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Lexapro is an FDA-approved branded medication drug which is used to cure the symptoms of anxiety and depression in people. A patient can buy Lexapro online or at any healthcare pharmacy. It is a brand name of Escitalopram medicine.

It works by increasing the serotonin level in the brain. Serotonin is a hormone which is mainly responsible for controlling an individual’s behaviour.

Lexapro in one minute

Generic name: escitalopram oxalate
Class: SSRI, the S-enantiomer of citalopram (Celexa)
FDA-approved for: major depressive disorder (ages 12+) and generalized anxiety disorder (ages 7+, expanded in 2023)
Taken: once a day, morning or evening, with or without food
Half-life: about 27–32 hours, so steady levels arrive in about a week
Controlled substance? No

Dosages:

Lexapro drugs consist of different dosage strengths, which are available in oral tablets and solutions form.

Oral tablets have various dosage strengths of 1 mg, 20 mg, 5 mg,10 mg, 15 mg, and 30 mg. The available dosage strength of the oral solution is 1 mg/ml.

Uses of Lexapro Drug:

Lexapro dosage is used in the treatment of two different conditions, which include the following:

Major Depressive Disorder (MDD)

MDD is a problem that identifies the depressed mood of a person. It causes loss of interest, fatigue, insomnia, hypersomnia, decrease in concentration, etc.

When people are suffering from this condition, they take the dosage strength of 10 mg of Lexapro medicine. This medicine can only be used by the adults and children above 12 years of age. The maximum dosage that can be taken by them is 20 mg in a day.

Generalized Anxiety Disorder (GAD)

Generalized Anxiety Disorder is a condition which causes anxiety in individuals. It includes several symptoms such as muscle tension, shortness of breath, difficulty in sleeping, and so on.

The starting recommended dose of Lexapro for anxiety is 10 mg. After 1 week, the dosage strength of Lexapro medicine is increased to 20 mg per day. It is the maximum dosage of this drug that can be taken by individuals. Lexapro medicine is only taken by adults and children above 7 years of age when they are suffering from this condition.

Your first 12 weeks

Lexapro works gradually. Knowing the usual arc helps you not quit too early, or panic over week-one side effects.

When	What people commonly notice
Days 1–7	Mild nausea, headache, feeling “wired” or sleepy, sweating. Sometimes a brief rise in anxiety.
Weeks 1–2	Early side effects usually ease. Sleep and appetite may start improving.
Weeks 2–4	Others may notice you’re less on edge before you do.
Weeks 4–8	Clearer improvement in mood, worry and physical tension. If you’ve had no change at all by week 4–6, bring it up; a dose adjustment may help.
Weeks 8–12	Full effect for most people. This is the point to judge whether it’s working.
After that	For a first episode of depression, treatment usually continues 6–12 months after you feel well. For anxiety it’s often similar or longer.

Dosing by who you are

You are…	Start	Max
An adult with depression or GAD	10 mg once daily	20 mg (increase after at least 1 week)
An adolescent (12–17) with depression	10 mg once daily	20 mg (increase after at least 3 weeks)
A child or adolescent (7–17) with GAD	Per the prescriber, based on the 2023 label	20 mg
65 or older	10 mg	10 mg
Someone with liver impairment	10 mg	10 mg
Someone with severe kidney impairment	Use with caution	Per the prescriber

Some prescribers start sensitive or very anxious patients at 5 mg for the first week to limit the early jittery phase. Dosing in the tables above is from the FDA label; your prescriber sets your dose.

If this happens…

If you notice…	What it usually means	What to try, and when to call
Nausea	Common in week 1–2. Serotonin receptors in the gut react first	Take it with food. Usually fades within 2 weeks
Trouble sleeping	Mildly activating for some people	Move your dose to the morning. See How to Cure Insomnia
Daytime drowsiness	Sedating for others	Move your dose to bedtime
More anxiety in the first days	“Start-up” jitteriness	Often passes within 1–2 weeks. Ask about starting at 5 mg. Call if it’s severe or includes agitation or suicidal thoughts
Low libido, delayed orgasm, erectile problems	A common SSRI effect that often persists	Don’t just live with it. Options include a dose change, timing strategies, or switching (e.g., to bupropion; see Lexapro vs. Wellbutrin)
Weight creeping up over months	Possible with long-term use. Often modest	See Does Lexapro Cause Weight Gain?
Excess sweating, especially at night	A known SSRI effect	Mention it. Dose adjustments can help
Yawning a lot	A strange but real SSRI effect	Harmless
Headaches	Common early on	Acetaminophen is usually fine. Ask before using NSAIDs regularly (bleeding risk)
Easy bruising or nosebleeds	SSRIs affect platelets	Call if you also take aspirin, NSAIDs or blood thinners

Drug Interactions:

This anti-anxiety medicine has a higher chance of interacting with different medicinal drugs. These include Levothyroxine, Montelukast, Arsenic Trioxide, Dixlofenac, Epoprostenol, Ebastine, Salsalate, Sparsentan, Relugolix, Zolmitriptan, Vilanterol etc.

Lexapro Side Effects:

It does not matter whether a patient can buy Lexapro online or at a licensed pharmacy, it can cause different side effects as follows, when an individual takes more than one tablet or when it is not used properly.

