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Alwel (Escitalopram)

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Alwel is widely prescribed to treat depression and other mental health conditions like anxiety, panic disorder, and obsessive-compulsive disorder. It is a type of antidepressant known as a selective serotonin reuptake inhibitor (SSRI).

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Also known as: Escitalopram


Alwel (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.

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

Alwel 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.


You should not use Alwel if you are allergic to escitalopram or citalopram (Celexa), or if:

you also take pimozide or citalopram.

Do not use Alwel within 14 days before or 14 days after you have used an MAO inhibitor. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

Be sure your doctor knows if you also take stimulant medicine, opioid medicine, herbal products, or medicine for depression, mental illness, Parkinson's disease, migraine headaches, serious infections, or prevention of nausea and vomiting. These medicines may interact with escitalopram and cause a serious condition called serotonin syndrome.

To make sure Alwel is safe for you, tell your doctor if you have ever had:

liver or kidney disease; seizures; low levels of sodium in your blood; heart disease, high blood pressure; a stroke; bleeding problems; bipolar disorder (manic depression); or drug addiction or suicidal thoughts.

Some young people have thoughts about suicide when first taking an antidepressant. Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.

Alwel is not approved for use by anyone younger than 12 years old.

Ask your doctor about taking this medicine if you are pregnant. Taking an SSRI antidepressant during late pregnancy may cause serious medical complications in the baby. However, you may have a relapse of depression if you stop taking your antidepressant. Tell your doctor right away if you become pregnant. Do not start or stop taking Alwel without your doctor's advice.

If you are pregnant, your name may be listed on a pregnancy registry to track the effects of escitalopram on the baby.

If you are breastfeeding, tell your doctor if you notice drowsiness, agitation, feeding problems, or poor weight gain in the nursing baby.

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Suggestions are made for arriving at appropriate, albeit arbitrary, diagnostic criteria. In this report, we present the diagnostic features, including a unique radiologic finding, and successful management of a 7-year-old girl with this condition using a combination of aggressive surgery and medical treatment with interferon and pamidronate. Electrochemical and photophysical properties of DNA metallo-intercalators containing the ruthenium(II) tris(1-pyrazolyl)methane unit. Our understanding of the CRC epigenome has been largely developed over the last decade and it is now believed that among thousands of epigenetic alterations present in each tumor, a small subgroup of these may be considered as a CRC driver event. However, there is limited scientific information on its functional results. Lifestyle modifications and some drug therapies to treat atherosclerosis, hypertension, and coronary heart disease have important effects to simultaneously increase adiponectin levels, decrease insulin resistance, and improve endothelial dysfunction. In addition, RA acts as a natural morphogen in neural development. A biomechanical model of the shoulder girdle was proposed by correlating the results from the present study with the electrical activity of the scapular rotators. The fate of metal contaminated sediments in Foundry Cove, New York.

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The enzyme-linked immunosorbent assay (ELISA) data of several peptides displayed on phage surfaces for insulin and lysozyme, respectively, reported in literature are used for the purpose. It is not easy to draw the line between special (extended) medical services and general hospital services. The binding of the amino steroid, 22-amino-23,24-bisnor-5-cholen-3 beta-ol (22-ABC), to rabbit liver cytochrome P-450 3c was studied using purified P-450 3c and liver microsomes prepared from rifampicin-treated B/J rabbits. boulardii is so similar to Saccharomyces cerevisiae that the two should be classified as conspecific. This is consistent with glycosylation of the active site of Cu,Zn-SOD, without any effect of hyperglycaemia on the concentration of Cu,Zn-SOD. The highest efficiency was obtained with the essential oil from Thymus numidicus which showed antifungal effect 1357 fold stronger than that measured with amphotericin B. and multi-resistant Pseudomonas aeruginosa in a patient with toxic epidermal necrolysis and renal cancer. Two cases of unruptured pial arteriovenous malformations (AVMs) presenting with intracranial hypertension and papilledema are reported. The systems compromised and the sequence of events leading to this syndrome remains unknown.

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Can predictions be made on the health effects of chemical mixtures?. Self-reported use of in-training assessment methods was evaluated using supplemental questions in the follow-up test. Hypoxia induces DNA overreplication and enhances metastatic potential of murine tumor cells. Infections related to cardiac surgery increase morbidity and mortality, and increase cost and use of health resources. We describe our modification of the reversed T-shaped sternotomy. Aligned hierarchical Ag/ZnO nano-heterostructure arrays via electrohydrodynamic nanowire template for enhanced gas-sensing properties. To describe an unusual case of panuveitis in coexisting choroidal melanoma and phacoanaphylaxis. GPC3 stimulates HCC growth by promoting canonical Wnt signaling. We show that deep-sea ecosystem functioning is exponentially related to deep-sea biodiversity and that ecosystem efficiency is also exponentially linked to functional biodiversity. MRI outcomes in the diagnosis and disease course of multiple sclerosis.

