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If Lexapro side effects occur. Do not take Escitalopram together with a monoamine oxidase inhibitor. Escitalopram helps to restore the brain's chemical balance by increasing the available supply of serotonin, a substance in the brain that helps maintain mental balance. Within days of taking Lexapro you will notice an incredible change in your depression symptoms. Depression symptoms. Lexapro is actually an updated version of an older anti-depressant called Celexa.