If you’ve been prescribed Lexapro (escitalopram) for Starting Lexapro what to expect, you’re likely curious about what the experience will be like. Lexapro is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat both major depressive disorder (MDD) and generalized anxiety disorder (GAD). As with any medication, starting Lexapro can come with some side effects and challenges, but for many people, it can significantly improve their quality of life.
In this article, we’ll break down what you can expect when starting Lexapro, including the initial effects, potential side effects, how long it takes to work, and tips for managing your journey.
1. What is Lexapro?
Lexapro is a type of antidepressant that belongs to the SSRI class. It works by increasing the levels of serotonin, a neurotransmitter, in the brain. Serotonin plays a key role in mood regulation, sleep, and overall emotional stability. Low serotonin levels are often linked to depression and anxiety, and SSRIs like Lexapro help improve these levels over time.
Lexapro is widely prescribed because of its relatively mild side effect profile and its effectiveness in treating both anxiety and depression. However, it’s important to remember that this medication doesn’t provide instant relief. It can take several weeks before you begin to feel its full benefits.
2. The First Few Days: Starting Lexapro what to expect
During the first few days of starting Lexapro, you might notice some immediate effects, but these are typically side effects rather than improvements in mood. This phase, sometimes referred to as the “start-up period,” can vary widely from person to person.
Common side effects you may experience in the first few days include:
- Nausea
- Headaches
- Dizziness
- Dry mouth
- Fatigue
- Increased anxiety
These side effects are generally mild for most people, but they can be uncomfortable. Increased anxiety, in particular, can be surprising since you’re taking Lexapro to reduce anxiety. This paradoxical effect happens because the medication is still adjusting your brain’s serotonin levels. For most people, these side effects subside within 1 to 2 weeks as the body adjusts to the medication.
3. Week 1-2: Early Adjustments
In the first couple of weeks, many individuals still don’t feel the positive effects of Lexapro in terms of mood or anxiety relief. Instead, you might still be navigating through some of the initial side effects. It’s important to stay in touch with your healthcare provider during this phase, especially if side effects are severe or worsening.
At this stage, some people might experience:
- Trouble sleeping or insomnia
- Appetite changes (either increased or decreased)
- Upset stomach
- Increased irritability
These effects are common and usually resolve after the first couple of weeks. It can be tempting to stop taking Lexapro if you’re feeling discomfort, but it’s crucial to give the medication time to work. Most people will not experience significant symptom relief until 4-6 weeks after starting the treatment.
4. Week 3-4: Beginning to Feel Changes
Around week 3 or 4, some people start to notice early improvements in mood and anxiety. While these changes may be subtle at first, they can include:
- Feeling slightly calmer or less overwhelmed by anxiety.
- Fewer panic attacks or instances of extreme anxiety.
- Improvement in energy levels and a more stable mood.
During this period, the side effects from the initial start-up phase often begin to fade. However, some individuals might still experience lingering issues like sexual side effects (difficulty achieving orgasm or reduced libido) or sleep disturbances.
It’s important to be patient and continue taking Lexapro as prescribed. Remember, everyone’s body responds differently to medication, so while some might begin feeling better at this stage, others may need a little more time.
5. Week 6-8: Full Therapeutic Effect
By week 6 to 8, most people experience the full effects of Lexapro. This is when the medication has reached its optimal level in your system, and the benefits become more noticeable. Improvements that you might observe include:
- Significant reduction in anxiety and fewer negative thought patterns.
- Improved mood and a lessened sense of hopelessness or sadness.
- Better emotional stability, with fewer mood swings.
- Improved ability to focus and engage in daily tasks.
- Increased sense of well-being, with a more positive outlook on life.
It’s at this stage that many people begin to feel more like themselves again, able to engage in activities and relationships that they may have withdrawn from due to anxiety or depression.
6. Common Long-term Side Effects
While Lexapro is effective for most people, some may continue to experience side effects even after several weeks of treatment. Long-term side effects can include:
- Sexual dysfunction: This is a common issue with SSRIs, and can include reduced libido, difficulty reaching orgasm, or erectile dysfunction. It’s important to talk to your healthcare provider if this becomes problematic, as adjustments to your dosage or medication can help.
- Weight gain: Some people may experience slight weight gain over time due to changes in appetite or metabolism.
