If you’ve been prescribed escitalopram, you’re probably looking for clear guidance on how to stay safe while taking it. This SSRI (selective serotonin reuptake inhibitor) is used for depression and anxiety, but like any medication, it comes with potential risks. Below you’ll find straightforward advice on dosing, side effects, interactions, and special situations you should watch out for.
Start low and go slow. Most doctors begin with 10 mg once daily, especially for new patients. If you tolerate it well, the dose may be increased to 20 mg after a week or two. Never jump to the higher dose on your own – it can increase the chance of side effects without giving you extra benefit.
Take the pill at the same time each day, preferably in the morning or evening based on how it affects your sleep. If you miss a dose, take it as soon as you remember, unless it’s almost time for the next dose; then just skip the missed one. Double‑dosing is not a good idea.
Most people feel mild side effects in the first two weeks. The usual suspects are:
These often fade as your body adjusts. If they linger beyond two weeks or become severe, call your doctor. Serious red‑flag symptoms include:
Any of these need immediate medical attention.
Escitalopram can interact with a number of other medicines. Tell your provider about every prescription, over‑the‑counter drug, and supplement you take. Pay special attention to:
If you need to start or stop any of these, your doctor may adjust the escitalopram dose or monitor you more closely.
Pregnancy and breastfeeding: Escitalopram is considered relatively safe, but it still crosses the placenta and can appear in breast milk. Discuss the risks and benefits with your OB‑GYN before staying on it.
Elderly patients often need a lower starting dose, like 5 mg, because their bodies process drugs more slowly. Watch for increased dizziness or falls.
People under 18 should only use escitalopram if a pediatric psychiatrist prescribes it, as the safety profile differs from adults.
Regular check‑ins with your doctor are key. Expect a follow‑up visit after the first two weeks, then again at one month, and periodically thereafter. During these visits, your provider will assess:
Blood tests are not usually required, but they may be ordered if you’re on other medications that affect liver enzymes.
Never quit escitalopram abruptly. A tapering schedule reduces withdrawal symptoms like “brain zaps,” irritability, or flu‑like feelings. Your doctor will give you a step‑down plan – often decreasing the dose by 5 mg every two weeks.
If you experience severe side effects or feel the medication isn’t helping, talk to your provider before making any changes. They can switch you to another antidepressant or add a short‑term coping strategy.
Bottom line: escitalopram can be a powerful tool for managing depression and anxiety, but its safety depends on proper dosing, awareness of side effects, and ongoing communication with your healthcare team. Keep these tips handy, stay observant, and don’t hesitate to reach out to your doctor whenever something feels off.