How does escitalopram work?
Escitalopram increases serotonin levels in the brain, which helps regulate mood, emotions, and anxiety.
What is escitalopram used to treat?
Escitalopram is commonly prescribed for:
- Depression (major depressive disorder)
- Generalised anxiety disorder (GAD)
- Panic disorder
- Obsessive-compulsive disorder (OCD) (sometimes prescribed off-label)
- Social anxiety disorder
Who can take escitalopram?
Escitalopram is suitable for most adults and some teenagers over 12 years old, as prescribed by a doctor.
Who might not be able to take escitalopram?
Escitalopram may not be suitable if you:
- Have a history of seizures or epilepsy
- Have bipolar disorder (it may trigger manic episodes)
- Have heart disease or an irregular heartbeat (QT prolongation)
- Are taking other antidepressants or medications that affect serotonin
Can I take escitalopram if I’m pregnant or breastfeeding?
Escitalopram isn’t usually recommended during pregnancy, as it may increase the risk of complications. If you’re breastfeeding, speak to your doctor about the risks and benefits.
What if I miss a dose?
If you forget a dose, take it as soon as you remember. If it’s close to your next dose, skip the missed one—do not take two doses at once.
How effective is escitalopram?
Escitalopram is highly effective at treating depression and anxiety disorders, but it may take 2 to 4 weeks to notice improvements.
What should I do if I take too much?
Taking too much escitalopram can cause serious side effects, including seizures, irregular heartbeat, or serotonin syndrome. If you think you’ve taken too much, seek emergency medical help immediately.
What dose of escitalopram is usually taken?
- For depression and anxiety disorders: 10mg to 20mg once daily
- For panic disorder: Starting dose of 5mg daily, increasing to 10mg to 20mg daily
Your doctor will determine the correct dose based on your condition.
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What are the side effects of escitalopram?
Common side effects include:
- Nausea or upset stomach
- Drowsiness or insomnia
- Weight changes
- Dry mouth
- Dizziness
Serious side effects, such as suicidal thoughts, serotonin syndrome, or severe mood changes, require urgent medical attention.
How should I take escitalopram?
Escitalopram is taken as tablets or liquid, usually once daily, preferably in the morning.
When should escitalopram be taken?
Escitalopram should be taken at the same time each day, with or without food.
What are the brand names for escitalopram?
Escitalopram is available as a generic medicine, but some branded versions include:
- Cipralex
- Lexapro
Final thoughts
Escitalopram is an effective treatment for depression and anxiety disorders, but it should be taken exactly as prescribed. Stopping suddenly can cause withdrawal symptoms, so speak to your doctor before making any changes to your dose.
