Lexapro (Escitalopram) for Anxiety Treatment: Benefits & Side Effects

More and more people are taking Lexapro for anxiety treatment. This medication is known generically as escitalopram and has gained attention for its effectiveness in treating anxiety disorders. 

Approved by the FDA, Lexapro is primarily utilized to alleviate the symptoms of generalized anxiety disorder (GAD) in adults and children aged seven and older. 

While it’s commonly classified as an antidepressant, its dual capability in managing both depression and anxiety makes it a versatile choice for treatment. 

In this article, we’ll focus on understanding how Lexapro works for anxiety, the usual dosages, and what patients can expect during their treatment journey.

What Is Lexapro (Escitalopram)?

You may have heard of Lexapro and have many questions like, “What is Lexapro for?”, “Does Lexapro help with anxiety?”, “What are the common side effects of Lexapro?” and “How long does Lexapro take to work?”

Lexapro, known generically as escitalopram, is a commonly prescribed medication used to address mental health conditions. It falls under the category of selective serotonin reuptake inhibitors (SSRIs).

The primary purpose of Lexapro is to treat depression. It helps to alleviate symptoms associated with this condition by impacting neurotransmitters in the brain. This medication contributes to mood stabilization by increasing serotonin levels.

Apart from depression, Lexapro is also effective in managing anxiety disorders, particularly generalized anxiety disorder (GAD). Its role in moderating serotonin helps reduce anxiety, making it a preferred choice for clinicians.

Lexapro is suitable for adults and, in some cases, children and adolescents, depending on a healthcare provider’s assessment.

Individuals prescribed Lexapro typically start with a low dose, which may be adjusted based on their response and tolerance to the medication. Regular monitoring by a healthcare provider ensures the treatment’s efficacy and safety.

Is Lexapro Good for Anxiety?

Lexapro is a widely used medication for treating anxiety disorders. It’s the brand name of escitalopram, a selective serotonin reuptake inhibitor (SSRI). This class of medicines helps increase serotonin levels in the brain, which can alleviate symptoms of anxiety.

By enhancing serotonin activity, Lexapro can lead to improved mood and reduced anxiety. This mechanism not only targets anxiety symptoms but also supports overall emotional health.

For individuals dealing with anxiety, Lexapro offers a reliable option. It may take several weeks to experience the full effects, and managing expectations is important.

For a tailored treatment, it’s recommended that patients discuss with their healthcare provider to determine if Lexapro is the right choice for their specific needs.

How Does Lexapro Work?

Lexapro, known scientifically as escitalopram, is a medication categorized as a selective serotonin reuptake inhibitor (SSRI). SSRIs function by influencing serotonin levels in the brain.

Serotonin is a neurotransmitter crucial in regulating mood, emotions, and anxiety. Lexapro works by increasing serotonin availability, thereby improving mood and alleviating anxiety symptoms.

When Lexapro is consumed, it blocks the reabsorption (reuptake) of serotonin into neurons. This mechanism ensures that more serotonin remains available in the brain’s synaptic spaces.

The increased serotonin levels help stabilize mood fluctuations and can effectively address symptoms of both anxiety and depression. Enhanced serotonin activity results in improved communication between brain cells, contributing to emotional regulation.

Lexapro is primarily prescribed for individuals suffering from generalized anxiety disorder and major depressive disorder. By impacting neurotransmitter function, it helps individuals manage and reduce anxious thoughts and depressive symptoms.

According to research from the National Institutes of Health (NIH), SSRIs like Lexapro have shown efficacy in managing anxiety-related conditions. Patients typically begin to see effects after several weeks of treatment as serotonin levels reach equilibrium within the brain.

5 Things to Consider Before Taking Lexapro

As before starting any new medications, there are some important things to consider before taking Lexapro for anxiety treatment.

1. Dosage and Effectiveness

The effectiveness of Lexapro for anxiety often depends on the dosage. The lowest dose typically prescribed is 5mg. Some individuals may find this effective, while others might require a higher dose to experience significant benefits.

2. Initial Side Effects

When starting Lexapro, some individuals may encounter side effects like nausea, diarrhea, or sleep difficulties. These are usually mild and tend to lessen over time. Monitoring how these symptoms impact daily activities can be crucial.

3. Long-Term Use

Lexapro is often prescribed for extended periods to manage anxiety effectively. Understanding this helps in setting reasonable expectations. 

