Prescription onlyLower-cost generic availableClass: Mental health

Lexapro 

(escitalopram)

Prescription onlyLower-cost generic availableClass: Mental health
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Improves mood and helps you relax.

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Our bottom line

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.

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Price and discounts
Prices and coupons for 30 (10mg) tablets of escitalopram

Upsides

  • 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.
People say this drug is:
1063 reviews

Downsides

  • 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.
How it works

Lexapro (escitalopram) is a selective serotonin reuptake inhibitor (SSRI) antidepressant. It increases serotonin in the brain which regulates mood.

What to expect when you take Lexapro (escitalopram) for Depression or anxiety

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Side effect rates for Lexapro (escitalopram)

856 From clinical trials of Lexapro / Generalized Anxiety Disorder
  • Headache
  • Nausea
  • Problems ejaculating
  • Sleepiness
  • Sleep difficulty
  • Dry mouth
  • Diarrhea
  • Fatigue
  • Decreased libido
  • Problems with orgasm

Risks and Warnings for Lexapro (escitalopram)

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    • Higher risk if:
    • Age 24 years or younger

    Lexapro (escitalopram) may increase the risk of suicidal thoughts or behavior. Watch for worsening depression or any unusual changes in mood or behavior, especially during the first few months of treatment or when your dose changes. Let your doctor know right away if you experience any of these thoughts. Lexapro (escitalopram) is not approved for use in children younger than age 12.

    This is a black box warning. The FDA requires this warning when there is a significant risk of serious or life-threatening effects that anyone taking the drug should consider.

Means that some groups have a high risk of experiencing this side effect

Common concerns from people taking Lexapro (escitalopram)

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Pregnancy
Interactions
  • Lexapro (escitalopram) has less drug interactions than other similar antidepressants and might cause fewer side effects.
Food
  • Dry mouth is severe and led me to drink a lot more than usual. I didn't realize I was drinking so many sugary drinks until I gained weight, and started tracking my food & drink choices.
  • take it in the morning before eating breakfast. if you miss your dose ALWAYS take it if you should've taken it less than 18 hours ago. if i have a bad mood its most of the time because i forgot to take them.
  • Taking it at lunch time works best for me
Pain
  • The sexual effects are a real pain
  • Gives me severe gas pain, if I take it too close to my pain Med. Took awhile to figure it out.
  • don't increase dose if you don't feel you need it and your doctors just targets to increase your serotonin blood level because lowing the dose is a painful process that I stopped after one week
Sex
  • Killed my sex drive and couldn't orgasm anyway. Eventually went off it because of that.
  • Can cause orgasm problems
  • No libido, excessive weight gain of >10kg, but I no longer suffer anxiety and major depression. I'd rather be a bit chubby and happy than depressed and constantly anxious. Started on 10mg then up to 20mg after 6 months once uni exams began. Very sweaty! And crazy dreams.
Sleep
  • Made me very tired and foggy
  • Definitely can cause drowsiness, so taking it before bed can be best. The initial side effects do not last.
  • Miracle drug for my anxiety and depression. Struggle with weight gain and drowsiness. Sexual side effects improved after a few months but still cause some issues.
Weight
  • Can cause a small weight gain of 1-5 pounds.
  • Increased appetite and weight gain but finally not anxious or depressed. So worth it.
  • Miracle drug for my anxiety and depression. Struggle with weight gain and drowsiness. Sexual side effects improved after a few months but still cause some issues.
  • Could not increase dose beyond 10mg or had problems ejaculating, also noticeable weight gain