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compositionComposition:ESCITALOPRAM-20MG
prescription
Prescription Medicine
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Citalin-20 Tablet is used in the treatment of depression and other mental health conditions, which include anxiety, panic disorder, and obsessive-compulsive disorder. It contains Escitalopram, which works by increasing serotonin levels, a chemical messenger in the brain which is responsible for improving mood and physical symptoms of depression. It is also responsible for relieving symptoms of anxiety, panic attacks, and obsessive-compulsive disorders. In some cases, you may experience a decreased or increased appetite, weight gain, pain, sweating, fatigue, or high fever. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.

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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

ESCITALOPRAM-20MG

Manufacturer/Marketer :

Linux Laboratories Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

NPPA :

Regulated

About Citalin-20 Tablet

Citalin-20 Tablet is a prescription medication used to treat depression and generalised anxiety disorder. It belongs to a group of medicines known as selective serotonin reuptake inhibitors, which help balance natural chemical levels in the brain. This medication helps improve mood, sleep, appetite, and energy levels while reducing everyday worry.

You will typically take this medication once daily, either in the morning or in the evening. It can be taken with or without food, but it is best to take it at the same time every day to maintain a steady level in your body. Incorporating daily stress-reduction activities, regular sleep patterns, and moderate physical exercise can greatly assist in achieving the best results from your treatment.

While starting this medicine, some people may experience mild side effects such as nausea, dry mouth, or trouble sleeping. Most of these symptoms improve within a few weeks, but you should contact your doctor immediately if you experience severe symptoms like worsening mood, confusion, or severe dizziness.

Before taking Citalin-20 Tablet , you must talk to your doctor if you have a history of heart rhythm problems, liver or kidney disease, or seizures. This medicine should not be taken if you are currently taking monoamine oxidase inhibitors (MAOIs) or other specific medications that affect heart rhythm.

This medication can interact with other substances; for instance, drinking alcohol while taking it can significantly increase drowsiness and impair your coordination. Always inform your doctor if you are pregnant, planning a pregnancy, breastfeeding, or if you are an older adult, as specific precautions or dose adjustments may be needed.

Uses of Citalin-20 Tablet

Your doctor may prescribe Citalin-20 Tablet for the following conditions:

  • Major Depressive Disorder (Depression): Citalin-20 Tablet helps restore the balance of natural chemicals in the brain, helping to lift mood, increase interest in daily activities, and relieve feelings of sadness.
  • Generalised Anxiety Disorder (GAD): Citalin-20 Tablet works to reduce persistent, excessive worry, tension, and physical symptoms of anxiety in daily life.
  • Panic Disorder: In some cases, Citalin-20 Tablet may be prescribed to help reduce the frequency and severity of panic attacks. Treatment decisions depend on an individual's symptoms and a doctor's assessment. 

Key Benefits

Citalin-20 Tablet may provide the following benefits when used as prescribed.

  • Improved Mood and Emotional Well-Being: Escitalopram in Citalin-20 Tablet helps reduce symptoms of depression and may improve overall emotional balance, motivation, and interest in daily activities.
  • Reduced Anxiety and Excessive Worry: The medication may help decrease persistent anxiety, nervousness, and tension, making it easier to manage everyday situations.
  • Better Sleep Quality: By helping stabilise mood and anxiety levels, Citalin-20 Tablet may improve sleep patterns and reduce sleep disturbances in some individuals.
  • Improved Energy and Daily Functioning: Many people experience improvements in energy levels, concentration, and the ability to participate in work, social activities, and relationships.
  • Relief from Physical Symptoms of Anxiety: Citalin-20 Tablet may help reduce symptoms such as restlessness, muscle tension, and feelings of being constantly on edge.
Side effects of Citalin-20 Tablet
  • Inability to have an orgasm can be managed by treating any underlying medical condition that has not been diagnosed.
  • Observe yourself and try to understand why this inability occurs.
  • Regularly do strengthening exercises to improve blood flow throughout the body to improve your desire.
  • Implement massage techniques to enhance blood flow to organs.
  • Take a balanced diet and quit smoking.
  • Practice yoga and meditation to improve thought processes and have cognitive behavioural therapy.

