Mar 14, 2018 · Others may notice the medication kicking in within 1 to 3 weeks of treatment initiation. Within 8 weeks: It is estimated that over 80% of Lexapro users will report the medication working within 4 to 8 weeks of administration. If you don’t notice Lexapro working in the early days or weeks of treatment, understand that 8 weeks may be needed for ... Lexapro is available in 5, 10, or 20 mg tablets (brand or generic) and as a liquid in 5 mg/5 ml oral solution (generic). This prescription medication costs are about $379 for 30 tablets of 10 mg brand name tablets. Most health insurance companies will cover the expenses of treatment with Lexapro. As brand-name drugs, Lexapro can be quite pricey.Advise patients that taking Lexapro can cause mild pupillary dilation, which in susceptible individuals, can lead to an episode of angle closure glaucoma. Pre-existing glaucoma is almost always open-angle glaucoma because angle closure glaucoma, when diagnosed, can be treated definitively with iridectomy. Open-angle glaucoma is not a risk ...psychiatric disorders with Lexapro or within 14 days of stopping treatment with Lexapro. Do not use Lexapro within 14 days of stopping an MAOI intended to treat psychiatric disorders. In addition, do not start Lexapro in a patient who is being treated with linezolid or intravenous methylene blue (4.1). • Pimozide: Do not use concomitantly (4.2). Also, irritable bowel conditions like IBS, Crohn’s ulcerative colitis and celiac disease, which can cause similar symptoms can cause bleeding into the gut which is not visible to naked eye. So, an occult stool test should be done apart from stool routine and microscopic for ova and cysts of parasites. If these tests are not conclusive, then ...Jul 20, 2022 · INTRODUCTION Microscopic colitis is a chronic inflammatory disease of the colon that is characterized by chronic, watery, non-bloody diarrhea. It typically occurs in middle-aged patients and has a female preponderance. The colon appears typically normal or almost normal on colonoscopy in patients with microscopic colitis. Lexapro can cause night sweats and increased sweating overall (night and day) was one of the most common side effects reported with Lexapro, reported by 3% to 8% (depending on the dose) of people. Although night sweats can be worrisome, they usually diminish with time as your body and brain adjust to the medication. Continue readingCitalopram belongs to the class of antidepressants known as selective serotonin reuptake inhibitors (SSRIs). A common brand name for citalopram is Celexa®. Escitalopram contains the same active medication as citalopram. These two drugs act in the body in a very similar way. Escitalopram is used to treat depression and generalized anxiety disorder. Lexapro Pill Images. Note: Multiple pictures are displayed for those medicines available in different strengths, marketed under different brand names and for medicines manufactured by different pharmaceutical companies. Multi-ingredient medications may also be listed when applicable. What does Lexapro look like? Mar 30, 2022 · Lexapro can sometimes cause episodes of mania, especially for patients with undiagnosed bipolar disorder. Panic attacks : Common symptoms of a panic attack include chest pain , shortness of breath , hyperventilation, trembling or shakiness, nausea , and sweating. Dec 12, 2022 · Lexapro can cause night sweats and increased sweating overall (night and day) was one of the most common side effects reported with Lexapro, reported by 3% to 8% (depending on the dose) of people. Although night sweats can be worrisome, they usually diminish with time as your body and brain adjust to the medication. Continue reading Best time of day: Take Lexapro in the morning or evening. Wellbutrin XL should be taken in the morning. Wellbutrin SR and immediate-release bupropion are typically taken twice daily, in the morning, afternoon, or evening. However, evening doses should not be taken too close to bedtime since they can cause insomnia.One thing you don’t want to do is stop taking the medication without doctor supervision because of unwanted weight gain. Getty Images. 6. You may feel dizzy and drowsy. Lexapro also puts you in ...Background. Microscopic colitis (MC) is a chronic inflammatory condition of the colon, predominantly subdivided into collagenous colitis (CC) and lymphocytic colitis (LC). Microscopic colitis typically presents as chronic, nonbloody diarrhea with an endoscopically and radiologically normal colon but which demonstrates inflammatory changes on ...Lexapro for Depression User Reviews. Lexapro has an average rating of 7.2 out of 10 from a total of 575 reviews for the treatment of Depression. 