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What a Lexapro (Escitalopram) Overdose Looks Like

Clinically Reviewed by: Charee Marquez, LMFT

Lexapro, also known by its generic name escitalopram, is a commonly prescribed antidepressant medication used to treat depression and anxiety disorders. While Lexapro is generally safe and effective when taken as prescribed, overdose can occur in cases of accidental ingestion or intentional misuse. In this blog post, we’ll explore the risks, symptoms, and treatment options for Lexapro overdose, shedding light on this important topic. From the experts at California Prime Recovery and Addiction Treatment Center in Orange County, CA, we’ll provide valuable insights to help you better understand and address Lexapro overdose.

What is Lexapro (Escitalopram)?

Lexapro, classified as an SSRI (selective serotonin reuptake inhibitor), is frequently recommended for managing depression and generalized anxiety disorder. Despite its widespread efficacy, like any pharmaceutical, it carries the potential for misuse or unintentional overdose. Understanding the nuances of Lexapro usage, its benefits, and the associated risks is crucial for individuals navigating mental health treatments.

Lexapro Uses

Lexapro, known by its generic name escitalopram, is a medication primarily prescribed to treat depression and generalized anxiety disorder (GAD). It belongs to a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs), which work by increasing the levels of serotonin, a neurotransmitter, in the brain. Here are some common uses of Lexapro:

  1. Major Depressive Disorder (MDD): Lexapro is FDA-approved for the treatment of major depressive disorder, commonly known as depression. It can help alleviate symptoms such as persistent sadness, loss of interest or pleasure in activities, changes in appetite or sleep patterns, feelings of guilt or worthlessness, and difficulty concentrating or making decisions.

  2. Generalized Anxiety Disorder (GAD): Lexapro is also FDA-approved for the treatment of generalized anxiety disorder, a condition characterized by excessive worry or anxiety about various aspects of life. It can help reduce symptoms such as constant worrying, restlessness, muscle tension, irritability, and difficulty sleeping.

  3. Social Anxiety Disorder (SAD): While not FDA-approved specifically for social anxiety disorder, Lexapro is sometimes prescribed off-label to treat this condition. Social anxiety disorder involves intense fear or anxiety in social situations, leading to avoidance of social interactions or performance situations.

  4. Panic Disorder: Lexapro may be used off-label to treat panic disorder, a type of anxiety disorder characterized by recurrent panic attacks. Panic attacks involve sudden episodes of intense fear or discomfort, accompanied by physical symptoms such as heart palpitations, sweating, trembling, shortness of breath, and feelings of impending doom.

  5. Obsessive-Compulsive Disorder (OCD): Lexapro may also be used off-label to treat obsessive-compulsive disorder, a mental health condition characterized by recurrent, intrusive thoughts (obsessions) and repetitive behaviors or mental acts (compulsions) performed in response to the obsessions.

Types and Dosages Of Lexapro

Lexapro, the brand name for the generic drug escitalopram, is available in different formulations and dosages to treat various mental health conditions. The available types of Lexapro include oral tablets and oral solution. Here are the typical dosages for each type:

  1. Oral Tablets:

    • Lexapro tablets are available in strengths of 5 mg, 10 mg, and 20 mg.
    • The recommended starting dose for adults is usually 10 mg once daily, taken with or without food.
    • Depending on individual response and tolerability, the dosage may be increased by the healthcare provider to a maximum of 20 mg per day, typically after at least one week of treatment.
    • For elderly patients or those with liver impairment, a lower starting dose of 5 mg per day may be recommended.
  2. Oral Solution:

    • Lexapro oral solution is available in a concentration of 5 mg per 5 mL (1 mg/mL).
    • The recommended starting dose for adults is usually 10 mg (10 mL) once daily, taken with or without food.
    • Like the tablets, the dosage may be adjusted by the healthcare provider based on individual response and tolerability.
    • Lexapro oral solution may be preferable for patients who have difficulty swallowing tablets or who require a specific dosage that is not available in tablet form.

Lexapro Dosage Guidelines

Here are some general dosage guidelines for Lexapro (escitalopram) based on the most common mental health conditions it is prescribed to treat:

  1. Major Depressive Disorder (MDD):

    • Starting dose: 10 mg once daily
    • Maintenance dose: 10-20 mg once daily
    • Dosage adjustments: Healthcare providers may adjust the dosage based on individual response and tolerability, typically in increments of 5-10 mg at intervals of at least one week.
  2. Generalized Anxiety Disorder (GAD):

    • Starting dose: 10 mg once daily
    • Maintenance dose: 10-20 mg once daily
    • Dosage adjustments: Similar to MDD, the dosage may be adjusted based on individual response and tolerability.
  3. Social Anxiety Disorder (SAD) (off-label use):