Regular consultations with a healthcare provider can aid in managing and assessing its long-term usage.

4. Interactions and Precautions

It’s important to consider any interactions with other medications or substances. For example, combining Lexapro with alcohol or certain drugs might affect its efficacy and lead to unwanted side effects. 

Always discuss current medications and lifestyle with a healthcare provider.

5. Personalized Treatment Plan

Various factors such as the duration of anxiety symptoms, previous treatment responses, and commitment to follow the prescribed plan play a role in determining Lexapro’s suitability. 

Tailored treatment that considers individual health needs can maximize positive outcomes.

How to Use Lexapro for Anxiety?

Lexapro (escitalopram) is commonly prescribed for treating anxiety disorders. It’s known to help by increasing serotonin levels in the brain, which can improve mood and reduce anxiety symptoms.

Consistency is crucial when taking Lexapro. It should be taken at the same time each day to maintain stable levels in the body. This helps in managing symptoms more effectively.

Lexapro can be taken with or without food, adding convenience to the daily routine. This flexibility allows patients to incorporate it into their lifestyles with minimal disruption.

Side effects may occur, and it’s essential to monitor these and communicate with a healthcare provider if you experience any. Common side effects include nausea, tiredness, and dry mouth, among others.

Patients should always follow their healthcare provider’s instructions and consult them before making any changes to the dosage. Adjustments should never be made independently to avoid complications.

How Long Does It Take Lexapro to Work for Anxiety?

When starting Lexapro for anxiety, patients often wonder about the timeline for its effects. The medication typically begins to take effect in reducing anxiety symptoms within 1 to 2 weeks. There can be noticeable relief for some individuals around this time.

Most users may experience a more significant decrease in anxiety symptoms after several weeks. Some reports suggest a timeframe of 6 to 8 weeks to reach the full therapeutic benefits.

Factors influencing the timeline include individual body chemistry and the specific nature of the anxiety being treated. These can lead to variations in how quickly one might experience improvements.

Many patients report feeling initial effects sooner, as the medication starts to influence serotonin levels. A small subset of individuals might take longer, sometimes requiring up to 12 weeks for significant benefits.

An important aspect of this treatment is patience. While some improvement can be seen in the early weeks, waiting for the full effect is crucial for long-term success. An open line of communication with healthcare providers is key.

For any concerns about Lexapro’s effectiveness or timeline, discussions with a healthcare professional can provide personalized guidance.

How Long Should You Take Lexapro for Anxiety?

Lexapro is commonly prescribed for anxiety and is usually taken once daily. The duration for which a person should take Lexapro can depend on several factors, including the severity of symptoms and how well they respond to the medication.

Most individuals may need several weeks to notice the benefits of Lexapro. Some will see improvement in their anxiety symptoms after a couple of weeks, while others might require longer, sometimes up to two months.

It’s important for patients to follow their healthcare provider’s advice on treatment duration. For long-term relief, Lexapro is often prescribed for a period of 6 to 12 months. Some patients may need to take it longer to prevent the recurrence of symptoms.

When it’s time to stop taking Lexapro, doctors usually recommend gradually reducing the dose rather than stopping abruptly. This helps to minimize the risk of withdrawal symptoms, which can include irritability and dizziness.

SSRIs like Lexapro are generally effective for anxiety but may require adjustments based on individual response and tolerance. 

Patients should always work closely with their healthcare provider to determine the appropriate treatment plan. Regular consultations can help adjust the dosage or duration as needed based on individual responses to the medication.

What Are the Side Effects of Lexapro?

Lexapro, like other SSRIs, can cause various side effects. Common side effects include:

1. Nausea

Many people may experience nausea when starting Lexapro. Taking it with food can sometimes help alleviate this feeling, and the nausea tends to decrease over time.

2. Headache

Headaches might occur as the body adjusts to the medication. Staying hydrated and using over-the-counter pain relief may help manage this side effect.

3. Drowsiness

Lexapro can cause drowsiness in some individuals. It’s important to avoid driving or operating heavy machinery until they know how the medication affects them.

4. Insomnia

Some patients might find it difficult to fall asleep. Establishing a routine and avoiding caffeine in the evening can be beneficial.

5. Decreased Sexual Drive

Decreased sex drive or performance issues, such as erectile dysfunction, can occur with Lexapro. Discussing these side effects with a healthcare provider can help in managing them.

