Lexapro (escitalopram)
Lexapro is prescribed for major depression (a persistently low mood that interferes
with daily functioning). In order to be considered major, depression must occur
nearly every day for at least two weeks, and must include at least five of the
following symptoms - loss of interest in usual activities, low mood, significant
change in weight or appetite, change in sleep patterns, agitation or lethargy,
fatigue, feelings of guilt or worthlessness, slowed thinking or lack of concentration,
and thoughts of suicide. Lexapro is also is used in the treatment of generalized
anxiety disorder (GAD).
Lexapro works by boosting levels of serotonin, one of the main chemical messengers
in the human brain. Lexapro is closely related to another antidepressant medication
- Celexa. Other antidepressants that work by raising serotonin levels include
Paxil, Prozac,
and Zoloft.
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Important information about Lexapro
You should not take Lexapro for 2 weeks before or after taking any drug classified
as an "MAO inhibitor". Drugs in this class include the antidepressants
Marplan, Nardil, and Parnate. Combining these drugs with Lexapro may cause serious
(even fatal) reactions marked by such symptoms as fever, rigidity, twitching,
and agitation leading to delirium and coma.
How should Lexapro be taken?
Patients should take Lexapro exactly as prescribed by a doctor, even after they
start to feel better. Although improvement usually begins within 1 to 4 weeks,
treatment typically continues for several months. This prescription drug can be
taken with or without food.
Who should not take Lexapro?
If you intend to buy Lexapro, it should not be taken if you have taken a monoamine
oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil),
or tranylcypromine (Parnate) during the last 2 weeks. As stated above, a dangerous
drug interaction can occur if it is combined with any of these medications. Individuals
with kidney or liver disease, suffer from seizues or mania or suffer from suicidal
thoughts may need special dosages or monitoring when being placed on this prescription
drug.
Recommended Lexapro dosage
The recommended dosage for of Lexapro is 10 milligrams, once a day. If necessary,
a doctor may increase the dosage to 20 milligrams after a minimum of 1 week, but
the higher dose is not recommended for most older adults and individuals with
liver problems.
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