Drugs Q & A

Can You Snort Escitalopram?

Snorting is one of the many means of using both recreational and prescription drugs. The drug is typically ground up into a powder by chopping it finely with a razor blade on a hard surface. It may then be divided into “lines,” and a straw or rolled paper may be used to inhale the drug up into the nasal passages. For some drugs, snorting is the preferred method for misuse, but the short- and long-term effects can lead to significant damage.

People often snort because they achieve a faster onset of desired effects when compared to other methods of delivery, other than smoking, which is faster than snorting. When snorted, the drug is absorbed almost immediately into the bloodstream through the soft tissues in the nasal cavities. Depending on the individual and the drug being used, it can take as little as 5 to 10 minutes for the drug to be absorbed and start producing effects when taken this way. Snorting may also amplify the effects of the drug, as is often the case with extended-release prescription medication.

What is Escitalopram and How does work?

Escitalopram belongs to the group of medications called selective serotonin reuptake inhibitors (SSRIs). It is used to treat depression, obsessive-compulsive disorder (OCD), and generalized anxiety disorder (GAD). It works by increasing levels of a neurotransmitter called serotonin in the brain. Increased serotonin levels can lead to an improved mood.

The medication usually begins to work within 2 to 4 weeks. However, it may take several weeks of treatment before the full effects are seen.

This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.

Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.

Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.

What form(s) does this medication come in?

10 mg

Each white, oval, biconvex, film-coated tablet, engraved “APO” on one side and scored and engraved “ESC” over “10” on the other side, contains escitalopram 10 mg (as escitalopram oxalate). Nonmedicinal ingredients: croscarmellose sodium, hydroxypropyl cellulose, hydroxypropyl methylcellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, polyethylene glycol, and titanium dioxide.

20 mg

Each white, oval, biconvex, film-coated tablet, engraved “APO” on one side and scored and engraved “ESC” over “20” on the other side, contains escitalopram 20 mg (as escitalopram oxalate). Nonmedicinal ingredients: croscarmellose sodium, hydroxypropyl cellulose, hydroxypropyl methylcellulose, lactose monohydrate, magnesium stearate, microcrystalline cellulose, polyethylene glycol and titanium dioxide.

How should I use this medication?

The recommended dose is usually started at 10 mg daily, preferably at the same time each day. Escitalopram should be taken once daily in the morning or evening, with or without food. The dose can be increased by your doctor as needed to a maximum of 20 mg daily. For seniors, people with liver problems, and people taking the medications omeprazole or cimetidine, the maximum recommended daily dose is 10 mg. In some cases, the doctor may recommend a 5 mg starting dose.

Regular tablets: The tablet should be swallowed whole (not chewed) with a glass of water.

Oral dispersible tablets: The tablet should be placed on the tongue. It will rapidly disintegrate and can be swallowed without water. The tablets break easily, so they should be handled carefully with dry hands.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

It is important to take this medication exactly as prescribed by your doctor. If you miss a dose, skip the missed dose and continue on with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Can You Snort Escitalopram?

No, you should never snort Escitaloprám or any prescription medication. Drugs like Escitaloprám are formulated to be taken in a particular manner, often ingested orally, and to be released slowly. When taken properly, the medication is broken down in the stomach before it is absorbed into the bloodstream over time. By snorting, the full effect of the drug is released almost immediately, which can have serious consequences.

Snorting Escitaloprám can also have detrimental effects on your health. For people who repeatedly snortEscitaloprám, the cumulative irritation of the external nares (nostrils), nasal passages and sinus structures can lead to a number of adverse events, such as:

  • Perforation of the nasal septum.
  • Irritation of the nasal mucosa.
  • Sinusitis.
  • Nose bleeds.
  • Loss of sense of smell.
  • Problems swallowing.
  • Hoarseness.

This process produces an amplified high but also increases the risk of negative consequences and overdose.

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Dr. Oche Otorkpa PG Cert, MPH, PhD

Dr. Oche is a seasoned Public Health specialist who holds a post graduate certificate in Pharmacology and Therapeutics, an MPH, and a PhD both from Texila American University. He is a member of the International Society of Substance Use Professionals and a Fellow of the Royal Society for Public Health in the UK. He authored two books: "The Unseen Terrorist," published by AuthorHouse UK, and "The Night Before I Killed Addiction."
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