Escitalopram 20mg

Generic For: Lexapro

Escitalopram 20mg (the generic form of Lexapro) is a selective serotonin reuptake inhibitor (SSRI) used to treat major depressive disorder and generalized anxiety disorder. After a licensed provider reviews your health information and confirms escitalopram is appropriate, your prescription ships discreetly from a licensed U.S. pharmacy.

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Buy Escitalopram 20mg Online (Generic Lexapro)

An SSRI antidepressant for major depressive disorder and generalized anxiety disorder

Escitalopram 20mg Quick Facts

Drug classSelective serotonin reuptake inhibitor (SSRI)
TreatsDepression (MDD), generalized anxiety disorder (GAD)
FormTablet
Typical dosingTake 1 tablet by mouth daily.
Prescription requiredYes — prescription only

What Is Escitalopram 20mg?

Escitalopram is a prescription antidepressant in the SSRI class and is the generic version of Lexapro. It works by increasing the availability of serotonin, a chemical messenger in the brain involved in mood and anxiety regulation. It is FDA-approved to treat major depressive disorder and generalized anxiety disorder. Escitalopram is taken once daily as a tablet, and it may take several weeks to feel its full effect.

What Does Escitalopram 20mg Treat?

Major depressive disorder (adults)
Major depressive disorder (adolescents 12–17 years)
Generalized anxiety disorder (adults)
Generalized anxiety disorder (pediatric patients 7 years and older)

Escitalopram 20mg Dosage

MDD (adults): 10 mg by mouth once daily; may increase to 20 mg once daily after at least 1 week.
GAD (adults): 10 mg by mouth once daily; may increase to 20 mg once daily after at least 1 week.
Maximum recommended dose: 20 mg once daily.

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Escitalopram 20mg Side Effects

Common side effects

  • Nausea
  • Insomnia
  • Drowsiness or fatigue
  • Increased sweating
  • Dry mouth
  • Dizziness
  • Sexual side effects (decreased libido, delayed ejaculation)
  • Headache

Serious side effects

Stop taking this medication and seek medical attention right away if you experience:

  • Worsening depression or suicidal thoughts, especially in young adults
  • Serotonin syndrome (agitation, rapid heartbeat, fever, muscle rigidity)
  • Abnormal bleeding or easy bruising
  • Low sodium levels (hyponatremia): confusion, weakness, unsteadiness
  • Seizures
  • Manic episodes (unusually elevated mood, racing thoughts)

Warnings & Interactions

Boxed warning: increased risk of suicidal thoughts and behaviors in children, adolescents, and young adults
Do not use with or within 14 days of MAO inhibitors
Do not use with pimozide
Risk of serotonin syndrome with triptans, tramadol, other serotonergic drugs, or St. John's wort
Increased bleeding risk with NSAIDs, aspirin, or blood thinners
May cause QT prolongation; use caution with heart rhythm conditions
Do not stop abruptly — taper gradually to avoid discontinuation symptoms

Tell your prescriber about all medications, supplements, and health conditions before starting escitalopram 20mg.

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Frequently Asked Questions

Is escitalopram the same as Lexapro?

Yes. Escitalopram is the generic name for the brand-name medication Lexapro. Both contain the same active ingredient and are FDA-approved to treat the same conditions.

What is escitalopram used for?

Escitalopram is FDA-approved to treat major depressive disorder and generalized anxiety disorder. Your provider may determine whether it is appropriate for your specific situation.

Do I need a prescription for escitalopram?

Yes. Escitalopram is a prescription-only medication in the U.S. A licensed provider must review your health history and issue a valid prescription before it can be dispensed.

How long does escitalopram take to work?

Some people notice improvement in sleep, energy, or appetite within 1–2 weeks, but the full effect on mood and anxiety may take 4–6 weeks or longer. Continue taking it as prescribed and follow up with your provider.

How does ordering and shipping work?

After you complete your order and health questionnaire, a licensed provider reviews your information. If escitalopram is appropriate, your prescription is filled and shipped from a licensed U.S. pharmacy in discreet packaging.

Can I stop taking escitalopram suddenly?

No. Stopping abruptly can cause discontinuation symptoms such as dizziness, irritability, and sleep disturbances. Talk to your provider about gradually tapering your dose.

What are the most common side effects of escitalopram?

Common side effects include nausea, insomnia, drowsiness, dry mouth, increased sweating, and sexual side effects. Many are mild and improve over time, but contact your provider if they persist or worsen.