Compare Lexapro vs. Buspar

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

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Lexapro (escitalopram)

Prescription only

Buspar (buspirone)

Prescription only
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
Helps you relax.

Buspar (buspirone) relieves anxiety with less drowsiness and abuse potential than other anti-anxiety medicines, but it takes time to work and effects might wear off over time.

3.4/ 5 average rating with 67 reviewsforBuspar
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.
  • Doesn't cause as much physical dependence or withdrawal symptoms as other medications used for anxiety.
  • Available as a generic, which is cheaper.
  • Tablets can be split for easy dose changes.
  • Doesn't cause as much drowsiness as other medications for anxiety.
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.
  • Not for quick relief of anxiety symptoms since Buspar (buspirone) can take as long as 4 weeks to fully work.
  • Not as effective for short-term anxiety conditions or panic disorders.
  • Some people find that Buspar (buspirone) loses effectiveness over long periods of time.
  • Must take Buspar (buspirone) twice daily for full effect.
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Used for
Dosage forms
  • Pill
  • Liquid
  • Pill
Price
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Reviews
1063 reviews so far
61%
saidit'sworth it
48%
saiditworked well
15%
saidit'sa big hassle

Have you used Lexapro (escitalopram)?

Leave a review
67 reviews so far
46%
saidit'sworth it
45%
saiditworked well
22%
saidit'sa big hassle

Have you used Buspar (buspirone)?

Leave a review
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
19possible side effects
  • Dizziness
    12%
  • Drowsiness
    10%
  • Nausea
    8%
  • Headache
    6%
  • Nervousness
    5%
  • Fatigue
    4%
  • Trouble sleeping
    3%
  • Lightheadedness
    3%
  • Dry mouth
    3%
  • Worse concentration
    2%
  • Excitement
    2%
  • Anger/hostility
    2%
  • Confusion
    2%
  • Depression
    2%
  • Blurred vision
    2%
  • Upset stomach
    2%
  • Diarrhea
    2%
  • Numbness
    2%
  • Weakness
    2%
See more detailed side effects
Risks and risk factors
  • 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
  • Higher blood pressure
    • Taking Buspar (buspirone) with MAOIs
    • Taking Buspar (buspirone) within 14 days after stopping a MAOIs
  • Serotonin syndrome
    • Taking other medicines that affect serotonin levels
  • Withdrawal symptoms from other anti-anxiety medicines
    • Stopping benzodiazepines suddenly
See more detailed risks and warnings