Prescription onlyLower-cost generic available

Lexapro

(Escitalopram)

Prescription onlyLower-cost generic available
  • Pill
  • Liquid
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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. Might be less likely to cause side effects than some antidepressants, but not the best choice for people with heart or liver problems.

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Upsides

  • Effective at relieving depression and anxiety symptoms.
  • Lowers relapse rates of depression.
  • Causes less sleepiness than some other antidepressants.
  • Six out of ten people who use an antidepressant for the first time find that it works for them.
People say this drug is:
958 reviews

Downsides

  • Can cause sexual side effects like low libido and an inability to orgasm or ejaculate.
  • More likely to cause minor weight gain (1 to 5 pounds) than other antidepressants.
  • Can cause an irregular heartbeat if you take a high dose (20 mg a day, or more).
  • Not a good option for you if you have heart or liver problems.
  • Like most antidepressants, it can cause a higher risk of suicidal thoughts and behavior for people younger than 24.
  • The first antidepressant you try doesn't always work, and might have side effects you really don't like. You might need to try a few different medicines until you find one that works for you and that you can tolerate.

What to expect when you take Lexapro (Escitalopram) for Depression

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Side effect rates for Lexapro (Escitalopram)

1373 From clinical trials of Lexapro / Females Only
  • Lower sex drive
  • Difficulty reaching 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 the dose changes. Report anything concerning to a doctor immediately. 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
Food
  • Take with food to avoid upset stomach.
  • It works really good but I don't like the extreme food craving that it gives....
  • Take with food
  • Not food for panic disorder.
Kidneys and liver
  • Not a good option for you if you have heart or liver problems.
Pain
  • Side effects could be painful
  • 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
  • Gives me severe gas pain, if I take it too close to my pain Med. Took awhile to figure it out.
Sex
  • Can cause sexual side effects like low libido and an inability to orgasm or ejaculate.
  • For the first 2-3 weeks, i had insomnia. I take it first thing in the morn with food. Side effects sent away after 3 weeks. No change in libido or weight. My anxiety and depression-gone. My joint pain and fatigue--gone. Bonus- my eyesight fixed..whaat? Apparently eyesight can be severely affected by anxiety.
  • For the first 2-3 weeks, i had insomnia. I take it first thing in the morn with food. Side effects sent away after 3 weeks. No change in libido or weight.
  • 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
  • 9kgs gained in 3 months, drowsiness, but less depression.
  • Take it at night, it will make you drowsy and make it harder to get up in the morning.
  • Was so tired I couldn't stay awake during the day at work-- very unlike me.
Weight
  • More likely to cause minor weight gain (1 to 5 pounds) than other antidepressants.
  • Could not increase dose beyond 10mg or had problems ejaculating, also noticeable weight gain
  • 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.
  • Caused weight gain