Got a prescription for escitalopram and wondering what to expect? Escitalopram — often sold as Lexapro — is a common SSRI antidepressant. People take it for anxiety, panic attacks, and major depression. This page gives straightforward, practical info: what it treats, how it works, typical dosing, likely side effects, and quick safety tips.
Escitalopram increases serotonin levels in the brain, which can lift mood and reduce anxiety. Doctors commonly prescribe it for generalized anxiety disorder, panic disorder, and major depressive disorder. It can take 2–6 weeks to feel full effects, so don't expect overnight changes. If you notice clearer thinking or less worry within a week, that's a good sign, but stick with the plan your prescriber set.
Not everyone should take escitalopram. Tell your provider if you have bipolar disorder, a history of seizures, liver or kidney problems, or if you're pregnant or breastfeeding. Also mention any other meds or supplements you use — interactions matter.
Typical starting doses vary: adults often start at 5–10 mg once daily, with common maintenance doses around 10–20 mg. Older adults or people with liver issues may start lower. Never double a missed dose; if you forget one, take it when you remember unless it’s close to your next dose. Your doctor will adjust the dose based on response and side effects.
Common side effects are nausea, tiredness, dry mouth, trouble sleeping, or sweating. These usually ease after a week or two. Less common but serious issues include new or worsening suicidal thoughts (especially in young adults), severe mood swings, or signs of low sodium like confusion. If you experience any frightening symptoms, call your health provider right away.
Avoid mixing escitalopram with MAO inhibitors, certain migraine drugs (triptans), or other SSRIs without medical advice — combinations can cause serotonin syndrome, a dangerous reaction. Alcohol can worsen drowsiness and anxiety control, so limit drinking while on treatment. If you plan to stop escitalopram, your doctor will usually taper the dose slowly to reduce withdrawal symptoms like dizziness or irritability.
Buying meds online? Use only licensed pharmacies and check for a physical address, pharmacist contact, and clear prescription policies. Scams sell counterfeit drugs that can be ineffective or dangerous. If cost is a concern, ask your prescriber about lower-cost generics or patient assistance programs.
Want more details about interactions, long-term use, or switching meds? Talk to your prescriber or a pharmacist who knows your full health history. Accurate, personalized advice beats general info — and helps you stay safe while getting the benefits of treatment.