Reddish-brown urine after taking escitalopram oxalate tablets

After taking escitalopram oxalate tablets, if urine turns reddish-brown, it is important to promptly observe the characteristics of symptoms, rule out influences from diet or medications, record the frequency of occurrence, monitor any physical discomfort, and consult a doctor in a timely manner. In most cases, this change is related to drug metabolism or dietary factors, but abnormal underlying conditions should be carefully monitored. If the urine color continues to darken or is accompanied by flank pain, hematuria, or fever, immediate medical attention is recommended.

1. Observe symptom characteristics: Pay attention to whether the urine color is light red-brown or dark brown, whether it appears cloudy or contains sediment, and whether there is pain or urgency during urination. If only urine color changes without other discomfort, it is highly likely caused by drug metabolites.

2. Rule out dietary and medication effects: Review whether you have consumed foods known to alter urine color, such as beets or blackberries, or taken iron supplements, vitamin B, or other medications. Urine discoloration caused by these factors typically resolves after stopping the substance or adjusting the diet.

3. Record frequency of episodes: Keep track of when the reddish-brown urine occurs, how long it lasts, and whether it happens consistently after each dose. Episodes that follow a regular pattern and are not associated with other symptoms are more likely related to the medication, which helps doctors make an accurate assessment.

4. Monitor for physical discomfort: If symptoms such as abdominal or flank pain, dizziness, fatigue, or fever occur, consider possible urinary tract infections, kidney stones, or other issues. These symptoms are not typical drug side effects and require prompt evaluation for organic diseases.

5. Consult your doctor promptly: Do not stop or reduce medication on your own. Bring your medication records and observations about urine color to your prescribing doctor, who will determine whether the change is a drug side effect and decide whether to adjust your treatment plan or recommend further tests.

Maintain adequate daily water intake to promote metabolism, avoid holding urine to reduce burden on the urinary system, eat a light diet avoiding spicy or irritating foods, maintain regular sleep patterns without staying up late, strictly follow medical instructions for medication, and do not combine with other drugs without authorization.