63% of reviewers reported a positive experience, while 18% reported a negative experience. Filter by condition.Lexapro primarily focuses on depressive disorders, while Xanax is used for treatment against panic attacks. The biggest difference between the two medications would be the side effects. Lexapro being an antidepressant may cause restlessness, sexual difficulties, and risk of suicidal thinking in children and adolescents. This medicine can cause low sodium levels. Very low sodium levels can be life-threatening, leading to seizures, passing out, trouble breathing, or death. If you are 65 or older, use Lexapro (escitalopram solution) with care. You could have more side effects. Tell your doctor if you are pregnant, plan on getting pregnant, or are breast-feeding.That risk may continue for up to six years. There are many reasons why this may occur. One of Lexapro's weight gain mechanisms is that it increases serotonin levels, and serotonin plays a role in weight control. Additionally, Lexapro may increase your appetite, which usually leads to eating more and gaining weight.It is not known if citalopram or escitalopram can make it harder to get pregnant. Studies in animals found that citalopram might cause some reduced fertility (ability to get pregnant). Does taking citalopram or escitalopram increase the chance of miscarriage? Miscarriage is common and can occur in any pregnancy for many different reasons.Nov 4, 2022 · Lexapro can cause mild or serious side effects. The following lists contain some of the key side effects that may occur while taking Lexapro. These lists do not include all possible side effects. I finally told myself this morning I can no longer live in fear of my own life, constantly anxious, and told myself to just take the medicine. I was prescribed 10 mg, but personally medications do cause significant side effects for me (I am 5’4 and 100 pounds soaking wet) so I broke it down to 2.5 mg to start.Lexapro Pill Images. Note: Multiple pictures are displayed for those medicines available in different strengths, marketed under different brand names and for medicines manufactured by different pharmaceutical companies. Multi-ingredient medications may also be listed when applicable. What does Lexapro look like? <i>Background and Aims.</i> Mood may have an important role in the natural history of inflammatory bowel disease (IBD). However, the impact of antidepressant use on prognosis is unknown. We aimed to address this in a longitudinal study in a referral population.<i> Methods.</i> We collected demographic data, clinical disease activity and mood using validated questionnaires, and antidepressant ...Microscopic colitis. Microscopic colitis is an inflammatory disease of the colon that causes chronic, watery, non-bloody diarrhoea. 1 Patients often experience between 4 and 9 watery stools per day, but in rare cases, this number can exceed 15. 1,2. Whilst the origin of microscopic colitis is largely unknown, it is likely to be multifactorial.Escitalopram (Lexapro) is available as both a tablet and a liquid. Some people notice an improvement in their condition as early as a week after they start treatment. Some common side effects of escitalopram (Lexapro) include nausea, trouble sleeping, and drowsiness. For some people, these side effects go away or lessen over time.Jul 9, 2023 · This medicine can cause low sodium levels. Very low sodium levels can be life-threatening, leading to seizures, passing out, trouble breathing, or death. If you are 65 or older, use Lexapro (escitalopram solution) with care. You could have more side effects. Tell your doctor if you are pregnant, plan on getting pregnant, or are breast-feeding. The recommended starting dosage of Lexapro in adults is 10 mg once daily. Depending on clinical response and tolerability, dosage may be increased to the maximum recommended dosage of 20 mg once daily at an interval of no less than 1 week. The recommended starting dosage of Lexapro for pediatric patients ages 7 years of age and older is 10 mg ...Lustral is otherwise known as Zoloft. I did a medication search for Zoloft and colitis. Here is a list of known side effects from the Drug Information Handbook: >10%: Central nervous system: Insomnia, somnolence, dizziness, headache, fatigue. Gastrointestinal: Xerostomia, diarrhea, nausea. Genitourinary: Ejaculatory disturbances.Also, irritable bowel conditions like IBS, Crohn’s ulcerative colitis and celiac disease, which can cause similar symptoms can cause bleeding into the gut which is not visible to naked eye. So, an occult stool test should be done apart from stool routine and microscopic for ova and cysts of parasites. If these tests are not conclusive, then ... 