    • Starting dose: 10 mg once daily
    • Maintenance dose: 10-20 mg once daily
    • Dosage adjustments: Healthcare providers may adjust the dosage based on individual response and tolerability.
  4. Panic Disorder (off-label use):

    • Starting dose: 5-10 mg once daily
    • Maintenance dose: 10-20 mg once daily
    • Dosage adjustments: Healthcare providers may adjust the dosage based on individual response and tolerability.
  5. Obsessive-Compulsive Disorder (OCD) (off-label use):

    • Starting dose: 10 mg once daily
    • Maintenance dose: 10-20 mg once daily
    • Dosage adjustments: Healthcare providers may adjust the dosage based on individual response and tolerability.

Dosage adjustments may also be necessary for special populations such as elderly patients or those with liver impairment. Additionally, pediatric dosages for children and adolescents may differ and should be determined by a healthcare provider based on clinical assessment and guidelines.

It’s important to follow the dosage instructions provided by a healthcare provider and to take Lexapro exactly as prescribed. Do not adjust the dosage or discontinue the medication without consulting a healthcare professional. If you have any questions or concerns about Lexapro dosage, speak with your healthcare provider for personalized advice and guidance.


Lexapro Imprints

It’s important to note that the appearance of Lexapro tablets can vary, and the information provided here may not cover all possible imprints. Always refer to the specific prescription and consult with a healthcare professional for accurate information.

Here are some examples of Lexapro imprints based on common dosage strengths:

  1. Lexapro 5 mg Tablets:

    • White, round tablet with “FL” on one side and “5” on the other side.
    • White, oval tablet with “F” on one side and “L” on the other side.
  2. Lexapro 10 mg Tablets:

    • White, round tablet with “FL” on one side and “10” on the other side.
    • White, oval tablet with “F” on one side and “L” on the other side.
  3. Lexapro 20 mg Tablets:

    • White, round tablet with “FL” on one side and “20” on the other side.
    • White, oval tablet with “F” on one side and “L” on the other side.

Lexapro Onset and Duration

Lexapro, also known by its generic name escitalopram, is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for the treatment of depression and anxiety disorders. The onset and duration of action can vary among individuals, but here are some general guidelines:

Onset of Action:

  • Many individuals may start to feel some improvement in their symptoms within the first few weeks of taking Lexapro. However, the full therapeutic effects may take several weeks to become noticeable.
  • Some people may experience an early onset of certain effects, such as improved sleep or reduced anxiety, before the antidepressant effects fully manifest.

Duration of Action:

  • The full therapeutic benefits of Lexapro may become apparent after 4 to 6 weeks of continuous use.
  • Individuals are typically advised to continue taking Lexapro for an extended period, as prescribed by their healthcare provider, to maintain the positive effects and prevent the recurrence of symptoms.
  • Long-term treatment may be necessary for individuals with recurrent depressive or anxiety disorders.

How Long Does Lexapro Stay in Your System?

The half-life of Lexapro (escitalopram) is approximately 27-32 hours. This means that it takes about 27 to 32 hours for half of the drug to be eliminated from the body. However, it’s essential to note that the elimination half-life can vary from person to person based on factors such as age, liver function, and other individual characteristics.

Lexapro Efficacy

The efficacy of Lexapro (escitalopram) has been extensively studied and demonstrated in numerous clinical trials. As a selective serotonin reuptake inhibitor (SSRI), Lexapro works by increasing the levels of serotonin, a neurotransmitter, in the brain. Serotonin plays a crucial role in regulating mood, emotions, and overall mental well-being.

Lexapro is primarily prescribed for the treatment of major depressive disorder (MDD), generalized anxiety disorder (GAD), and other anxiety disorders. It has also been used off-label to treat conditions such as panic disorder and obsessive-compulsive disorder (OCD).

Clinical studies have shown that Lexapro is effective in reducing the symptoms of depression and anxiety, including feelings of sadness, hopelessness, anxiety, worry, and irritability. It has been found to improve mood, increase energy levels, enhance overall functioning, and improve quality of life for many individuals.

Lexapro’s efficacy in treating depression and anxiety typically becomes evident within a few weeks of starting treatment, although individual responses may vary. It’s important for patients to continue taking Lexapro as prescribed, even if they start to feel better, to maintain the therapeutic effects of the medication.

Overall, Lexapro is considered to be a well-tolerated and effective treatment option for depression and anxiety disorders. However, as with any medication, individual responses may vary, and some patients may experience side effects or require dosage adjustments.

How Does Lexapro Work in the Brain and Body?

