Is 20mg lexapro (escitalopram) and 10mg elavil safe for g a d?

Caution: While the 10 mg dose of Elavil is low, combining with Lexapro (escitalopram) increases the risk for serotonin syndrome and irregular heart rhythm. Also you are taking two antidepressants. If Lexapro (escitalopram) is not working, discuss with prescribing doctor to consider trying Elavil alone or another class of antidepressant. Be sure you have careful medical supervision while on these meds. I hope this helps.