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Lexapro is taken orally, as often as indicated in the prescription of your doctor. Lexapro blocks the re-absorption of serotonin by the first nerve cell. The development and severity of depressive symptoms, such as sad mood, fatigue, lack of pleasure, etc. Escitalopram appears to work by increasing the available supply of serotonin, Escitalopram improves symptoms of depression. Lexapro tablets are film-coated, round tablets containing Escitalopram oxalate in strengths equivalent to 5 mg.