Selectra. Reviews of patients who took the drug, instructions for use, price

Category effective antidepressants is the drug Selektra. The medicine is intended for the prevention and treatment of depressive conditions. The drug helps to cope with panic disorders. The composition of the drug includes components that allow to achieve inhibition of serotonin reuptake.

Numerous reviews of patients taking the drug confirm the fact that, if the recommended treatment regimen is followed, adverse reactions occur in isolated cases. But before buying a drug, you need to consult with a psychologist, who, after collecting an anamnesis and determining a diagnosis, will prescribe an effective drug therapy regimen.

Forms of release and composition of the drug

Selektra (reviews of patients who took the drug indicate that the drug helps to stop acute depressive disorders) is available in tablet form. The active ingredient is contained in the drug at a concentration of 5-20 mg. The drug is sold in a cardboard box containing 4 blisters.

Escitalopram is used as an active ingredient.

Excipients include:

• Sodium.
• Talc.
• Microcrystalline cellulose.
• Silicon.
• Magnesium.

Before using the drug, the patient should consult with a psychologist in order to find out the reason for feeling unwell and to exclude the likelihood of adverse reactions.

Pharmacological properties

The active component of the drug helps to significantly increase the concentration of serotonin in the synaptic clefts. Selektra is an effective antidepressant, which is due to the long-term effect of a neurotransmitter on specific nerve receptors.

The advantage of the drug is that the active substance does not have a specific stimulating effect on other receptor structures. This is due to the fact that escitalopram has a selective principle of action.

Selektra (reviews of patients who took the drug confirm the fact that the minimum therapeutic effect observed only after 3 weeks of drug therapy) helps to significantly reduce the number of panic attacks and overcome anxiety.

The active substance of the drug quickly enters the bloodstream through the intestinal mucosa and is excreted naturally along with urine.

Pharmacodynamics and pharmacokinetics

The absorption of the drug does not depend on food intake. The maximum concentration of the drug in the patient's blood plasma is reached after 5 hours. after using an antidepressant.

All components of the drug are metabolized in the liver. The active substance freely penetrates the blood-brain barrier and has a positive effect on the structures of the brain.

• Metabolites are excreted from the body along with bile or urine after 9-13 hours. after using an antidepressant pill.
• With a timely visit to a psychologist and adherence to the recommended treatment regimen, the first improvements in the psycho-emotional state are noticeable 21 days after the start of therapy.
• To guarantee the achievement of positive results in the fight against panic attacks and the emerging feeling of anxiety, it is recommended to take an antidepressant for 3-4 months.
• To consolidate the results of the therapy passed, the drug is taken for at least 6 months. With a sharp refusal from the drug, the patient may develop withdrawal symptoms.

The exact dosage of the drug is selected by the attending physician after collecting a detailed history. During the passage of drug therapy, the patient should regularly visit a psychologist in order to timely make the necessary amendments to the treatment regimen.

Indications for use

Selektra belongs to the category of effective antidepressants. The drug is recommended to be taken to combat various types of depressive disorders and panic attacks. In some cases, psychologists may recommend the parallel use of other medications, the action of which is aimed at treating depression and eliminating obsessive thoughts.

Numerous reviews of patients taking Selektru confirm that this medicine helps to overcome obsessive-compulsive, generalized and social anxiety disorders. Escitalopram is effective in depressive disorders of any severity.

Contraindications

Before prescribing a drug, a psychologist must study the characteristics of the physical and psycho-emotional state of the patient, learn about the presence of comorbidities, so that the prescribed treatment was safe.

It is forbidden to take Selektru if you have the following diseases and conditions:

• Early pregnancy.
• The period of breastfeeding the baby.
• Children's age (up to 15 years old).
• Hypersensitivity of the body to the components of the drug.
• Anemia.
• Acute, chronic renal failure.
• Depressive-suicidal state.
• Coagulopathy.
• Epilepsy.
• Chronic forms of pancreatic diseases.
• Manic Syndrome.
• Acute or chronic form of liver failure.

The antidepressant must not be taken together with serotonergic drugs, as well as MAO inhibitors.

At what age can the drug be used?

The Selektra drug is not used to treat children under 15 years of age. To effectively combat depressive disorders and panic attacks, a qualified child psychologist must find a safer analogue. Otherwise, the use of an antidepressant can provoke the occurrence of side reactions and the development of various concomitant diseases.

Instructions for use, dosage

You can take pills regardless of food. An effective treatment regimen can only be selected by a qualified psychologist.

But the manufacturer of the drug recommends adhering to the following recommendations:

• The standard course of treatment should be 4 to 6 months. A single dosage of the drug varies from 10 to 20 mg. The maximum dose of the drug should not exceed 20 mg.
• For safe completion of therapy within 2-4 weeks, the drug should be taken in a lower dosage to reduce the likelihood of developing withdrawal symptoms.

