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Lexapro can cause other side effects, which may include: a dry mouth abdominal pain diarrhea or constipation heartburn feeling dizzy nausea feeling more tired or drowsy than usual insomnia difficulty falling or staying asleep changes in sex drive changes in urination sweating more than usual symptoms that are similar to flu, such as a runny nose or fever If these side effects do not go away or are very severe, a person should seek medical advice