6. Dizziness

Feeling dizzy is another potential symptom. It’s advised to rise slowly from sitting or lying positions to reduce this effect.

7. Diarrhea

For some, gastrointestinal issues like diarrhea may present. Increasing fiber intake and staying hydrated can help.

8. Tremors or Shaking

Involuntary tremors might be noticed. Monitoring these symptoms and speaking with a doctor if they persist is recommended.

According to medical research from the NIH, these side effects are generally manageable and may diminish as the body adapts to Lexapro. Working closely with a healthcare provider is crucial to ensure safety and address any concerns.

What Is the Difference Between Lexapro for Depression and Lexapro for Anxiety?

For depression, Lexapro is used to treat major depressive disorder (MDD). People with MDD often experience persistent sadness, a loss of interest in activities, and other changes in mood and behavior.

For anxiety, specifically generalized anxiety disorder (GAD), Lexapro can help reduce excessive worry and tension.

While the medication is the same, the primary difference lies in the symptoms it targets for each condition. Depression treatment focuses on alleviating symptoms such as hopelessness and fatigue.

In contrast, anxiety treatment addresses symptoms like excessive worry and restlessness. Despite these differences, Lexapro can effectively manage symptoms of both conditions due to its impact on serotonin.

What’s the Difference Between Lexapro and Other SSRIs?

Lexapro, known generically as escitalopram, is part of the selective serotonin reuptake inhibitors (SSRIs) class of medications. SSRIs function by increasing the levels of serotonin in the brain, which can help in managing anxiety and depression.

Potency and Side Effects

Lexapro is often noted for its efficacy and favorable side effect profile compared to some other SSRIs. It may have fewer adverse effects, making it a preferred choice for many patients.

FDA Approvals

Lexapro is approved for treating both major depressive disorder and generalized anxiety disorder (GAD). Other SSRIs, such as sertraline (Zoloft) and fluoxetine (Prozac), might be approved for a wider range of conditions, including obsessive-compulsive disorder or panic disorder.

Tolerability

Drug comparisons suggest escitalopram has a better tolerability profile than paroxetine, which might cause more side effects involving the cholinergic system.

Cost Considerations

The presence of generic versions for many SSRIs, including Lexapro, impacts cost considerations.

Lexapro vs Zoloft: What’s the Difference?

Lexapro (escitalopram) and Zoloft (sertraline) are both selective serotonin reuptake inhibitors (SSRIs) used to treat depression and anxiety disorders. While they work similarly by increasing serotonin levels in the brain, Lexapro is often considered more selective, primarily targeting serotonin reuptake. 

In contrast, Zoloft also affects dopamine reuptake to a minor extent. This difference can lead to variations in side effects—Zoloft is more likely to cause gastrointestinal issues like diarrhea, while Lexapro may have a higher risk of sexual side effects.

Another key difference is that Lexapro is FDA-approved for generalized anxiety disorder (GAD) in addition to major depressive disorder (MDD), whereas Zoloft is approved for a broader range of conditions, including social anxiety disorder, obsessive-compulsive disorder (OCD), panic disorder, and post-traumatic stress disorder (PTSD). 

Zoloft may also be preferred for patients with co-occurring anxiety and OCD symptoms. However, Lexapro is often viewed as slightly better tolerated and may be preferred for first-time SSRI users.

Lexapro vs Prozac: What’s the Difference?

Lexapro (escitalopram) and Prozac (fluoxetine) are both SSRIs, but they differ in their pharmacokinetics and side effect profiles. Prozac has a much longer half-life than Lexapro, meaning it stays in the body for a longer period, which can make withdrawal symptoms less severe. However, its prolonged action can also lead to a more gradual onset of therapeutic effects, whereas Lexapro tends to work faster.

Prozac is more stimulating and is sometimes associated with increased energy levels, which can be beneficial for people with depression who also experience fatigue. However, this stimulating effect can also increase anxiety in some individuals. 

In contrast, Lexapro is typically more calming and is often preferred for those with anxiety disorders. Prozac is also FDA-approved for OCD, bulimia nervosa, and panic disorder, giving it a broader range of applications beyond depression and generalized anxiety.

Wellbutrin vs Lexapro: What’s the Difference?

