Lexapro for Mental Health: What You Need to Know
- Kevin Keane
- Sep 11, 2024
- 3 min read
Updated: Sep 16, 2024
What is Lexapro?
Lexapro (generic name escitalopram) is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed to treat several mental health conditions. It works by increasing serotonin levels in the brain, which helps improve mood and reduce anxiety symptoms.
Indications
Lexapro is FDA-approved to treat:
Major Depressive Disorder (MDD) in adults and adolescents aged 12 and older.
Generalized Anxiety Disorder (GAD) in adults.
Obsessive-Compulsive Disorder (OCD) (off-label in some cases, though not FDA-approved).
Panic Disorder and Social Anxiety Disorder (off-label).
How Does Lexapro Work?
Lexapro works by influencing serotonin, a neurotransmitter in the brain that plays a key role in mood regulation. Specifically, Lexapro works by:
Serotonin Reuptake Inhibition: Lexapro prevents the reabsorption (or reuptake) of serotonin in the brain, allowing more serotonin to remain available. This can improve mood and alleviate anxiety.
How Can Lexapro Help with Depression and Anxiety?
Lexapro is particularly effective for individuals with Major Depressive Disorder (MDD) and Generalized Anxiety Disorder (GAD). These conditions are characterized by persistent sadness, hopelessness, excessive worry, or tension, all of which Lexapro can help alleviate.
It’s often prescribed for long-term management as it is non-addictive and well-tolerated by most patients.
Dosage and Administration
For Major Depressive Disorder (MDD) and Generalized Anxiety Disorder (GAD) in adults, the typical starting dose is 10 mg once daily, which may be increased to 20 mg per day (can go higher in select cases) depending on how well you tolerate the medication and your specific needs.
For adolescents with MDD, the starting dose is usually 10 mg per day, with potential adjustments based on response.
Your healthcare provider will guide you through this process and adjust your dosage as necessary. Do not make changes unless your provider changes your regimen.
How Should Lexapro Be Taken?
With or Without Food: Lexapro can be taken with or without food, but consistency is important. Take it the same way each day.
Consistency is Key: To ensure stable levels of the medication in your body, Lexapro should be taken at the same time each day.
Potential Side Effects
Like all medications, Lexapro may cause side effects. Some of the most common side effects include:
Nausea: Taking Lexapro with food can help reduce nausea, especially in the early stages of treatment.
Drowsiness or Insomnia: Some individuals report feeling sleepy, while others may have trouble sleeping.
Sexual Dysfunction: A reduction in libido or difficulty with sexual performance can occur in some people.
If you experience severe or persistent side effects, it’s important to contact your healthcare provider.
Who Should Avoid Lexapro?
Severe Kidney or Liver Impairment: Individuals with serious kidney or liver issues should use Lexapro cautiously, as it is processed by these organs.
Pregnancy and Breastfeeding: Lexapro is classified as FDA pregnancy category C, meaning there are potential risks to the fetus based on animal studies. Consult with your healthcare provider if you are pregnant, breastfeeding, or planning to become pregnant.
Drug Interactions:
MAO Inhibitors: Combining Lexapro with MAO inhibitors can lead to serious health complications, such as dangerously high blood pressure.
Other Serotonergic Drugs: Using Lexapro with other serotonin-affecting drugs can increase the risk of serotonin syndrome, a potentially life-threatening condition.
Conclusion
Lexapro is a widely-used, non-addictive medication for managing several mental health conditions, including depression and anxiety. By modulating serotonin levels in the brain, it helps reduce the emotional and physical symptoms of these disorders. As with any medication, it’s essential to discuss your health history with your provider to ensure Lexapro is right for you.
Written by:
Kevin W. Keane