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Escitalopram
Escitalopram is a prescription medication used to treat depression and anxiety.  Escitalopram belongs to a group of drugs called selective serotonin reuptake inhibitors (SSRIs), which may work by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. 
This medication comes in tablet and oral solution forms and is taken once a day, with or without food.
Common side effects of escitalopram include insomnia, nausea, and tiredness.
Escitalopram is a prescription medicine used to treat depression and anxiety in people over 12 years of age.
This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.
Escitalopram may be found in some form under the following brand names:
Escitalopram is part of the drug class:
Escitalopram and other antidepressant medicines may cause serious side effects. See “Drug Precautions” section.
Common side effects of escitalopram include:
This is not a complete list of escitalopram side effects. Ask your doctor or pharmacist for more information.
Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Escitalopram and other medicines may affect each other. Always check with your doctor before starting or stopping any medicine. Especially tell your doctor if you take:
This is not a complete list of escitalopram drug interactions. Ask your doctor or pharmacist for more information.
Escitalopram and other antidepressant medicines may cause serious side effects, including:
Keep all follow-up visits with your healthcare provider and call between visits if you are worried about symptoms.
Call your healthcare provider right away if you have any of the following symptoms, or call 911 if an emergency, especially if they are new, worse, or worry you:
Call your healthcare provider right away if you have any of the following symptoms, or call 911 if an emergency. Escitalopram may be associated with these serious side effects:
2.  Serotonin Syndrome or Neuroleptic Malignant Syndrome-like reactions. This condition can be life-threatening and may include:
4.  Abnormal bleeding : Escitalopram and other antidepressant medicines may increase your risk of bleeding or bruising, especially if you take the blood thinner warfarin (Coumadin, Jantoven), a non-steroidal anti-inflammatory drug (NSAIDs, like ibuprofen or naproxen), or aspirin.
7.  Changes in appetite or weight. Children and adolescents should have height and weight monitored during treatment.
8.  Low salt (sodium) levels in the blood. Elderly people may be at greater risk for this. Symptoms may include:
Do not stop escitalopram without first talking to your healthcare provider. Stopping escitalopram too quickly may cause serious symptoms including:
People who take escitalopram close in time to an MAOI may have serious or even life-threatening side effects. Get medical help right away if you have any of these symptoms:
Medicines can interact with certain foods. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. In the case of escitalopram there are no specific foods that you must exclude from your diet when receiving escitalopram.
Before starting escitalopram, tell your healthcare provider if you:
Tell your healthcare provider about all the medicines that you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Escitalopram and some medicines may interact with each other, may not work as well, or may cause serious side effects.
Tell your doctor if you are pregnant or plan to become pregnant. It is not known if escitalopram will harm your unborn baby.
Tell your doctor if you are breastfeeding or plan to breastfeed. Some escitalopram may pass into your breast milk. It is not known if escitalopram will harm your nursing baby.
Take escitalopram exactly as prescribed by your doctor. Follow the directions on your prescription label carefully. Your doctor will determine the best dose for you.
The recommended dosage of escitalopram is 10-20 mg a day. Exceptions include the elderly and patients with hepatic impairment, who should not take more than 10 mg a day. Both Generalized Anxiety Disorder (GAD) and Depression are considered chronic conditions, treatment is recommended for several months. The efficacy of Lexapro over long periods of time has not been studied, therefore consistent reevaluation of the treatment is recommended for longer periods of treatment.
If you take too much escitalopram, call your doctor or Poison Control Center right away, or get emergency treatment.
WARNINGS: SUICIDALITY AND ANTIDEPRESSANT DRUGS
Antidepressants increased the risk compared to placebo of suicidal thinking and behavior (suicidality) in children, adolescents and young adults in short-term studies of major depressive disorder (MDD) and other psychiatric disorders. Anyone considering the use of escitalopram tablets or any other antidepressant in a child, adolescent or young adult must balance this risk with the clinical need. Short-term studies did not show an increase in the risk of suicidality with antidepressants compared to placebo in adults beyond age 24; there was a reduction in risk with antidepressants compared to placebo in adults aged 65 and older. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. Patients of all ages who are started on antidepressant therapy should be monitored appropriately and observed closely for clinical worsening, suicidality or unusual changes in behavior. Families and caregivers should be advised of the need for close observation and communication with the prescriber. Escitalopram tablets are not approved for use in pediatric patients less than 12 years of age.

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