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What is Lexapro (escitalopram)?

Lexapro (escitalopram) is a prescription treatment that helps with major depressive disorder (MDD) and generalized anxiety disorder (GAD).

Adults and children can use it, but the approved age depends on the condition. For depression, doctors may prescribe it to patients 12 years and older. For anxiety, it can be used in children 7 years and older.

When using Lexapro, follow the dosing schedule closely. If you forget a dose, follow the instructions from your healthcare provider for a Lexapro missed dose.

Do not double up to make up for it, as this may raise the risk of side effects.

While the main uses are for depression and anxiety, doctors may sometimes recommend Lexapro off-label uses.

Some Lexapro off-label uses may include conditions such as:

  • Obsessive-compulsive disorder
  • Panic disorder
  • Posttraumatic stress disorder
  • Social anxiety disorder
  • Premenstrual dysphoric disorder, or even symptoms linked to menopause

Off-label means it is not officially approved for these conditions; however, some providers may consider it when other treatments are insufficient or ineffective.

Indications and Benefits of Lexapro

Lexapro is a prescription treatment that helps with depression and anxiety. Doctors often recommend it for adults and children when symptoms affect daily life.

It works by improving serotonin levels in the brain, which can help balance mood, reduce stress, and support overall well-being.

What Are the Benefits of Lexapro?

  • Doctors prescribe Lexapro to treat major depressive disorder in adults and children 12 years and older.
  • Doctors also prescribe Lexapro to manage generalized anxiety disorder in adults and children 7 years and older.
  • Lexapro raises serotonin levels in the brain and improves mood.
  • Lexapro boosts daily energy and eases the fatigue that comes with depression.
  • Lexapro lowers nervousness and helps reduce constant worry in people with anxiety.
  • Lexapro improves sleep by calming the mind and reducing stress.
  • Doctors continue Lexapro long-term when needed to prevent depression or anxiety from coming back.

How It Works

Lexapro belongs to a group of treatments called selective serotonin reuptake inhibitors (SSRIs). SSRIs work by increasing the levels of serotonin in the brain.

Serotonin is a natural chemical that helps maintain mood balance and emotional well-being.

By improving serotonin activity, Lexapro can help reduce feelings of sadness, worry, and tension, while supporting a more stable mood.

Dosage

You can find Lexapro in tablet and liquid form. Tablets are typically available in 5 mg, 10 mg, and 20 mg strengths, while the liquid solution contains 5 mg per milliliter.

The average dose of Lexapro for adults varies depending on the condition and the individual’s response to the medication.

Your healthcare provider decides the right Lexapro dose range for you. Many adults start at a lower amount, and the doctor may increase it if needed.

The Lexapro max dose should not be exceeded without medical advice.

What Dosage Strengths Does Lexapro Come In?

  • 5 mg tablet
  • 10 mg tablet
  • 20 mg tablet
  • 1 mg per milliliter oral solution

Dosage Chart for Lexapro

Population / Condition Recommended Starting Dose Lexapro Max Dose
Adults with Major Depressive Disorder (MDD) 10 mg once daily 20 mg once daily
Pediatric patients 12+ with MDD 10 mg once daily 20 mg once daily
Adults with Generalized Anxiety Disorder (GAD) 10 mg once daily 20 mg once daily
Pediatric patients 7+ with GAD 10 mg once daily 20 mg once daily
Elderly patients 10 mg once daily 10 mg once daily

Usage Guide

The right dose may vary for each person, so your doctor will decide the correct amount within the recommended Lexapro dose range.

How do you take Lexapro?

  • Take Lexapro once daily, either in the morning or at night.
  • Take Lexapro with or without food, whichever feels more comfortable for you.
  • Swallow the tablets whole with a glass of water and do not crush, chew, or split them.
  • If you use the oral solution, measure the dose with the provided cup or syringe, not a household spoon.
  • Take Lexapro at the same time every day to keep a steady level in your system.
  • Follow your healthcare provider’s instructions if your dose changes. The average dose of Lexapro for adults often starts lower and may be adjusted gradually.
  • Do not take more than the Lexapro max dose of 20 mg per day unless your doctor specifically instructs you.
  • If you forget a dose, follow your provider’s advice on what to do.
  • Keep taking Lexapro even if you start to feel better, since stopping too early can cause symptoms to return.
  • If you take too much, call your doctor or the Poison Help Line at 1-800-222-1222, or go to the nearest emergency room right away.
  • Avoid drinking alcohol while taking Lexapro. Alcohol can increase side effects like drowsiness.
  • Do not drive or operate heavy machinery until you know how Lexapro affects your ability to focus and react.