7 Facts from our Lexapro Review. Location: North Chicago, Illinois. Products: Lexapro is the brand name of an antidepressant called escitalopram. Costs: $490 for 30 10-mg tablets; may be covered by insurance or the manufacturer’s patient assistance program. Results: Effective in treating anxiety and depression.During your first week of taking Lexapro, some of the most common side effects you might experience include: Anxiety. Constipation and gastrointestinal issues. Decreased sexual desire. Difficulty sleeping. Dizziness or shakiness. Drowsiness. Dry mouth. Fatigue.Ask questions and get answers about Lexapro. Our support group helps people share their own experience. 609 questions, 2155 members, 11 news articles.May 6, 2009 · Posted 5/6/2009 10:10 PM (GMT -8) Up until 2002 my bowel motions were normal, then I started taking Paxil in 2002 and almost immediately my bowel motions changed. I had more gas and bloating and the stool moved quicker through my intestine. It didnt worry me too much but now i have UC I'm wondering if the anti-depressant was the original cause. I finally told myself this morning I can no longer live in fear of my own life, constantly anxious, and told myself to just take the medicine. I was prescribed 10 mg, but personally medications do cause significant side effects for me (I am 5’4 and 100 pounds soaking wet) so I broke it down to 2.5 mg to start.Lexapro for Anxiety User Reviews. Lexapro has an average rating of 7.5 out of 10 from a total of 885 reviews for the treatment of Anxiety. 68% of reviewers reported a positive experience, while 17% reported a negative experience. Filter by condition.Lexapro (escitalopram) and Paxil (paroxetine) are selective serotonin reuptake inhibitor (SSRI) antidepressants used to treat depression. Lexapro is also used to treat anxiety disorders. Side effects of Lexapro and Paxil that are similar include nausea, headaches, diarrhea, difficulty sleeping (insomnia), drowsiness, dry mouth, increased sweating, and changes in appetite.Escitalopram is a prescription drug used to treat depression and generalized anxiety disorder. Side effects may include taste alterations, shaking, fever, weight loss, weight gain, and headache. Learn drug interactions, dosage, and pregnancy and breastfeeding safety information.Although it is rare, Lexapro may cause severe allergic reactions, which can result in: trouble breathing. wheezing. swelling of the face, tongue, mouth, or throat. itching. rash, hives, or ...Lexapro can sometimes cause episodes of mania, especially for patients with undiagnosed bipolar disorder. Panic attacks : Common symptoms of a panic attack include chest pain , shortness of breath , hyperventilation, trembling or shakiness, nausea , and sweating.Lexapro (escitalopram) and Paxil (paroxetine) are selective serotonin reuptake inhibitor (SSRI) antidepressants used to treat depression. Lexapro is also used to treat anxiety disorders. Side effects of Lexapro and Paxil that are similar include nausea, headaches, diarrhea, difficulty sleeping (insomnia), drowsiness, dry mouth, increased sweating, and changes in appetite. Lexapro obstructs the re-absorption of serotonin into the first cell, which causes an increased amount of serotonin to end up being readily available. Lexapro Benefits for Depression. Depression and anxiety can be devastating, preventing many patients from working totally in life and leaving an influence on their families.Advise patients that taking Lexapro can cause mild pupillary dilation, which in susceptible individuals, can lead to an episode of angle closure glaucoma. Pre-existing glaucoma is almost always open-angle glaucoma because angle closure glaucoma, when diagnosed, can be treated definitively with iridectomy. Open-angle glaucoma is not a risk ...Microscopic colitis is a common cause of chronic watery diarrhea that becomes more common as we age. Two types of microscopic colitis are collagenous and lymphocytic colitis. Patients with microscopic colitis typically present with chronic, watery, non-bloody diarrhea.A flexible-dose trial of Lexapro (10 to 20 mg/day) demonstrated the effectiveness of Lexapro [see Clinical Studies (14.1)]. If the dose is increased to 20 mg, this should occur after a minimum of three weeks. Adults . The recommended dose of Lexapro is 10 mg once daily. A fixed-dose trial of Lexapro demonstrated the effectiveness of both 10 mg Lexapro Pill Images. Note: Multiple pictures are displayed for those medicines available in different strengths, marketed under different brand names and for medicines manufactured by different pharmaceutical companies. Multi-ingredient medications may also be listed when applicable. What does Lexapro look like?Feb 21, 2023 · diarrhea. constipation. sexual side effects, such as: low sex drive. delayed ejaculation. difficulty reaching orgasm. mild allergic reaction *. Mild side effects of many drugs may go away within a ... Suicidality. antidepressants incr. suicidality risk in peds and young adult pts in short-term studies; monitor closely for clinical worsening and suicidality; advise families and caregivers of need for close observation and communication w/ prescriber; not approved for peds pts . 