A 51-year-old female asked:
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if lexapro (escitalopram) 10 is not working for severe depression/anxiety after 3 weeks is it best to increase dose to 20mg or change the antidepressant?

1 doctor answer
Dr. Heidi Fowler
24 years experience Psychiatry
This is an issue: That you will need to work through with your prescribing medical provider. Medications in this class often require 4 to 6 weeks to reach an effective blood level. You haven't had a long enough trial to say that the medication wasn't effective. By the way - alcohol use is contraindicated with Lexapro (escitalopram) and other ssri's. Take care.
Answered on Jun 27, 2014
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