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A special Med Guide will be given to you by the pharmacist with each prescription and refill. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. Be sure to read this information carefully each time. Do not take this medicine with any of the following medications: -certain medicines for fungal infections like fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole -cisapride -citalopram -dofetilide -dronedarone -linezolid -MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate -methylene blue (injected into a vein) -pimozide -thioridazine -ziprasidone This medicine may also interact with the following medications: -alcohol -amphetamines -aspirin and aspirin-like medicines -carbamazepine -certain medicines for depression, anxiety, or psychotic disturbances -certain medicines for migraine headache like almotriptan, eletriptan, frovatriptan, naratriptan, rizatriptan, sumatriptan, zolmitriptan -certain medicines for sleep -certain medicines that treat or prevent blood clots like warfarin, enoxaparin, dalteparin -cimetidine -diuretics -fentanyl -furazolidone -isoniazid -lithium -metoprolol -NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen -other medicines that prolong the QT interval (cause an abnormal heart rhythm) -procarbazine -rasagiline -supplements like St. They need to know if you have any of these conditions: -bipolar disorder or a family history of bipolar disorder -diabetes -glaucoma -heart disease -kidney or liver disease -receiving electroconvulsive therapy -seizures (convulsions) -suicidal thoughts, plans, or attempt by you or a family member -an unusual or allergic reaction to escitalopram, the related drug citalopram, other medicines, foods, dyes, or preservatives -pregnant or trying to become pregnant -breast-feeding Take this medicine by mouth with a glass of water. 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