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Reliable estimates of the incidence and severity of untoward experiences involving sexual desireperformanceand satisfaction are difficult to obtainhoweverin part because patients and physicians may be reluctant to discuss themAccordinglyestimates of the incidence of untoward sexual experience and performance cited in product labeling are likely to underestimate their actual incidence.

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The risk of administering methylene blue by non-intravenous routessuch as oral tablets or by local injectionor in intravenous doses much lower than 1 mg/kg with Lexapro is unclearThe clinician shouldneverthelessbe aware of the possibility of emergent symptoms of serotonin syndrome with such usesee WARNINGS AND PRECAUTIONS

A major depressive episode may be the initial presentation of bipolar disorderIt is generally believedthough not established in controlled trialsthat treating such an episode with an antidepressant alone may increase the likelihood of precipitation of a mixed/manic episode in patients at risk for bipolar disorderWhether any of the symptoms described above represent such a conversion is unknownHoweverprior to initiating treatment with an antidepressantpatients with depressive symptoms should be adequately screened to determine if they are at risk for bipolar disordersuch screening should include a detailed psychiatric historyincluding a family history of suicidebipolar disorderand depressionIt should be noted that Lexapro is not approved for use in treating bipolar depression.

If you take Lexaproyou should not take any other medicines that contain escitalopram oxalate or citalopram hydrobromide includingCelexa.

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