For effective treatment of depression in people of retirement age (from 60 years), the daily dose of the drug should be reduced to 5-10 mg. If the patient has been diagnosed with liver disease, then the first 2 weeks of the drug should be taken no more than 5 mg per day. After this period of time, it is recommended to increase the daily dosage to 10 mg.

An antidepressant in a minimum concentration is prescribed for those who have been diagnosed with low activity of cytochrome P450. The first 14 days a day, you can take 5 mg of the drug. In the absence of adverse reactions, the dosage can be increased to 15 mg. Only a psychologist can prescribe an effective treatment regimen, who will correctly determine the patient's diagnosis, and also make sure that there are no contraindications.

Side effects

Selektra (reviews of patients who took this drug confirm the effectiveness of the drug in the fight against panic attacks) in 98% of cases does not cause the development of adverse reactions.

Only in isolated situations, drug therapy can be accompanied by disorders in the work of internal organs. Adverse reactions appear only during the first 14 days of treatment, after which the patient's condition gradually improves.

The active substance of an antidepressant can negatively affect various systems and internal organs, which causes the following symptoms:

• Organs of the gastrointestinal tract: dysgeusia, bouts of vomiting, dry mouth, lack of appetite, diarrhea.
• CNS: sleep disturbance, dizziness, increased fatigue, limb tremors, seizures, confusion consciousness, an unreasonable feeling of anxiety, panic attacks, temporary decrease in visual acuity, increased irritability.
• Dermatological reactions: itching, burning and rashes on the skin, Quincke's edema, capillary subcutaneous hemorrhages.
• Genitourinary system: impotence, decreased libido, anorgasmia, impaired ejaculation, urinary retention.
• Galactorrhea, a significant decrease in vasopressin production.
• Angioedema.
• Orthostatic hypotension.
• Arthralgia (joint pain).
• Myalgia (a syndrome manifested by spontaneous muscle pain during exertion or rest).
• Hyperthermia (accumulation of excess heat in the body).
• Hyponatremia.

In case of adverse reactions, the patient should stop taking the antidepressant and seek the advice of the attending physician in order to find a safer, more effective analogue.

Overdose

Selektra (reviews of patients taking an antidepressant confirm the absence of negative reactions of the body to the components drug) helps to improve the psycho-emotional state, but only if the recommended dosage.

If the patient significantly exceeds the permissible dose of the drug, then the development of the following symptoms is possible:

• Limb tremor.
• Confusion of consciousness.
• Impaired coordination of movements.
• Dyspeptic disorders.
• Increased fatigue.
• Fainting.
• Violation of the conduction of the heart muscle.
• Increased sweating.
• Irritability.

In medicine, there is no specific antidote to eliminate the symptoms of an overdose. The symptomatic treatment prescribed by the doctor should be aimed at combating the signs of intoxication of the body and improving the patient's well-being.

The stomach is washed out to the patient, and various enterosorbents and solutions are prescribed to achieve a positive therapeutic effect.

special instructions

An antidepressant after prior discontinuation of drug treatment with MAO inhibitors can be prescribed only after 24 hours. Otherwise, the work of the patient's internal organs may deteriorate significantly, which will require medical attention.

Against the background of the use of an antidepressant to combat panic attacks, the patient may have an increased feeling of anxiety, which can be overcome after 10-14 days of treatment. To reduce the likelihood of such a reaction of the body to the drug, psychologists recommend starting therapy with a minimum dosage.

Escitalopram can significantly increase the concentration of glucose in the blood in diabetes mellitus, because of which the dose of hypoglycemic drugs must be adjusted. The drug must necessarily be canceled with an increase in epileptic seizures, the formation of serotonin syndrome or a manic state.

Laboratory studies have shown that uncontrolled use of an antidepressant can significantly increase the risk of suicide. The most dangerous is the first week of treatment, which is why it is extremely important to monitor the patient's condition.

In 3% of all cases, as a result of the use of the drug Selectra, the development of hyponatremia is recorded, which is associated with a decrease in the secretion of ADH.

An antidepressant can cause headaches and confusion, which is why during drug therapy it is recommended to abandon driving a vehicle and complex mechanisms that require increased concentration attention.

It is forbidden to combine an antidepressant with alcoholic beverages. At the time of treatment, the patient must give up alcohol. Otherwise, ethanol will reduce the effect of escitalopram, which is why, instead of normalizing the patient's well-being, the patient will be worried about the rapid deterioration of the psycho-emotional state.

Against the background of the use of Selektra together with alcoholic beverages, the following symptoms may occur:

• Severe migraine attacks.
• Insomnia.
• Increased irritability.
• Tachycardia attacks.
• Increased body temperature.
• Frequent mood swings.

The simultaneous use of an antidepressant and alcoholic beverages affects the increased production of adrenaline, which creates additional stress on the cardiovascular system. There is a risk that blood pressure will rise to a critical level.

