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The lowest dosage that will produce an acceptable result should be used; when it is possible to reduce the dosage, this must be accomplished by stages. During prolonged therapy, dosage may need to be increased temporarily during periods of stress or in exacerbations of illness see section 4. The dose used will depend on the disease, its severity and the clinical response obtained.

   
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Just skip the missed tablet and go back to your prescribed dosage. Usually, the antidepressant effect is observed within weeks after the beginning of the systematic use of Lexapro.

   
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This medicine is not recommended for use if you have a history of liver dysfunction associated with the use of these medicines in combination. Warnings for special population. General warnings.

   
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