7 yo Colitis microscopic is found among people who take Lexapro, especially for people who are female, 30-39 old, have been taking the drug for 5 - 10 years. The phase IV clinical study analyzes which people take Lexapro and have Colitis microscopic.Dec 1, 2022 · This section describes the typical Lexapro dose. The recommended dosage is the same for major depressive disorder and generalized anxiety disorder. The typical dosage range is 10 milligrams (mg ... Escitalopram. Escitalopram, sold under the brand names Lexapro and Cipralex, among others, is an antidepressant of the selective serotonin reuptake inhibitor (SSRI) class. [4] Escitalopram is mainly used to treat major depressive disorder and generalized anxiety disorder. [4] It is taken by mouth, [4] available commercially as an oxalate salt ... There are some differences in their side effects with Lexapro being more likely to cause sleep problems and taste disturbances, and Zoloft is more likely to cause skin rash or diarrhea. There is some evidence that Lexapro may be more effective than other SSRIs, including Zoloft, in the treatment of depression.Aug 15, 2023 · The main differences between Celexa and Lexapro are: Celexa is a branded version of citalopram and Lexapro is a branded version of escitalopram. Citalopram is a mixture of two stereo-isomers: R-citalopram and S-citalopram. Stereo-isomers are compounds that have the same chemical formula but differ only in their arrangement of atoms. The most common effect of Lexapro is an improvement in mood. However, it’s still possible to experience side effects. Common side effects include: Decreased energy levels. Trouble sleeping. Decreased sex drive (difficulty with orgasm, loss of interest in sexual intercourse) Constipation or diarrhea. Dry mouth.The most common symptoms of Lexapro withdrawal—occurring in more than one in four people—are: Dizziness. Muscle tension. Chills. Confusion. Trouble concentrating. Trouble remembering things. Crying. Dizziness, muscle tension, and chills each affect about 44% of people discontinuing Lexapro.Initial dose: 10 mg orally once a day; increase if necessary after at least 1 week of treatment to 20 mg once a day. Maintenance dose: 10 to 20 mg orally once a day. Maximum dose: 20 mg orally once a day. Comments: Acute episodes may require several months or longer of sustained pharmacological therapy beyond response to the acute episode.May 13, 2019 · The combination of Lexapro and alcohol should be avoided due to potentially dangerous side effects. Even a small amount of alcohol can lead to a large amount of unpleasant effects. Mixing these two substances may actually lead to heightened symptoms of depression and anxiety. By taking Lexapro, you’re given a sense of relief. Microscopic colitis (MC) is an inflammatory pathology of the bowel diagnosed predominantly in older patients. MC is a cause of chronic watery, non-bloody diarrhea, that affects the older patients, mostly women, and leads to impaired health-related quality of life.May 2, 2022 · The most common symptoms of Lexapro withdrawal—occurring in more than one in four people—are: Dizziness. Muscle tension. Chills. Confusion. Trouble concentrating. Trouble remembering things. Crying. Dizziness, muscle tension, and chills each affect about 44% of people discontinuing Lexapro. A certain cause–effect relationship between drug exposure and microscopic colitis has only been ...Aug 1, 2023 · Wait 14 days after stopping escitalopram before you start taking a MAO inhibitor. If you take them together or do not wait the proper amount of time, you may develop confusion, agitation, restlessness, stomach or bowel symptoms, a sudden high body temperature, an extremely high blood pressure, or severe seizures. Background. Microscopic colitis (MC) is a chronic inflammatory condition of the colon, predominantly subdivided into collagenous colitis (CC) and lymphocytic colitis (LC). Microscopic colitis typically presents as chronic, nonbloody diarrhea with an endoscopically and radiologically normal colon but which demonstrates inflammatory changes on ...The phase IV clinical study analyzes which people take Lexapro and have Ulcerative colitis. It is created by eHealthMe based on reports