(LEX-a-pro) Oral Solution
Escitalopram oxalate (ES-sigh-talo-pram OX-a-late)
Consumer Medicine Information
What is in this leaflet
This leaflet contains answers to some common questions about LEXAPRO.
It does not contain all the information that is known about LEXAPRO. It does not take
the place of talking to your doctor or pharmacist.
All medicines have risks and benefits. Your doctor has weighed the risk of you using
this medicine against the benefits he/she expects it will have for you.
If you have any concerns about using this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine.
You may need to read it again
What LEXAPRO is used for
LEXAPRO is used to treat depression.
It belongs to a group of medicines called selective serotonin reuptake inhibitors
(SSRIs). They are thought to work by their actions on brain chemicals called amines
which are involved in controlling mood.
Depression is longer lasting or more severe than the "low moods" everyone has from
time to time due to the stress of everyday life. It is thought to be caused by a chemical
imbalance in parts of the brain. This imbalance affects your whole body and can cause
emotional and physical symptoms such as feeling low in spirit, loss of interest in
activities, being unable to enjoy life, poor appetite or overeating, disturbed sleep,
often waking up early, loss of sex drive, lack of energy and feeling guilty over nothing.
LEXAPRO corrects this chemical imbalance and may help relieve the symptoms of depression.
LEXAPRO may also be used to treat patients who may avoid and/or are fearful of social
LEXAPRO may also be used to treat patients who have excessive anxiety and worry.
LEXAPRO may also be used to treat irrational fears or obsessional behaviour (obsessive-compulsive
disorder). Obsessive-compulsive disorder involves having both obsessions and compulsions.
Obsessions are unwanted thoughts that occur over and over again. Compulsions are the
ongoing need to repeat certain actions as a result of these thoughts.
Your doctor, however, may prescribe it for another purpose.
Ask your doctor if you have any questions about why it has been prescribed for you.
This medicine is only available with a doctor's prescription.
LEXAPRO is not addictive. However, if you suddenly stop taking it, you may get side
Tell your doctor if you get any side effects after stopping LEXAPRO.
Before you take it
When you must not take it
Do not take LEXAPRO if you are allergic to it, to any medicine containing escitalopram,
citalopram, or any of the ingredients listed at the end of this leaflet.
Symptoms of an allergic reaction may include shortness of breath, wheezing or difficulty
breathing, swelling of the face, lips, tongue or other parts of the body, or rash,
itching or hives on the skin.
Do not take LEXAPRO at the same time as the following other medicines:
pimozide, a medicine used to treat mental disorders
monoamine oxidase inhibitors (MAOIs), such as phenelzine, tranylcypromine and moclobemide
which are also used for the treatment of depression.
One day must elapse after you have finished taking moclobemide before you start taking
LEXAPRO. If you have taken any other MAOI you will need to wait 14 days. After stopping
LEXAPRO, you must allow 14 days before taking any MAOI including moclobemide.
Taking LEXAPRO with MAOIs may cause a serious reaction with a sudden increase in body
temperature, extremely high blood pressure and severe convulsions. Your doctor will
know when it is safe to start LEXAPRO after the MAOI has been stopped.
Do not take it after the expiry date printed on the pack.
If you take it after the expiry date has passed, it may not work as well. The expiry
date refers to the last day of the month.
Do not take it if the packaging is torn or shows signs of tampering
Before you start to take it
Tell your doctor if:
you have allergies to any other substances such as foods, preservatives or dyes.
you are pregnant or intend to become pregnant.
Medicines like Lexapro have been shown to reduce the quality of sperm in animal studies,
which theoretically could affect fertility. If you are intending to start a family,
ask your doctor for advice.
Do not take LEXAPRO if you are pregnant unless you and your doctor have discussed
the risks and benefits involved.
Make sure your doctor and/or midwife know you are on LEXAPRO.
When taken during pregnancy, particularly in the last three months of pregnancy, medicines
like LEXAPRO may affect the general condition of your newborn baby and may increase
the risk of a serious condition in babies, called persistent pulmonary hypertension
of the newborn (PPHN), making the baby breathe faster and appear bluish. These symptoms
usually begin during the first 24 hours after the baby is born. If this happens to
your baby you should contact your doctor and/or midwife immediately.
If used during pregnancy LEXAPRO should never be stopped abruptly.
you are breast-feeding or planning to breast-feed.
