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People like Lexapro for its use as an anxiety medicine and they also appreciate that Lexapro is a small pill that is easy to swallow. Within days of taking Lexapro you will notice an incredible change in your depression symptoms. This medication may cause dizziness or drowsiness. Evidence suggests an imbalance of serotonin, a substance in the brain that may become unbalanced and cause depression or anxiety. With continued treatment. To take Escitalopram, take it around the same time every day, in the morning or in the evening. This medication may cause dizziness or drowsiness. Escitalopram is a selective serotonin reuptake inhibitor used to treat anxiety and major depressive disorder. Lexapro is used to treat depression and generalized anxiety disorder.