<s>[INST] I tried escitalopram and it made me feel worse.  They say it is the same as Lexapro.  I believe there is something very different between the two.  My 91 yr old mother is on escitalopram.  I requested she be changed to the real Lexapro.  Please comment!  Thxs. [/INST] Hello and ! I have read your question I can see that you are having a problem with the medicine Escitalopram. The salt Escitalopram is available in many names in the market, one of them is learn. You have been informed that both are same, which is right, as learn has Escitalopram only. Escitalopram is the active ingredient of the Chat Doctor.  I think the problem is related to the company. A good company Escitalopram will bring the desired effect, which may not be seen when someone switches to any other brand. Sometimes some companies donor use good quality raw material or may use cheap products and so, the patient has either no effect, or may have some unwanted side effects. So, look out your brand of Escitalopram and shift to learn if your patients was good with it and there is no other cause apparent for her problems. Hope the reply helpful free to ask more questions  </s>