if you have or have a history of a bipolar condition (mania or manic-depression) or suicidal thoughts or behaviors Check the label on the medicine for exact dosing instructions.
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Before using Escitalopram :
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When an outcome is measured in a variety of ways across studies (by using different scales) it may not be possible directly to compare or combine study results in a systematic review. Our results imply that, in the short term, no significant differences exist in efficacy between selective serotonin reuptake inhibitors and tricyclics in patients in primary care. This may not be a complete list of all interactions that may occur.
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It is common to feel sad, discouraged, or "down" once in a while, but for some people, this mood persists. Check with your health care provider before you start, stop, or change the dose of any medicine. Use Escitalopram with caution in the ELDERLY because they may be more sensitive to its effects.