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Updated April 09, 2014


Lexapro (escitalopram oxalate) is a selective serotonin reuptake inhibitor (SSRI) proven effective in the treatment of depression and generalized anxiety disorder (GAD).

How to Take Lexapro:

Lexapro may be taken as tablets or an oral solution once daily, in the morning or evening, with or without food.

Dosage Guidelines:

The usual recommended daily dosage of Lexapro is 10 mg. Some doctors may begin at 5 mg. The start dose and dosage can be increased to 20 mg after a minimum of one week at 10 mg.

Who Shouldn’t Take Lexapro:

You should not take Lexapro if you are hypersensitive to escitalopram oxalate or have a history of seizure disorder. The effectiveness of Lexapro for use with children younger than 18 years of age has not been established.

Medication Interactions:

Lexapro should not be combined with monoamine oxidase inhibitors (MAOIs), tryptophan, aspirin, warfarin, other SSRIs, serotonin-norepinephrine reuptake inhibitors (SNRIs) and St. John's Wort. Use Lexapro with caution if you are pregnant/breastfeeding. Absolute contraindications exist for lexapro and MAOIs, pimozide, those with a hypersensitive reaction and active suicidality. The bleeding risk associated with aspirin, warfarin or NSAIDs is an association; patients are discouraged from using these agents together. Talk with your psychiatrist if on warfarin. Using these agents isn't an absolute contraindication.

Side Effects:

The most common side effects of taking Lexapro are insomnia or somnolence, nausea and headache.

Associated Risks:

Use of Lexapro can carry risks, including the potential for clinical worsening and suicide, serotonin syndrome and withdrawal effects. Close monitoring by your psychiatrist or doctor is important.

Other Anxiety Medications:


Forest Pharmaceuticals. Lexapro Prescribing Information. Accessed December 17, 2008.

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