Sleeping problems (Insomnia)
Constipation
Erectile dysfunction (Impotence)
Runny nose or nose bleeding
Reduced appetite
Muscle stiffness or tightness
Drowsiness
Headache
Seizures (convulsions)
Swelling in hands, legs, face, foot or ankles
Nausea
Shivering
Dizziness or fainting
Heart palpitations
Chest or abdominal pain
Sweating
Skin rashes or hives
Upset stomach (Indigestion)
Pain in neck, back, arms or jaws
Bloating
Stomach pain
Breathing problems
Blurred vision
Skin discoloration
Hallucinations
Fever
Sore throat
Cough
Chills
Vomiting
Joint pain
Panic attacks
Dryness in mouth
Agitation
Diarrhea
Tremors
Heartburn
Fatigue

Precautions:

This medicine is strictly prohibited to women at the time of pregnancy and breastfeeding conditions. It will be harmful to their unborn child when they take this drug while suffering from these problems.
Taking Lexapro medicine is strictly prohibited if a person is already using a Pimozide drug for the treatment.
This medicine should not be taken together with other medicinal drugs. Using Lexapro medicine with other medicinal drugs reduces blood pressure in people.
It is strictly prohibited to drink alcohol after taking this drug. It can cause dizziness or fainting, which can be harmful to a person.
Individuals should not take more than one tablet of Lexapro drug.
If an individual is suffering from blurred vision, stomach pain, chest pain etc then he or she may call the doctor immediately.
This medicine can cause drowsiness in individuals. Therefore, a person should not drive a vehicle or perform any other task after taking this medication drug.
Avoid taking Lexapro medicine without a doctor’s prescription.
Do not take this medicine when suffering from allergy, glaucoma, kidney or liver disease etc.

Feeling flat? Emotional blunting

Some people on SSRIs describe feeling emotionally “muted”: less anxious, but also less joy, less crying, less caring. This is called emotional blunting, and it’s more common at higher doses. It’s worth reporting. It isn’t a sign you’re “getting worse,” and a dose reduction or a switch often helps. Don’t stop abruptly to fix it.

Interactions that matter

Never combine:

MAO inhibitors (phenelzine, tranylcypromine, selegiline, and the antibiotic linezolid or IV methylene blue): risk of serotonin syndrome. Allow 14 days between stopping one and starting the other.
Pimozide: QT prolongation risk.
Citalopram (Celexa): it contains escitalopram, so combining them doubles up.

Use only with your prescriber’s OK:

Other serotonergic drugs: triptans for migraine, Tramadol, fentanyl, lithium, buspirone, other antidepressants, St. John’s wort, tryptophan
Bleeding risk: aspirin, ibuprofen, naproxen, diclofenac, warfarin, other blood thinners
QT-prolonging drugs: some antipsychotics, antibiotics and antiarrhythmics
Alcohol: not a direct chemical interaction, but it worsens depression and anxiety and adds to drowsiness

Serotonin syndrome warning signs: agitation, fast heartbeat, fever, heavy sweating, muscle twitching or rigidity, and diarrhea. This needs emergency care.

Before you start: Who needs extra care

Bipolar disorder or a family history of it: an SSRI alone can trigger mania. Screening comes first.
Narrow-angle glaucoma: SSRIs can trigger an angle-closure attack. An eye check may be needed.
Older adults: watch for low sodium: headache, confusion, weakness, unsteadiness.
Seizure history: use with caution.
Heart rhythm problems: escitalopram prolongs QT less than citalopram, but can still do so at higher doses.
Pregnancy: escitalopram is used in pregnancy when needed. Late-pregnancy exposure is linked to temporary newborn adaptation symptoms and a small risk of persistent pulmonary hypertension of the newborn (PPHN). Untreated depression and anxiety carry risks too. Decide with your prescriber; don’t stop suddenly if you find out you’re pregnant.
Breastfeeding: small amounts pass into milk. Many people continue it with infant monitoring.

Missed a dose, switching, or stopping

Missed a dose: take it when you remember that day. If it’s nearly time for tomorrow’s dose, skip it. Never double up. Thanks to the long half-life, one missed dose rarely causes problems.

Switching: moving to or from another antidepressant needs a plan. Some switches are direct, some need a taper and overlap, and an MAOI switch needs a 14-day gap. Compare options: SSRIs vs. SNRIs, Amitriptyline vs. Lexapro.

Stopping: Lexapro isn’t addictive, but stopping suddenly can cause discontinuation symptoms: dizziness, “brain zaps,” irritability, flu-like feelings, vivid dreams and nausea. Taper down with your prescriber over weeks, and more slowly if you’ve been on it a long time.

When to call today vs. at your next visit

Call today, or 988/911:

Thoughts of suicide or self-harm, or a sudden change in behavior
Signs of serotonin syndrome (above)
Racing thoughts, very little need for sleep, or reckless behavior (possible mania)
Fainting or a pounding, irregular heartbeat
Eye pain with vision changes and redness
Confusion or severe weakness (possible low sodium)
Black stools, vomiting blood or unusual bleeding

Mention at your next visit:

No improvement by weeks 4–6
Sexual side effects, emotional blunting, weight change, sweating
Wanting to stop or switch

Compare Lexapro with…

Lexapro vs. Wellbutrin · Amitriptyline vs. Lexapro · Lexapro vs. Adderall
Its parent drug: Celexa · Prozac vs. Celexa
Other SSRIs: Prozac · Paxil
SSRIs vs. SNRIs · Anxiety vs. ADHD
Support alongside medication: How to Get Rid of Anxiety · Natural Remedies for Anxiety Relief · Foods That Reduce Anxiety and Depression · Exercises for Mental Strength

Lexapro