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Product overview

Escitalopram (generic Lexapro)

  • What is escitalopram?
    Escitalopram (generic Lexapro) is a prescription drug used to treat depression and generalized anxiety disorder (GAD).

    While effective in treating symptoms of depression and anxiety, escitalopram has been shown in rare cases to increase suicidal thoughts and actions in patients under the age of 24. Patients should only begin escitalopram under the supervision of their provider. If you are feeling suicidal, call the National Suicide Prevention Lifeline at 800-273-8255, text them at 741741, or dial 911.

  • What are common side effects of escitalopram?
    While adverse reactions to escitalopram are rare, some patients who take the drug may experience mild side effects, including insomnia, ejaculation disorder (primarily ejaculatory delay), nausea, increased sweating, fatigue, and drowsiness, decreased libido, and anorgasmia (difficulty achieving orgasm).

    Rare, more serious adverse events have been known to occur. If you are concerned that escitalopram is causing you to experience any number of these side effects, please contact your doctor.

    This is not a complete list of side effects. To learn more about adverse effects you may experience while taking escitalopram, please visit the National Institutes of Health’s DailyMed webpage.

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Medically Reviewed By Dr. Allison Edwards, MD

Frequently asked questions about Escitalopram

Escitalopram is a prescription medication that is often used to treat depression and generalized anxiety disorder (GAD).

Depression is a common mental health condition caused by physiological, biological, and social factors. It is characterized by a persistently depressed attitude and a loss of interest in daily activities and hobbies. The National Institute of Mental Health estimates that some 7% of the U.S. population experiences a depressive episode each year.

Luckily, antidepressant medications like escitalopram have proven effective in managing and treating symptoms of depression, anxiety, and other mental health disorders.

If you or a loved one are experiencing suicidal thoughts or behaviors, call the National Suicide Prevention Lifeline at 800-273-8255 or dial 911.

Doctors use escitalopram to treat major depressive disorder (MDD) in patients 12 and older and generalized anxiety disorder (GAD) in adults. Major depressive disorder is characterized by a persistently depressed attitude and a loss of interest in daily activities and interests. Generalized anxiety disorder causes people to persistently and excessively worry.

Escitalopram may help to improve your ability to pay attention, think clearly, and change the way you feel.

Escitalopram is an antidepressant belonging to a class of drugs called selective serotonin reuptake inhibitors (SSRIs). SSRIs work by blocking the reabsorption of serotonin in our brain cells. Serotonin is a hormone that is naturally produced and released by the brain. It is usually associated with feelings of happiness and helps stabilize your mood. Sometimes, your brain reabsorbs the serotonin before it can take effect, depriving the brain of the chemicals that, simply put, make it feel good.

Escitalopram works by blocking this reabsorption, which doctors call “reuptake,” to increase the amount of serotonin in circulation in your brain. It is believed that low levels of serotonin may cause depression and anxiety.

While there are some side effects associated with escitalopram, it is important to remember that your doctor prescribed this drug because its ability to improve your mental health outweighs any adverse conditions it may cause.

The most common side effects of using Escitalopram include insomnia, ejaculation disorder (primarily ejaculatory delay), nausea, increased sweating, fatigue, and drowsiness, decreased libido, and anorgasmia (difficulty achieving orgasm).

Some side effects can be serious. Call your doctor right away if you experience any of the following:

fever, sweating, confusion, fast or irregular heartbeat, severe muscle stiffness or twitching, agitation, hallucinations, loss of coordination, nausea, vomiting, or diarrhea Rash, hives, itching, or blisters Problems with thinking, concentrating, or memory Seizures Unsteadiness

Tell your healthcare provider if you have any side effects that bother you or that do not go away. This is not a complete list of possible side effects. Talk to your doctor or pharmacist for more information.

WARNING: In short-term studies of major depressive disorder (MDD) and other psychiatric disorders, antidepressants showed an increased risk of suicidal thinking and behavior in children, adolescents, and young adults compared to placebo. Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. Patients of all ages who are started on antidepressant therapy should be monitored appropriately and observed closely for clinical worsening, suicidality, or unusual changes in behavior.

If you are experiencing suicidal thoughts, please call the National Suicide Prevention Lifeline at 800-273-8255 or 911 immediately.

This is not a complete list of escitalopram side effects. To learn more about adverse reactions associated with this drug, please visit the National Institutes of Health’s DailyMed page for escitalopram.

It usually takes 4-6 weeks for Escitalopram to work. Sleep, energy, and appetite may show some improvement within the first 1-2 weeks. Improvements in these symptoms can be a good early sign that the medication is working. Depressed mood and lack of interest in activities may take as long as 6-8 weeks to fully improve.

The typical starting dose of escitalopram for adults and adolescents with major depressive disorder is 10 mg once daily. Your doctor may adjust your dosage of escitalopram up to a daily maximum of 20 mg, depending on how your body responds.

For patients with generalized anxiety disorder, starting doses usually begin at 10 mg once daily. Depending on your body’s response to escitalopram, your doctor may increase your dosage to a once-daily maximum of 20 mg.

Consult your doctor before you discontinue your use of Escitalopram. Your doctor will likely recommend reducing your dose gradually to reduce the chance of extra side effects.

Escitalopram is currently only available via prescription. This means the use of this drug must be authorized by a licensed health care provider.

Providers on Sesame can write a prescription – or refill an existing one – during a virtual or in-person visit. Depending on the medication, you can arrange for same-day pickup at a pharmacy near you. Book an online consultation with a real, licensed provider on Sesame today to determine whether or not escitalopram is right for you.

Note that all prescriptions are at the discretion of your health care provider. Providers on Sesame cannot prescribe controlled substances.

Yes! Talk to a provider on Sesame and get your online doctor prescription or refill ordered right away for fast and convenient pickup from a pharmacy of your choice.

Note that all prescriptions are at the discretion of your clinician.

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