Wellbutrin (bupropion) and Lexapro (escitalopram) belong to different classes of antidepressants and have distinct mechanisms of action. While Lexapro is an SSRI that increases serotonin levels, Wellbutrin is a norepinephrine-dopamine reuptake inhibitor (NDRI) that primarily affects norepinephrine and dopamine rather than serotonin. This difference makes Wellbutrin a better option for people experiencing fatigue, low motivation, and weight gain, as it has a stimulating effect and is associated with weight loss rather than weight gain.

On the other hand, Lexapro is generally better suited for treating anxiety in addition to depression, as Wellbutrin’s stimulant-like properties can sometimes worsen anxiety symptoms. 

Another key distinction is that Wellbutrin has a lower risk of sexual side effects compared to Lexapro, making it a preferred choice for patients concerned about libido or sexual dysfunction. In some cases, Wellbutrin and Lexapro are even prescribed together to balance their effects.

Celexa vs Lexapro: What’s the Difference?

Celexa (citalopram) and Lexapro (escitalopram) are closely related, as Lexapro is essentially a refined version of Celexa. While both medications are SSRIs, Lexapro contains only the active S-enantiomer of citalopram, which means it is more potent and requires a lower dose to achieve the same effect. As a result, Lexapro is often associated with fewer side effects and better overall tolerability compared to Celexa.

Celexa, in higher doses, has been linked to an increased risk of QT prolongation, a heart-related side effect that can cause arrhythmias. This has led to dosage limitations, particularly for older adults. 

Lexapro, being more selective, carries a lower risk of this issue. Because of its improved efficacy and safety profile, Lexapro is often preferred over Celexa for treating depression and anxiety. However, Celexa may still be prescribed in cases where cost or insurance coverage is a factor.

Paxil vs Lexapro: What’s the Difference?

Paxil (paroxetine) and Lexapro (escitalopram) are both SSRIs, but Paxil is known for its sedating effects and strong anticholinergic properties, which can lead to side effects like drowsiness, dry mouth, and weight gain. While Lexapro is typically well-tolerated and has a more neutral side effect profile, Paxil is often associated with greater withdrawal symptoms due to its shorter half-life, making it harder to discontinue.

Paxil is unique among SSRIs because it has a broader range of FDA-approved uses, including social anxiety disorder, OCD, PTSD, and panic disorder, in addition to depression.

However, it is generally not recommended as a first-line treatment due to its side effect profile and higher likelihood of withdrawal symptoms. Lexapro, being more selective and better tolerated, is often preferred for individuals with depression and generalized anxiety disorder who want a medication with fewer sedating or weight-related effects.

Lexapro vs Cymbalta: What’s the Difference?

Lexapro (escitalopram) and Cymbalta (duloxetine) belong to different antidepressant classes, with Lexapro being an SSRI and Cymbalta being a serotonin-norepinephrine reuptake inhibitor (SNRI). This means that while both increase serotonin levels, Cymbalta also increases norepinephrine, which can provide additional benefits for pain conditions such as fibromyalgia and chronic musculoskeletal pain.

Because of its dual mechanism, Cymbalta may be a better option for individuals who suffer from both depression and chronic pain or neuropathic pain conditions. However, it tends to have a higher likelihood of side effects such as nausea, sweating, and increased blood pressure.

Cymbalta can cause more pronounced side effects compared to Lexapro. Lexapro, on the other hand, is often better tolerated and preferred for those who primarily struggle with anxiety alongside depression. 

The choice between the two depends on the patient’s symptoms, with Cymbalta being favored for pain-related issues and Lexapro for anxiety and better tolerability.

Need Professional Anxiety Help?

If you’re dealing with anxiety, you don’t have to face it alone. Consulting a healthcare provider can provide clarity on treatment options like Lexapro. Discussing symptoms, side effects, and any personal health concerns is important to tailor the best treatment plan.

Brightside Health offers expert, evidence-based treatment designed to help you regain control and find relief.  With personalized therapy and medication plans, you can start feeling better from the comfort of your home. 

Take the first step toward a brighter future—get started with Brightside Health today and take our free online anxiety test.

Key Takeaways on Lexapro for Anxiety

Lexapro is a medication commonly prescribed to treat anxiety and depression. It works by increasing serotonin levels in the brain, which can help improve mood and reduce anxiety symptoms.

Lexapro is approved for treating generalized anxiety disorder (GAD). Many people report feeling less anxious and experience fewer panic attacks after starting this medication.

