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Precautions

Do NOT use Lexapro if:

• you're allergic to your ingredient in Lexapro
• you consider citalopram
• you take or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine), selegiline, or St. John's wort in the last 14 days
• you are taking a fenfluramine derivative (eg, dexfenfluramine), an H₁ antagonist (eg, astemizole, terfenadine), nefazodone, pimozide, or sibutramine.

Contact your medical professional or doctor straight away if any of these apply to you.

Some medical conditions may communicate with Lexapro. Tell your doctor or pharmacist in case you have any medical conditions, particularly when any in the following connect with you:

• if you might be pregnant, about to conceive, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• for those who have allergies to medicines, foods, or another substances
• if you or even a family member carries a history of bipolar disorder (manic-depression), other mental or mood problems, suicidal thoughts or attempts, or alcohol or substance abuse
• if you have a history of seizures, liver problems, severe kidney problems, stomach or bowel bleeding, or metabolism problems
• if you're dehydrated, have low blood sodium levels, or are drinking alcohol
• if you will be having electroconvulsive therapy (ECT).

Some medicines may talk with Lexapro. Tell your health care provider if you consider every other medicines, especially any with the following:

• 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, say for example a reaction that will include agitation, blood pressure level changes, coma, confusion, delirium, fever, irritability, mental changes, and rigid muscles, may occur
• Anticoagulants (eg, warfarin), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) for the reason that chance of bleeding, including stomach bleeding, might be increased
• Diuretics (eg, furosemide, hydrochlorothiazide) for the reason that chance of low blood sodium levels could possibly be increased
• Tramadol for the reason that risk of seizures might be increased
• H₁ antagonists (eg, astemizole, terfenadine) or phenothiazines (eg, chlorpromazine, thioridazine) because severe heart disease, including irregular heartbeat, may occur
• Carbamazepine or cyproheptadine simply because they may decrease Lexapro's effectiveness
• Clozapine, pimozide, risperidone, or tricyclic antidepressants (eg, amitriptyline) for the reason that chance of their unwanted effects may be increased by Lexapro.

This might not be a whole list of all interactions that will occur. Ask your medical provider if Lexapro may communicate with other medicines that you just take. Check along with your health care provider before you begin, stop, or change the dose of the medicine.

Important safety information:

• Lexapro may 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 and soon you recognize how you answer it.
• Do not drink alcohol while you're using Lexapro.
• Check using your doctor before you use medicines that could cause drowsiness (eg, sleep aids, muscle relaxers) while you happen to be using Lexapro; it could help to increase their effects. Ask your pharmacist if you have questions on which medicines could potentially cause drowsiness.
• One to 30 days may pass before your symptoms improve. Do NOT take a lot more than the recommended dose, make positive changes to dose, or use Lexapro for more than prescribed without checking along with your doctor.
• Children, teenagers, and the younger generation having Lexapro could be at increased risk for suicidal thoughts or actions. Watch all patients who take Lexapro closely. Contact a doctor immediately if new, worsened, or sudden symptoms like depressed mood; anxious, restless, or irritable behavior; panic and anxiety attacks; or any unusual alternation in mood or behavior occur. Contact the physician right away if any signs and symptoms of suicidal thoughts or actions occur.
• Lexapro plus a medicine called citalopram have similar ingredient. Do not take Lexapro if you're also taking citalopram.
• If your medical professional tells you to stop taking Lexapro, you will need to wait for several weeks before commencing to consider certain other medicines (eg, MAOIs, nefazodone). Ask a medical expert when you should start to consider your new medicines after you might have stopped taking Lexapro.
• Lexapro may rarely result in a prolonged, painful erection. This could happen even when you usually are not having sexual intercourse. If this is not treated immediately, it could cause permanent sexual dysfunctions including impotence. Contact your physician immediately in such a circumstance.
• Serotonin syndrome is a possibly fatal syndrome that can be caused by Lexapro. Your risk might be greater invest the Lexapro with certain other medicines (eg, "triptans," MAOIs). Symptoms might include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; sweating; and nausea, vomiting, or diarrhea. Contact your doctor simultaneously if you have any of these symptoms.
• Neuroleptic malignant syndrome (NMS) can be a possibly fatal syndrome which can be due to Lexapro. Symptoms can sometimes include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact a medical expert at once if you have any of these symptoms.
• Use Lexapro with caution within the elderly; they could possibly be more understanding of its effects, especially low blood sodium levels.
• Caution is required when working with Lexapro in youngsters; they could be more sensitive to its effects, especially increased likelihood of suicidal thoughts or actions.
• Lexapro ought to be in combination with warning in kids younger 12 years; safety and effectiveness of these children weren't confirmed.
• Lexapro could potentially cause weight changes. Children and teenagers may need regular weight and growth checks since they take Lexapro.
• Pregnancy and breast-feeding: Lexapro may cause injury to the fetus if it can be used during the last 3 months of pregnancy. If you become pregnant, get hold of your doctor. You will need to discuss the benefits and risks of using Lexapro while you happen to be pregnant. Lexapro can be found in breast milk. Do not breastfeed while taking Lexapro.