Indications
Lexapro, also known by its generic name escitalopram oxalate, is a medication primarily used to treat depression and anxiety. Lexapro is one of the most prescribed medications for anxiety and depression, with millions of prescriptions written every year.
Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRIs), which are commonly prescribed to treat mental health conditions. Lexapro works by increasing the levels of serotonin in the brain, which helps improve mood and reduce symptoms of depression and anxiety.
Lexapro (escitalopram) provides a viable solution for both adults and adolescents suffering from a major depressive disorder. It has been approved for the acute and maintenance treatment of this condition in those aged 12 to 17 years old. This medication can be taken in tablet form or as an oral solution and is usually taken once daily.
Uses and Dosage
Lexapro medication should be taken orally with or without food, as directed by your doctor, usually once daily in the morning or evening. The dosage is determined by the patient's medical condition, response to treatment, age, and other medications currently being taken. It is important to inform your doctor and pharmacist of all products being taken, including prescription drugs, over-the-counter medications, and herbal supplements.
Indicated for acute and maintenance treatment of major depressive disorder (MDD)
- 10 mg by mouth after mean every day; may increase to 20 mg/day after 1 week.
Indicated for acute treatment of generalized anxiety disorder (GAD)
- 10 mg after meal every day; may increase to 20 mg/day after 1 week; maintain at the lowest effective dose and assess the need for therapy periodically if extended therapy is required.
Obsessive-Compulsive Disorder (Off-label)
- 10 mg every day; may increase to 20 mg/day after 1 week; maintain at a lowest effective dose and assess the need of therapy periodically if extended therapy is required.
Insomnia (Off-label)
- Secondary to Depression: 5-20 mg after meal over an 8-week period
- Secondary to panic disorder in women: 5-10 mg after meal over an 8-week period
Vasomotor Symptoms Associated with Menopause (Off-label)
- 10 mg after meal every day; it may increase to 20 mg every day after 4 weeks if symptoms are not adequately controlled.
Side Effect
Common Side Effects of Lexapro Including
- Constipation
- Dizziness
- Drowsiness
- Dry mouth
- Flatulence
- Hot flashes
- Nausea
- Upset stomach
- Vomiting
- Weight changes
- Yawning
Serious Side Effects of Lexapro Including
- Abdominal pain, dreams, and bleeding
- Confusion
- Decreased concentration
- Feelings of extreme happiness or sadness
- High fever and sweating
- Loss of coordination
- Seeing halos around lights
- Seizures
- Unusual risk-taking behavior
- Serious eye symptoms such as
- Blurred vision
- Tunnel vision
- Eye pain or swelling
- Seeing halos around lights
- Sudden vision loss
- Serious heart symptoms such as
- Fast, irregular, or pounding heartbeat
- Fluttering in your chest
- Shortness of breath
- Lightheartedness
- Passing out or fainting
- Sudden dizziness
Form and Strength
Lexapro and its generic alternative Escitalopram oxalate are available in the following forms and strengths:
Lexapro Scored Tablet
- 5 mg
- 10 mg
- 20 mg
Escitalopram oxalate Tablet
- 5 mg
- 10 mg
- 20 mg
Caution
- Escitalopram oxalate may cause serious and potentially life-threatening lung complications in newborns whose mothers have taken the medication during pregnancy.
- Discontinuation of the medication may lead to a relapse of depression. Thus, if you are planning a pregnancy or become pregnant while taking escitalopram, you should discuss this with your doctor prior to discontinuing the medication.
- Escitalopram may be excreted in breast milk, and therefore nursing mothers should inform their doctor before using this medication.
- Antidepressants have been associated with a higher risk of suicidal thinking and behavior (suicidality) compared to placebo in short-term studies of major depressive disorder (MDD) and other psychiatric disorders in children, adolescents, and young adults.
Frequently Asked Questions (FAQ)
What are the side effects of Lexapro?
Common side effects of Lexapro include insomnia, nausea, fatigue, dry mouth, constipation, and drowsiness. More serious side effects may include an increase in suicidal thoughts or behavior, changes in heart rhythm, and allergic reactions.
How long does it take for Lexapro to start working?
It can take up to 4 weeks for Lexapro to start working. However, some people may notice improvement in their symptoms within 2 weeks.
How long does it take Lexapro to work?
It can take up to 4 weeks for Lexapro to start working. However, some people may notice improvement in their symptoms within 2 weeks.
Does Lexapro have any drug interactions?
Yes, Lexapro can interact with other medications. It is important to tell your doctor and pharmacist about all medications, including prescription and over-the-counter drugs, vitamins, and herbal supplements that you are taking before starting Lexapro.
Is Lexapro safe to take during pregnancy?
Lexapro has not been studied in pregnant women, so it is not recommended for use during pregnancy unless the potential benefits outweigh the potential risks. Women who are pregnant or planning to become pregnant should discuss the risks and benefits with their doctor before taking Lexapro.
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