Directions for Use

Always follow your doctor's exact instructions on how and when to take this medication. Below are the standard guidelines for using Citalin-20 Tablet safely:

  • Take this medication by mouth, usually once a day in the morning or evening.
  • Swallow the tablet whole with a full glass of water. Do not chew or crush the tablet unless your doctor tells you to.
  • If you are taking the liquid oral solution, measure your dose carefully using a medical dosing syringe or the marked measuring cup provided. Do not use a standard household spoon, as it may not provide the correct measurement.
  • You can take this medication with or without food. If it causes an upset stomach, taking it with a meal can help prevent nausea.

How Citalin-20 Tablet Works

The active ingredient in Citalin-20 Tablet is escitalopram, a Selective Serotonin Reuptake Inhibitor (SSRI). It works directly in the brain by targeting serotonin, a natural chemical messenger that plays a crucial role in regulating mood, emotions, and sleep. In people experiencing depression or anxiety, the levels of active serotonin in the brain may be lower than normal. This medication works by blocking the brain cells from reabsorbing (retaking) serotonin once it is released. By stopping this reabsorption process, more serotonin remains active and available in the spaces between brain cells. This enhanced communication between nerve cells helps stabilise and improve mood, helping to relieve symptoms of anxiety and depression over time.
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Alcohol

Unsafe

It is not recommended to take alcohol with Citalin-20 Tablet to avoid unpleasant side-effects.

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Pregnancy

Unsafe

Citalin-20 Tablet is not recommended in pregnancy. However, if you were already taking this medicine before becoming pregnant, do not stop taking it without consulting your doctor. It can pose a small risk of problems for an unborn baby. Your doctor might prescribe you this medicine in pregnancy depending upon your condition as it is important to stay well in pregnancy.

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Breast Feeding

Unsafe

Citalin-20 Tablet passes into breast milk in very small amounts and might cause side effects in breastfed babies. It can be prescribed if the baby is healthy. However, if after taking Citalin-20 Tablet , the baby isn't feeding well as usual, or is sleeping a lot than normal, please consult your doctor.

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Driving

Unsafe

It is not recommended to drive after taking Citalin-20 Tablet as it may cause drowsiness and interfere with your driving ability.

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Liver

Caution

Citalin-20 Tablet to be taken with caution, especially if you have a history of liver diseases. The dose may have to be adjusted by your doctor.

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Kidney

Caution

Citalin-20 Tablet to be taken with caution, especially if you have a history of kidney diseases, as dose adjustment might be required.

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Children

Unsafe

Citalin-20 Tablet is not recommended in children below 12 years of age.

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Heart

Caution

Exercise caution before using Citalin-20 Tablet in case of heart problems. Please consult your doctor if you have any concerns. Dosage adjustments may be needed based on your condition

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Geriatrics

Caution

Exercise caution before using Citalin-20 Tablet in older patients. Please consult your doctor if you have any concerns.

What if I have taken an overdose of Citalin-20 Tablet

If you or someone else takes too much of this medication, seek immediate emergency medical care or contact a poison control centre right away. Symptoms of an overdose may include severe dizziness, sweating, rapid heartbeat, nausea, vomiting, or seizures.

Diet & Lifestyle Advise

  • Limit or avoid alcohol: Drinking alcohol while taking this medicine can increase side effects like drowsiness, dizziness, and coordination issues, and it can also make depression or anxiety worse.
  • Manage your caffeine intake: High amounts of caffeine from coffee, tea, or energy drinks can worsen feelings of restlessness and anxiety, and interfere with your sleep patterns.
  • Establish a consistent sleep routine: Try to go to bed and wake up at the same time each day to help manage any sleep disturbances or fatigue caused by the medication.
  • Incorporate light physical activity: Consistent, moderate exercise, such as walking or cycling, can help boost your overall mood and support the therapeutic effects of your medicine.
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How Soon It Starts Working

  • The time required for Citalin-20 Tablet to start to work: Citalin-20 Tablet ideally shows its action within 3 to 4 hours after administration.
  • The time for which the effects of Citalin-20 Tablet last: The effect of Citalin-20 Tablet lasts for 4 to 5 days.

