Escitalopram is noted for its high selectivity of serotonin reuptake inhibition and, as result has fewer side effects not related to its serotonergic activity. For complete information about this product or your best buy escitalopram specific health needs, ask your health care professional. Bleeding events related to SSRIs and SNRIs use have ranged from ecchymoses, hematomas, epistaxis, and petechiae to life-threatening hemorrhages. 2003 double-blind, randomized, parallel-group, flexible-dose study to evaluate the tolerability, efficacy and effects of treatment discontinuation with escitalopram and paroxetine in patients with major depressive disorder. This is not complete list of side effects and others may occur.