsia among a group of Hispanic women in the greater Detroit metropolitan area. This research highlighted the link in Birmingham between obesity and socio-economic factors with the gap increasing between deprivation quintiles. The pattern of practice suggests an unmet need for symptom control in patients with bone metastases.

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Population pharmacokinetic models stratified to treatment schedule were created, and individual pharmacokinetic parameters were calculated. Furthermore, upon challenge with the recent CIV isolate A/canine/PA/10915-07, protection of vaccinated dogs could be demonstrated by a significant reduction in clinical sings, and, more importantly, by a significant reduction in virus shedding. The purpose of this study is to examine the VTE rate following ligation versus repair of IVC injuries. This study demonstrates that bioactive coatings that promote integrin binding specificity regulate marrow-derived progenitor osteoblastic differentiation and enhance healing responses and functional integration of biomedical implants. To analyze our experience with renal transplantation in children with end-stage renal disease (ESRD) in India. Locating and tracing of anatomical landmarks based on full-field four-dimensional measurement of human body surface. New views on the role of eosinophils in homeostatic function are examined, including developmental biology and innate and adaptive immunity (as well as their interaction with mast cells and T cells) and their proposed role in disease processes including infections, asthma, and gastrointestinal disorders. It is usually caused by traumatic injuries and local irritation. MIF was not detected in blood in experimental endotoxemia, nor after stimulation of whole blood with LPS or meningococci, although high levels of TNF-alpha were seen in both models.

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Definition of reference ranges for the platelet distribution width (PDW): a local need. This biographical sketch on Georg Perthes corresponds to the historic text, The Classic: On Juvenile Arthritis Deformans (1910), available at DOI 10.1007/s11999-012-2433-1. However, in monkey model of V1 lesion, about two months of time is needed for recovery, suggesting that the extrageniculate visual pathway cannot immediately take over the function of the geniculo-striatal pathway, and on close look at the dynamics of saccades, saccades became ballistic and online corrections of trajectories and velocities were impaired, and that decision threshold for saccade initiation was lowered. The whole experiment procedure was divided into 5 blocks in the alternative feeding process of 10-min quiet and 10-min noise. Specific intracellular nucleotide ratios, namely the nucleoside triphosphate (NTP) and the uridine (U) ratio were shown to consistently reflect the state of dedifferentiation status of the primary cells in culture affected by the presence of the two hormones insulin and glucagon. High-dose-rate interstitial brachytherapy as a monotherapy for localized prostate cancer: treatment description and preliminary results of a phase I/II clinical trial. Endothelin-1 and its receptors ET(A) and ET(B) in drug-induced gingival overgrowth. To study a potential association between Helicobacter pylori infection and chronic, persistent cough. The scaffolds for vascular tissue engineering remain a cornerstone of these efforts and yet many currently available options are limited by issues of inconsistency, poor adherence of vascular cells, or inadequate biomechanical properties.

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Clinically Relevant Interpretations of Optical Bench Measurement of Intraocular Lenses. In BM cytology, hematopoietic cell lines were severely depleted. In such cases, a charge balanced waveform is essential to prevent any charge accumulation in the biological tissue. Warm-up (6.5 minutes) consisted of 3 minutes of jogging, 3 minutes of stretching, and ten 2-legged vertical jumps. We examine the evolution of this diversity by assessing the distribution and ancestry of each gene in 13 sequenced isolates of Escherichia coli and Shigella. Tissue Doppler Echocardiography should be routinely performed in MDS elavil 25 mg oral tablet patients to detect preclinical cardiac alterations and prevent more heart insults in this group of chronic anemic aged patients. Network analysis revealed very different transcriptional activities during the lag period in old and young cells. The program was effective in increasing parental knowledge of the risk factors targeted by this study in both settings.

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