Health Canada is informing Canadians of a labeling update for the prescription drug Cipralex (Escitalopram) regarding a dose-related risk of abnormal heart rhythms. The risk is dose-related, 20 mg per day is still the maximum recommended dose for most patients.
Before starting Cipralex, talk to your healthcare professional. If you have had any heart problems, what other medications you are taking (including natural health products), if you have a history of fainting, if you have a history of electrolyte disturbances (low levels of potassium, magnesium or calcium in the blood) or conditions that might lead to electrolyte disturbances such as vomiting, diarrhea, dehydration, and if you are following a strict diet make sure your doctor knows. If you experience any symptoms of abnormal heart rhythms such as heart palpitations, dizziness, fainting, or seizures while taking Cipralex, contact your healthcare professional immediately.