If Lexapro (escitalopram) 10 is not working for severe depression/anxiety after 3 weeks is it best to increase dose to 20mg or change the antidepressant?

Stop alcohol! Lexapro (escitalopram) may require at least 4-6 weeks for effectiveness -- and if you're still drinking 8-14 alcoholic drinks a week, you need to stop. You may not want to hear this, though. However. Alcohol can be a depressant in itself, and also reduce the effectiveness of lexapro (escitalopram). The combination of the two is not in your best interest if you want to recover. Please discuss with your psychiatrist.
This is an issue. That you will need to work through with your prescribing medical provider. Medications in this class often require 4 to 6 weeks to reach an effective blood level. You haven't had a long enough trial to say that the medication wasn't effective. By the way - alcohol use is contraindicated with Lexapro (escitalopram) and other ssri's. Take care.

Related Questions

On Lexapro (escitalopram) 20 4 severe depression/anxiety, just added buspirone increase by 5mg evry 3 days, on first day of 15mg and started having more anxiety, why?

Drug interaction. Taking Lexapro (escitalopram) at 20mgs daily is a standard dose. However, adding Buspirone onto that may be causing side effects. In addition, if you are drinking alcohol daily, that may very well be adding to the problem. Please discuss all of this with your treating physician, and work to decrease your alcohol intake. Read more...

I was prescribed with Lexapro (escitalopram) 10 for severe depression/anxiety, can it also help me with restless legs syndrome since I really feel it's associated?

Possibly. Lexapro (escitalopram) might indirectly help your restless legs by helping with more restful sleep but Mirapex and requip, dopaminergic drugs are actually indicated to treat restless legs. You should talk to your doctor if you continue to have problems about other treatments and testing. Iron deficiency can also be associated with restless legs. Read more...
RLS. Good question. Actually, Lexapro (escitalopram) and other selective serotonin reuptake inhibitors (ssris) may induce or exacerbate restless legs syndrome (rls) in some people. If you are experiencing possible rls, please consult with a sleep medicine specialist and the doctor that prescribed your lexapro, (escitalopram) so they are aware of it. Avoid caffeine esp. Near bedtime. Hope that helps answer your question! Read more...

Does the antidepressant Lexapro (escitalopram) help GAD and major depression range change my remeron to something that will also help with aniexty?

Health Tap. I am sorry to balk at this repeated question. It is severely inappropriate to get mental health treatment advice from a stranger on the internet. Even in my practice I will not treat mental health problems by email. Mental Health treatment must be done in person. Your question is only appropriate for you and your physician to answer. The physician who knows you and cares for you. Read more...

I have taken 60 mg of adderall, like I do each morning, and am very sleepy, listless, apathetic. Whats going on please? I suffer from severe depression and anxiety. Taken antidepressants, anxiety and almost every other type of drug for 20 yrs. For 2 yrs.

Any . Any stimulant medications have potential side effects including mood disturbances. Some people report elated mood or irritability. Other people report exacerbation of suicidal ideations along with depressed mood. In worse case it can cause paranoia or other psychotic symptoms which can contribute to aggressive or dangerous behaviors. In any case, it has to be closely monitored and if there are changes in mood, the medication needs to be changed to avoid worsening of side effects. Read more...
If . If the dose of 60 mg of Adderall (dextroamphetamine and racemic amphetamine) was too high for you it could lead to personality changes, irritability or insomnia. There are different types of depression. If an individual has bi-polar depression with periods of elevated mood and energy as well as periods of lower energy and mood, stimulation from the Adderall (dextroamphetamine and racemic amphetamine) might trigger a period of elation, decreased sleep, irritability and higher energy level. If Adderall (dextroamphetamine and racemic amphetamine) is abruptly stopped or there is a major dosage drop over a short period of time it might lead to depression and very low energy levels. Has a mood stabilizer been tried? Read more...

Besides helping with lack of orgasm what are other benefits of adding Buspar (buspirone) to my Lexapro 10 for my severe depression/anxiety/phobias? Pls elaborate

Perhaps anxiety. Buspar (buspirone) came out in the 1980's and was suppose to be the "replacement" for benzodiazepines! it was very disappointing to say the least. In my experience it helped perhaps 1/3 of the time. As far as counteracting sexual se's of ssri's, about the same results. A greater concern is developing a serotonergic syndrome albeit only at high doses of both. Caution other meds working via serotonin migraine. Read more...
I have added in. Wellbutrin for sexual side effects of ssri's - but i haven't used Buspar (buspirone) for that reason. I do think that Buspar (buspirone) is an excellent medication- especially when used as an adjunct. It works well for anxiety related disorders. Read more...