Side Effects

Like many prescription treatments, Lexapro can cause side effects. Some are more common and may go away over time, while others are serious and require medical attention

Make sure to know both the short-term and Lexapro long-term side effects. Stopping treatment suddenly can also cause Lexapro withdrawal side effects.

Common side effects of Lexapro

  • Nausea
  • Trouble sleeping
  • Tiredness
  • Sleepiness
  • Sweating
  • Decreased sex drive
  • Delayed ejaculation
  • Delayed orgasm or inability to orgasm
  • Height changes in children
  • Weight changes in children

Serious side effects of Lexapro

  • Serotonin syndrome
  • Agitation
  • Hallucinations
  • Confusion
  • Coma
  • Fast heartbeat
  • Blood pressure changes
  • Sweating
  • Tremors or muscle twitching
  • Stiff muscles
  • Flushing
  • Dizziness
  • Seizures
  • High body temperature (hyperthermia)
  • Nausea, vomiting, diarrhea
  • Loss of coordination
  • Discontinuation syndrome (Lexapro withdrawal side effects)
  • Changes in mood
  • Headache
  • Irritability
  • Agitation
  • Electric shock sensation (paresthesia)
  • Anxiety
  • Hypomania
  • Ringing in ears (tinnitus)
  • Seizures
  • Manic episodes
  • Greatly increased energy
  • Severe trouble sleeping
  • Racing thoughts
  • Reckless behavior
  • Unusually grand ideas
  • Excessive happiness or irritability
  • Talking more or faster than usual
  • Low sodium levels in the blood (hyponatremia)
  • Headache with confusion or memory problems
  • Weakness or feeling unsteady
  • Fainting
  • Respiratory arrest
  • Increased risk of bleeding or bruising
  • Eye pain or vision changes (angle-closure glaucoma)
  • Sexual problems in males (delayed ejaculation, decreased sex drive, erectile difficulties)
  • Sexual problems in females (reduced sex drive, delayed orgasm, inability to orgasm)

Missed Dose

If you miss a dose of Lexapro, take it as soon as you remember. If it is almost time for your next scheduled dose, skip the missed one and continue with your regular schedule. Do not take two doses at the same time because it can raise the risk of side effects.

To help avoid missed doses, set reminders or use mobile health apps. If you are unsure about when to take the next dose, contact your doctor or pharmacist for guidance.

Overdose

Taking more than the prescribed dose of Lexapro can cause serious harm. If you take too much and notice warning signs, get emergency help right away or call 911.

Overdose symptoms may include trouble sleeping, rapid heartbeat, nausea, vomiting, dizziness, changes in blood pressure, seizures, or loss of consciousness.

Quick medical attention can help prevent life-threatening complications.

Warnings

You must use Lexapro with care and under the supervision of your healthcare provider. This treatment can affect mood, behavior, and physical health in important ways. Be aware of the following warnings before and during use:

  • Lexapro can raise the risk of suicidal thoughts and behaviors in children, teens, and young adults up to age 24. Doctors closely monitor patients during the first few months and after dose changes.
  • Taking Lexapro with other drugs that increase serotonin can trigger a dangerous condition called serotonin syndrome. Symptoms include agitation, confusion, rapid heartbeat, sweating, muscle stiffness, nausea, or seizures. Seek emergency help if these appear.
  • Stopping Lexapro suddenly can cause withdrawal symptoms like dizziness, irritability, headache, sleep problems, or electric-shock sensations. Doctors usually lower the dose slowly to avoid these issues.
  • Seizure caution: People with a history of seizures need extra care, since Lexapro may increase the risk of convulsions.
  • Patients with bipolar disorder may experience a manic or mixed episode. Doctors screen for personal or family history before starting treatment.
  • Lexapro may lower blood sodium levels, especially in older adults or individuals taking diuretics. This can cause confusion, headaches, weakness, or even seizures.
  • Lexapro can increase bleeding risk, especially when taken with aspirin, NSAIDs, warfarin, or other blood thinners.
  • Lexapro may affect thinking, coordination, or reaction time. Do not drive or operate machinery until you know how it affects you.
  • Lexapro can trigger angle-closure glaucoma in people with narrow angles. Eye pain, vision changes, or swelling around the eye require urgent care.
  • People with liver problems, kidney problems, a recent heart attack, or unstable heart disease should use Lexapro only with close monitoring.
  • Lexapro can affect sexual desire, function, or performance in both men and women. Consult your doctor if these issues arise.

