Doctor insights on:
Lexapro Mg Dosage
Lexapro (escitalopram) dose for OCD: lexapro, (escitalopram) an SSRI, is used to treat several anxiety disorders. sounds like ur doc has prescribed it for OCD (obesesive compulsive d/o),for which it is FDA approved. OCD may require hier doses of medication. However, every patient is different. There is no one best dose for every pt. The best dose for u, is the dose that u & ur doc find most effective with the fewest side effects. ...Read more
I am down to 5mg of lexapro (escitalopram). How should I quit from this dosage? I was on 20mg and have been cutting back for weeks.
I use to be on 30 mg of lexapro, (escitalopram) went down to 10 mg, but going back up again to 20 mg is harsher even when i slowly increase it by half dosages. What gives and what can I do to make it easier?
Depends: That depends on what the side effects are. If you have GI upset- consider taking probiotics or take it with food. If you have insomnia - then take it in am. If you are experiencing medication related anxiety - then consider adding in deep breathing exercized. Please let your doctor know. Blood levels may be higher the second time around. ...Read more
NOT USUALLY: Not usually. The change in dose should have the same side effects and may be transient. Not typically new side effects. ...Read more
yes BUT DO NOT UNDER ANY CIRCUMSTANCES INCREASE THE DOSE ON YOUR OWN...Ask the prescribing HEALTH PROFESSIONAL if a raise in dosage OR/AND another medication is the next "step"!
Hope this helps
Dr Z ...Read more
Is it normal for anxiety to increase when upping the dosage of lexapro (escitalopram)? If so, how long could that last?
Yes: This is a common reaction and the duration should not be too long (perhaps a few weeks at most - hopefully less) but each person is different. If otherwise you are pleased w/ the effects, try to bear it. If it's too bad or too long - ask for alternatives. Don't just stop! Work closely during this stage and consider adding CBT therapy to optimize the benefits! ...Read more
I take Lexapro (escitalopram) 20 1x a day along with ativan 1mg a day. Can i stop by immediately or do I need to gradually reduce dosage before stopping?
Under physician care: Never stop an antidepressant without the blessings of your prescribing doctor. Lorazepam if taken for more than 2 months should be tapered down to 05 mg a day for 2-4 weeks before it is stopped. Stopping an antidepressant for depression: if you've had one episode risk for recurrence is 50% over 15 years, 2 episodes and risk is 70 %, 3 episodes in 90% risk of relapse, at which point most stay on. ...Read more
Having severe gad. Taking 10mg of lexapro (escitalopram) 4 a couple months. Not helping, should I switch medication or increase dosage with dr approval, of course?
CBT Therapy: All research agrees that therapy optimizes the effects of medication. For some it allows you to cut dosage or stop earlier. Do discuss this all w/ your Dr (very wise of you!) but I see little reason to think that a higher dose will impact severe GAD w/o Tx. You need to learn skills to avoid, reduce and manage anxiety. Best! ...Read more
Has anyone noticed a big difference in increasing Lexapro (escitalopram) dosage to control anxiety?
Maybe, maybe nothing: Some people use a daily dose of as high as 30mg/day to have adequate response. With higher dose, you may experience some nausea/jitteriness, headaches, somnolence, irritabilty, cramping/diarrhea etc...Or you may not have any at all. If it is recommended by your doc to do so, follow your doc advice. I would not do it if u were not advised such. Consult doc. Good luck. ...Read more
Will only 5mg Lexapro (escitalopram) or 10m cipmramil help for mild anxiety and negative thoughts? I feel this dosage is already helping.
Yes: Your dose and the effect it has on an you is unique i the sense that your response may be different from everyone else's. Continue to consult with your doctor who will help find teh proper dose for you. ...Read more
How immediate might drug allergies present after beginning dosage? (eg. Lexapro (escitalopram) 5mg daily)
My neurologist upped my Lexapro (escitalopram) from 10mg to 20mg due to me being a big guy. Does weight factor in dosage consideration?
Yes: Weight is one consideration when thinking of dosage. Best wishes. ...Read more
How do I know if Lexapro (escitalopram) is working? Been 6 weeks now. Should i generally just feel "happier" or just "not depressed/anxious"? Whats the highest dosage?
Feel like yourself: As with any antidepressant, goal isn't just to make your feel "not depressed/anxious" but rather to make you feel as good as you should (clinically, we're trying to help you achieve euthymia). Think of response (50% better), remission (all better) & recovery (remission x 6mo). Relapse occurs between remission & recovery while recurrence (hopefully never) comes after recovery. http://goo.gl/xkifby. ...Read more
I have been having severe anxiety for about 12 hours and ikeep puking. Also, i'm in the process of increasing the dosage of lexapro (escitalopram). Is there any correlation between the two?