- Emotional numbness: A few people report feeling emotionally “flat” or disconnected. While this isn’t the norm, it’s worth discussing with your doctor if it becomes a concern.
If you continue to experience troubling side effects, there are often ways to adjust the medication or manage these symptoms while still benefiting from the anxiety and depression relief that Lexapro provides.
7. Managing the Start-up Period
Starting Lexapro can be difficult, especially in the first few weeks when side effects are most prominent. Here are some tips for managing the transition:
- Communicate with your doctor: Don’t hesitate to reach out if side effects are intolerable or if you’re unsure whether your symptoms are normal. Your doctor might suggest starting with a lower dose and gradually increasing it to help your body adjust.
- Stay patient: Remember, Lexapro takes time to work. Keep in mind that improvements often begin around the 4-6 week mark.
- Manage side effects: Drink plenty of water, eat small meals if you’re feeling nauseous, and consider light exercise to help manage early side effects like headaches or fatigue.
- Incorporate lifestyle changes: Lexapro is most effective when combined with other strategies for managing anxiety and depression. Therapy, exercise, and mindfulness practices can greatly enhance your recovery.
- Avoid alcohol: Alcohol can interfere with the effects of Lexapro and may exacerbate side effects like drowsiness or increased anxiety.
8. How Long Should You Stay on Lexapro?
Most doctors recommend staying on Lexapro for at least 6 to 12 months to prevent relapse of symptoms. If your depression or anxiety has improved significantly, you and your doctor may discuss whether it’s appropriate to taper off the medication after this period. However, some individuals may need to take Lexapro long-term, especially if their symptoms are chronic.
When discontinuing Lexapro, it’s important to taper off gradually under the supervision of your doctor. Abruptly stopping the medication can cause withdrawal symptoms such as dizziness, irritability, and flu-like symptoms.
Frequently Asked Questions (FAQs)
1. How long does Lexapro take to start working?
Lexapro typically takes about 4-6 weeks to show noticeable improvements in anxiety and depression. However, some individuals may experience minor improvements sooner, while others may need a little longer.
2. What should I do if I feel worse after starting Lexapro?
It’s not uncommon to feel increased anxiety or side effects in the first 1-2 weeks. These symptoms usually improve as your body adjusts. However, if side effects are severe or don’t improve, consult your doctor.
3. Can Lexapro cause weight gain?
Yes, Lexapro can cause weight gain in some individuals, though it doesn’t affect everyone this way. Eating a balanced diet and engaging in regular exercise can help manage this side effect.
4. Is it safe to take Lexapro with other medications?
You should always consult your healthcare provider before taking Lexapro with other medications, as there may be interactions, especially with other antidepressants, blood thinners, or migraine medications.
5. Can I drink alcohol while taking Lexapro?
It’s best to avoid alcohol while on Lexapro. Alcohol can worsen anxiety and depression symptoms and increase the risk of side effects like dizziness and drowsiness.
6. What if Lexapro doesn’t work for me?
If Lexapro doesn’t seem to be working after 6-8 weeks, or if the side effects are too bothersome, your doctor may adjust the dose or switch you to another antidepressant.
7. Can I stop taking Lexapro suddenly?
No, stopping Lexapro suddenly can cause withdrawal symptoms. Always work with your healthcare provider to gradually taper off the medication if you decide to stop.
8. How does Lexapro compare to other SSRIs?
Lexapro is often preferred for its fewer side effects compared to other SSRIs. However, everyone responds differently, so some may find other medications like Zoloft or Prozac more effective for their needs.
9. Does Lexapro affect sleep?
Lexapro can cause insomnia or sleep disturbances in some people, particularly when first starting the medication. These side effects often subside after a few weeks.
10. What happens if I miss a dose?
If you miss a dose of Lexapro, take it as soon as you remember. If it’s close to the time for your next dose, skip the missed one and continue your regular schedule. Do not double up on doses to make up for a missed one.
Conclusion
Starting Lexapro can be an overwhelming experience, but with time and patience, it can provide much-needed relief from anxiety and depression. While the initial weeks may come with some discomfort, the long-term benefits for many people are significant. Always stay in close communication with your healthcare provider, and be proactive in managing side effects and lifestyle changes to ensure the best possible outcome from your treatment.