Do not take LEXAPRO if you are breast-feeding unless you and your doctor have discussed
the risks and benefits involved. It is not recommended that you breast-feed while
taking LEXAPRO as it is excreted in breast milk.
you have, or have had, the following medical conditions:
a tendency to bleed or bruise easily
bipolar disorder (manic depression)
a history of seizures or fits
restlessness and/or a need to move often
raised intraocular pressure (fluid pressure in the eye), or if you are at risk of
you are receiving electroconvulsive therapy.
Do not give LEXAPRO to a child or adolescent.
There is no experience with its use in children or adolescents under 18 years old.
LEXAPRO can be given to elderly patients over 65 years of age with a reduced dose.
The effects of LEXAPRO in elderly patients are similar to those in other patients.
If you have not told your doctor about any of the above, tell them before you use
Taking other medicines
Tell your doctor if you are taking any other medicines, including any that you buy
without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and LEXAPRO may interfere with each other. These include:
bupropion, a medicine helping to treat nicotine dependence
medicines used to treat reflux and ulcers, such as cimetidine, omeprazole, esomeprazole
medicines known to prolong bleeding, e.g. aspirin or other non-steroidal anti-inflammatory
ticlopidine and warfarin, medicines used to prevent blood clots
fluconazole, an anti-fungal medicine
mefloquine, an anti-malaria medicine
sumatriptan, used to treat migraines
tramadol, used to relieve pain
medicines affecting the chemicals in the brain
some heart medications, e.g. flecainide, propafenone, metoprolol
tryptophan, an amino-acid
lithium, used to treat mood swings and some types of depression
antipsychotics, a class of medicines used to treat certain mental and emotional conditions,
e.g. risperidone, thioridazine and haloperidol
tricyclic antidepressants, e.g. imipramine, desipramine
St John's Wort (Hypericum perforatum), a herbal remedy
any other medicines for depression, anxiety, obsessive-compulsive disorder or pre-menstrual
These medicines may be affected by LEXAPRO or may affect how well it works. You may
need to use different amounts of your medicines or take different medicines. Your
doctor will advise you.
Some combinations of medicines may increase the risk of serious side effects and are
potentially life threatening.
Your doctor or pharmacist has more information on medicines to be careful with or
avoid while taking LEXAPRO.
How to take it
How much to take
Your doctor will decide what dose you will receive.
The standard dose for this medicine is 10 mg per day. This may be increased by your
doctor to 20 mg per day.
The recommended maximum dose in elderly patients is 10 mg per day.
It is recommended that patients with liver disease receive an initial dose of 5 mg
daily for the first two weeks. Your doctor may increase the dose to 10 mg daily.
A 5 mg dose can be delivered by measuring 5 drops of LEXAPRO oral solution 20 mg/mL.
A 10 mg dose can be delivered by measuring 10 drops of LEXAPRO oral solution 20 mg/mL.
A 20 mg dose can be delivered by measuring 20 drops of LEXAPRO oral solution 20 mg/mL.
Your doctor may have prescribed a different dose.
Ask your doctor or pharmacist if you are unsure of the correct dose for you.
They will tell you exactly how much to take.
Follow the instructions they give you.
If you take the wrong dose, LEXAPRO may not work as well and your condition may not
How to take it
Oral solution 20 mg/mL: Turn the bottle completely upside down. If no drops come out,
tap the bottle lightly to start the flow.
Count the required number of drops into your drink (water, orange juice or apple juice),
stir it briefly and then drink all of it.
Do not mix the LEXAPRO oral solution with other liquids and do not mix them with other
When to take it
Take LEXAPRO as a single dose either in the morning or in the evening.
Take LEXAPRO with or without food.
How long to take it
Continue to take LEXAPRO even if it takes some time before you feel any improvement
in your condition.
As with other medicines for the treatment of these conditions it may take a few weeks
before you feel any improvement.
Individuals will vary greatly in their response to LEXAPRO. Your doctor will check
your progress at regular intervals.
The duration of treatment may vary for each individual but is usually at least 6 months.
In some cases, the doctor may decide that longer treatment is necessary.
Continue taking your medicine for as long as your doctor tells you, even if you begin
to feel better.
The underlying illness may persist for a long time and if you stop your treatment
too soon, your symptoms may return.
