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Escitalopram is a selective serotonin reuptake inhibitor. Lexapro anti depressant has helped millions and is continuing to help millions. Lexapro works by increasing the amount of serotonin, a substance in the brain, Lexapro may cause relatively few and mild side effects, which generally tend to go away with continued treatment. Because Escitalopram appears to work by increasing the available supply of serotonin. Lexapro works by increasing the available supply of serotonin, Escitalopram improves symptoms of depression.