What if you forget to take Citalin-20 Tablet

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and resume your regular dosing schedule. Do not take a double dose to make up for a missed one.

Storage

• Store Citalin-20 Tablet tablets and oral solution at room temperature, ideally between 20°C and 25°C (68°F and 77°F). • Keep the medication in its original container, tightly closed, and protected from excess moisture and direct light.

Drug Warnings

  • Do not stop taking this medication suddenly: Abrupt discontinuation may cause withdrawal symptoms such as dizziness, headache, irritability, anxiety, sleep disturbances, nausea, sensory disturbances, or flu-like symptoms. If treatment needs to be stopped, your doctor will usually recommend gradually reducing the dose over several weeks or longer, depending on the dose, duration of treatment, and your individual response.
  • Avoid driving or using heavy machinery: This medication can make you drowsy or dizzy when you first start taking it. Do not perform tasks requiring full alertness until you know how it affects you.
  • Monitor your mood closely: Pay close attention to any sudden changes in your behaviour, thoughts, or emotions, especially when you first start taking this medicine or when your dose is changed. Inform your family or caregiver so they can help watch for these changes.
  • Consult your pharmacist before taking pain relievers: Pain relievers like ibuprofen, naproxen, or aspirin can increase your risk of bleeding when taken alongside this medication.

Drug-Drug Interactions

verifiedApollotooltip

The following medicines may interact with Citalin-20 Tablet :

  • Monoamine Oxidase Inhibitors (MAOIs): Do not take this medication within 14 days of taking an MAOI, as this can lead to a severe, life-threatening condition called serotonin syndrome.
  • Blood Thinners and NSAIDs: Medications like warfarin, aspirin, ibuprofen, or naproxen can increase your risk of bruising or bleeding when combined with Citalin-20 Tablet .
  • Other Serotonergic Medications: Combining this medicine with other drugs that increase serotonin (such as triptans for migraines, lithium, tramadol, or other antidepressants) increases the risk of serotonin syndrome.
EscitalopramSorafenib
Severe
EscitalopramNilotinib
Severe

Drug-Drug Interactions

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EscitalopramSorafenib
Severe
How does the drug interact with Citalin-20 Tablet:
Coadministration of Citalin-20 Tablet with Sorafenib can lead to or increase the risk of irregular heart rhythm.

How to manage the interaction:
Taking Citalin-20 Tablet with Sorafenib together can result in an interaction, it can be taken if your doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, or irregular heartbeat, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
EscitalopramNilotinib
Severe
How does the drug interact with Citalin-20 Tablet:
Coadministration of Citalin-20 Tablet and nilotinib can increase the risk or severity of irregular heart rhythms. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Citalin-20 Tablet and nilotinib together can lead to an interaction, but it can be taken if advised by your doctor. However, if you experience any symptoms like sudden dizziness, shortness of breath, heart palpitations, diarrhea, or vomiting, contact your doctor immediately. Do not discontinue any medications without consulting your doctor.
EscitalopramGemifloxacin
Severe
How does the drug interact with Citalin-20 Tablet:
Combining Gemifloxacin with Citalin-20 Tablet can increase the risk of QTc prolongation.

How to manage the interaction:
Taking Citalin-20 Tablet with Gemifloxacin together can possibly result in an interaction, but it can be taken if your doctor has advised it. If you experience any of these symptoms - dizziness, lightheadedness, fainting, palpitations, abnormal heart rhythm, shortness of breath, or severe diarrhea or vomiting - contact your doctor right away. Do not stop using any medications without talking to your doctor.
EscitalopramEletriptan
Severe
How does the drug interact with Citalin-20 Tablet:
Combining Eletriptan with Citalin-20 Tablet can increase the risk of serotonin syndrome.

