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Lexapro® Tablets for Depression and Anxiety
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Escitalopram is a selective serotonin reuptake inhibitor for major depression and generalized anxiety. This page explains how the treatment works, who it suits, and how to use it safely. It also outlines access and pricing options, with US delivery from Canada and Escitalopram price without insurance information to help plan your care.
What Lexapro Is and How It Works
Lexapro® (escitalopram) is an SSRI that increases serotonin activity in the brain. By selectively blocking serotonin reuptake, it can improve mood, reduce anxiety, and help normalize sleep and energy. Effects build gradually with regular daily dosing. YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.
Escitalopram is approved for major depressive disorder and generalized anxiety disorder in adults. It may also be continued to help maintain response once symptoms improve. Always follow your prescriber’s directions and the official label.
Who It’s For
This medicine is used in adults with diagnosed depression or generalized anxiety disorder. It may be considered in adolescents for depression when prescribed and monitored, per local labeling. People with uncontrolled epilepsy, a history of serotonin syndrome, or known allergy to the drug should avoid it. Those with bipolar disorder require careful evaluation because antidepressants can precipitate mania.
Use caution if you have heart rhythm problems, severe liver disease, narrow-angle glaucoma, or low sodium risk. Tell your clinician about pregnancy, breastfeeding, and all medicines and supplements you take.
Learn more about related conditions: Mental Health, Depression, and Generalized Anxiety Disorder.
Dosage and Usage
This treatment is taken once daily at the same time each day. Swallow tablets whole with water. You can take it with or without food. If stomach upset occurs, taking it with a snack may help. Do not chew or crush the tablets. It may take time for benefits to emerge; stay consistent unless your prescriber advises a change.
Do not stop suddenly without medical guidance, as discontinuation symptoms can occur. If you miss doses often, set reminders or use a pill organizer. Review the package insert for full directions and consult your prescriber for personalized advice.
Strengths and Forms
Film-coated tablets in commonly available strengths include 5 mg, 10 mg, and 20 mg. Availability and manufacturers may vary by country and by lot.
Missed Dose and Timing
If you miss a dose, take it when you remember the same day. If it is close to the next dose, skip the missed tablet and resume your regular schedule. Do not take two doses at once to catch up.
Storage and Travel Basics
Store tablets at room temperature in a dry place, away from excess heat and moisture. Keep the container closed tightly and out of reach of children and pets. Do not store in the bathroom. For travel, keep tablets in the original labeled bottle. Pack enough for the trip plus a few extra days, and carry a copy of your prescription. If crossing borders, keep medicines in your carry-on along with documentation.
Benefits
This SSRI can reduce persistent sadness, worry, and associated physical symptoms. Once-daily dosing supports adherence. The medicine can be used long term when clinically appropriate, which may help maintain response and reduce relapse likelihood. Many patients find it convenient to take with or without food.
Side Effects and Safety
- Nausea or upset stomach
- Trouble sleeping or sleepiness
- Dry mouth
- Headache
- Increased sweating
- Sexual side effects
Most effects are mild and may ease with time. Serious risks include serotonin syndrome, especially with other serotonergic drugs; bleeding risk with NSAIDs, aspirin, or anticoagulants; low sodium; angle-closure glaucoma; and mood changes, including suicidal thoughts in young adults. Escitalopram should be used carefully in those with seizure disorders or significant liver impairment. Seek urgent help for severe agitation, rigid muscles, high fever, confusion, fainting, or new or worsening mood symptoms.
Drug Interactions and Cautions
Do not take with MAO inhibitors, including linezolid or IV methylene blue. Avoid combining with other serotonergic agents unless closely supervised. Use caution with NSAIDs, warfarin, or other anticoagulants due to bleeding risk. Certain medicines that affect heart rhythm may require additional monitoring. Strong CYP2C19 or CYP3A4 inhibitors and inducers can alter levels. Alcohol may worsen drowsiness or impair judgment. Tell your healthcare professional about all medicines, vitamins, and herbal supplements you use.
What to Expect Over Time
Improvements often emerge gradually with steady daily use. Sleep and appetite patterns may change first, followed by mood and energy. Keep regular follow-ups so your prescriber can assess response and tolerability. If side effects occur, many are manageable with timing adjustments or supportive measures. Staying on a consistent schedule and not missing doses can support the best outcome.
