Package	Per tablet	Savings	Price
180 tablets	$0.31	$16	$72 $56
150 tablets	$0.32	$12	$60 $48
120 tablets	$0.33	$9	$48 $39
90 tablets	$0.34	$5	$36 $31
60 tablets	$0.37	$2	$24 $22
30 tablets	$0.40	–	$12

What is this medicine?

ESCITALOPRAM (present in Lexaheal 20 mg) is a selective serotonin reuptake inhibitor (SSRI). This medicine is used to treat depression, generalized anxiety disorder (GAD), social anxiety disorder, and other related mood disorders. It works by increasing the levels of serotonin in the brain, which helps improve mood, energy level, and feelings of well-being.

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What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• bipolar disorder or manic episodes

• liver or kidney disease

• seizures or epilepsy

• heart problems or history of stroke

• low sodium levels in the blood

• bleeding disorders

• glaucoma (especially narrow-angle)

• suicidal thoughts or previous suicide attempt

• an unusual or allergic reaction to escitalopram, citalopram, other SSRIs, or any other medicines, foods, dyes, or preservatives

• if you are taking other antidepressants (especially MAO inhibitors)

• pregnant or trying to get pregnant

• breast-feeding

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How should I use this medicine?

Take this medicine by mouth with a glass of water. It is usually taken once daily, with or without food. Take your medicine at the same time each day.

Do not take your medicine more often than directed. Do not suddenly stop taking this medicine unless directed by your doctor, as it may cause withdrawal symptoms.

Overdosage: If you think you have taken too much of this medicine, contact a poison control center or emergency room at once.

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What if I miss a dose?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and take only your next scheduled dose. Do not take double or extra doses.

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What may interact with this medicine?

• monoamine oxidase inhibitors (MAOIs)

• pimozide

• other SSRIs or SNRIs

• NSAIDs like ibuprofen or naproxen

• aspirin, especially when used long-term

• blood thinners like warfarin

• lithium

• tramadol

• St. John’s Wort

• medicines that affect heart rhythm (like certain antipsychotics or antibiotics)

• diuretics

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

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What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress. It may take 1 to 4 weeks to feel the full effects.

Let your doctor know if your symptoms worsen or if you experience thoughts of self-harm or suicide.

You may experience drowsiness, dizziness, or blurred vision. Do not drive, use machinery, or do anything that requires mental alertness until you know how this medicine affects you.

Avoid alcohol while using this medicine as it may increase drowsiness and side effects.

Do not stop taking escitalopram suddenly. Your doctor will guide you in reducing the dose gradually to prevent withdrawal effects like irritability, mood swings, agitation, dizziness, or sleep disturbances.

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What side effects may I notice from this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• suicidal thoughts or unusual changes in behavior

• agitation or panic attacks

• fast or irregular heartbeat

• seizures

• difficulty breathing or swallowing

• allergic reactions like rash, itching, or swelling of the face, lips, or tongue

• unusual bleeding or bruising

• muscle stiffness or high fever (signs of serotonin syndrome)

Side effects that usually do not require medical attention (report if bothersome or persistent):

• nausea

• dry mouth

• diarrhea or constipation

• headache

• dizziness or drowsiness

• trouble sleeping

• sweating

• decreased appetite

• sexual side effects (reduced desire or performance)

This list may not describe all possible side effects.

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Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Protect from moisture and light. Keep the container tightly closed.

Throw away any unused medicine after the expiration date.