How to manage the interaction:
There may be a possibility of interaction between Citalin-20 Tablet and Eletriptan, but it can be taken if prescribed by a doctor. If you notice any of these symptoms - like feeling confused, seeing or hearing things that aren't there, seizures, fast heartbeat, fever, sweating a lot, shaking, blurry vision, muscle spasms, trouble moving, stomach cramps, feeling sick, diarrhea, or any other problems - contact your doctor right away. They can help you and prevent any complications. Do not stop using any medications without talking to your doctor.
EscitalopramVilazodone
Severe
How does the drug interact with Citalin-20 Tablet:
When Vilazodone is taken with Citalin-20 Tablet, it may increase the risk of serotonin syndrome (a condition in which a chemical called serotonin increases in your body).

How to manage the interaction:
There may be a possibility of interaction between Vilazodone and Citalin-20 Tablet, they can be taken together if prescribed by a doctor. However, consult a doctor if you experience confusion, hallucinations (seeing and hearing things that do not exist), fits, blood pressure alteration, increased heart rate, fever, excessive sweating, shivering or shaking, blurred vision, pain in the muscles or stiffness, incoordination, stomach cramps, nausea, vomiting, and diarrhea. Do not discontinue any medications without consulting your doctor.
EscitalopramDextromethorphan
Severe
How does the drug interact with Citalin-20 Tablet:
Co-administration of Dextromethorphan and Citalin-20 Tablet may increase the risk of serotonin syndrome (a condition in which a chemical called serotonin builds up in your body).

How to manage the interaction:
Although there is a possible interaction between Dextromethorphan and Citalin-20 Tablet, you can take these medicines together if prescribed by a doctor. However, if you experience symptoms such as confusion, hallucination, increased heart rate, fever, excessive sweating, shivering or shaking, tremors, incoordination, blurred vision, muscle spasm or stiffness, nausea, vomiting, stomach cramp, and diarrhea, contact a doctor immediately. Do not discontinue the medication without consulting a doctor.
EscitalopramVoclosporin
Severe
How does the drug interact with Citalin-20 Tablet:
Taking Citalin-20 Tablet and Voclosporin together can increase the blood level and effects of Voclosporin.

How to manage the interaction:
Although there is a possible interaction between Citalin-20 Tablet and Voclosporin, you can take these medicines together if prescribed by your doctor. If you notice any of these symptoms - dizziness, lightheadedness, heart palpitations, abnormal heart rhythm, difficulty breathing, irregular heart rhythm, or severe and prolonged diarrhea or vomiting - make sure to call your doctor immediately. Do not stop using any medications without a doctor's advice.
EscitalopramVoriconazole
Severe
How does the drug interact with Citalin-20 Tablet:
Using Citalin-20 Tablet together with Voriconazole can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Although taking Citalin-20 Tablet and Voriconazole together can result in an interaction, they can be taken together if prescribed by a doctor. However, if you experience dizziness, shortness of breath, or heart palpitations (irregular heartbeat), consult a doctor immediately. Do not discontinue using any medications without consulting a doctor.
EscitalopramAmiodarone
Severe
How does the drug interact with Citalin-20 Tablet:
Coadministration of Citalin-20 Tablet with amiodarone may increase the risk of abnormal heart rhythm.

How to manage the interaction:
Although taking Citalin-20 Tablet with amiodarone may cause an interaction, they can be taken together if prescribed by a doctor. However, consult your doctor if you experience sudden dizziness, lightheadedness, fainting, or shortness of breath. Do not discontinue any medications without consulting a doctor.
EscitalopramLapatinib
Severe
How does the drug interact with Citalin-20 Tablet:
Combining Lapatinib with Citalin-20 Tablet can increase the risk of QTc prolongation.

