Escitalopram

Escitalopram belongs to the selective serotonin reuptake inhibitor (SSRIs) group of drugs. It is an antidepressant medicine and is used to treat the symptoms caused due to depression and anxiety disorders. It works by restoring the balance of serotonin, which is a natural substance found in the brain.

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My blood pressure peaks in the late evening and at night, and I have gained weight from taking Escitalopram for it. Can you suggest an alternative?

Query: Hello doctor, I was diagnosed with high blood pressure and took tablet Olmesartan 20 mg. However, I had blood pressure peaks late in the evening and early at night. So, I started taking Escitalopram 5 mg, and the peaks disappeared. However, I gained 20 kgs. Is there an alternate medication to tablet...  Read Full »


Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern. You have proper blood pressure control. Regarding the tablet Escitalopram (antidepressant), one of its side effects is weight gain. It can be replaced with Effexor XR (Venlafaxine) 75 mg once daily. It does not ca...  Read Full »

I am on Vyvanse, and Escitalopram and started smoking marijuana. Is it life-threatening?

Query: Hello doctor,Nearly every day, I take Vyvanse for my ADD and Escitalopram for my anxiety and depression. I do not take Vyvanse when I am not in school. Between, I am sixteen, turning seventeen soon. This summer, I began smoking marijuana nearly every single day. I want to say it was not a coping mec...  Read Full »


Dr. Suresh Kumar G D

Answer: Hello, Welcome to icliniq.com. 1. You are right in recognizing that smoking marijuana may not be safe when you are taking Escitalopram and Vyvanse (Lisdexamfetamine) description. Occasional smoking is relatively common but to smoke marijuana daily is harmful at your age. 2. Try to reflect what ma...  Read Full »

I take Nexito Forte for my anxiety, but it is causing me sedation. Kindly suggest an alternative for it.

Query: Hello doctor, I have severe anxiety, depression, a fast heartbeat, sweating, IBS, and diarrhea. I have had a nervous weakness for the last 15 years. I have consulted many psychiatrists, but none of the medications suited me. I am currently taking tablets Nexito forte and tablet Pronol, and tablet Pr...  Read Full »


Dr. Adithya Sunka

Answer: Hello, Welcome to icliniq.com. I understand the kind of distress you are currently going through. Since you mentioned that it had been such a long time, almost fifteen years, you finally got the medication that you are quite comfortable with and adjusted to it. So your anxiety and IBS (irritable b...  Read Full »

Why do I feel restless, tired, and sleepy all the time?

Query: Hi doctor, I feel my legs are restless and lack energy. I am feeling tired with frequent yawning and sleepiness in daytime. Sometimes, I feel nervous and vertigo while walking. Please suggest a medicine. I had Escitalopram 10 mg bd, but it did not work well. My other medication list is attached for...  Read Full »


Dr. Saraswat Kumarshri Shriniwas

Answer: Hi, Welcome to icliniq.com. The symptoms described by you are symptoms of depression which are due to low dopamine levels. Escitalopram increases serotonin levels and there is a dopamine deficit remaining in most patients. My advice would be to add Bupropion (Bupron XL) 150 mg to existing drugs. Y...  Read Full »

Why do I like to be alone?

Query: Hi doctor, I used to mingle with people a lot, but since past two years, I am not talking to anyone. I like to be alone. Nowadays, I am always alone, and I have no proper friends too. People think I am immature. The fact is that I do not show the real me. Two years back I had a bad breakup, and sinc...  Read Full »


Dr. Manjunadh M. Nair

Answer: Hi, Welcome to icliniq.com. I understand your issue. You are probably going through a phase called as adjustment disorder or dysthymia. You need to try to get out of it actively by following thing like. 1) Try to engage yourself in things you like. 2) Start a new resolution and work for it. 3)...  Read Full »

How to avoid feeling low after stopping depression medicine?

Query: Hi doctor, When my father passed away, I was diagnosed with major depression and had been on medication Lexapro for about a year. My psychiatrist recently stopped my medications as I was feeling rather normal. Shortly, I came for holidays overseas hoping to become more relaxed and at ease. But, I am...  Read Full »


Dr. Awadhesh P. Singh Solanki

Answer: Hi, Welcome to icliniq.com. I can understand your situation. You were taking Lexapro, which contains Escitalopram, since a long time. Sudden stopping of this drug causes withdrawal symptoms like poor sleep, low mood, loss of interest in cheerful activities, etc. I will suggest you make yours...  Read Full »

How long should I wait to check the effect of raised dose of Lexapro?

Query: Hello doctor,Third time on Lexapro started again two months back. Taking 10 mg, after about 20 days, I felt good again. Then it stopped working after about two weeks. My GP raised the dose to 20 mg. Today is a full week without much improvement. How long should I wait to see if 20 mg will kick in fo...  Read Full »


Dr. Saurav Kumar

Answer: Hi, Welcome to icliniq.com. First of all, try to stay calm because it is your third episode and medications take time to act. If you have come out of your illness twice before then this time too you will come out of your illness. Do not lose patience. As you have mentioned you are taking third tim...  Read Full »

Does increasing Lexapro dosage cause a temporary increase in anxiety?

Query: Hello doctor, I have been taking Lexapro 10 mg for the past five years and recently I have increased the dose to 15 mg. After the dosage increase, there is an increase in my anxiety level. Will increase in antidepressant dosage cause a temporary increase in anxiety?  Read Full »


Dr. Suresh Kumar G D

Answer: Hello, Welcome to icliniq.com. An increase in antidepressant dosage can potentially cause short term agitation, increased anxiety until your body gets used to the new dosage. Lexapro (escitalopram) is an effective medication to treat anxiety and depression. The usual dose is 10 mg once daily. ...  Read Full »

Is my premature ejaculation a side effect of Lexapro?

Query: Hi doctor, I am experiencing premature ejaculation ever since I stopped using Lexapro (Escitalopram). I am very worried about this as it is damaging my sex life and in turn my self-esteem and was wondering if this is a temporary side affect of stoping Lexapro and if so how long does it last?  Read Full »


Dr. Vishal Anilkumar Gandhi

Answer: Hello, Welcome to icliniq.com. I can understand your situation. But sexual side effects related to tablet Lexapro are decreased libido or delayed orgasm or erectile dysfunction. I would like to say that actually some of SSRI (Fluoxetine) group of medication are used as a treatment of premature eja...  Read Full »

Can skipping Lexapro tablets cause suicidal thoughts?

Query: Hello doctor, I have taken antidepressants, in particular, Lexapro 20/10 mg for about five years for Generalized Anxiety Disorder. Unfortunately, I had stopped taking the anti-depressants cold turkey for about a month and a half due to negligence on my part. During the month and a half, I only expe...  Read Full »


Dr. Aditya Gupta

Answer: Hello, Welcome to icliniq.com. It is unlikely for Lexapro (Escitalopram) to cause this symptom, especially when you have been taking it for the last five years. Though there are a few reports of emergent suicidal thoughts as a part of SSRI (selective serotonin reuptake inhibitor) discontinuation...  Read Full »

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