If you are:
Only When Necessary: RISK OF PERSISTENT PULM HTN AFTER 20 WKS; NEONATE BEHAVIOR SYNDR 3RD TRIMESTER
Precaution: SOMNOLENCE, DECREASED FEEDING, WEIGHT LOSS REPORTED WITH RACEMIC CITALOPRAM
An adult over 60:
management or monitoring precaution: Hepatic-Decreased drug clearance by 50% in the elderly. Start at lower doses and titrate upward more slowly to a maximum recommended dose of 10mg/day. Endocrine-May exacerbate or cause SIADH or hyponatremia. Monitor sodium level closely when starting or changing dosages in older adults.
Giving Lexapro to a child under 12:
Severe Precaution: Possible increased suicidal ideation and attempt, decreased appetite and weight loss. No safety and efficacy age < 12 years.
Severe Precaution: Possible increased suicidal ideation and attempt. Monitor behavior, weight and growth rate.