Escitalopram — what it does and what you should know

Escitalopram (often sold as Lexapro) is a commonly prescribed SSRI for depression and anxiety. It can lift mood and reduce worry, but it doesn’t work instantly. Most people notice changes in 2–4 weeks and steady improvement over 6–8 weeks. If you or someone you care for is starting escitalopram, this page gives clear, practical info on doses, side effects, dangerous interactions, and how to buy safely if you’re considering online options.

How escitalopram works and typical dosing

Escitalopram increases serotonin in the brain to help mood and anxiety. Doctors usually start adults at 10 mg once daily. If needed, they may raise the dose to 20 mg after a few weeks. Older adults or people with liver problems often start at 5 mg. Don’t take more than the prescribed amount. If you miss a dose, take it as soon as you remember unless the next dose is near; don’t double up.

Expect side effects at the start — nausea, sleep changes, dry mouth, or mild headache are common and often fade. Sexual side effects (lower libido or difficulty with orgasm) and weight changes can happen and sometimes persist. If side effects are severe or don’t improve, call your doctor. Never stop escitalopram suddenly; stopping abruptly can cause withdrawal-like symptoms such as dizziness, irritability, or electric-shock sensations. Your doctor will lower the dose gradually when stopping.

Interactions, warnings, and quick safety tips

Mixing escitalopram with MAO inhibitors is dangerous and can cause serotonin syndrome — a life-threatening reaction with high fever, fast heartbeat, severe confusion, or stiff muscles. Don’t combine it with St. John’s wort, strong triptans, or certain antibiotics and antifungals without medical advice. Alcohol can worsen side effects and mood, so limit drinking while on the drug. If you’re pregnant, planning pregnancy, or breastfeeding, talk to your prescriber; they’ll weigh risks and benefits for your situation.

Watch for warning signs: new or worsening mood, suicidal thoughts (especially in young adults and teens), severe allergic reactions, or symptoms of serotonin syndrome. If any of these appear, seek medical help immediately.

Thinking about buying escitalopram online? Only use pharmacies that require a prescription. Look for clear contact info, a licensed pharmacist available by phone or chat, and verification seals (like VIPPS or other national regulators). Avoid sites that sell prescription drugs without asking for a prescription or that offer prices that look too good to be true. Read reviews, check shipping policies, and use secure payment methods. When in doubt, ask your prescriber for a recommended online pharmacy.

Have questions about your dose, side effects, or how escitalopram fits into your life? Bring a list of symptoms and medicines to your next appointment and be direct: that helps your doctor make the right call fast.