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Precautions

Do NOT use Lexapro if:

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• you happen to be allergic to the ingredient in Lexapro

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• you take citalopram

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

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Contact your doctor or health care provider right away if some of these affect you.

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Some medical conditions may communicate with Lexapro. Tell your doctor or pharmacist for those who have any health concerns, especially if any with the following affect you:

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• if you're pregnant, intending to get pregnant, or are breast-feeding

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

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• when you have allergies to medicines, foods, or another substances

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• if you or a member of the family carries a history of bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse

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• for those who have a good seizures, liver problems, severe kidney problems, stomach or bowel bleeding, or metabolism problems

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• if you are dehydrated, have low blood sodium levels, or drink alcohol

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

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Some medicines may communicate with Lexapro. Tell your doctor if you take another medicines, especially any with 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 unwanted effects, such as a reaction which could include agitation, blood pressure level 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 probability of bleeding, including stomach bleeding, may be increased

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• Diuretics (eg, furosemide, hydrochlorothiazide) because the chance of low blood sodium levels could be increased

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• Tramadol as the risk of seizures might be increased

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• H₁ antagonists (eg, astemizole, terfenadine) or phenothiazines (eg, chlorpromazine, thioridazine) because severe cardiovascular disease, including irregular heartbeat, may occur

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• Carbamazepine or cyproheptadine because they may decrease Lexapro's effectiveness

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• Clozapine, pimozide, risperidone, or tricyclic antidepressants (eg, amitriptyline) because the chance of their negative effects could be increased by Lexapro.

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This might not be an entire set of all interactions that may occur. Ask your health care provider if Lexapro may talk with other medicines which you take. Check together with your health care provider before you begin, stop, or alter the dose of the medicine.

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Important safety information:

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• Lexapro could cause drowsiness or dizziness. These effects might be worse if you get it with alcohol or certain medicines. Use Lexapro with caution. Do not drive or perform other possible unsafe tasks and soon you know how you respond to it.

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• Do not consume alcohol while you happen to be using Lexapro.

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• Check using your doctor before you use medicines that might cause drowsiness (eg, sleep aids, muscle relaxers) while you happen to be using Lexapro; it may well add to their effects. Ask your pharmacist for those who have queries about which medicines may cause drowsiness.

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• One to a month may pass before your symptoms improve. Do NOT take more than the recommended dose, change your dose, or use Lexapro for over prescribed without checking using your doctor.

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• Children, teenagers, and teenagers who take Lexapro could possibly be at increased risk for suicidal thoughts or actions. Watch all patients having Lexapro closely. Contact a doctor simultaneously if new, worsened, or sudden symptoms including depressed mood; anxious, restless, or irritable behavior; anxiety attacks; or any unusual change in mood or behavior occur. Contact the physician without delay if any signs of suicidal thoughts or actions occur.
• Lexapro along with a medicine called citalopram have the identical active component. Do not take Lexapro if you are also taking citalopram.

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• If your doctor notifys you to stop taking Lexapro, you need to loose time waiting for a few months prior to starting to look at certain other medicines (eg, MAOIs, nefazodone). Ask your doctor if you should start to adopt your new medicines after you have stopped taking Lexapro.

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• Lexapro may rarely cause a prolonged, painful erection. This could happen even whenever you aren't having sex. If this is not treated immediately, it could possibly cause permanent sexual difficulties for example impotence. Contact a medical expert without delay if this happens.

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• Serotonin syndrome is really a possibly fatal syndrome that may be caused by Lexapro. Your risk may be greater with Lexapro with certain other medicines (eg, "triptans," MAOIs). Symptoms can sometimes include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; hyperhidrosis; and nausea, vomiting, or diarrhea. Contact a medical expert at once in case you have these symptoms.

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• Neuroleptic malignant syndrome (NMS) is a possibly fatal syndrome that could be a result of Lexapro. Symptoms might include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact a medical expert at once in case you have these symptoms.

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• Use Lexapro with caution inside elderly; they might be more sensitive to its effects, especially low blood sodium levels.

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• Caution is required when utilizing Lexapro in youngsters; they may be more understanding of its effects, especially increased probability of suicidal thoughts or actions.

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• Lexapro must be combined with careful attention in kids younger 12 years; safety and effectiveness in these children haven't been confirmed.

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

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• Pregnancy and breast-feeding: Lexapro could potentially cause harm to the fetus if it is used during the last 3 months of pregnancy. If you conceive, get hold of your doctor. You will need to discuss the advantages and risks of using Lexapro while you might be pregnant. Lexapro can be found in breast milk. Do not breastfeed while taking Lexapro.

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