Lexapro (escitalopram): Possible if u have been on it for short time. Please call your prescribing doctor for advice. ...Read more
I can't get an erection anymore and my libido is gone. I started lexapro at this time and doubled my geodon (ziprasidone) dosage to 120 mg. could it be both or one?
1st day upping dosage on Lexapro (escitalopram) and have thrown up, had racing heart, and mood changes. Would upping dosage cause this?
Possibly: Those are severe symptoms you are describing there and not very common with patients going through Lexapro (escitalopram) dosage changes although more mild versions of those side effects are seen more typically. As always, if you are having severe symptoms any kind consider getting checked out in a emergency department as it is not always clear what is going on! ...Read more
Was switched from 20mgs of Lexapro (escitalopram) to 50 mg of zoloft. Pretty sure doc made a mistake on dosage. Terrible withdrawl for 6 days. Stick out or go back?
Had no libido when on 10mg of lexapro (escitalopram). Doc recently upped dosage to 20mg due to brain fog rearing its ugly head again. Libido back. Make any sense?
Yes, makes sense: Yes, feeling better when your Lexapro (escitalopram) dose was raised makes sense -- your symptoms of brain fog and lack of libido could have been from depression, which Lexapro (escitalopram) helps to treat. This goes to show that when prescribed in the right way for the right people, Lexapro (escitalopram) can be helpful -- and isn't all bad! glad you're feeling better. You can carry this even further with psychotherapy. Be well. ...Read more
Since lexapro dosage has been increased, I've had increased anxiety, feeling overall horrible, and eye twitching. Could it be serotonin syndrome?
Maybe, but: it sounds like side effects of the medication if everything else has been eliminated. Make an appointment with your prescribing MD right away. If you can't do that, go to an Urgent Care facility, and as a last resort, leave a message with your MD telling him/her your symptoms and ask that s/he leave you voice mail instructions in the interim. ...Read more
Lexapro (escitalopram): Lexapro (escitalopram) is dosed as 10-20 mg. Daily, and can be lowered to 5mg. In kids or elderly. Few exceptions exist if it is determined by your doctor that response is only partial after sufficient time and no side effects, where higher dose is tried, usually up to 30mg. ...Read more
Is it ok to split Lexapro (escitalopram) 10 mg in two and take it as a morning and an evenig dose?
Lexapro (escitalopram): Yes. Of course. But the pill lasts more than 24 hours once one is on the medication for awhile. The daily dosing is to keep the blood level steady once it achieves a therapeutic level. ...Read more
Dr increased my lexapro from 10 to 20mg, is it possible to experience side effects again until my body adjusts to higher dose?
Yes: Any time the Lexapro is increased your body has to get used to the new dosage again. Biggest side effects from a dose change are stomach upset (nausea, diarrhea typically), dizziness, headaches. It should improve in 3-5 days. If it doesn't, see your doctor because you just may not tolerate that dose. ...Read more
Took 5mg lexapro (escitalopram) for 3 weeks, Dr upped dose to 10mg a week ago. Should I wait 4-6 weeks on the 10mg to see results or is it 4-6 wks altogether?
Ask the Dr: But you can also ask yourself. If at 6 wks you are not liking what you see, going longer only increases the length of time to taper off. If you are pretty pleased but hope for more, you might wait another week or so - but not if you're not happy. Discuss this sort of thing w/ Dr and in therapy. Best! ...Read more
Is 20mg of lexapro (escitalopram) a huge dose? I'm a pretty big guy, 6'2 185lbs. I've been on it for a few weeks, but worried will be hard to get off down the line.
No, it is : Not a very large dose, but it is the max dose for daily dose. It is still a very common dose used for patient. Therefore, you should be fine. ...Read more
I'm taking 5mg of Lexapro (escitalopram) for one week. I will increase my dose to 10mg after that. How long does it take for Lexapro (escitalopram) to take full effect?
4-6 weks: Usually it takes about 4-6 wks for antidepressant to exert full effect. Some may few imptovement in about 2 wks but often takes longer to maximally benefit from it. By 4-6 wks if u don't feel any improvement, talk to your doc for possible add of med and/or change of therapy. Lexapro (escitalopram) is a good med, but does not work for everyone. Best of luck to you. ...Read more