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What Is Escitalopram?

Escitalopram is a prescription selective serotonin reuptake inhibitor. It treats major depressive disorder in adults and patients age 12 and older and generalized anxiety disorder in adults and patients age 7 and older. Tablets come in 5 mg, 10 mg, and 20 mg strengths.

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What Is Escitalopram?

Escitalopram is a prescription selective serotonin reuptake inhibitor. It treats major depressive disorder in adults and patients age 12 and older and generalized anxiety disorder in adults and patients age 7 and older. Tablets come in 5 mg, 10 mg, and 20 mg strengths.

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How Does Escitalopram Affect Serotonin?

The antidepressant and anxiety-related mechanism of escitalopram is linked to inhibition of neuronal serotonin reuptake in the central nervous system. This increases serotonergic activity. Escitalopram has little or no direct affinity for several other receptor types compared with its serotonin transporter activity.

Who Is Treated With Escitalopram?

Escitalopram is approved for major depressive disorder in adults and pediatric patients age 12 and older. It is also approved for generalized anxiety disorder in adults and pediatric patients age 7 and older. Patients are screened for bipolar disorder, mania, or hypomania before antidepressant treatment begins.

How Are Escitalopram Tablets Dosed?

Adults with major depressive disorder or generalized anxiety disorder start at 10 mg once daily and can increase to 20 mg once daily after at least one week. Pediatric patients also start at 10 mg once daily, with longer minimum intervals before dose increases. Tablets are taken once daily with or without food.

What Serious Risks Are Linked to Escitalopram?

Escitalopram carries a boxed warning for suicidal thoughts and behaviors in pediatric and young adult patients taking antidepressants. Other serious concerns include serotonin syndrome, discontinuation reactions, seizures, mania or hypomania, low sodium, increased bleeding risk, angle-closure glaucoma, impaired cognitive or motor performance, and sexual dysfunction.

Frequently Asked Questions About Escitalopram

Is escitalopram an SSRI?

Yes. Escitalopram is a selective serotonin reuptake inhibitor.

What conditions does escitalopram treat?

It treats major depressive disorder from age 12 and generalized anxiety disorder from age 7.

What is the usual starting dose?

Adults and eligible pediatric patients commonly start at 10 mg once daily.

Can escitalopram be stopped suddenly?

No. Gradual dose reduction is recommended when possible to reduce discontinuation symptoms.

References

DailyMed - ESCITALOPRAM (escitalopram oxalate) tablet, film coated. https://www.dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=d5fbc8ce-bd41-4bd0-b413-0dea97e596c3. Date Accessed September 30, 2026.

Escitalopram. MedlinePlus. https://medlineplus.gov/druginfo/meds/a603005.html. Date Accessed September 30, 2026.

Escitalopram. PubChem. https://pubchem.ncbi.nlm.nih.gov/compound/146570. Date Accessed September 30, 2026.

Escitalopram. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK557734/. Date Accessed September 30, 2026.

LEXAPRO (escitalopram) Prescribing Information. AbbVie. https://www.rxabbvie.com/pdf/lexapro_pi.pdf. Date Accessed September 30, 2026.