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Lexapro® is prescribed for major depression.

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The antidepressant LEXAPRO is a member of the family of medications known as selective serotonin reuptake inhibitors (SSRIs). LEXAPRO was developed by isolating the medicinal component of Celexa (citalopram HBr), molecules known as isomers. As a result, LEXAPRO appears to offer advantages in the treatment of depression and generalized anxiety disorder

Directions
Take Lexapro exactly as prescribed; usually once per day even after you begin to feel better. Although improvement usually begins within 1 to 4 weeks, treatment typically continues for several months. Lexapro can be taken with or without food.

Patient information
This medication may cause Constipation, decreased appetite, decreased sex drive, diarrhea, dizziness, dry mouth, ejaculation disorder, fatigue, flu-like symptoms, impotence, indigestion, insomnia, nausea, runny nose, sinusitis, sleepiness, sweating. If any of these effects persist or worsen, notify your doctor promptly.

Precautions
Lexapro makes some people sleepy. Until you know how the drug affects you, use caution when driving a car or operating other hazardous machinery. In rare cases, Lexapro can trigger mania (unreasonably high spirits and excess energy). If you've ever had this problem, be sure to let the doctor know. Also make sure that the doctor knows if you have liver problems or severe kidney disease. Your dosage may need adjustment. If you are pregnant or plan to become pregnant, inform your doctor immediately. Lexapro should be taken during pregnancy only if its benefits outweigh potential risk. Lexapro appears in breast milk and can affect a nursing infant. If you decide to breastfeed, Lexapro is not recommended.

Drug interactions
Do not use Lexapro if you are taking the related drug Celexa. Be sure to avoid MAO inhibitors when taking Lexapro. Although Lexapro does not interact with alcohol, the manufacturer recommends avoiding alcoholic beverages. If Lexapro is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Lexapro with the following: Carbamazepine (Tegretol); Cimetidine (Tagamet); Desipramine (Norpramin); Drugs that act on the brain, including antidepressants, painkillers, sedatives, and tranquilizers; Ketoconazole (Nizoral); Lithium (Eskalith); Metoprolol (Lopressor); Narcotic painkillers and Sumatriptan (Imitrex).

Escitalopram oxalate occurs as a fine white to slightly yellow powder and is freely soluble in methanol and dimethyl sulfoxide (DMSO), soluble in isotonic saline solution, sparingly soluble in water and ethanol, slightly soluble in ethyl acetate, and insoluble in heptane.

LEXAPRO (escitalopram oxalate) is available as tablets or as an oral solution.

LEXAPRO tablets are film coated, round tablets containing escitalopram oxalate in strengths equivalent to 5 mg, 10 mg and 20 mg escitalopram base. The 10 and 20 mg tablets are scored. The tablets also contain the following inactive ingredients: talc, croscarmellose sodium, microcrystalline cellulose/colloidal silicon dioxide, and magnesium stearate. The film coating contains hypromellose, titanium dioxide, and polyethylene glycol.