of 75,368 people who have side effects when taking Lexapro from the FDA, and is updated regularly. You can use the study as a second opinion to make health care decisions. Aug 1, 2023 · Precautions. It is very important that your doctor check your progress at regular visits to allow for changes in your dose and to help reduce any side effects. Blood tests may be needed to check for any unwanted effects. Do not take escitalopram with a monoamine oxidase (MAO) inhibitor (eg, isocarboxazid [Marplan®], linezolid (Zyvox ... How to take it. The way to take this medicine is: Oral. This medicine is taken by mouth. Store below 30 degrees Celsius. Shelf lifetime is 3 Years. Store below 30 degrees Celsius. Shelf lifetime is 2 Years. You should seek medical advice in relation to medicines and use only as directed by a healthcare professional. Always read the label.The combination of Lexapro and alcohol should be avoided due to potentially dangerous side effects. Even a small amount of alcohol can lead to a large amount of unpleasant effects. Mixing these two substances may actually lead to heightened symptoms of depression and anxiety. By taking Lexapro, you’re given a sense of relief.Aug 15, 2023 · The main differences between Celexa and Lexapro are: Celexa is a branded version of citalopram and Lexapro is a branded version of escitalopram. Citalopram is a mixture of two stereo-isomers: R-citalopram and S-citalopram. Stereo-isomers are compounds that have the same chemical formula but differ only in their arrangement of atoms. The combination of Lexapro and alcohol should be avoided due to potentially dangerous side effects. Even a small amount of alcohol can lead to a large amount of unpleasant effects. Mixing these two substances may actually lead to heightened symptoms of depression and anxiety. By taking Lexapro, you’re given a sense of relief.Aug 3, 2023 · Best time of day: Take Lexapro in the morning or evening. Wellbutrin XL should be taken in the morning. Wellbutrin SR and immediate-release bupropion are typically taken twice daily, in the morning, afternoon, or evening. However, evening doses should not be taken too close to bedtime since they can cause insomnia. Background: Microscopic colitis is an increasingly common cause of watery diarrhoea. Several classes of medications have been associated with microscopic colitis in prior studies. Aims: To determine the association between the use of previously implicated medications and microscopic colitis.Escitalopram is also used to treat generalized anxiety disorder (GAD; excessive worry and tension that disrupts daily life and lasts for 6 months or longer) in adults, teenagers, and children 7 years of age and older. Escitalopram is in a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs). Lexapro (escitalopram) and Paxil (paroxetine) are selective serotonin reuptake inhibitor (SSRI) antidepressants used to treat depression. Lexapro is also used to treat anxiety disorders. Side effects of Lexapro and Paxil that are similar include nausea, headaches, diarrhea, difficulty sleeping (insomnia), drowsiness, dry mouth, increased sweating, and changes in appetite. Drug features. Lexapro is prescribed to treat depression and generalized anxiety disorder. Zoloft is prescribed to treat depression, obsessive-compulsive disorder, and several other mental health ...Nov 4, 2022 · Lexapro can cause mild or serious side effects. The following lists contain some of the key side effects that may occur while taking Lexapro. These lists do not include all possible side effects. Mar 25, 2021 · Background. Microscopic colitis (MC) is a chronic inflammatory condition of the colon, predominantly subdivided into collagenous colitis (CC) and lymphocytic colitis (LC). Microscopic colitis typically presents as chronic, nonbloody diarrhea with an endoscopically and radiologically normal colon but which demonstrates inflammatory changes on ... May 16, 2023 · Lexapro (escitalopram) and Xanax (alprazolam) are two different prescription drugs that can treat general anxiety as well as anxiety with depression. Lexapro is an SSRI (selective serotonin reuptake inhibitor) drug while Xanax is a benzodiazepine. Both drugs work differently from each other, although they can be used for similar mental health ... May 11, 2023 · That risk may continue for up to six years. There are many reasons why this may occur. One of Lexapro's weight gain mechanisms is that it increases serotonin levels, and serotonin plays a role in weight control. Additionally, Lexapro may increase your appetite, which usually leads to eating more and gaining weight. Colitis, Microscopic / chemically induced* Female Humans Middle Aged Sertraline / adverse effects* ... How to take it. The way to take this medicine is: Oral. This medicine is taken by mouth. Store below 30 degrees Celsius. Shelf lifetime is 3 Years. Store below 30 degrees Celsius. Shelf lifetime is 2 Years. You should seek medical advice in relation to medicines and use only as directed by a healthcare professional. Always read the label.diarrhea. constipation. sexual side effects, such as: low sex drive. delayed ejaculation. difficulty reaching orgasm. mild allergic reaction *. Mild side effects of many drugs may go away within a ...Microscopic colitis. Microscopic colitis is an inflammatory disease of the colon that causes chronic, watery, non-bloody diarrhoea. 