Opine 10 MD

Package	Per tablet	Savings	Price
180 tablets	$0.15	$9	$36 $27
150 tablets	$0.15	$7	$30 $23
120 tablets	$0.16	$5	$24 $19
90 tablets	$0.17	$3	$18 $15
60 tablets	$0.18	$1	$12 $11
30 tablets	$0.20	–	$6

What is this medicine?

OPINE 10 MD Tablet contains Escitalopram 10 mg, which is a selective serotonin reuptake inhibitor (SSRI). This medicine is used to treat depression, anxiety disorders, panic attacks, and obsessive-compulsive disorder (OCD). It works by restoring the balance of serotonin in the brain, improving mood, sleep, and energy levels.

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What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• bipolar disorder or manic-depressive illness

• liver or kidney disease

• epilepsy or a history of seizures

• bleeding disorders or if you are using anticoagulant medications

• heart disease or recent heart attack

• low levels of sodium in the blood

• history of suicidal thoughts or attempts

• an unusual or allergic reaction to escitalopram, citalopram, other SSRIs, other medications, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

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How should I use this medicine?

Take this medicine by mouth. It is usually taken once daily, with or without food. Do not crush or chew the mouth-dissolving tablet; allow it to dissolve on your tongue and then swallow.

Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking this medicine suddenly, as it may cause withdrawal symptoms. Always follow your doctor’s instructions.

Overdosage: If you think you have taken too much of this medicine, contact a poison control center or emergency room at once.

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What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, skip the missed dose and take only your next dose. Do not take double or extra doses.

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What may interact with this medicine?

• monoamine oxidase inhibitors (MAOIs)

• other SSRIs or antidepressants

• NSAIDs (e.g., ibuprofen, naproxen)

• aspirin or blood thinners (e.g., warfarin)

• lithium

• St. John’s Wort

• medications that affect heart rhythm (e.g., certain antipsychotics or antibiotics)

• tramadol or other opioids

• diuretics (may increase risk of low sodium levels)

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

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What should I watch for while using this medicine?

• Regular follow-ups with your doctor are important to check your response and for dose adjustments.

• It may take 1 to 4 weeks before you feel the full benefit of this medicine.

• Monitor for any worsening of depression or emergence of suicidal thoughts, especially in the first few weeks.

• Do not suddenly stop taking this medication without your doctor’s guidance due to the risk of withdrawal symptoms.

• Avoid alcohol while taking this medicine, as it can increase side effects like drowsiness.

• Be cautious with tasks requiring alertness (e.g., driving or operating machinery) until you know how this medicine affects you.

• Older adults may be more sensitive to side effects, especially low sodium levels.

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What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• suicidal thoughts or behavior

• signs of serotonin syndrome (e.g., hallucinations, agitation, fast heartbeat, muscle stiffness)

• seizures

• severe dizziness or fainting

• irregular heartbeat

• unusual bleeding or bruising

• allergic reactions like skin rash, itching, swelling of face, lips, or throat

• confusion or memory issues

Side effects that usually do not require medical attention (report to your doctor if bothersome or persistent):

• nausea

• dry mouth

• insomnia or drowsiness

• dizziness

• sweating

• fatigue

• headache

• decreased sexual desire or function

This list may not describe all possible side effects.

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Where should I keep my medicine?

• Keep out of the reach of children.

• Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F).

• Protect from moisture and light.

• Do not store in the bathroom.

• Throw away any unused medicine after the expiration date.