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Online Lexapro (Escitalopram

Antidepressants • Educational only; not medical advice. Prescriptions at clinician discretion.

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Overview

Escitalopram, sold as Lexapro, is an SSRI antidepressant and the active S-enantiomer of citalopram. Approved in 2002, it enhances serotonergic transmission by selectively blocking serotonin reuptake in neurons, improving mood and anxiety symptoms.

Uses

Indicated for major depressive disorder and generalized anxiety disorder in adults and adolescents. Off-label, it may help panic disorder, OCD, and menopausal symptoms.

Dosage & Administration

Start at 10 mg once daily, increasing to a maximum of 20 mg/day. Take at the same time daily, with or without food. Dosage adjustments may be required in hepatic impairment or elderly patients.

Side Effects & Warnings

Nausea, drowsiness, dry mouth, and sexual dysfunction are common. Serious effects include serotonin syndrome, QT prolongation, and suicidal thoughts in young adults. Avoid combining with MAOIs.

Patient Considerations

Improvement may take several weeks. Do not stop abruptly—gradual tapering is needed to prevent withdrawal. Inform your clinician of any mood changes or agitation.

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Frequently asked questions

How long does Lexapro take to work?

Usually 2–4 weeks for initial improvement; full effect by 6–8 weeks.

: Can Lexapro be taken long-term?

Yes, under medical supervision; many patients use it for maintenance therapy.

Does Lexapro affect weight?

It may cause mild weight changes, typically less than older antidepressants.

Government / NIH sources

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