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A 38-year-old member asked:

is it safe to drink alcohol on lexapro (escitalopram)?

2 doctor answers8 doctors weighed in
Dr. Steven Reidbord
Psychiatry 36 years experience
Not advised: Drinking on an ssri antidepressant can make depression or anxiety persist ("fighting" the treatment). It increases seizure risk. Can make alcohol feel stronger, impairing driving and similar activities more than expected. The standard rule: avoid all alcohol. That said, people use ssris for months or years; some use alcohol occasionally in small amts and are ok. Weigh the risks.
Dr. Alan Ali
Dr. Alan Alianswered
Psychiatry 32 years experience
Alcohol/AD's.: I would not recommend alcohol with any antidepressants.

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A 39-year-old member asked:

Is it safe to drink alcohol while taking lexapro (escitalopram)?

2 doctor answers4 doctors weighed in
Dr. Jane Steiner
Psychiatry 43 years experience
Yes, but...: You may feel like you have had more to drink than you have really had. Use caution, drink slowly, and monitor how you feel before taking your next sip. Assume you can only drink about half as much as you could before being on any psychiatric medication. And if you are just starting the medication and your body is just getting used to it, it may be better not to drink at all.
Menifee, CA
A 33-year-old female asked:

Took one 5mg Lexapro (escitalopram) on Monday night and then decided not to take again. Is it safe to drink alcohol tonight approx 96 hours later? No other meds.

2 doctor answers4 doctors weighed in
Dr. Marcie Berman
Clinical Psychology 39 years experience
Don't stop like that: It strikes me that drinking is less of a concern related to your medicine than it is regarding your anxiety. Alcohol can be tricky to predict if you are not feeling well emotionally, so I would consider that. Since you were only taking your Lexapro (escitalopram) for one day, you probably did not have a bad reaction. But for the future, stopping antidepressants suddenly can make you feel terrible. Be careful
Dr. Frank Lane
Dr. Frank Lane commented
Psychiatry 39 years experience
To take a medication like Lexapro ONE night does not give you much useful data. But, if you suffer from anxiety, depression or both, a medicine like Lexapro is more likely to benefit you over the long run, than ethanol. Alcohol depresses the central nervous system and tends to make depressions worse. Since even small doses relax inhibitory pathways, making poor impulse control more likely! Beware!
Jun 6, 2014

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