Common Uses: This medicine is a selective serotonin reuptake inhibitor or SSRI used to treat depression and generalized anxiety disorder (GAD). It may also be used to treat other conditions as determined by your doctor.

Generic Name: E: ESCITALOPRAM (ess-sye-TAL-oh-pram)

[Lexapro]. Medications should only be taken in accordance with the advice of your medical professional.

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How to use this Medicine: Follow the directions for using this medicine provided by your doctor. This medicine may be taken on an empty stomach or with food. STORE THIS MEDICINE at room temperature 77 degrees F (25 degrees C) in a tightly-closed container away from heat and light. Brief storage between 59 and 86 degrees F (15 and 30 degrees C) is permitted. CONTINUE TO TAKE THIS MEDICINE even if you feel well. Do not miss any doses. Taking this medicine at the same time each day will help you to remember. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Cautions: DO NOT TAKE THIS MEDICINE if you have had an allergic reaction to it or are allergic to any ingredient in this product. SEVERAL WEEKS MAY PASS before this medicine reaches its full effect. Do not stop taking this medicine without checking with your doctor. Some conditions may become worse if the medicine is suddenly stopped. Your dose may need to be slowly lowered to avoid side effects when the medicine is stopped. KEEP ALL DOCTOR AND LABORATORY APPOINTMENTS while you are taking this medicine. THIS MEDICINE MAY CAUSE drowsiness or dizziness. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. THIS MEDICINE WILL ADD TO THE EFFECTS of alcohol and other depressants. Ask your pharmacist if you have questions about which medicines are depressants. Use of alcohol while taking this medicine is not recommended. Talk with your doctor about the use of alcohol with this medicine. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. This includes any medicines which contain drowsiness-causing ingredients. Ask your pharmacist about the safe use of these products. Caution should be used in the elderly since they may be more sensitive to the effects of this medicine. Caution is advised when using this medicine in children as they may be more sensitive to the effects of this medicine. F0R WOMEN: IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy, especially during the third trimester. THIS MEDICINE IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED while taking this medicine.

Possible Side Effects: SIDE EFFECTS that may occur while taking this medicine include nausea, vomiting, diarrhea, constipation, upset stomach, loss of appetite, dizziness, drowsiness, trouble sleeping, back pain, or dry mouth. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience increased sweating, unusual fatigue, changes in sexual ability/interest. CONTACT YOUR DOCTOR IMMEDIATELY if you experience stomach pain, vision changes, unusually fast or slow heartbeat, uncontrolled movements (tremors), chest pain, unusual or severe mental/mood changes, muscle cramps, restlessness, seizures, painful or prolonged erection, or change in amount of urine. An allergic reaction to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

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The North Dakota Supreme Court refused Tuesday to order that a proposal to change the state's pharmacy ownership law be put on the November ballot, but a supporter of the change promised the fight would continue. The voter initiative sought to abolish North Dakota's requirement that most pharmacies in the state be owned by pharmacists. Industry officials say it is the only law of its kind in the country, and its critics say the law prevents large retailers, such as Walgreen Co. and Wal-Mart Stores Inc., from offering less expensive prescription drugs through pharmacies they own. Last month, Secretary of State Al Jaeger disqualified the measure from appearing on the November ballot because the circulated petition did not include a required list of the proposal's 25 sponsors. Its backers appealed directly to the North Dakota Supreme Court, which concluded unanimously that Jaeger was right.

"The right to initiate and refer laws is part of the fabric of our liberty as North Dakotans," Justice Dale Sandstrom wrote in the court's opinion on Tuesday. "But the people of North Dakota -- through the state constitution -- have also specified mandatory requirements for the exercise of this right." Among those requirements, Sandstrom wrote, was that an initiative petition include the names of its sponsors. The North Dakota Constitution says a voter initiative must be sponsored by at least 25 eligible North Dakota voters, whose names and addresses are listed on the petition itself. Supporters of the initiative conceded that the petition was circulated without an attached list of sponsors, but claimed the error was minor. They argued that the constitution's language requires that a list of sponsors be submitted to the secretary of state but does not specify that the list be part of the petition itself.

Tammy Ibach, a spokeswoman for the initiative campaign, said in a statement Tuesday that the effort to change the law would continue. The initiative petition was circulated after the North Dakota House voted down legislation last year to abolish the ownership restrictions. "The opportunity for North Dakotans to have more options in where they purchase their prescription drugs is delayed, but the subject will remain alive and the commitment to having this law changed remains steadfast," Ibach's statement said.