What is an alternative to lexapro (escitalopram) 50 mg?

Depends on why: Lexapro (escitalopram) is an SSRI and there are countless other meds in this group of drugs that can help. Sometimes what works for one person or at one time does not help someone else. However, others in the group of meds may be very effective. There are also other classes of antidepressants that you can discuss with your doctor. However, most important is knowing the reasons that you want to switch.