Ava 20mg Tablet: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- New or worsening suicidal thoughts or behaviors
- Agitation, hallucinations, fever, rapid heart rate, or muscle stiffness
- Severe headache, confusion, weakness, or seizures
- Unusual bruising or bleeding
- Eye pain or blurred vision
- Severe allergic reaction with rash, swelling, or difficulty breathing
If experiencing severe symptoms, call emergency services immediately.
What is sri 20mg tablet used for?
This medicine is a prescription antidepressant containing Escitalopram Oxalate 20mg. It is used to treat depression and anxiety disorders by increasing serotonin levels in the brain. It is taken orally once daily and should be used under medical supervision.
- Generic Name: Escitalopram Oxalate (20mg)
- Manufacturer: Sterkem Pharma Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 sri 20mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एस्सिटालोप्रम ऑक्सालेट 20mg युक्त एक प्रिस्क्रिप्शन एंटीडिप्रेसेंट है। इसका उपयोग अवसाद (डिप्रेशन) और चिंता विकारों के इलाज के लिए किया जाता है। यह मस्तिष्क में सेरोटोनिन के स्तर को बढ़ाकर काम करती है, जिससे मूड बेहतर होता है और चिंता कम होती है। यह दवा केवल डॉक्टर के परामर्श से ही लेनी चाहिए।
साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, सिरदर्द, नींद आना, अनिद्रा और पसीना आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन सेरोटोनिन सिंड्रोम, हाइपोनेट्रेमिया और रक्तस्राव का खतरा हो सकता है। यदि आपको भ्रम, तेज़ दिल की धड़कन, बुखार या असामान्य चोट लगने का अनुभव हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को केवल डॉक्टर के निर्देशानुसार ही लें। इसे दूसरों के साथ साझा न करें। जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक वाहन चलाने या मशीनरी चलाने से बचें। इस दवा के साथ शराब का सेवन न करें। यदि आप गर्भवती हैं, गर्भवती होने की योजना बना रही हैं या स्तनपान करा रही हैं, तो अपने डॉक्टर को सूचित करें।
💊 sri 20mg tablet Uses & Benefits
[{"condition":"Major Depressive Disorder","description":"This medicine is used to treat persistent sadness, loss of interest, and other symptoms of depression.","evidence":"Well-established"},{"condition":"Generalized Anxiety Disorder","description":"It helps reduce excessive worry and anxiety that interferes with daily life.","evidence":"Well-established"},{"condition":"Panic Disorder","description":"This medicine may be prescribed to reduce the frequency and severity of panic attacks.","evidence":"Well-established"},{"condition":"Social Anxiety Disorder","description":"It can help manage intense fear and avoidance of social situations.","evidence":"Well-established"},{"condition":"Obsessive-Compulsive Disorder","description":"Sometimes used as an alternative treatment for obsessive thoughts and compulsive behaviors.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Premenstrual Dysphoric Disorder","description":"May be prescribed off-label to relieve severe mood symptoms before menstruation.","evidence":"Limited"},{"condition":"Hot Flashes","description":"Sometimes used off-label to reduce hot flashes in menopausal women.","evidence":"Limited"},{"condition":"Irritable Bowel Syndrome","description":"May help with abdominal pain and bowel habits in some patients.","evidence":"Limited"}]
Primary treatment for: Major Depressive Disorder
Also treats: Generalized Anxiety Disorder, Panic Disorder, Social Anxiety Disorder, Obsessive-Compulsive Disorder
📋 Drug Information
| Generic Name(s) | Escitalopram Oxalate (20mg) |
| Brand Name | sri 20mg tablet |
| Manufacturer | Sterkem Pharma Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Selective Seretonin Reuptake inhibitors (SSRIs) |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) away from moisture and direct sunlight. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by selectively inhibiting the reuptake of serotonin in the brain. Serotonin is a neurotransmitter that regulates mood, anxiety, and sleep. By blocking its reuptake, this medicine increases the amount of serotonin available in the synaptic cleft, which helps improve mood and reduce anxiety. It has little effect on other neurotransmitters like norepinephrine and dopamine, which is why it is called selective.