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In young rabbits before the age at which the eyes open, only three of the seven receptive field types described in the adult visual cortex are detectable. The Mycoplasma pneumoniae cluster is a clade of eight described species which all exhibit cellular polarity. Northern-blot analysis using T21A and T21B clones as probes showed a decrease in mRNA in human endometrium from the luteal stage, with high serum estradiol and progesterone levels, as compared with that from the early follicular stage, with low serum estradiol and progesterone levels, and that from the pre-ovulatory stage with high serum estradiol and low progesterone levels. Ultrastructural examination of a nerve biopsy can be decisive in combination with routine histological and immunopathological examinations. Positioning results on a 1010/1020 carbon steel, 1.5875 mm diameter sphere with gradient echo phase images are presented. Similar to findings collected in elderly participants, patients, but not controls, showed a strong positive correlation between the number of recognized studied items and false-positive recognition of the critical lure. Score in the range of 30T to 39T suggest middle deficits in coping resources.

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Glioblastoma (GBM) has been recognized as a clinical and pathologic entity for more than a century. Noninvasive two-dimensional strain imaging of arteries: validation in phantoms and preliminary experience in carotid arteries in vivo. Rapid progression of CGN and CNG appeared to associate with the unfavorable clinical type (active nephritic types of CGN and nephrotic-hypertensive type of CNG), the unfavorable morphological type (mesangiocapillary glomerulonephritis and focal segmentary sclerosis/hyalinosis) and TIC. Down syndrome (DS) may be associated with various organ system disorders. With breast cancer now being recognized as a heterogeneous disease, the concept of personalized medicine demands that the tumor of every individual be treated uniquely. Changes in the value of the lognormal shape parameter and slope of the cellular drug uptake curves can be used to rapidly screen radiopharmaceuticals and other cytotoxic agents to formulate more effective cocktails for cancer therapy. Unlike previous results, our analysis allows algorithmic implementation via systems of equalities and inequalities and suggests sequences of reactions which may lead to extinction events. The recent trend of mesh revision is notable with a much faster rate of increase than mesh insertion.

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Combined technique of elastic magnetorheological finishing and HF etching for high-efficiency improving of the laser-induced damage threshold of fused silica optics. The basic prerequisite for reliable diagnosis of LNB is a multidisciplinary collaboration of highly experienced neurologists, infection disease specialists, and microbiologists. Bioassay-guided fractionation of the dichloromethane rootbark extract of Entada abyssinica (Leguminosae), a plant used by traditional healers in Uganda for the treatment of sleeping sickness, led to the isolation of a diastereoisomer of the clerodane type diterpene kolavenol. Hospital collaboration with public safety organizations on bioterrorism response. The histologic distribution of a prostatic secretory protein of 94 amino acids (PSP94) and its mRNA were examined simultaneously by conventional immunohistochemistry and in situ hybridization histochemistry. Design and initial results from a kilojoule level Dense Plasma Focus with hollow anode and cylindrically symmetric gas puff. Fifty-one dogs, 18 with histopathologically confirmed PMM, 33 presumptively diagnosed based on clinical signs and diagnostic imaging.

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Larvicidal activity of some Euphorbiaceae plant extracts against Aedes aegypti and Culex quinquefasciatus (Diptera: Culicidae). Assessment of IVC filter efficacy in prevention of pulmonary thrombo-embolism by 99mTc-MAA lung perfusion scintigraphy--a case series and review of literature. Increases in myristic or palmitic acid were common in needles exposed to lower concentrations of ozone. Histologic inflammation was related to liver color, vascularity beneath hepatic capsule, liver margin shape, liver size, and liver surface nodularity. A regioselective approach to trisubstituted 2 (or 6)-arylaminopyrimidine-5-carbaldehydes and their application in the synthesis of structurally and electronically unique GlambdaC base precursors. Both patients repeatedly demonstrated 2009 H1N1 influenza in respiratory specimens. The first is characterized by rapid growth, and the second decays exponentially. We adopted a grounded theory approach to explore the process of recovery experienced by stroke survivors over the longer term who were living in the community in the United Kingdom, and the interacting factors that are understood to have shaped their recovery trajectories. Compared to the PSB attached on Anabeana, the PSB attached on Microcystis showed the lower numbers, higher phosphorus solubilizing ability and extensive substrate adaptability.