In addition, the work of the liver and kidneys deteriorates, which are forced to work hard for processing and subsequent removal of alcohol from the body. In this state, it is difficult for the patient to control his behavior, which increases the risk of suicide.

Drug interactions

With the simultaneous use of SSRIs and non-selective (irreversible) MAO inhibitors, various side reactions that negatively affect the work of internal organs and the general well-being of the patient. In severe cases, serotonin syndrome may develop. Combined drug therapy can only be prescribed by a qualified doctor.

The simultaneous use of the Selektra antidepressant with serotonergic drugs (for example, Tramadol, Triptans) is fraught with the development of serotonin syndrome.

If the patient takes concomitant medications to lower the seizure threshold, then the risk of seizures will increase by 45-50%. Propafenone, Flecainide, Clomipramine and other drugs that are potent inhibitors of CYP2D6 and CYP3A4 increase the plasma concentration of escitalopram.

Selektra's active ingredient enhances the action of Tryptophan and lithium medicines. Escitalopram increases the final toxicity of St. John's wort drugs.

An antidepressant is not recommended to be taken together with medicines that affect blood clotting parameters. Escitalopram doubles the plasma concentration of Metoprolol and Desipramine. When undergoing combination therapy, the patient should be under the supervision of the attending physician.

Analogs

If there are contraindications, the antidepressant must be replaced with another drug. Before buying a drug for combating depressive disorders, you need to study the instructions and consult with a psychologist.

Drug name	Description
Deprefault	The drug is intended for the treatment and prevention of the development of relapse of major depressive episode, generalized anxiety disorder, social phobia, post-traumatic stress syndrome. The drug is contraindicated during pregnancy and lactation, in childhood (up to 6 years), as well as in unstable epilepsy and hypersensitivity of the body to the constituent components. The initial dose of the antidepressant should not exceed 25 mg per day. After 7 days, the dosage is increased by 50 mg once a week. The maximum dose is 200 mg / day. The duration of treatment depends on the patient's condition.
Actaparoxetine	Psychologists prescribe this drug to treat all types of depression, obsessive-compulsive disorder, and panic attacks. Actaparoxetine helps to cope with social phobia, post-traumatic stress, generalized anxiety disorders. Contraindications: children's age (up to 18 years), pregnancy and lactation, hypersensitivity to the components of the drug. The standard dosage of the drug is 20 mg / day. In the absence of a positive therapeutic effect, the dose can be gradually increased by 10 mg. The maximum dosage is 50 mg. You need to take Actaparoxetine for at least 4-6 months.
Fluoxetine	This medication is recommended for the treatment of depression, obsessive-compulsive disorders and bulimic neuroses. The drug is prohibited for use by those patients who have been diagnosed with the following diseases: epilepsy, bladder atony, hepatic or renal failure, glaucoma, adenoma prostate. It is recommended to take the medicine once a day immediately after waking up, 20 mg. The duration of treatment is determined individually.
Adepress	This drug helps to overcome anorexia nervosa and bulimia, depression, obsessive thoughts, bipolar affective and post-traumatic stress disorder, social phobia. Adepress is not recommended for unstable epilepsy, hypersensitivity of the body to the components of the drug, as well as during pregnancy and breastfeeding. The treatment regimen is selected on an individual basis, but the maximum daily dosage of the drug should not exceed 60 mg (for patients over 65 years old - 40 mg). Treatment should last at least 4-6 months.
Reksetin	Indications for use of the drug: organic lesions of the central nervous system, episodes of bipolar disorders, depression of various etiological origin, treatment and prevention of obsessive-compulsive disorders. Reksetin is not prescribed for those patients who have been diagnosed with the following diseases and conditions: hyperplasia prostate gland syndrome, long QT interval syndrome, arrhythmia, closed coal glaucoma, hepatic failure. You need to take the drug 10-20 mg once a day. The maximum dosage is 50 mg per day. The standard therapeutic course is designed for 4-6 months.

Subject to the correct choice of the drug and adherence to all the recommendations of the psychologist after undergoing a long drug therapy, the patient will be able to return to a full life, significantly improving his psycho-emotional condition.

Terms, conditions of sale and storage

You can buy an antidepressant only with a doctor's prescription. It is necessary to store the drug in a dry, well-ventilated place, out of the reach of children. The air temperature in the room should be between +18 and +25 C. The shelf life of the medicinal product is 2 years, after which the unused product must be disposed of.

Price

You can buy the antidepressant Selectra both in a regular pharmacy and via the Internet. The cost of the drug varies from 980 to 1980 rubles. The price of a medicine largely depends on the region and the markup of the selected pharmacy chain.

Numerous reviews of patients taking this antidepressant confirm its effectiveness in the fight against depressive disorders. But a positive result is possible only after undergoing a long therapeutic course.

Video about the drug

About the active substance Escitalopram: