Lexapro

Item	Count		Retail	Price	Order
Lexapro 10 mg	30	tablets	$149.70	$124.75
Lexapro 10 mg	60	tablets	$245.70	$204.75
Lexapro 10 mg	90	tablets	$341.70	$284.75
Lexapro 20 mg	30	tablets	$161.70	$134.75
Lexapro 20 mg	60	tablets	$257.70	$214.75
Lexapro 20 mg	90	tablets	$353.70	$294.75

Tablets
Chemical Name: ESCITALOPRAM (ess-sye-TAL-oh-pram)

Common uses
lexapro is a selective serotonin reuptake inhibitor used to treat depression. It may also be used to treat other conditions as determined by your doctor.

Before using
Some medicines or medical conditions may interact with lexapro . INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT TAKE lexapro if you have taken a monoamine oxidase inhibitor (MAOI) (e.g., furazolidone, isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine, selegiline, tranylcypromine) within 2 weeks before or after treatment with lexapro . DO NOT TAKE lexapro if you are taking citalopram, or weight loss drugs (e.g., sibutramine, phentermine). ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking another SSRI antidepressant (e.g., fluoxetine, sertraline), nefazodone, trazodone, tramadol, venlafaxine, "triptan" migraine drugs (e.g., sumatriptan, zolmitriptan), tricyclic antidepressants (e.g., amitriptyline, desipramine, nortriptyline), carbamazepine, cimetidine, lithium, metoprolol, any herbal/natural products (e.g., melatonin, St. John's wort, ayahuasca). Tell your doctor if you are taking any medicines that cause drowsiness such as medicines for sleep (e.g., sedatives), tranquilizers, anti-anxiety drugs (e.g., diazepam), narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine), anti-seizure medicines (e.g., phenytoin), muscle relaxants, antihistamines that cause drowsiness (e.g., diphenhydramine). Inform your doctor of any other medical conditions including liver or kidney problems, seizures, heart problems, other mental/mood disorders (e.g., bipolar disorder), thyroid problems, mineral (electrolyte) problems (e.g., hyponatremia, SIADH), allergies, pregnancy, or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about using lexapro .

lexapro Directions
Follow the directions for using lexapro provided by your doctor. lexapro may be taken on an empty stomach or with food. STORE lexapro at room temperature 77 degrees F (25 degrees C). Brief storage between 59 and 86 degrees F ( 15 and 30 degrees C) is permitted. Store away from light and moisture. CONTINUE TO TAKE lexapro even if you feel well. Do not miss any doses. IF YOU MISS A DOSE OF lexapro , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Cautions
SEVERAL WEEKS MAY PASS before lexapro reaches its full effect. Do not stop taking lexapro without checking with your doctor. lexapro MAY CAUSE drowsiness or dizziness. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to lexapro . Using lexapro alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. lexapro WILL ADD TO THE EFFECTS of alcohol and other depressants. Ask your pharmacist if you have questions about which medicines are depressants. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. This includes any medicines which contain drowsiness-causing ingredients. Ask your pharmacist about the safe use of these products. Caution should be used in the elderly since they may be more sensitive to the effects of this drug. F0R WOMEN: IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using lexapro during pregnancy. lexapro IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED while taking lexapro .

lexapro Possible side effects
SIDE EFFECTS that may occur while taking lexapro include nausea, vomiting, diarrhea, constipation, upset stomach, loss of appetite, dizziness, drowsiness, trouble sleeping, or dry mouth. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience increased sweating, unusual fatigue, changes in sexual ability/interest. CONTACT YOUR DOCTOR IMMEDIATELY if you experience stomach pain, vision changes, unusually fast or slow heartbeat, uncontrolled movements (tremors), chest pain, unusual or severe mental/mood changes, muscle cramps, restlessness, seizures, painful or prolonged erection, or change in amount of urine. An allergic reaction to lexapro is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other. Check drug interactions

If you take too much
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include irregular heartbeat, fainting, severe dizziness or lightheadedness, or seizures.

Additional information
Do Not Share lexapro with others for whom it was not prescribed. Do Not Use lexapro for other health conditions. KEEP lexapro out of the reach of children. If using lexapro for an extended period of time, obtain refills before your supply runs out.

LEXAPRO

Lexapro is the newest and fastest-growing selective serotonin reuptake inhibitor (SSRI) and is prescribed for more than four million patients in the U.S.

About Generalized Anxiety Disorder

Anxiety disorders are the most common mental illness in the U.S. , affecting 19.1 million adults, and cost the U.S. more than $42 billion a year. The prevalence of generalized anxiety disorder (GAD) is estimated to be four million or 2.8% of the U.S. population and it affects women twice as often as men. According to The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), the essential feature of GAD is excessive anxiety and worry (apprehensive expectations) about everyday events or activities for a period of six months or more. This constant worry affects daily functioning and can cause physical symptoms. For a diagnosis to be made, worry must be present more days than not for at least six months. GAD frequently co-occurs with mood disorders, including depression. Additionally, up to 80% of people suffering from depression also experience symptoms of anxiety.