Do not stop taking this medicine suddenly.
If LEXAPRO is stopped suddenly you may experience mild, but usually temporary, symptoms
such as dizziness, pins and needles, electric shock sensations, sleep disturbances
(vivid dreams, inability to sleep), feeling anxious or agitated, headaches, feeling
sick (nausea), vomiting, sweating, tremor (shaking), feeling confused, feeling emotional
or irritable, diarrhoea, visual disturbances, or fast or irregular heartbeats.
When you have completed your course of treatment, the dose of LEXAPRO is gradually
reduced over a couple of weeks rather than stopped abruptly.
Your doctor will tell you how to reduce the dosage so that you do not get these unwanted
If you forget to take it
If you miss a dose and remember in less than 12 hours, take it straight away, and
then go back to taking it as you would normally.
Otherwise, if it is almost time for your next dose, skip the dose you missed and take
the next dose when you are meant to.
Do not take a double dose to make up for the dose you have missed.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering when to take your medicine, ask your pharmacist for
If you take too much (overdose)
Immediately telephone your doctor, or the Poisons Information Centre (Tel: 13 11 26),
or go to Accident and Emergency at your nearest hospital, if you think you or anyone
else may have taken too much LEXAPRO.
Do this even if there are no signs of discomfort or poisoning.
You may need urgent medical attention.
Symptoms of an overdose may include dizziness, low blood pressure, nausea (feeling
sick), vomiting, agitation, tremor (shaking) and rarely convulsions and coma.
While you are taking it
Things you must do
If you are about to be started on any new medicine, remind your doctor and pharmacist
that you are taking LEXAPRO.
Tell any other doctors, dentists and pharmacists who treat you that you are taking
If you become pregnant while taking LEXAPRO, tell your doctor immediately.
Persons taking LEXAPRO may be more likely to think about killing themselves or actually
trying to do so, especially when LEXAPRO is first started or the dose is changed.
Tell your doctor immediately if you have thoughts about killing yourself or if you
are close to or care for someone using LEXAPRO who talks about or shows signs of killing
him or herself.
All mentions of suicide or violence must be taken seriously.
Occasionally, the symptoms of depression may include thoughts of suicide or self-harm.
It is possible that these symptoms continue or get worse until the full antidepressant
effect of the medicine becomes apparent. This is more likely to occur if you are a
young adult, i.e. 18 to 24 years of age, and you have not used antidepressant medicines
Patients and care givers should pay attention for any of the following warning signs
of suicide-related behaviour while taking LEXAPRO. Tell your doctor immediately, or
even go to the nearest hospital for treatment:
thoughts or talk of death or suicide
thoughts or talk of self-harm or harm to others
any recent attempts of self-harm
increase in aggressive behaviour, irritability or agitation
Do not stop taking this medicine or change the dose without consulting your doctor,
even if you experience increased anxiety at the beginning of treatment.
At the beginning of treatment, some patients may experience increased anxiety which
will disappear during continued treatment.
Tell your doctor immediately if you experience symptoms such as restlessness or difficulty
in sitting or standing still.
These symptoms can occur during the first weeks of treatment.
Contact your doctor as soon as possible if you suddenly experience an episode of mania.
Some patients with bipolar disorder (manic depression) may enter into a manic phase.
This is characterised by profuse and rapidly changing ideas, exaggerated gaiety and
excessive physical activity.
Sometimes you may be unaware of the above-mentioned symptoms and therefore you may
find it helpful to ask a friend or relative to help you to observe the possible signs
of change in your behaviour.
Things you must not do
Do not give the oral solution to anyone else, even if they have the same condition
Do not take LEXAPRO to treat any other complaints unless your doctor tells you to.
Do not stop taking LEXAPRO, or lower the dosage, without checking with your doctor.
Do not let yourself run out of medicine over the weekend or on holidays.
Suddenly stopping LEXAPRO may cause unwanted discontinuation symptoms such as dizziness,
headache and nausea. Your doctor will tell you when and how LEXAPRO should be discontinued.
Your doctor will gradually reduce the amount you are using, usually over a period
of one to two weeks, before stopping completely.
Things to be careful of
Be careful driving or operating machinery until you know how LEXAPRO affects you.
