What it is used for
- Depression
- Generalised anxiety disorder
- Panic disorder
- Social anxiety disorder
- Obsessive-compulsive disorder (OCD)
How it works
Escitalopram boosts serotonin activity in the brain by blocking its reuptake into nerve cells. Over a few weeks this is thought to help stabilise mood and reduce anxiety.
How it is taken
Usually available as tablets and as oral drops/liquid. It is taken by mouth, normally once a day. Take it exactly as your doctor or pharmacist directs and follow the label; do not change the dose or stop on your own.
No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.
Common side effects
- Nausea
- Headache
- Trouble sleeping or drowsiness
- Dry mouth
- Increased sweating
- Dizziness
- Sexual difficulties
- Tiredness
- Reduced appetite
Serious effects — get help
- New or worsening suicidal thoughts, especially early on (seek urgent help)
- Heart-rhythm changes (palpitations, fainting)
- Serotonin syndrome: agitation, fever, muscle twitching, confusion
- Severe allergic reaction
- Unusual bleeding
- Seizures
- Signs of low sodium: confusion, weakness
If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.
Interactions to watch
- MAOI antidepressants (must not be combined)
- Other serotonin-raising medicines (triptans, tramadol, St John's Wort, other antidepressants)
- Medicines that affect heart rhythm
- Blood thinners, aspirin and NSAIDs (bleeding risk)
- Alcohol
Who should take care
- Tell your clinician if you are pregnant, planning pregnancy or breastfeeding
- Use with caution with heart-rhythm problems, liver or kidney issues, epilepsy or bleeding disorders
- Closer monitoring may be needed for people under 25
- Do not stop suddenly; taper under medical guidance