Lexapro Study Details

Three studies were done that support the approval of Lexapro by the FDA. They were all randomized, double-blind, trials that were eight weeks in duration and placebo-controlled. The studies of Lexapro involved approximately 850 patients, 18 to 80 years of age, diagnosed with GAD. Patients in the Lexapro arm were administered a fixed dose of 10 mg of Lexapro per day for the first four weeks and then flexibly dosed with Lexapro to a maximum of 20 mg per day. The Hamilton Anxiety Scale (HAMA) total score was the primary efficacy variable, and secondary efficacy measures included changes in HAMA psychic anxiety subscale and Clinical Global Impressions (CGI) scores. In each of the three studies, Lexapro 10 to 20 mg per day significantly improved GAD symptoms in patients compared to placebo as measured by change from baseline in HAMA score. By-visit analyses of data pooled across the three studies revealed significantly greater improvement in the Lexapro group beginning at week one or two and continuing through week eight for all primary and secondary efficacy variables.

Further analysis of one of the three placebo-controlled studies showed that Lexapro-treated patients experienced a significant improvement in quality of life compared to patients treated with placebo as measured by the Quality of Life (QOL) scale. Sixty-eight percent of Lexapro-treated patients in the study demonstrated a significant response rate as compared to 41 percent of placebo-treated patients. In addition, more than twice as many patients in the Lexapro 10 to 20 mg per day group were in remission at week eight than in the placebo group, 36 and 16 percent, respectively.

Lexapro was well tolerated in the pooled analysis of the three studies, with eight percent of patients discontinuing treatment due to adverse events compared to four percent of patients in the placebo group. The most commonly reported adverse events in the Lexapro group versus placebo were nausea (18.2% vs. 7.5 %), ejaculation disorder (14.3% vs. 1.5%), insomnia (11.9% vs. 5.6%), fatigue (7.7% vs. 2.1%), decreased libido (6.8% vs. 2.1%) and anorgasmia (5.7% vs. 0.4%).

Common Uses of Lexapro

Lexapro is an anti-depressant from the family of drugs known as selective serotonin reuptake inhibitors or SSRIs. Lexapro helps to restore the brain's chemical balance by increasing the supply of a substance in the brain called serotonin. Lexapro appears to relieve depression by increasing serotonin without affecting many of the other chemicals in the brain that influence mood.  Although the brain chemistry of depression is not fully understood, there does exist a growing body of evidence to support the view that people with depression have an imbalance of the brain's neurotransmitters. These are chemicals in the brain that allow nerve cells to communicate. One of these neurotransmitters is serotonin. An imbalance in serotonin may be an important factor in the development and severity of depression. As a result, Lexapro is able to provide effective and well-tolerated therapy for depressed patients.

Before You Buy Lexapro

Do not take Lexapro if you have taken a monoamine oxidase inhibitor (MAOI) (e.g., furazolidone, isocarboxazid, moclobemide, phenelzine, procarbazine, selegiline), within 2 weeks before or after treatment with Lexapro. Do not take Lexapro if you are taking citalopram, or weight loss drugs (e.g., sibutramine, phentermine).

Tell your doctor if you are taking any medicines that cause drowsiness such as medicines for sleep (e.g., sedatives), tranquilizers, anti-anxiety drugs (e.g., diazepam), narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine), anti-seizure medicines (e.g., phenytoin), muscle relaxants, antihistamines that cause drowsiness (e.g., diphenhydramine).

Lexapro Precautions

It may take 1 - 4 weeks before Lexapro reaches its full effect. Do not stop taking Lexapro without checking with your doctor.

Lexapro may cause drowsiness or dizziness.  Do not drive, operate machinery, or do anything else that could be dangerous, until you know how you react to Lexapro. Using Lexapro alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks.  Use of alcohol can increase Lexapro side effects.

Caution should be used in the elderly since they may be more sensitive to the effects of Lexapro.  If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using Lexapro during pregnancy.  Lexapro is excreted in breast milk.   Do not breast-feed while taking Lexapro.

Lexapro Side Effects

Side effects that may occur while taking Lexapro include nausea, vomiting, diarrhea, constipation, upset stomach, loss of appetite, dizziness, drowsiness, trouble sleeping, or dry mouth. If these symptoms continue or are bothersome, check with your doctor. Contact your doctor as soon as possible if you experience increased sweating, unusual fatigue, changes in sexual ability/interest while on Lexapro. Contact your doctor immediately if you experience stomach pain, vision changes, unusually fast or slow heartbeat, uncontrolled movements (tremors), chest pain, unusual or severe mental/mood changes, muscle cramps, restlessness, seizures, painful or prolonged erection, or change in amount of urine. An allergic reaction to Lexapro is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

If You Take Too Much Lexapro

If overdose of Lexapro is suspected, contact your local poison control center or emergency room immediately. Symptoms of Lexapro overdose may include: dizziness, sweating, upset stomach, vomiting, tremor, drowziness, fast or pounding heartbeat, seizures, confusion, forgetfulness, fast breathing, or coma. 

Additional Lexapro Information

Do Not Share Lexapro with others.  Keep Lexapro out of the reach of children.  Store Lexapro in a cool, dry place.

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