1 Patients often experience between 4 and 9 watery stools per day, but in rare cases, this number can exceed 15. 1,2. Whilst the origin of microscopic colitis is largely unknown, it is likely to be multifactorial.Apr 21, 2021 · Lexapro is available in 5, 10, or 20 mg tablets (brand or generic) and as a liquid in 5 mg/5 ml oral solution (generic). This prescription medication costs are about $379 for 30 tablets of 10 mg brand name tablets. Most health insurance companies will cover the expenses of treatment with Lexapro. As brand-name drugs, Lexapro can be quite pricey. Microscopic colitis (MC) is an inflammatory pathology of the bowel diagnosed predominantly in older patients. MC is a cause of chronic watery, non-bloody diarrhea, that affects the older patients, mostly women, and leads to impaired health-related quality of life.A flexible-dose trial of Lexapro (10 to 20 mg/day) demonstrated the effectiveness of Lexapro [see Clinical Studies (14.1)]. If the dose is increased to 20 mg, this should occur after a minimum of three weeks. Adults . The recommended dose of Lexapro is 10 mg on ce daily. A fixed-dose trial of Lexapro de monstrated the effectiveness of both 10 A flexible-dose trial of Lexapro (10 to 20 mg/day) demonstrated the effectiveness of Lexapro [see Clinical Studies (14.1)]. If the dose is increased to 20 mg, this should occur after a minimum of three weeks. Adults . The recommended dose of Lexapro is 10 mg once daily. A fixed-dose trial of Lexapro demonstrated the effectiveness of both 10 mgOct 20, 2022 · Although it is rare, Lexapro may cause severe allergic reactions, which can result in: trouble breathing. wheezing. swelling of the face, tongue, mouth, or throat. itching. rash, hives, or ... Advise patients that taking Lexapro can cause mild pupillary dilation, which in susceptible individuals, can lead to an episode of angle closure glaucoma. Pre-existing glaucoma is almost always open-angle glaucoma because angle closure glaucoma, when diagnosed, can be treated definitively with iridectomy. Open-angle glaucoma is not a risk ...Lexapro (escitalopram) and Paxil (paroxetine) are selective serotonin reuptake inhibitor (SSRI) antidepressants used to treat depression. Lexapro is also used to treat anxiety disorders. Side effects of Lexapro and Paxil that are similar include nausea, headaches, diarrhea, difficulty sleeping (insomnia), drowsiness, dry mouth, increased sweating, and changes in appetite.The recommended starting dosage of Lexapro in adults is 10 mg once daily. Depending on clinical response and tolerability, dosage may be increased to the maximum recommended dosage of 20 mg once daily at an interval of no less than 1 week. The recommended starting dosage of Lexapro for pediatric patients ages 7 years of age and older is 10 mg ...A flexible-dose trial of Lexapro (10 to 20 mg/day) demonstrated the effectiveness of Lexapro [see Clinical Studies (14.1)]. If the dose is increased to 20 mg, this should occur after a minimum of three weeks. Adults . The recommended dose of Lexapro is 10 mg on ce daily. A fixed-dose trial of Lexapro de monstrated the effectiveness of both 10 Jun 13, 2022 · Lexapro is well-absorbed by the body regardless of whether you take it with food. This means you can take Lexapro without food, or without food — whichever works for you. In clinical studies, about 15% of people taking Lexapro experienced nausea. If you find that you feel nauseated after taking Lexapro, you can try taking it with food. 3. One thing you don’t want to do is stop taking the medication without doctor supervision because of unwanted weight gain. Getty Images. 6. You may feel dizzy and drowsy. Lexapro also puts you in ...Lexapro© (generic escitalopram) is a widely used selective serotonin reuptake inhibitor (SSRI) drug. Lexapro was FDA-approved for the treatment of MDD (major depressive disorder) and GAD (generalized anxiety disorder). SSRIs are also prescribed off-label for a wide variety of conditions such as OCD, PTSD, panic attacks, premenstrual dysphoria ....