Question 1

What is Lexapro?

Accepted Answer

Lexapro is a brand-name medication containing the active ingredient escitalopram. It belongs to a group of drugs known as selective serotonin reuptake inhibitors, or SSRIs.

This medication works by increasing the levels of serotonin, a natural chemical messenger in the brain. By helping to restore the balance of this substance, the drug assists in regulating mood and emotional well-being.

Question 2

What is Lexapro used for?

Accepted Answer

Lexapro is used to treat major depressive disorder and generalized anxiety disorder .

Question 3

How does Lexapro work?

Accepted Answer

Mechanism of Action

Lexapro belongs to a class of medications known as selective serotonin reuptake inhibitors (SSRIs). It works by increasing the activity of serotonin, a natural chemical messenger in the brain that helps maintain mental balance and regulate mood, sleep, and emotions.

In the brain, serotonin is released by nerve cells to send signals to other cells. After the signal is sent, the serotonin is typically reabsorbed by the nerve cells in a process called reuptake. Lexapro specifically blocks this reabsorption process. By preventing serotonin from being taken back into the cells, the medication increases the amount of active serotonin available in the spaces between neurons.

This increase in serotonin levels helps improve the transmission of messages between nerve cells, which can lead to a more stable mood and a reduction in symptoms of depression and generalized anxiety disorder. While the chemical effect on serotonin happens relatively quickly, it usually takes several weeks of consistent use for the full therapeutic benefits to be felt by the patient.

Question 4

What are the active ingredients in Lexapro?

Accepted Answer

The active ingredient in Lexapro is escitalopram .

Question 5

What are the side effects of Lexapro?

Accepted Answer

Common side effects of Lexapro may include:

Nausea

Insomnia

Fatigue

and others.

Always consult with a healthcare professional about potential side effects.

Question 6

What drug class is Lexapro?

Accepted Answer

Lexapro belongs to the SSRI drug class.

Question 7

What is the dosage of Lexapro and how do I take it?

Accepted Answer

How to Take Lexapro

Lexapro is available as a tablet or a liquid solution to be taken by mouth. It is usually taken once a day, either in the morning or the evening. You may take this medication with or without food.

To help you remember to take your medicine, try to take it at the same time every day. If you are using the liquid form, use a marked measuring spoon, oral syringe, or medicine cup to ensure the correct amount. Do not use a regular household spoon to measure your dose.

Missed Dose

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take two doses at once to make up for a missed one.

Important Considerations

It may take several weeks of regular use before you feel the full benefit of the medication. Continue taking it even if you feel well. Do not stop taking Lexapro without consulting your healthcare provider, as stopping the medication suddenly can cause withdrawal symptoms. Your doctor will likely recommend decreasing your dose gradually.

Question 8

Is Lexapro safe during pregnancy and breastfeeding?

Accepted Answer

Pregnancy

Taking Lexapro during the third trimester of pregnancy may increase the risk of complications for the newborn. Some infants exposed to selective serotonin reuptake inhibitors (SSRIs) late in pregnancy have developed serious problems requiring respiratory support, tube feeding, or prolonged hospitalization. These symptoms may include:

Respiratory distress (breathing problems)

Cyanosis (bluish skin color)

Seizures

Temperature instability

Feeding difficulties

Vomiting

Hypoglycemia (low blood sugar)

Tremors or jitteriness

Constant crying

There is also a potential risk of persistent pulmonary hypertension of the newborn (PPHN), a serious condition that affects the baby's lungs. However, stopping antidepressant medication during pregnancy can lead to a relapse of depression or anxiety. Decisions regarding treatment should be made in consultation with a doctor. Do not stop taking Lexapro without medical advice, as sudden discontinuation can cause withdrawal symptoms.

Breastfeeding

Lexapro passes into breast milk. While many infants do not experience adverse effects, there have been reports of symptoms such as excessive drowsiness, decreased feeding, or weight loss in nursing infants. Healthcare providers typically weigh the benefits of breastfeeding against the potential risks of infant exposure to the medication. If you are breastfeeding or planning to breastfeed, discuss the best treatment options with your healthcare provider.

Question 9

What forms and strengths does Lexapro come in?

Accepted Answer

Oral Tablets

Lexapro is available as a film-coated tablet intended for oral administration. These tablets are typically round or oval in shape.

Oral Solution

Lexapro is also available as a liquid oral solution. This form is used for oral administration and provides an alternative for individuals who may have difficulty swallowing solid tablets.

Question 10

What is the FDA approval status of Lexapro?

Accepted Answer

FDA Approval and Indications

Lexapro (escitalopram) was first approved by the U.S. Food and Drug Administration (FDA) in 2002. It is currently approved for the treatment of major depressive disorder (MDD) in adults and pediatric patients ages 12 and older. It is also approved for the treatment of generalized anxiety disorder (GAD) in adults.

Boxed Warning

The FDA requires a boxed warning for Lexapro, which is the most serious type of warning. This warning alerts healthcare providers and patients that antidepressants may increase the risk of suicidal thoughts and behaviors in children, adolescents, and young adults. Patients of all ages starting this medication should be monitored closely for worsening symptoms, suicidal thoughts, or unusual changes in behavior.

Safety Communications

The FDA has issued safety communications regarding the risk of serotonin syndrome when selective serotonin reuptake inhibitors (SSRIs) like Lexapro are used concurrently with certain other medications, such as methylene blue or linezolid. Serotonin syndrome is a potentially life-threatening condition caused by an excess of serotonin in the body.

Regulatory Classification

Legal Status: Prescription only.

Controlled Substance: Lexapro is not a controlled substance.

Question 11

What should I know about Lexapro and withdrawal?

Accepted Answer

Common Withdrawal Symptoms

If you stop taking Lexapro (escitalopram) abruptly, you may experience a range of physical and emotional symptoms known as discontinuation syndrome. These symptoms usually appear within a few days of stopping the medication.

Dizziness and lightheadedness

Nausea or vomiting

Headaches

Irritability, agitation, or mood swings

Anxiety or confusion

Tiredness or lethargy

Sensory and Sleep Changes

Some people experience specific sensory disturbances, such as numbness, tingling, or sensations that feel like electric shocks (often called brain zaps). Changes in sleep patterns, including insomnia or vivid dreams, are also common during the withdrawal period.

Safe Discontinuation

To minimize the risk of withdrawal symptoms, healthcare providers typically recommend a gradual reduction in dosage rather than stopping the medication all at once. This tapering process allows the body time to adjust. If symptoms become severe while tapering, a doctor may adjust the schedule to decrease the dose even more slowly.

Lexapro

Medication Quick Facts

📋Overview

What It's Used For

How It Works

Side Effects

Warnings & Precautions

Dosage & How to Take

Pregnancy & Breastfeeding

Forms & Strengths

FDA / Regulatory Status

Withdrawal Information

FAQ

Additional Resources

Support & Help Resources

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