Lexapro (escitalopram) belongs to a class of medications known as selective serotonin reuptake inhibitors (SSRIs). It works by increasing the levels of serotonin, a neurotransmitter, in the brain. Serotonin is involved in regulating mood, emotions, and certain other physiological functions.

Here’s how Lexapro works in the brain and body:

  1. Inhibiting Serotonin Reuptake: Serotonin is released by neurons in the brain and functions as a chemical messenger that helps transmit signals between nerve cells. After serotonin is released into the synapse (the gap between nerve cells), it binds to receptors on the receiving neuron, leading to various effects. Once its job is done, serotonin is usually reabsorbed back into the transmitting neuron through a process called reuptake. Lexapro blocks the reuptake of serotonin, allowing it to remain in the synapse for a longer period. This increases the concentration of serotonin available to bind to receptors on the receiving neuron, enhancing its effects.

  2. Modulating Mood and Emotions: By increasing serotonin levels in the brain, Lexapro helps regulate mood, emotions, and certain cognitive functions. Serotonin is known to play a key role in promoting feelings of well-being, happiness, and relaxation, while also contributing to the regulation of sleep, appetite, and sexual function. By enhancing serotonin transmission, Lexapro can alleviate symptoms of depression and anxiety, such as persistent sadness, anxiety, and worry.

  3. Neuroplasticity and Adaptation: Chronic stress and depression can lead to changes in the brain’s structure and function, including alterations in the levels of neurotransmitters like serotonin. By restoring serotonin balance, Lexapro may help promote neuroplasticity—the brain’s ability to adapt and reorganize in response to experiences and environmental influences. This may contribute to the medication’s long-term effects on mood stabilization and symptom relief.

Overall, Lexapro’s mechanism of action involves enhancing serotonin transmission in the brain, leading to improvements in mood, emotions, and certain physiological functions. However, it’s important to note that the exact mechanisms underlying its therapeutic effects are complex and not fully understood. Additionally, individual responses to Lexapro may vary, and it may take several weeks for the medication to exert its full therapeutic effects. As always, it’s essential to take Lexapro as prescribed and to consult with a healthcare provider for personalized advice and guidance regarding its use.

Lexapro Storage and Disposal

Storage and disposal of medications like Lexapro (escitalopram) are important considerations to ensure their effectiveness and safety. Here’s a brief guide:


  • Keep Lexapro in its original packaging, tightly sealed, and away from moisture, heat, and direct sunlight.
  • Store it out of reach of children and pets, in a secure location, to prevent accidental ingestion.
  • Maintain a stable room temperature for storage, and avoid storing Lexapro in the bathroom or kitchen, where humidity and temperature fluctuations can occur.


  • Do not flush Lexapro down the toilet or pour it down the drain unless instructed to do so by the medication label or a healthcare professional.
  • Consider using a medication take-back program or community pharmacy disposal program to safely dispose of expired or unused Lexapro.
  • If a take-back program is not available, mix the medication with an undesirable substance such as dirt, cat litter, or coffee grounds, and place it in a sealed container or plastic bag before disposing of it in the household trash. Remove any personal information from the medication packaging before disposal.

Following these storage and disposal guidelines can help prevent accidental ingestion, misuse, and environmental contamination, ensuring the safe and responsible use of Lexapro.

Side Effects and Risks of Lexapro

Lexapro (escitalopram) is generally well-tolerated, but like any medication, it can cause side effects. These side effects can vary in severity and duration, and may occur in the short term or persist over the long term. Here’s an overview of both short-term and long-term side effects associated with Lexapro:

Short-term side effects (usually occur within the first few weeks of starting treatment):

  1. Nausea: Feeling queasy or experiencing stomach discomfort.
  2. Headache: Mild to moderate headaches may occur initially.
  3. Dizziness: Feeling lightheaded or dizzy, especially when standing up quickly.
  4. Insomnia or drowsiness: Lexapro can affect sleep patterns, leading to difficulty falling asleep (insomnia) or increased drowsiness.
  5. Fatigue: Feeling tired or lethargic, especially during the daytime.
  6. Dry mouth: A sensation of dryness in the mouth.
  7. Changes in appetite or weight: Appetite may increase or decrease, leading to weight changes.
  8. Sweating: Experiencing increased sweating, especially at night.

Long-term side effects (may develop over weeks to months of treatment):

  1. Sexual dysfunction: Decreased libido, difficulty achieving orgasm, or erectile dysfunction.
  2. Weight changes: Long-term use of Lexapro may lead to weight gain or weight loss in some individuals.
  3. Gastrointestinal issues: Some people may experience ongoing digestive problems such as constipation or diarrhea.
  4. Increased risk of bleeding: SSRIs like Lexapro can affect platelet function and increase the risk of bleeding, especially when combined with certain medications or conditions.
  5. Withdrawal symptoms: Abrupt discontinuation of Lexapro can lead to withdrawal symptoms such as dizziness, nausea, headache, irritability, and flu-like symptoms. Tapering off the medication under medical supervision can help minimize withdrawal effects.