Boxed Warning and Precautions for Lexapro

Lexapro carries an FDA boxed warning about the increased risk of suicidal thoughts and behaviors in children, adolescents, and young adults under age 25. Doctors must closely monitor patients during the first few months of treatment and whenever the dose is changed. Families and caregivers should watch for sudden mood changes, irritability, or unusual behavior in their loved ones. Patients should follow their treatment plan carefully, attend regular check-ups, and report any concerning symptoms to their healthcare provider right away.

Contraindications

Lexapro contraindications mean there are certain situations when you must not take this medication because it can cause serious harm.

You cannot take Lexapro if you are using prescriptions called MAOIs, which are strong antidepressants.

If you stop an MAOI, you must wait at least 14 days before starting Lexapro, because taking them too close together can cause serotonin syndrome, a dangerous condition where too much serotonin builds up in the brain.

Symptoms may include agitation, confusion, a fast heart rate, or very high blood pressure.

You also must not take Lexapro if you are using medications like linezolid, which is an antibiotic, or methylene blue given through a vein, since these can also raise the risk of serotonin syndrome.

Another Lexapro contraindication is if you are taking pimozide, a drug used for certain mental health conditions, because combining them can cause serious heart problems.

You should avoid Lexapro if you are allergic to escitalopram, citalopram, or any of the inactive ingredients in the medication, as this may cause severe allergic reactions.

Interactions

Lexapro interactions can affect how the drug works in your body and may increase the risk of side effects.

It is important to know which drugs and substances should not be used with Lexapro or require extra caution.

Always talk with your healthcare provider before combining Lexapro with other treatments.

  • Monoamine oxidase inhibitors MAOIs
  • Linezolid
  • Intravenous methylene blue
  • Pimozide
  • Other SSRIs, selective serotonin reuptake inhibitors
  • SNRI (serotonin norepinephrine reuptake inhibitors)
  • Triptans for migraine
  • Tricyclic antidepressants
  • Opioids, including tramadol, fentanyl, meperidine, and methadone
  • Lithium
  • Buspirone
  • Amphetamines
  • Tryptophan supplements
  • St Johns Wort
  • NSAIDs such as ibuprofen or naproxen
  • Aspirin
  • Warfarin and other blood thinners
  • Sumatriptan
  • Carbamazepine
  • Drugs metabolized by CYP2D6, such as desipramine
  • Diuretics

Storage Information

Store Lexapro at room temperature between 20 to 25 degrees Celsius. Store it in a dry, cool place, away from heat and moisture. Make sure to keep Lexapro out of the reach of children.

Alternatives

  • Celexa (citalopram)
  • Zoloft (sertraline)
  • Paxil (paroxetine)
  • Wellbutrin XL (bupropion)
  • Rexulti (brexpiprazole)
  • Nefazodone
  • Norpramin (desipramine)
  • Imipramine
  • Doxepin
  • Pamelor (nortriptyline)
  • Trimipramine
  • Protriptyline
  • Amoxapine
  • Amitriptyline HCl
  • Xanax (alprazolam)
  • Klonopin (clonazepam)
  • Ativan (lorazepam)
  • Valium (diazepam)

Cost & Ordering Information

Buy Lexapro Through Buy Canadian Insulin

Buy Canadian Insulin helps patients access Lexapro through participating pharmacy partners.

Pricing may vary depending on product strength, quantity selected, supplier availability, and participating pharmacy partner pricing policies.

Some patients may find pricing through participating pharmacy partners that differs from certain U.S. retail pharmacy prices.

Available services may include:

  • Pricing options based on quantity selected
  • Prescription processing through participating pharmacy partners
  • Shipping options available across eligible U.S. delivery locations
  • Ordering support through phone, email, or live chat
  • Multiple quantity options depending on prescription authorization and supplier availability

Lexapro requires review and approval by a licensed healthcare professional and pharmacist before dispensing, where applicable.

Prescription Requirements

Lexapro requires a valid prescription from a licensed healthcare provider.

Prescription orders are reviewed and processed through participating pharmacy partners in accordance with applicable pharmacy regulations.

Patients with questions regarding Lexapro, side effects, storage, prescription processing, or medication orders may be able to consult with a licensed pharmacist through participating pharmacy partners when available.

Shipping Information

Shipping timelines may vary depending on prescription review requirements, inventory availability, destination location, and carrier services.

Orders are packaged according to pharmacy handling and shipping procedures.

Tracking information may be available when provided by the carrier.

Pharmacy Fulfillment Information

Some Lexapro prescription orders may be fulfilled through licensed pharmacy partners located in Canada or other international fulfillment locations depending on product availability and pharmacy sourcing arrangements.

