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Antidepressants

Escitalopram

Also sold as: Cipralex, Lexapro

Prescription neededAntidepressants
Comes as:Tablet

Usual adult dose

Usual adult dose: 10 mg once a day. The doctor may change it to between 5 mg and 20 mg a day; people over 65 usually take no more than 10 mg. It can take 2 to 4 weeks to work; do not stop it suddenly.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • nausea
  • headache
  • sweating
  • tiredness
  • trouble sleeping
  • sexual problems

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • thoughts of suicide or self-harm
  • fast or irregular heartbeat or fainting

Do not take it, or take care, if

  • Taking an MAO inhibitor antidepressant
  • Heart rhythm problems (long QT)
  • Epilepsy (use with caution)
  • Young people under 25 (watch closely for suicidal thoughts)
  • Pregnancy and breastfeeding (ask your doctor)

Interactions

Medicines that can react with this one.

Serious2 medicinesDo not take these together unless your doctor says so.
  • Amiodarone

    Both can prolong the QT interval and cause dangerous heart rhythms.

  • Tramadol

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category C

A risk to the baby cannot be ruled out. Use only if your doctor says the benefit is greater than the risk.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

fever with stiff muscles and confusion
  • seizures
  • Together they raise the risk of serotonin syndrome and seizures.

    Moderate2 medicinesTake together only with care. Ask your doctor or pharmacist.
    • Sumatriptan

      The combination can rarely cause serotonin syndrome.

    • Warfarin

      Escitalopram can increase the bleeding risk with warfarin.

    Sertraline
  • Citalopram
  • Fluoxetine
  • Paroxetine
  • Check with my other medicines

    Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.