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The clinical discrimination between scimitar vein anomaly with and without cardiovascular and bronchopulmonary malformations is crucial for the outcomes vary. In women, obesity also appeared to be a more important mediator of the relation between socioeconomic status and diabetes than of the relation between acculturation and diabetes. The endophthalmitis was responsive to medical therapy including antibiotic agents, and it resolved without any surgical intervention. Conclusion Brainstem anatomy changes may underlie changes in activity that result in activation of the ascending trigeminal pathway and the perception of head pain during a migraine attack. Tissue-engineered small intestine (TESI) has successfully been used to rescue Lewis rats after massive small bowel resection. Recruitement of myr 3 to Cdc42-induced adherens junctions in HeLa cells was dependent on a short region of the tail domain and a functional myosin motor domain, but was independent of its glucophage brand name myosin-I tail homology and SH3 regions. Heterogeneous mutations in factor IX (FIX) gene cause haemophilia B and a large number of mutations have been characterized. Arginine requirement for late mRNA transcription of vaccinia virus in KB cells. Development and progression of glomerulonephritis--effect of renal ischemia on glomerulonephritis. An assessment of the safety of copper heptonate for parenteral therapy in sheep.

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Prostate specific antigen velocity 0.75 ng/ml yearly has been proposed to distinguish prostate cancer from benign prostate conditions. Advances in imaging techniques are illustrated (sonography, CT scan, MRI). To determine the presence of change in size of air-filled cysts in the lung on expiration by comparison between inspiratory and expiratory high-resolution computed tomography (CT) scans. None of them were found to be susceptible against the aqueous extracts of garlic, onion, coriander, pepper and ginger alone. Increasing context heterogeneity led to a decrease in search performance and a reduction in N2p differential amplitude. Selected esters of succinic acid were recently proposed as novel nutrients to support ATP generation in cells endangered by an imbalance between the formation and breakdown of this adenine nucleotide. The above facts suggest that harmless MSB promotes the electron transfer from plasma membrane of yeast cells to anode. The relative success of paxil pregnancy drug category liver transplantation in those with HIV compared to HIV-uninfected individuals remains a point of intense debate. Comparing treatments in the presence of crossing survival curves: an application to bone marrow transplantation. Compared receptivity of species A and B of the Anopheles gambiae to Plasmodium falciparum in Madagascar.

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Therapeutic melting pot of never in mitosis gene a related kinase 2 (Nek2): a perspective on Nek2 as an oncology target and recent advancements in Nek2 small molecule inhibition. During April-July 1998, the Ministry of Health in Taiwan received approximately 90,000 reports of hand, foot, and mouth disease (HFMD) among young children based on passive surveillance from sentinel physicians. Further investigations are required to improve our understanding of Campylobacter epidemiology in captive wild animal populations. Identification of vasoactive nonpeptidic positive and negative modulators of adrenomedullin using a neutralizing antibody-based screening strategy. Fermiology and electron dynamics of trilayer nickelate La4Ni3O10. Effect of methyl substitution on the antioxidative property and genotoxicity of resveratrol. The authors report a case of valproate-induced hyperammononemic encefalopathy whose initial clinical features were represented by increase of pre-existing disturbed-aggressive behaviour. Among platelet indices, the PDW is significantly higher in women with severe PE than in women with mild PE, and is positively correlated with the MAP. Surgical educators realized early that suitable luvox 50 mg models could be used to develop the needed technical expertise essential to the safe performance of surgery.

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Stimulation of left DLPFC with tDCS was noted to significantly improve the immediate and delayed recall performance of the patients in PMIT after five days of stimulation and most of the benefits were persistent at one month follow up. Here we show in Co/Si multilayers prepared at low temperature (90 K) strong saturation field oscillations that are consistent with the predicted coupling oscillations. Hydration water coverage of the protein and partial thermodynamic properties of the hydration water are heterogeneous, different for the water near the ice-binding site (IBS) and the rest of the protein, particularly at low levels of hydration. The association with serum lipids was linear across the entire reference range of TSH. The majority of patients would be happy to provide a stool sample or breath test provided they are made aware that these tests are more accurate than blood serology.

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Twenty-four-hour ghrelin is elevated after calorie restriction and exercise training in non-obese women. This study aims to describe immunization documentation practices and disease surveillance capacity among IHEs in Indiana in order to inform public health action. To determine the rate and timing of, as well as risk factors for, postoperative morbidity and mortality following otologic and neurotologic surgery. Mortality was less than in previous studies as cases were managed with antiviral chemotherapy and reduction of immune suppression. This was the first study to analyze the effects of blast-related injury on the cerebral vasculature. Angiopoietin-like 8 (ANGPTL8) has been identified as a key regulator of lipid metabolism. We present two remotely adjustable check-valves with an electrochemical release mechanism for implantable biomedical microsystems.

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The decision making control instrument to assess voluntary consent. We have detected AMF expression in tissue specimens from 119 patients with pulmonary adenocarcinoma and examined the relationship between AMF expression, clinicopathological factors and prognosis. Essential role of Sox9 in the pathway that controls formation of cardiac valves and septa. perfringens and a significant decrease in the density of Bacteroides was observed after consumption of both types of yogurt. A crucial driver for future advances in PET imaging is the availability of molecular imaging probes labeled with positron-emitting radionuclides. Our ability to identify the mechanisms involved in B-cell lymphoma pathogenesis has been boosted recently through the use of Next Generation Sequencing techniques in the analysis of human cancer.

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