Mechanism Steps
💡 How to Take sri 20mg tablet
Strength: Tablet, 20 mg
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 10 mg once daily, which may be increased to a maximum of 20 mg once daily after at least one week. The dose must be individualized by a qualified clinician based on indication, age, and hepatic function. For elderly patients and those with hepatic impairment, a lower starting dose of 5 mg once daily is recommended. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients should start with a lower dose of 5 mg once daily, with a maximum of 10 mg once daily, due to reduced hepatic function and increased risk of hyponatremia. |
| Renal Impairment | No dose adjustment is needed for mild to moderate renal impairment. Caution is advised in severe renal impairment. |
| Hepatic Impairment | For patients with hepatic impairment, a starting dose of 5 mg once daily is recommended, with a maximum of 10 mg once daily. |
| Maximum Daily Dose | 20 mg per day |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of sri 20mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| MAOIs | Major | |
| Warfarin | Major | |
| NSAIDs | Moderate | |
| Omeprazole | Moderate | |
| Alcohol | Minor |
🚨 Major Interactions
- Monoamine Oxidase Inhibitors (MAOIs)
- Other Serotonergic Drugs
- Anticoagulants (e.g., Warfarin)
⚡ Moderate Interactions
- NSAIDs
- CYP2C19 Inhibitors (e.g., Omeprazole)
🍷 Alcohol Interaction
Alcohol can increase the sedative effects of this medicine and impair your ability to drive or operate machinery. It is best to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to escitalopram or any component of the formulation","Concomitant use with monoamine oxidase inhibitors (MAOIs)","Concomitant use with pimozide"]
⚠️ Warnings & Precautions
["Increased risk of suicidal thoughts and behaviors in children, adolescents, and young adults.","Serotonin syndrome may occur, especially with concomitant serotonergic drugs.","Hyponatremia may occur, particularly in elderly patients.","May impair physical and mental abilities required for driving or operating machinery.","Do not stop abruptly to avoid withdrawal symptoms."]
🤱 Lactation Safety
This medicine is excreted in breast milk. Caution is advised when used during breastfeeding. Consult your doctor to weigh the benefits and risks.
💊 Overdose Management
In case of overdose, seek immediate medical attention. Symptoms may include nausea, vomiting, tremor, drowsiness, and tachycardia. Treatment is supportive and symptomatic. There is no specific antidote.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
This medicine should only be taken as prescribed by a qualified doctor. Do not share this medicine with others, even if they have similar symptoms. Avoid driving or operating heavy machinery until you know how this medicine affects you. Do not consume alcohol while taking this medicine as it can increase drowsiness and impair judgment. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Regular follow-up with your doctor is essential to monitor your response and adjust the dose if needed. Keep this medicine out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at increased risk of hyponatremia and falls. A lower starting dose is recommended, and regular monitoring is advised.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor to discuss the risks and benefits of continuing this medicine.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with certain anesthetic agents.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine, as it may increase bleeding risk during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause drowsiness or dizziness. Avoid strenuous exercise until you know how it affects you. Stay hydrated during exercise.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may impair your ability to drive or operate machinery. Avoid these activities until you know how it affects you. It may also affect your concentration; take precautions at work.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Your doctor will gradually reduce the dose to prevent withdrawal symptoms.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe when monitored by a doctor. Regular follow-up is needed to assess effectiveness and monitor for side effects such as hyponatremia or bleeding risk. Do not stop without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can be used alone or in combination with medicine for depression and anxiety.
Evidence: Well-establishedHelps improve mood and reduce anxiety.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. However, consult your doctor before receiving any vaccine while on this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from extreme heat or moisture. If crossing time zones, consult your doctor about adjusting the dosing schedule. Check local customs regulations for controlled substances.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine may start showing effects within 1 to 2 weeks, but full benefits may take 4 to 6 weeks.
A: No, you should not stop taking this medicine suddenly as it can cause withdrawal symptoms. Consult your doctor for a gradual taper.
A: This medicine should be used during pregnancy only if the potential benefit justifies the potential risk. Consult your doctor.
🤔 Common Patient Concerns
🔄 Substitutes for sri 20mg tablet
View AllAlternative brands with exact same active ingredient:
-
estaram 20 tabletZeelab Pharmacy Pvt Ltd ₹15.00 83.9% CHEAPER
-
stayhappi escitalopram oxalate 20mg tabletSarvagunaushdhi Pvt Ltd ₹18.75 79.8% CHEAPER
-
davaindia escitalopram oxalate 20mg tabletDavaindia Generic Pharmacy ₹19.00 79.6% CHEAPER
-
zepram 20mg tabletZubit Lifecare ₹42.19 54.6% CHEAPER
-
escalate 20mg tabletPharma Fabrikon ₹50.47 45.7% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is addictive.
Fact: This medicine is not addictive, but it can cause withdrawal symptoms if stopped abruptly. It should be tapered gradually under medical supervision. - Myth: This medicine changes your personality.
Fact: This medicine does not change your personality. It helps restore normal mood and reduces anxiety, allowing you to feel more like yourself. - Myth: You can stop taking this medicine once you feel better.
Fact: You should not stop taking this medicine without consulting your doctor, even if you feel better. Stopping abruptly can cause withdrawal symptoms and relapse.
🔄 Alternative Options
Generic Alternatives
- Escitalopram Oxalate 20mg Tablet
Brand Alternatives
- Nexito 20mg Tablet
- Cipralex 20mg Tablet
- Lexapro 20mg Tablet
- Feliz-S 20mg Tablet
- Escape 20mg Tablet