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Wendy Greenway said: "Because Escitalopram appears to work by increasing the available supply of serotonin, a natural substance in the brain, is an important factor in the development and severity of depressive symptoms, such as sad mood, fatigue, lack of pleasure, etc. Escitalopram appears to relieve depression by increasing serotonin levels with minimal effect on many of the other chemicals in the brain believed to influence mood. Lexapro is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors."