Compare Buspar vs. Lexapro

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Buspar (Buspirone)

Prescription only

Lexapro (escitalopram)

Prescription only
Helps you relax.

Buspar (Buspirone) is effective for treating Generalized Anxiety Disorder (GAD), and less effective for short-term use.

3.4/ 5 average rating with 67 reviewsforBuspar
Improves mood and helps you relax.

Lexapro (escitalopram) is good for treating depression and anxiety. It is less likely to cause side effects than and has fewer drug interactions. However, it might not be a good choice if you have liver or heart problems.

3.6/ 5 average rating with 1063 reviewsforLexapro
Upsides
  • Buspar (Buspirone) works very well to control the symptoms of generalized anxiety syndrome (GAD).
  • Buspar (Buspirone) doesn't cause physical dependence or withdrawal symptoms.
  • Buspar (Buspirone) is only available as a generic, so the price can be pretty cheap.
  • Effective at relieving depression and anxiety symptoms.
  • Lowers the likelihood that your depression will come back.
  • Lexapro (escitalopram) has less drug interactions than other similar antidepressants and might cause fewer side effects.
Downsides
  • Buspar (Buspirone) can take as long as four weeks to become fully effective.
  • Not as effective for short-term anxiety conditions or panic disorders.
  • Most people find that it loses effectiveness over long periods of time.
  • Can cause drowsiness or dizziness when you start taking Buspar (Buspirone). Be extremely careful of activities that require mental alertness, such as driving.
  • Can cause a small weight gain of 1-5 pounds.
  • Lexapro (escitalopram) is not a good option if you have heart or liver problems.
  • The first antidepressant you try might not always work, so you may need to try a few different medicines until you find one that works for you.
Used for
Dosage forms
  • Pill
  • Pill
  • Liquid
Price
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Reviews
67 reviews so far
46%
saidit'sworth it
45%
saiditworked well
22%
saidit'sa big hassle

Have you used Buspar (Buspirone)?

Leave a review
1063 reviews so far
61%
saidit'sworth it
48%
saiditworked well
15%
saidit'sa big hassle

Have you used Lexapro (escitalopram)?

Leave a review
Side effects
21possible side effects
  • Dizziness
    12%
  • Any side effect
    10%
  • Drowsiness
    10%
  • Nausea
    8%
  • Headache
    6%
  • Nervousness
    5%
  • Fatigue
    4%
  • Central nervous system disturbances
    3%
  • Insomnia
    3%
  • Lightheadedness
    3%
  • Dry Mouth
    3%
  • Decreased Concentration
    2%
  • Excitement
    2%
  • Anger/Hostility
    2%
  • Confusion
    2%
  • Depression
    2%
  • Blurred Vision
    2%
  • Abdominal/Gastric Distress
    2%
  • Diarrhea
    2%
  • Numbness
    2%
  • Weakness
    2%
See more detailed side effects
25possible side effects
  • Headache
    24%
  • Nausea
    18%
  • Problems ejaculating
    14%
  • Sleepiness
    13%
  • Insomnia
    12%
  • Dry mouth
    9%
  • Diarrhea
    8%
  • Fatigue
    8%
  • Decreased libido
    7%
  • Problems with orgasm
    6%
  • Constipation
    5%
  • Flu-like symptoms
    5%
  • Increased sweating
    4%
  • Indigestion
    3%
  • Vomiting
    3%
  • Neck/shoulder pain
    3%
  • Abnormal dreams
    3%
  • Decrease appetite
    3%
  • Lack of energy
    3%
  • Tingling or burning in the hands/feet
    2%
  • Abdominal pain
    2%
  • Flatulence
    2%
  • Toothache
    2%
  • Yawning
    2%
  • Menstrual disorder
    2%
See more detailed side effects
Risks and risk factors
  • Elevated blood pressure
    • Taking with MAOIs
    • Taking with Zyvox or methylene blue
  • Withdrawal reactions
    • Taking with or converting from benzodiazepine medicines
  • Abnormal and involuntary muscle movements
    • Duration of treatment
See more detailed risks and warnings
  • Suicidal thoughts or behavior
    • Age 24 years or younger
  • Serotonin syndrome
    • Using other medications that affect serotonin
  • Withdrawal
    • Stopping Lexapro (escitalopram) suddenly
  • Increased bleeding
    • Taking blood thinners
  • Sexual problems
  • Uncovering of bipolar disorder
    • Bipolar disorder
See more detailed risks and warnings