Compare With Alternatives
Other approved antidepressants may fit different needs. SSRIs such as Sertraline and Fluoxetine are common options. Some people may be candidates for SNRIs or other classes based on symptoms, prior response, and side-effect profiles. Discuss goals, medical history, and potential interactions with your prescriber when choosing among therapies.
Pricing and Access
We offer Canadian pricing with US delivery from Canada for prescription fills. Review current options on the product page to see availability by manufacturer. For budget planning, you can compare Escitalopram price alongside similar treatments on our site. If you prefer to pay cash, you may also review Escitalopram cash price details before ordering. Visit our Promotions page for current offers that may apply to eligible orders. Encrypted checkout helps protect your information during purchase.
Availability and Substitutions
Supply can vary. If a specific pack or maker is unavailable, your prescriber may recommend a suitable alternative. Our pharmacists can coordinate with your clinic when a clinically appropriate substitution is needed. You can access our Escitalopram online pharmacy listing to review options and submit your prescription.
Patient Suitability and Cost-Saving Tips
This treatment may suit adults seeking once-daily therapy for depression or generalized anxiety. It may not be a fit if you use MAOIs, have uncontrolled seizures, or have certain heart rhythm issues. To save on out-of-pocket costs, ask your prescriber about multi-month fills when appropriate, and set refill reminders to avoid gaps. If you plan to Escitalopram pay out of pocket, consider comparing different manufacturers on our product page to see available pack sizes.
Questions to Ask Your Clinician
- Goals of therapy: which symptoms should improve first
- Duration: how long to continue after you feel better
- Side effects: what to watch for and when to call
- Interactions: which medicines or supplements to avoid
- Monitoring: any labs or follow-ups needed
- Switching: how to change safely if needed
Authoritative Sources
- FDA DailyMed: Escitalopram Tablets Prescribing Information
- Health Canada Drug Product Database
- Lexapro Prescribing Information (Manufacturer)
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How long does escitalopram take to work?
Response develops gradually with daily use. Some people notice changes in sleep, appetite, or energy first. Mood and anxiety symptoms may follow as treatment continues. Because timing varies, clinicians typically reassess after several weeks to judge benefit and tolerability. Stick with the once-daily schedule unless your prescriber advises changes, and read the patient information leaflet for guidance.
Can I drink alcohol while taking this medicine?
Alcohol can increase drowsiness and impair coordination, which may intensify with antidepressants. If you use alcohol, discuss frequency and amount with your prescriber. Avoid activities requiring full alertness until you know how the combination affects you. Many people choose to limit or avoid alcohol during early treatment to reduce unwanted effects.
What should I do if I miss a dose?
Take the missed dose the same day when you remember. If it is nearly time for the next dose, skip the missed tablet and resume your usual schedule. Do not double up to make up for a missed tablet. If you miss doses often, consider setting phone reminders or using a pill organizer to support consistent use.
Is it safe to stop suddenly once I feel better?
Stopping abruptly can lead to discontinuation symptoms such as dizziness, irritability, or sleep problems. Your clinician may suggest a gradual dose reduction to limit these effects. Do not change your regimen without guidance. If you experience withdrawal-like symptoms, contact your prescriber for advice on next steps based on your treatment plan.
Are there medicines I should avoid while on treatment?
Do not combine with MAO inhibitors, including linezolid or IV methylene blue. Use caution with other serotonergic medicines such as certain migraine treatments, tramadol, or St. John’s wort. NSAIDs, aspirin, and anticoagulants can increase bleeding risk. Always share a complete list of medicines and supplements so your healthcare professional can check for interactions.
What side effects are most common?
Common effects include nausea, headache, dry mouth, increased sweating, and changes in sleep. Sexual side effects can occur. Many reactions are mild and may improve over time. Serious but less common risks include serotonin syndrome, low sodium, and mood changes. Seek help for severe or worsening symptoms, and review the patient leaflet for full safety details.
Can I use this during pregnancy or while breastfeeding?
Decisions are individualized. Potential benefits must be weighed against risks such as neonatal adaptation symptoms if exposed late in pregnancy. Breastfeeding data suggest low infant exposure, but monitoring is prudent. Discuss family planning, pregnancy, or feeding goals with your prescriber so you can choose the safest approach for your situation.