Product availability, fulfillment location, pricing, and shipping timelines may vary.

All prescription medications are sourced through licensed pharmacy partners and dispensed in accordance with applicable pharmacy regulations.

Lexapro Discounts and Coupons

Eligible first-time customers may use coupon code FIRST10 during checkout for qualifying orders, subject to current promotional terms and conditions.

Promotional offers may change without notice and may not be combined with other discounts unless otherwise stated.

Ordering Information

Have a prescription?

Patients may explore available Lexapro prescription options through participating pharmacy partners.

Available ordering features may include:

  • Pricing options based on quantity selected
  • Multiple quantity options depending on prescription details
  • Shipping options with tracking availability when provided by the carrier
  • Customer support assistance through phone, email, or live chat
  • Online and phone ordering availability

To submit a prescription, patients may:

  • Upload a copy of their prescription during checkout
  • Email their prescription to info@buycanadianinsulin.com
  • Fax their prescription to 1-888-234-1275

Prescription orders cannot be processed until all required prescription documentation has been received and reviewed.

Customer Support & Business Information

For questions regarding Lexapro prescription processing, product availability, shipping timelines, pharmacist consultations, or account support, contact Buy Canadian Insulin customer support:

Phone: 1-888-525-1815

Fax: 1-888-234-1275

Email: info@buycanadianinsulin.com

Customer Support Hours:

Monday-Friday: 7:00 AM – 10:00 PM CST

Saturday-Sunday: 9:00 AM – 5:00 PM CST

Business Address:

Buy Canadian Insulin

1026 Manitoba Avenue, Suite 1001

Selkirk, MB R1A 4M2

Canada

About Buy Canadian Insulin Services

Buy Canadian Insulin works with participating pharmacy partners to help patients access Lexapro and other prescription medications.

Product availability, pricing, and shipping timelines may vary depending on supplier inventory, participating pharmacy partner availability, prescription requirements, and destination location.

Orders are packaged according to pharmacy handling and shipping procedures.

Patients should continue following healthcare provider instructions while taking Lexapro.

Buy Canadian Insulin’s Guarantee

At Buy Canadian Insulin, your health and safety come first. Every order is checked by licensed doctors and pharmacists to ensure you receive authentic medication.

Ordering a 3-month supply also helps lower your overall Lexapro cost, providing you with peace of mind.

Whether you’re focused on affordable pricing, safe delivery, or trusted service, Buy Canadian Insulin makes buying Lexapro online simple and stress-free.

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Frequently Asked Questions

Lexapro treats depression and generalized anxiety disorder by helping improve mood, and energy.
Lexapro works by increasing serotonin levels in the brain, which helps improve mood and reduce anxiety.
Yes, you can overdose on Lexapro. Taking too much can lead to very high serotonin levels, which may cause serotonin syndrome. Symptoms usually start within a few hours after taking the overdose.
Yes, Lexapro can cause weight gain, especially with long-term use, and the risk may continue for several years.
Lexapro may cause drowsiness, but this side effect often improves over time and does not affect everyone.
Lexapro usually starts improving symptoms within 1–2 weeks, but it can take 4–6 weeks to feel its full benefits.
Yes, you can take Lexapro during pregnancy, as SSRIs are generally considered an option, but it should be done under close medical supervision.
Yes, Lexapro can lower sex drive and may cause difficulties with orgasm or ejaculation.
Yes, you can get Lexapro in Canada through Buy Canadian Insulin at a more affordable price.

Disclaimer

Buy Canadian Insulin provides educational information about medications and health conditions for informational purposes only. This content is not intended to replace professional medical advice, diagnosis, or treatment. Prescription medications require valid prescription review and processing through participating pharmacy partners. Product availability, pricing, and shipping timelines may vary. Consult your healthcare provider or pharmacist before starting, stopping, or changing any medication.

Price Match Guarantee

Price Match Guarantee

We’re dedicated to offering you the best value on every medication. If you discover a lower price on the same product at another verified Canadian online pharmacy, we’ll match it—so you can shop with confidence knowing you’re always getting a fair deal.

Eligibility Criteria

  • The pharmacy must be a licensed Canadian online provider with a verifiable address.
  • The competitor’s price must be active and current (not from past or upcoming promotions).
  • The product must match exactly in strength, pack size, quantity, manufacturer, and country of origin.
  • Requests must be made before completing your order—we cannot adjust prices after purchase.
  • Price matching does not apply to used or expired products.
  • Requests can be submitted via live chat or phone before checkout.

Note: Price matching does not currently apply to Mounjaro®, Ozempic®, or Saxenda®. This policy may be revised in the future.