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Precautions

Do NOT use Lexapro if:

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• you might be allergic to your ingredient in Lexapro

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• you take citalopram

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• you consider or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort in the last 14 days

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• you consider a fenfluramine derivative (eg, dexfenfluramine), an H₁ antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, or sibutramine.

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Contact a medical expert or physician straight away if some of these sign up for you.

Some health conditions may talk with Lexapro. Tell a medical expert or pharmacist in case you have any health concerns, especially if any with the following apply to you:

• if you're pregnant, likely to conceive, or are breast-feeding

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• if you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• in case you have allergies to medicines, foods, or other substances

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• if you or perhaps a loved one carries a good bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse

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• in case you have a reputation seizures, liver problems, severe kidney problems, stomach or bowel bleeding, or metabolism problems

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• if you might be dehydrated, have low blood sodium levels, or are drinking alcohol

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• if you will be having electroconvulsive therapy (ECT).

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Some medicines may talk with Lexapro. Tell your doctor if you are taking another medicines, especially any of the following:

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• Fenfluramine derivatives (eg, dexfenfluramine), linezolid, lithium, MAOIs (eg, phenelzine), metoclopramide, nefazodone, selegiline, serotonin 5-HT₁ receptor agonists (eg, sumatriptan), sibutramine, St. John's wort, or trazodone because severe negative effects, like a reaction which could include agitation, hypertension changes, coma, confusion, delirium, fever, irritability, mental changes, and rigid muscles, may occur

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• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) since the chance of bleeding, including stomach bleeding, could possibly be increased

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• Diuretics (eg, furosemide, hydrochlorothiazide) since the risk of low blood sodium levels could possibly be increased

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• Tramadol because the chance of seizures may be increased
• H₁ antagonists (eg, astemizole, terfenadine) or phenothiazines (eg, chlorpromazine, thioridazine) because severe heart problems, including irregular heartbeat, may occur

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• Carbamazepine or cyproheptadine because they may decrease Lexapro's effectiveness
• Clozapine, pimozide, risperidone, or tricyclic antidepressants (eg, amitriptyline) because the risk of their side effects could possibly be increased by Lexapro.

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This may not be a complete report on all interactions that may occur. Ask your health care provider if Lexapro may talk with other medicines that you take. Check together with your doctor prior to starting, stop, or change the dose of any medicine.

Important safety information:

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• Lexapro could potentially cause drowsiness or dizziness. These effects may be worse if you go with alcohol or certain medicines. Use Lexapro with caution. Do not drive or perform other possible unsafe tasks unless you recognize how you reply to it.

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• Do not are drinking alcoholic beverages while you happen to be using Lexapro.

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• Check together with your doctor before you use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Lexapro; it may well help to increase their effects. Ask the pharmacist for those who have questions regarding which medicines could cause drowsiness.
• One to a month may pass before your symptoms improve. Do NOT take over the recommended dose, make positive changes to dose, or use Lexapro more than prescribed without checking with your doctor.

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• Children, teenagers, and adults who take Lexapro could be at increased risk for suicidal thoughts or actions. Watch all patients taking Lexapro closely. Contact the physician at once if new, worsened, or sudden symptoms for example depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual alternation in mood or behavior occur. Contact the physician right away if any warning signs of suicidal thoughts or actions occur.
• Lexapro along with a medicine called citalopram have a similar active component. Do not take Lexapro if you're also taking citalopram.
• If your doctor informs you to avoid taking Lexapro, you will need to await several weeks before beginning to take certain other medicines (eg, MAOIs, nefazodone). Ask your doctor whenever you should start to consider your medicines after you might have stopped taking Lexapro.

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• Lexapro may rarely create a prolonged, painful erection. This could happen even once you aren't making love. If this is not treated straight away, it might result in permanent sexual problems including impotence. Contact your doctor immediately in such a circumstance.

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• Serotonin syndrome is really a possibly fatal syndrome which can be brought on by Lexapro. Your risk could possibly be greater if you take Lexapro with certain other medicines (eg, "triptans," MAOIs). Symptoms can include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; sweating in excess; and nausea, vomiting, or diarrhea. Contact a medical expert at once when you have these symptoms.

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• Neuroleptic malignant syndrome (NMS) is a possibly fatal syndrome that may be due to Lexapro. Symptoms might include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor at the same time if you have these symptoms.

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• Use Lexapro with caution inside the elderly; they could be more sensitive to its effects, especially low blood sodium levels.
• Caution is required when you use Lexapro in youngsters; they might be more understanding of its effects, especially increased risk of suicidal thoughts or actions.
• Lexapro should be combined with careful attention in youngsters younger 12 years; safety and effectiveness in these children weren't confirmed.

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• Lexapro may cause weight changes. Children and teenagers might need regular weight and growth checks since they take Lexapro.

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• Pregnancy and breast-feeding: Lexapro could cause harm to the fetus if it is employed over the last a couple of months of childbearing. If you get pregnant, contact your doctor. You will need to discuss the advantages and perils associated with using Lexapro while you happen to be pregnant. Lexapro is located in breast milk. Do not breastfeed while taking Lexapro.

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