Escitalopram, widely sold under the brand name Lexapro, is used to treat anxiety and depression. Escitalopram is an antidepressant belonging to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). Its mechanism of action is to help restore the balance of serotonin (a natural chemical in the brain).  It may decrease nervousness and improve your energy levels and feelings of well-being.(Garnock-Jones, K.P. and McCormack, P.L., 2010)

Forms and Doses for Escitalopram.

This medicine is classified as a Schedule IV drug that is available only through a medical prescription by a doctor.

This Medication Is Available In The Following Forms:

  1. Oral Tablet
  2. Liquid Solution

Usual Adult Dosage For Generalized Anxiety Disorder(GAD). Initial dose 10mg orally once a day you can increase the dose to 20 mg once a day if necessary only after one week of treatment.

Maintenance dose: 10mg-20 mg orally a day

Maximum dose: 20mg orally a day

Usual Adult Dose For Depression: Same dosage as for GAD

Usual Geriatric Dose For Depression: Recommended dose: 10mg orally once a day

Usual Pediatric Dose For Depression (12 years or older):

Initial dose: 10mg orally once a day; you can increase the dose to 20mg once a day if necessary only after three weeks of treatment

Maintenance dose: 10mg-20mg orally once a day.

Maximum dose: 20mg orally once a day.(Andersen, H.F., 2004)

Side Effects:

Common Lexapro Side Effects May Include:

Call Your Doctor Immediately If You Have:

Get emergency medical assistance if you notice symptoms of an allergic reaction to Lexapro, such as difficulty breathing, skin rash or hives, swelling of your face, tongue, lips, or throat.

Warnings And Precautions

Suppose Lexapro is not quite effective for you. In that case, your healthcare provider will work to provide another medication that may be more suitable for you, such as another SSRI or a different class of antidepressant medication (SNRIs) or (NASSAs). You may also find psychotherapy quite helpful if that option has not already been implemented.

You should only discontinue consumption of Lexapro under the guidance of a medical expert at a recommended time (such as when symptoms have continued to be stable for a certain amount of time). Your doctor will help you to gradually taper off this medication so as to minimize its withdrawal effects.

Drug Interactions

Using Lexapro with any other drugs that make you drowsy can worsen the effects of Lexapro. Ask your healthcare provider before consuming opioid medications, sleeping pills, muscle relaxers, or medications for seizures or anxiety.

Many drugs may interact with Lexapro, and certain drugs should not be consumed at the same time. Let your healthcare provider know about all your current medications and any medications you start or stop using, including prescription or OTC medicines, vitamins, and herbal products. Inform your healthcare provider if you use blood thinners such as Coumadin, Warfarin, or Jantoven.(Goa, K.L., 2003)

Venlafaxine vs Lexapro

Venlafaxine vs Lexapro