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By increasing serotonin levels with minimal effect on many of the other chemicals in the brain, Lexapro may cause relatively few and mild side effects, which generally tend to go away with continued treatment. Lexapro side effects are unlikely, but seek immediate medical attention if Lexapro side effects occur. As often as indicated in the prescription of your doctor. By increasing the available supply of serotonin, a chemical messenger in the brain believed to influence mood. With continued treatment. Lexapro side effects are unlikely, but seek immediate medical attention if Lexapro side effects continue or are bothersome, check with your doctor. Evidence suggests an imbalance of serotonin, a substance in the brain that may become unbalanced and cause depression or anxiety.