@nscappa it is the job of your medical providers (pharmacists too) to be aware of medication interactions. Do your nurse practitioner and your GP work together so they can collaborate on what you need to treat both your pneumonia and depression? It is important at for them to be “on the same page”. Sometimes a temporary change (treatment, medication, dose etc.) is necessary when something new arises (such as your pneumonia). Your provider should make that determination. Can you contact your GP to make sure s/he knows about your pneumonia and Levaquin prescription? Tell him or her that you haven’t been taking the Lexapro. Maybe s/he can consider an alternate medication to Lexapro?