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20mg x 30 pills	$38.98	US $ 1.30
20mg x 60 pills	$69.52	US $ 1.16
20mg x 90 pills	$102.34	US $ 1.14

Information about Lexapro

Escitalopram is a selective serotonin reuptake inhibitor (SSRI) used to treat depression and anxiety. It increases the activity of a chemical in the brain called serotonin. In that way it helps to elevate mood.

It may also be administered for other conditions as determined by your physician.

You should not use Escitalopram in the following cases: you are allergic to any ingredient in Escitalopram or to citalopram; you are taking or have taken a monoamine oxidase (MAO) inhibitor (eg, phenelzine) in the last 14 days; you are taking citalopram, linezolid, pimozide, selegiline, tramadol, or any weight loss medicines (eg, phentermine).

In such cases it is obligatory to consult with your doctor or health care provider before taking this drug.

Before using Escitalopram

Before using Escitalopram you should tell your doctor if you have any medical conditions listed below: you are pregnant, planning to become pregnant, or are breast-feeding a baby; you are taking any other prescription or nonprescription medicine, herbal preparation, or dietary supplement; you have allergies to medicines, foods, or other substances; you have or have a history of a bipolar condition (mania or manic-depression) or suicidal thoughts or behaviors; you have or have a history of kidney or liver problems, a heart attack, seizures (convulsions), or stomach or intestinal bleeding.

Be aware that Escitalopram may interact with some medicines. Consult with your health care provider in case you are taking any other drugs, especially any of the following: citalopram should not be taken with Escitalopram because they have the same chemical formula; MAO inhibitors (eg, phenelzine), linezolid, or selegiline because they can cause serious, sometimes fatal, reactions, including restlessness, fever, excessive sweating, confusion, twitching, and seizures. Do NOT takeMAO inhibitors (eg, phenelzine), linezolid, or selegiline within 2 weeks of taking Escitalopram; lithium, St. John's wort, tramadol, sumatriptan, orweight loss medicines (eg, phentermine because side effects such as restlessness, fever, excessive sweating, confusion, twitching, and seizures which can rarely be life-threatening, may occur; beta-blockers (eg, propranolol, metoprolol) because side effects such as very slow heart rate may be increased by Escitalopram; nonsteroidal anti-inflammatory agents (NSAIDs; eg, ibuprofen, celecoxib), oral anticoagulants (eg, warfarin), or salicylates (eg, aspirin) because the risk of stomach bleeding may be increased by Escitalopram; pimozide because side effects such as racing heartbeat, dizziness, fainting, life-threatening irregular heartbeat leading to unconsciousness and lack of heartbeat may increase by Escitalopram.

It may not be a complete list of all interactions with other drugs. To prevent any complications you should check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Escitalopram

Use this medicine as recommended by your physician. Escitalopram should be taken with or without food. In case stomach upset occurs, take this medicine with food for the purpose of stomach irritation reduction.

You should know that improvement in your depression may start in several weeks.

Do not stop taking Escitalopram even if you feel well. Try not to miss any doses.

In case you miss a dose of Escitalopram, take it as soon as possible. If it is almost time for your next intake, skip the missed dose and take it according to your regular dosing schedule. Do not take double doses to catch up.

Important safety information

Be careful when driving, operating machinery, or performing other hazardous activities as Escitalopram usage may lead to drowsiness, dizziness, and lightheadedness. Try to avoid such activities. Alcohol and certain other medicines (eg, sedatives, tranquilizers) may increase the risk of unfavorable reactions while taking Escitalopram.

Children and teenagers who take Escitalopram may be at increased risk for suicidal thoughts or actions. Adults may also be affected. The risk may be greater in patients who have had suicidal thoughts or actions in the past. The risk may also be greater in patients who have had bipolar (manic-depressive) illness, or if their family members have had it.

Look after patients who use Escitalopram closely. Contact the doctor immediately in case new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Consult with your doctor immediately in case any signs of suicidal thoughts or actions take place.

The ELDERLY may be more sensitive to the effects of Escitalopram. Use Escitalopram with caution in this group.

Do not use Escitalopram in CHILDREN, as safety and effectiveness have not been proved.

PREGNANCY and BREAST-FEEDING

In case you become pregnant, consult with your doctor and discuss the benefits and risks of using Escitalopram, especially during the third trimester. It is known Escitalopram passes into breast milk. In case you are or will be breast-feeding a baby while you are using Escitalopram, consult with your doctor or pharmacist and discuss the risks to your baby.

Do not suddenly stop using Escitalopram without medical consultation, as you may experience serious WITHDRAWAL symptoms, such as including abnormal skin sensations, agitation, anxiety, a state of feeling unwell or unhappy, confusion, dizziness, headache, inability to sleep, irritability, lethargy, nausea, sudden emotional swings, and sweating. It is necessary to decrease your dose gradually.

Possible side effects of Escitalopram

You should consult with your doctor in case you have any of side effects especially bothersome listed below: back pain; constipation; decreased sex drive; diarrhea; delay in ejaculation; dizziness; drowsiness; dry mouth; impotence; increased sweating; lack of orgasms; loss of appetite; nausea; trouble sleeping; unusual fatigue; upset stomach; vomiting.

Seek emergency immediately in case you have any of these severe side effects: severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); agitation; anxiety; black or tarry stools; changes in amount of urine; chest pain; hostility; impulsiveness; irritability; mania; muscle cramps; painful or prolonged erection; panic attacks; restlessness; seizures; sleeplessness; stomach pain; suicidal thoughts; thoughts of hurting yourself; uncontrolled movements (tremors); unusual bleeding or bruising; unusual or severe mental/mood changes; unusually fast or slow heartbeat; vision changes; vomit that looks like coffee grounds; worsening of depression.

What is the expiration date of the pills?

This information is mentioned on each blister. The expiration date is 2 years from the date of manufacture.