Active Ingredient

Escitalopram

Escitalopram is a medication primarily used to help manage mood disorders. It is often prescribed to adults experiencing symptoms of depression or anxiety.

This medication works by influencing certain chemicals in the brain that may become unbalanced.

Written By Douglas C. Goldberg, MD

Reviewed By Philip Schein, MD

Last Updated 28 Nov 2025

Available Escitalopram Brands

Lexapro

Strengths 5mg, 10mg, 20mg

Escitalopram Uses

Escitalopram is typically used to address various mental health conditions. It is prescribed for:

Major depressive disorder
Generalized anxiety disorder
Obsessive-compulsive disorder
Panic disorder
Social anxiety disorder

How Escitalopram Works

Escitalopram belongs to a class of medications known as selective serotonin reuptake inhibitors (SSRIs). It helps increase the levels of serotonin, a natural substance in the brain that helps maintain mental balance.

By preventing the reuptake of serotonin, it enhances mood and reduces symptoms of depression and anxiety.

This mechanism helps improve the communication between brain cells, which can lead to a better mood and reduced anxiety.

Common side effects of Escitalopram

Not everyone experiences side effects with escitalopram, and many side effects are mild and temporary. Common side effects include:

Headache
Nausea
Dry mouth
Dizziness
Increased sweating
Fatigue
Insomnia
Diarrhea

If you experience persistent or severe side effects, it is important to contact your doctor.

Monitor your symptoms and report any worsening of mood or unusual changes in behavior to your doctor.
Avoid consuming large amounts of alcohol while taking this medication.
Inform your doctor of any other medications you are taking to avoid potential interactions.
Do not abruptly stop taking escitalopram without consulting your healthcare provider, as this may cause withdrawal symptoms.
Be cautious when driving or operating machinery until you know how escitalopram affects you.

Always consult your doctor for personalized medical advice and guidance.

Frequently Asked Questions

How long does it take for escitalopram to work?

Escitalopram may take several weeks to show its full effect. It is important to continue taking it as prescribed and talk to your doctor if you have concerns.

Can escitalopram cause weight changes?

Some people may experience changes in weight while taking escitalopram. If you notice significant changes, discuss this with your doctor.

Is it safe to use escitalopram during pregnancy?

You should discuss the risks and benefits of using escitalopram during pregnancy with your doctor, as it should only be used if clearly needed.

Can I drink alcohol while taking escitalopram?

It is advisable to avoid large amounts of alcohol while taking escitalopram, as it may increase certain side effects like dizziness and drowsiness.

What should I do if I miss a dose of escitalopram?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.