- Major depressive disorder (MDD) in adults and adolescents aged 12 and older.
- Generalized anxiety disorder (GAD) (excessive worry and tension) in adults and children aged 7 and older.
- Dosage: It is typically taken once daily, with or without food, as an oral tablet or solution. The usual starting dose for most adults is 10 mg, with a maximum recommended dose of 20 mg per day.
- Effectiveness Timeline: It usually takes 4 to 6 weeks to feel the full benefit, though improvements in sleep and energy may be noticeable within the first 1-2 weeks.
- Do not stop suddenly: Do not stop taking escitalopram without consulting a doctor, as gradual dose reduction is necessary to prevent withdrawal symptoms.
- Suicidal Thoughts Warning: Antidepressants, including escitalopram, may increase the risk of suicidal thoughts and actions in children, teenagers, and young adults (under 24 years of age), especially during the initial months of treatment or after a dosage change. Close monitoring is essential.
- Potential Interactions: Inform your doctor about all medications and supplements you are taking, especially MAO inhibitors (must be stopped at least 14 days before starting escitalopram), other antidepressants, NSAIDs (like ibuprofen or naproxen due to increased bleeding risk), and St. John’s wort.
- Nausea
- Headache
- Drowsiness or trouble sleeping (insomnia)
- Increased sweating
- Dry mouth
- Sexual problems (decreased sex drive, difficulty with erection or orgasm)
- Fatigue