How to manage the interaction:
Co-administration of Citalin-20 Tablet with Lapatinib can possibly result in an interaction, but it can be taken if your doctor has advised it. If you experience dizziness, fainting, abnormal heart rhythm, or difficulty breathing, contact your doctor immediately. Do not stop using any medications without talking to your doctor.

Drug-Food Interactions

verifiedApollotooltip
  • St. John's Wort: Avoid taking this herbal supplement while using Citalin-20 Tablet , as it can significantly increase the risk of serotonin syndrome.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[PSYCHOTHERAPEUTICS]

FAQs

Citalin-20 Tablet is used in the treatment of depression and other mental health conditions, such as anxiety, panic disorder, and obsessive-compulsive disorder. It works by increasing serotonin levels and alleviates symptoms of mental health conditions.
It takes about 2-4 weeks before you start feeling better. Do not stop this medicine without consulting your doctor, as it may lead to unpleasant side effects.
Citalin-20 Tablet is not advised in cases if a person is allergic to Citalin-20 Tablet , has epilepsy, or are having electroconvulsive treatment as Citalin-20 Tablet may increase your risk of having a seizure. Citalin-20 Tablet should not be taken by a person having heart problems as taking Citalin-20 Tablet can speed up or change the heartbeat. It should not be given to a person having a low heart rate along with symptoms of diarrhoea and vomiting, pregnant women, trying to get pregnant, breastfeeding, or having eye problems such as glaucoma. In diabetics, it can cause difficulty in keeping stable blood sugar levels. However, please consult your doctor before you stop taking Citalin-20 Tablet as the sudden stoppage of this medicine can lead to unpleasant side effects.
Citalin-20 Tablet should be preferably taken in the morning as taking it at night can keep you awake till late. It is better to take it at a fixed time.
Certain side effects of Citalin-20 Tablet can be dealt with with simple tips, such as if you experience dry mouth, you can chew sugar-free gum or take sugar-free sweets. If you are sweating a lot while taking Citalin-20 Tablet , wear loose clothing and use a strong antiperspirant. If you are unable to sleep after taking Citalin-20 Tablet , prefer to take it in the morning to avoid sleep disturbances. If you feel sleepy after taking Citalin-20 Tablet , avoid taking it in the evening and limit your alcohol intake. If you feel tired or weak after taking Citalin-20 Tablet , sit or lie down until you feel better. If you feel that the side effects are worsening, please consult your doctor.
Taking Citalin-20 Tablet in more than the recommended dose can cause unpleasant side effects such as dizziness, tremor, agitation, convulsion, coma, nausea, vomiting, changes in heart rhythm, decreased blood pressure, and a change in body fluid/salt balance.
Initially, Citalin-20 Tablet can make you feel less hungry, which can cause you to lose weight. After some days, you might gain weight as your appetite returns. Please consult your doctor if you experience too much weight loss or gain.
Yes, Citalin-20 Tablet might cause memory problems, headache, confusion, trouble concentrating, weakness, or unsteadiness.
Citalin-20 Tablet should be taken as per the advice of your doctor. Once you start feeling better, you might have to continue it for several months to prevent the symptoms from returning. Your doctor will advise you on how much time you need to continue Citalin-20 Tablet , depending upon the type and severity of your symptoms.
If you miss a dose of Citalin-20 Tablet , do not take a double dose of Citalin-20 Tablet . If you remember the missed dose before sleeping, take it at that time and take Citalin-20 Tablet at the same time the next day which you took earlier. If you remember the missed dose the next day, leave the skipped dose and continue with the next dose.
The common side effects of Citalin-20 Tablet include nausea, headaches, excessive sweating, dry mouth, feeling sleepy, being unable to sleep, and feeling tired or weak. If these side effects persist or worsen, please consult your doctor.
Citalin-20 Tablet usage in children, adolescents, and young adults may increase the risk of suicidal tendencies. Thus, Citalin-20 Tablet is not recommended for children below 12 years of age. Always, discuss the risks and benefits of taking Citalin-20 Tablet with your doctor before using it.
You are recommended not to stop taking Citalin-20 Tablet abruptly as it may cause withdrawal symptoms. Even though the withdrawal symptoms are usually mild and subside within 2 weeks, do not stop it without consulting your doctor. Your doctor will gradually reduce the dose.
The withdrawal symptoms include sleep disturbances like vivid dreams, nightmares, and inability to sleep; dizziness; headaches and anxiety. Additionally, you may get electric shock sensations and burning sensations. Other possible withdrawal symptoms include sweating including night sweats, nausea, restlessness or agitation, irritability, tremors, confusion, diarrhoea, palpitations and visual disturbances.
You may begin to notice improvements in sleep, appetite, energy levels, or anxiety symptoms within the first 1 to 2 weeks. However, mood symptoms often take 4 to 6 weeks, and sometimes longer, to improve fully. Continue taking the medicine as prescribed and attend follow-up appointments so your doctor can assess your progress.
You should consult your doctor before taking this medication if you are pregnant, planning to become pregnant, or breastfeeding. Your doctor will weigh the benefits of treatment against any potential risk to the baby to make the safest decision for you.
Some people may experience changes in weight or appetite while taking this medication. While some individuals report mild weight gain or loss over long-term use, the effect varies from person to person. Talk to your doctor if you have concerns about weight changes.
It is highly recommended that you avoid drinking alcohol while taking this medication. Alcohol can increase side effects like extreme sleepiness, dizziness, and confusion, and can also interfere with how well the medicine works to treat your symptoms.
Never stop taking this medication abruptly on your own. Doing so can lead to withdrawal symptoms such as dizziness, headaches, irritability, and tingling sensations. Talk to your doctor, who will create a plan for gradually decreasing dose safely.
Yes, drowsiness or fatigue is a common side effect when first starting this medication. If you feel sleepy during the day, talk to your doctor about whether taking your dose at bedtime might be appropriate for you.
No, this medication is not considered addictive or habit-forming. However, stopping it suddenly can cause your body to experience withdrawal symptoms, which is why a plan for gradually decreasing dose is always necessary.
Taking pain relievers like ibuprofen, naproxen, or aspirin with this medication can increase your risk of stomach bleeding or bruising. Talk to your doctor or pharmacist to find a safer pain relief alternative, such as acetaminophen.
Citalin-20 Tablet may take 4 to 6 weeks, and sometimes longer, to show its full benefits. If your symptoms do not improve after an adequate treatment trial, your doctor may review your diagnosis, adjust your dose, recommend psychotherapy, or consider a different medication. Do not stop taking Citalin-20 Tablet without medical advice, even if you feel it is not working.

