I'm on 20mg of lexapro (escitalopram) and its not working can i move up to thirty? would it change much or hurt anything

Yes.: However you should consult with your psychiatrist or pcp to rule out possile reason for your lack of response to Lexapro (escitalopram) 20. Then increasing dose may be contemplated.

No: It would probably not change much. Combination of antidepressants, switching to another agent or augmentation with other psych meds, along with psychotherapy should also be considered. Talk with your psychiatrist.

Speak with your md: Any change in medication dose or frequency should be made by the prescribing physician and not by the patient. There are many factors to take into consideration. I would recommend that you speak with your physician for recommendations regarding any dose/frequency changes.