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What is Lexapro?

Lexapro (escitalopram) is a prescription antidepressant drug used to treat anxiety and major depressive disorder. It belongs to a class of drugs called selective serotonin reuptake inhibitors (SSRIs) and works by affecting chemicals in the brain.

Always follow your doctor’s instructions and use Lexapro exactly as prescribed.

• Take with or without food at the same time each day.
• It may take up to 4 weeks for you to notice symptom improvement.
• Don’t stop taking Lexapro without consulting your doctor.

Don’t take Lexapro 14 days before or after using an MAOI drug.

Young people may have suicidal thoughts when they begin taking an antidepressant such as Lexapro. Patients should be carefully monitored until they’ve adjusted to the drug.

SSRIs like Lexapro can cause complications during pregnancy. Inform your doctor if you become pregnant while taking Lexapro.

Before taking Lexapro, inform your doctor if you have any of the following:

• Liver or kidney disease
• Heart disease, stroke, high cholesterol, high blood pressure
• Glaucoma
• Bipolar disorder
• Suicidal thoughts
• Seizures
• Bleeding or clotting disorder
• Low sodium levels

Some drugs may interact with Lexapro to cause serotonin syndrome. Inform your doctor if you take any of the following:

• Opioids
• Stimulants
• Herbal supplements or products
• Parkinson’s medication
• Other drugs for depression or mental illness
• Migraine medication
• Drugs to prevent nausea or vomiting
• Antibiotics

Common side effects of Lexapro include:

• Sweating, shaking, anxiety
• Dizziness or drowsiness
• Dry mouth
• Loss or appetite and weight changes
• Nausea
• Constipation
• Sexual side effects including erectile dysfunction and decreased libido

Contact your doctor if you experience these more serious side effects:

• Serotonin syndrome – hallucinations, confusion, restlessness, muscle stiffness, vomiting, diarrhea, fever, fast heart rate, loss of coordination
• Vision problems – blurring, eye pain or swelling, tunnel vision, halos
• Extreme emotions, racing thoughts, risk-taking behavior
• Low sodium levels – headache, weakness, confusion, hallucinations, memory problems
• Bruising or bleeding, coughing up blood, blood in urine or stool

Is it safe to stop taking Lexapro?

Like other antidepressant drugs, quitting Lexapro abruptly can result in withdrawal symptoms. Talk to your doctor about tapering off of Lexapro, and never stop taking it without your doctor’s guidance.

How can I manage sexual side effects while taking Lexapro?

If you experience erectile dysfunction while on Lexapro, talk to your doctor about prescription ED medication. Don’t take these drugs without your doctor’s guidance, as they may interact with other drugs or treatments you’re on. Some patients find that taking Lexapro at a certain time of day can help manage sexual side effects. Your doctor might also try reducing your dose to minimize side effects.