Escitalopram (Lexapro)
Escitalopram (Lexapro) explained
Escitalopram (Lexapro) is an SSRI approved for major depressive disorder and generalized anxiety disorder. It is often chosen for its favorable side‑effect profile and once‑daily dosing.
FDA ApprovedEscitalopram (Lexapro) helps treat
• Major depressive disorder (MDD)
• Generalized anxiety disorder (GAD)
• Panic disorder (off‑label)
• Social anxiety disorder (off‑label)
• Obsessive–compulsive disorder (off‑label)
• Premenstrual dysphoric disorder (off‑label)
• Post‑traumatic stress disorder (off‑label)
additional medications
• Other SSRIs (sertraline, fluoxetine, citalopram, paroxetine)
• SNRIs (venlafaxine, duloxetine)
• Bupropion or mirtazapine
• Psychotherapy (CBT)
• Exercise, sleep hygiene (adjunct)
medication risks
• Black box warning: suicidality risk in children, adolescents, and young adults
• Serotonin syndrome risk with serotonergic agents
• QT prolongation at higher doses or with risk factors
• Hyponatremia/SIADH
• Bleeding risk with NSAIDs/anticoagulants
• Activation of mania/hypomania in bipolar disorder
side effects
• Nausea, diarrhea
• Somnolence or insomnia
• Headache, dizziness
• Sexual dysfunction
• Dry mouth, sweating
• Fatigue
FAQs
Q: What is escitalopram used for?A: MDD and GAD; clinicians also prescribe off‑label for various anxiety disorders.
Q: How long until I feel better?
A: Many notice improvement after 2–4 weeks; full effect may take 6–8 weeks.
Q: Can I drink alcohol on escitalopram?
A: Avoid or minimize; alcohol can worsen side effects and depression.
Q: Are there drug interactions?
A: Yes—MAOIs, linezolid, some triptans, other serotonergic drugs increase serotonin syndrome risk.
Q: Can it cause sexual side effects?
A: Yes—decreased libido or delayed orgasm may occur.