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Reference

  1. Electronic Medicines Compendium (EMC). Product Summary of Product Characteristics (SmPC). Cheshire, UK: Datapharm; 2025. [Accessed on 02 Jun. 2026]Check here
  2. Electronic Medicines Compendium (EMC). Pil.4307 Patient Information Leaflet (PIL). Cheshire, UK: Datapharm; 2025. [Accessed on 02 Jun. 2026]Check here
  3. National Health Service (NHS). Escitalopram - NHS Medicines Reference Guide. London, UK: NHS; 2025. [Accessed on 02 Jun. 2026]Check here
  4. Escitalopram 10mg tablets - Patient Information Leaflet (PIL) - (emc) [Internet]. Medicines.org.uk. 2021 [Accessed on 8 September 2021]Check here
  5. Escitalopram 10mg tablets - Summary of Product Characteristics (SmPC) - (emc) [Internet]. Medicines.org.uk. 2021 [Accessed on 8 September 2021]Check here
  6. Drugs H. Escitalopram: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2021 [Accessed on 8 September 2021]Check here

Country of origin

INDIA

Manufacturer/Marketer address

Plot no: 492, Viduthalai Nagar Extension Near JD Mahal, Pallavaram Thuraipakam Road S.Kulathur,Kovilambakkam, Chennai - 600 117
Other Info - CIT0193

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