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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.

During pregnancythis medication should be used only when clearly neededIt may harm an unborn babyAlsobabies born to mothers who have used this drug during the last 3 months of pregnancy may rarely develop withdrawal symptoms such as feeding/breathing difficultiesseizuresmuscle stiffnessor constant cryingIf you notice any of these symptoms in your newborntell the doctor promptly.

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

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