While using Lexapro, patients may notice improvements in mood, sleep quality, and energy levels. It’s important to note that Lexapro doesn’t cure anxiety but can be an effective part of a comprehensive treatment plan.

Lexapro is generally well-tolerated, but like any medication, it can have side effects. These may include nausea, fatigue, and changes in weight. Consulting a healthcare provider for appropriate dosages and monitoring can help manage these effects.

FAQs

Is Lexapro an antidepressant?

Yes, Lexapro (escitalopram) is an antidepressant that belongs to the selective serotonin reuptake inhibitor (SSRI) class. It’s primarily prescribed to treat major depressive disorder (MDD) and generalized anxiety disorder (GAD).

Is Lexapro used for panic attacks?

Yes, Lexapro is sometimes used off-label to help manage panic disorder and panic attacks. It works by increasing serotonin levels in the brain, which can help reduce the frequency and severity of panic attacks. 

And if you’re wondering, “Can anxiety cause chest pain, and can Lexapro help?” the answer is yes, as it helps reduce the underlying anxiety contributing to this symptom.

Is 5mg of Lexapro effective for anxiety?

For some individuals, 5mg of Lexapro may be effective for mild anxiety or as a starting dose before increasing to a higher dosage. However, the usual therapeutic dose for anxiety is 10-20mg per day.

How does Lexapro make you feel?

Lexapro can make people feel calmer, less anxious, and more emotionally stable over time. However, some users may experience side effects like drowsiness, nausea, or restlessness, especially in the first few weeks of treatment.

Is Lexapro safe to use?

Yes, Lexapro is generally safe and well-tolerated when taken as prescribed. However, it may have side effects and can interact with other medications. It should only be taken under a doctor’s supervision. 

What other drugs will affect Lexapro?

Lexapro can interact with several drugs, including:

• MAO inhibitors (can cause serotonin syndrome)
• NSAIDs (may increase bleeding risk)
• Other antidepressants (risk of serotonin syndrome)
• Blood thinners (can increase bleeding risk)
• Alcohol (may enhance side effects like drowsiness)

Always inform your doctor about any medications you are taking, including any other over-the-counter anxiety medications.

What does Lexapro do to your brain?

Lexapro increases serotonin levels by inhibiting its reuptake, leading to improved mood, reduced anxiety, and better emotional regulation. This effect helps treat depression and anxiety disorders.

What is the maximum dose of Lexapro for anxiety?

The maximum recommended dose of Lexapro for anxiety is 20mg per day. Higher doses are not typically prescribed due to the risk of side effects.

What is the starting dose of Lexapro for anxiety?

The usual starting dose for anxiety is 10mg per day. Some doctors may start at 5mg to reduce initial side effects and then increase the dose.

How to store and dispose of Lexapro?

Keep Lexapro at room temperature (68°F to 77°F), away from moisture and heat.

Do not flush Lexapro down the toilet. Dispose of it according to local pharmacy guidelines or in a drug take-back program.

When is the best time to take Lexapro?

Lexapro can be taken morning or night, depending on how it affects you. If it causes drowsiness, take it at night; if it causes insomnia, take it in the morning.

What to do if you forget a dose?

Take the missed dose as soon as you remember. However, if it’s close to the time for your next dose, skip it—do not double up on doses.

What should you avoid when taking Lexapro?

• Alcohol (can increase drowsiness and dizziness)
• Driving or operating machinery (until you know how it affects you)
• NSAIDs & blood thinners (risk of bleeding)
• Other SSRIs or serotonin-boosting drugs (risk of serotonin syndrome)

Can children take Lexapro?

Yes, Lexapro is FDA-approved for treating major depressive disorder (MDD) in adolescents aged 12 and older. However, it should only be used under close medical supervision due to the risk of suicidal thoughts in younger patients.

Why does Lexapro cause weight gain?

Lexapro may cause weight gain due to:

• Increased appetite
• Slower metabolism
• Water retention

Not everyone gains weight on Lexapro, and maintaining a balanced diet and exercise routine can help mitigate this effect.

Does Lexapro cause night sweats?

Yes, night sweats are a possible side effect of Lexapro. This occurs due to changes in serotonin levels affecting body temperature regulation.

Is Lexapro an SSRI?

Yes, Lexapro is an SSRI (selective serotonin reuptake inhibitor). It works by increasing serotonin levels in the brain to help improve mood and reduce anxiety.