Medically reviewed by Jessica Swirble, PharmD
Last updated on April 2, 2025
Drug Information | Side Effects | Use & Dosage | Request an Online Prescription
Escitalopram is a medication classified as a selective serotonin reuptake inhibitor (SSRI). It is primarily used to treat major depressive disorder (MDD) in adults and children over 12, as well as anxiety disorders in adults and children over 7.
Escitalopram is used to treat conditions such as:
It may also be prescribed for other medical conditions as determined by your healthcare provider.
Escitalopram works by increasing the levels of serotonin, a neurotransmitter in the brain that regulates mood and emotions. By blocking the reuptake of serotonin, escitalopram helps improve mood, reduce anxiety, and alleviate symptoms of various disorders.
Escitalopram is usually taken orally as a tablet, with or without food, as directed by your healthcare provider. The dosage and duration of treatment depend on the condition being treated and your response to the medication.
Follow the prescribed dosage and schedule strictly. Do not stop taking escitalopram suddenly without consulting your healthcare provider, as it may cause withdrawal symptoms or a relapse of your condition.
The time it takes to feel the full effects of escitalopram can vary depending on the condition being treated. Some people may notice improvements in mood and anxiety within a few weeks of starting treatment, while others may require longer-term treatment for optimal benefits.
Continue taking escitalopram as prescribed even if you do not immediately feel better. Talk to your healthcare provider if you have any concerns about your treatment progress.
While escitalopram is primarily used for MDD and anxiety disorders, providers may sometimes prescribe it off-label for other conditions, such as:
Discuss any alternative uses of escitalopram with your healthcare provider.
Escitalopram is available in the following dosage forms:
Generic versions of escitalopram are available under various brand names.
Escitalopram is a prescription medication. You will need a valid prescription from a licensed healthcare provider to obtain this medication.
The use of escitalopram can lead to various side effects in some individuals.
Common mild side effects of escitalopram use include:
More severe side effects of escitalopram use can include:
Escitalopram may increase the risk of developing serotonin syndrome when taken with other medications that increase serotonin levels, such as certain antidepressants, migraine medications, and illicit drugs.
If you experience any severe side effects while taking escitalopram, contact your healthcare provider immediately.
Inform your healthcare provider about any existing medical conditions, allergies, or other medications you are taking before starting treatment with escitalopram. This includes prescription drugs, over-the-counter medications, and dietary supplements, as they may interact with escitalopram.
Tell your provider if you are taking these medications or supplements:
Mention medical conditions such as:
If you are pregnant, planning to become pregnant, or breastfeeding, discuss the potential risks and benefits of using escitalopram with your healthcare provider.
Take escitalopram exactly as prescribed by your healthcare provider. Do not increase or decrease the dosage without consulting them.
Avoid using alcohol while taking escitalopram.
In case of an escitalopram overdose, seek medical attention immediately. Symptoms of overdose may include dizziness, confusion, nausea, vomiting, rapid heartbeat, seizures, and coma. If you suspect an overdose, contact the poison control helpline at 1-800-222-1222 or call emergency services.
Escitalopram is available in various strengths, including:
The typical starting dose of escitalopram for depression, generalized anxiety disorder (GAD), and other mental health conditions can vary depending on factors such as the specific condition being treated, your age, other medical conditions, and how you respond to the medication. It's crucial to follow your healthcare provider's instructions regarding dosage and administration carefully.
For most adults with depression or GAD, the typical starting dose of escitalopram may be:
However, your healthcare provider may start with a lower dose, such as 5 mg, especially for older adults or those with certain medical conditions. The dose may then be gradually increased based on your response and tolerability, up to a maximum of 20 mg per day.
Escitalopram can be taken with or without food, but it's important to take it consistently at the same time each day.
Your healthcare provider will monitor your response to escitalopram and may adjust the dose as needed. It's important not to exceed the recommended dose or make changes to your dosage without consulting your healthcare provider.
If you have any questions about your dosage or how to take escitalopram, contact your healthcare provider or pharmacist. If you want to talk to a provider right away, consider booking an online doctor appointment on Sesame to discuss your concerns.
If you miss a dose of escitalopram, take it as soon as you remember. If it's almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.
Continue taking escitalopram as prescribed by your healthcare provider, even if you start feeling better. Abruptly stopping escitalopram can lead to the worsening of your condition. Follow your provider's instructions regarding the duration of treatment.
Store escitalopram according to the instructions provided by your healthcare provider or pharmacist. It should be kept at room temperature, away from moisture, heat, and light. Ensure the container is tightly closed and keep the medication out of the reach of children.