It may cause visual disturbance (such as blurred vision), nausea, fatigue and dizziness
in some people, especially early in the treatment. If you have any of these symptoms,
do not drive, operate machinery, or do anything else that could be dangerous.
Avoid alcohol while you are taking this medicine.
It is not advisable to drink alcohol while you are being treated for depression.
All medicines may have some unwanted side effects. Sometimes they are serious, but
most of the time they are not. Your doctor has weighed the risks of using this medicine
against the benefits he/she expects it will have for you.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you
are taking LEXAPRO.
It helps most people with depression, social anxiety disorder (social phobia), generalised
anxiety disorder and obsessive-compulsive disorder, but it may have unwanted side
effects in a few people.
The side effects of LEXAPRO are, in general, mild and disappear after a short period
Tell your doctor if you notice any of the following and they worry you:
decreased appetite or loss of appetite
nausea (feeling sick)
fatigue, sleepiness or drowsiness, yawning
sexual disturbances (decreased sexual drive; problems with ejaculation or erection;
women may experience difficulties achieving orgasm)
*The side effects marked with an asterisk (*) are a number of rare side effects that
are known to occur with medicines that work in a similar way to LEXAPRO.
Tell your doctor as soon as possible if you notice any of the following:
agitation, confusion, panic attacks*, anxiety, restlessness*
dizziness when you stand up due to low blood pressure*
fast heart rate or decrease in heart rate or irregular heart beat
low sodium levels in the blood (the symptoms are feeling sick and unwell with weak
muscles or feeling confused) *
abnormal liver function tests (increased amounts of liver enzymes in the blood) *
unusual secretion of breast milk*
bleeding disorders including skin and mucous bleeding (e.g. bruising*) and a low level
of blood platelets*
rash, itching, patches of circumscribed swellings
an increased risk of bone fractures has been observed in patients taking this type
These may be serious side effects of LEXAPRO. You may need urgent medical attention.
Tell your doctor immediately, or go to Accident and Emergency at your nearest hospital,
if you notice any of the following:
thoughts of harming yourself or thoughts of suicide*, see also section "Things you
serious allergic reaction (symptoms of an allergic reaction may include swelling of
the face, lips, mouth or throat which may cause difficulty in swallowing or breathing,
high fever, agitation, confusion, trembling and abrupt contractions of muscles (these
symptoms may be signs of a rare condition called serotonin syndrome) *
mania (i.e.: elevated mood and associated symptoms) *
seizures, tremors, movement disorders (involuntary movements of the muscles) *
fast, irregular heart beat with feelings of dizziness or difficulty breathing
These are very serious side effects. You may need urgent medical attention or hospitalisation.
Tell your doctor if you notice anything else that is making you feel unwell.
Other side effects not listed above may occur in some people.
Do not be alarmed by this list of possible side effects.
You may not experience any of them.
After taking it
Keep LEXAPRO oral solution in a cool dry place where the temperature stays below 25°C.
Discard LEXAPRO oral solution 20 mg/mL 2 months after first opening.
Do not store it or any other medicine in the bathroom, near a sink, or on a window-sill.
Do not leave it in the car.
Heat and damp can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place
to store medicines.
If your doctor tells you to stop taking LEXAPRO, or the medicine has passed its expiry
date, ask your pharmacist what to do with any that is left over.
Return any unused medicine to your pharmacist.
What it looks like
LEXAPRO oral solution is a clear, nearly colourless to yellowish solution.
LEXAPRO 20 mg/mL oral solution: 15 mL in a brown glass bottle with a dropper applicator
and childproof screw cap.
LEXAPRO oral solution 20 mg/mL: Each mL (20 drops) contains 20 mg escitalopram (as
oxalate). One drop contains 1 mg escitalopram (as oxalate).
Inactive ingredients (oral solution 20 mg/mL):
LEXAPRO oral solution does not contain lactose, gluten, sucrose, tartrazine or any
other azo dyes.
Excipient with known effect: ethanol
LEXAPRO is made by H. Lundbeck A/S, Denmark.
Distributed in Australia by:
Lundbeck Australia Pty Ltd
Ground Floor, 1 Innovation Road
North Ryde NSW 2113
Ph: +61 2 8669 1000
This leaflet was prepared on
Australian Registration Numbers:
LEXAPRO oral solution
20 mg/mL - AUST R 209721
"Lexapro" is the registered trade mark of H. Lundbeck A/S.