It’s important to note that not everyone will experience these side effects, and some individuals may experience side effects that are not listed here.

Can You Overdose on Lexapro?

Yes, it is possible to overdose on Lexapro (escitalopram). An overdose occurs when someone takes more of the medication than prescribed or recommended, leading to an excessive amount of the drug in the body. Lexapro overdose can be dangerous and requires prompt medical attention.

Signs and Symptoms of Lexapro Overdose

Identifying a potential overdose of Lexapro is of utmost importance, and maintaining a heightened awareness of possible symptoms is crucial for prompt intervention. Delving into a more detailed exploration, here is an exhaustive list of symptoms to be vigilant about when it comes to Lexapro overdose:

  1. Nausea and Vomiting:

    • Often among the initial and most prevalent symptoms, individuals may experience persistent nausea and vomiting, indicating a potential overdose.
  2. Drowsiness:

    • Overdose may induce an unusual and heightened sense of tiredness, making it challenging for individuals to stay awake and alert.
  3. Dizziness:

    • Especially noticeable when attempting to stand or walk, individuals may experience pronounced dizziness as a result of a Lexapro overdose.
  4. Rapid or Irregular Heartbeat:

    • Changes in heart rhythms can pose a significant risk during an overdose, necessitating prompt medical attention to address potential cardiovascular complications.
  5. Tremors:

    • Uncontrollable shaking or twitching of the body may manifest as a result of a Lexapro overdose, signifying a severe reaction that requires immediate attention.
  6. Confusion or Agitation:

    • Individuals may exhibit signs of confusion or heightened distress during an overdose, emphasizing the impact of the medication on cognitive and emotional functioning.
  7. Sweating:

    • Excessive and unexplained sweating, especially if sudden, can be indicative of an overdose and should be considered a serious symptom requiring urgent medical evaluation.
  8. Convulsions or Seizures:

    • A severe symptom that demands immediate medical intervention, individuals may experience convulsions or seizures during a Lexapro overdose, underscoring the urgency of seeking emergency assistance.

If there is suspicion that someone is experiencing an overdose of Lexapro, taking swift action by seeking emergency medical attention is imperative. Recognizing these symptoms promptly and understanding the gravity of the situation can be critical in ensuring the individual’s well-being and facilitating appropriate medical intervention. It is crucial to stay informed about the potential manifestations of a Lexapro overdose to promote a proactive and effective response in emergency situations.

What to Do If You Suspect a Lexapro Overdose

In the face of a potential Lexapro overdose, maintaining composure is not just a suggestion but a critical aspect of responding effectively to challenging situations. Panicking can hinder the resolution process, making it paramount to stay composed and focused on taking the necessary steps. Let’s delve into a more comprehensive guide, including detailed actions and considerations:

  1. Maintain Composure:

    • In challenging situations, it is crucial to remain calm. Panicking won’t contribute to a resolution and might complicate matters. Keeping a composed demeanor is essential for making rational decisions and facilitating a more effective response.
  2. Dial 911:

    • Take immediate action by calling emergency services. Dial 911 and clearly describe the situation to the dispatcher. Provide detailed information about the symptoms the person is exhibiting, emphasizing the urgency of the situation. This prompt call ensures that professional medical assistance is dispatched swiftly.
  3. Stay by Their Side:

    • Avoid leaving the individual alone. Stay by their side to monitor symptoms closely and offer reassurance throughout the emergency. Presence and support can be comforting, and staying vigilant allows for prompt recognition of any changes in the person’s condition.
  4. Collect Information:

    • If feasible, gather specific details about the Lexapro dosage consumed and whether other substances were involved. Providing this information can be invaluable for medical professionals in tailoring an effective treatment plan. Note the time of ingestion and any other pertinent details that may aid healthcare providers.
  5. Monitor Vital Signs:

    • Keep a watchful eye on the person’s vital signs. Note any changes in breathing, heart rate, or consciousness. Communicate these observations to the emergency responders upon their arrival, as it assists in their assessment and decision-making.
  6. Provide Comfort and Reassurance:

    • During the emergency, offer comfort and reassurance to the individual. Anxiety and distress can exacerbate the situation, so a calming presence can positively impact the person’s emotional state and overall well-being.
  7. Prepare Information for Medical Professionals:

    • As emergency responders arrive, be prepared to provide a concise summary of the situation. Include details such as the person’s medical history, any known allergies, and information about concurrent medications. This assists medical professionals in making well-informed decisions regarding treatment.
  8. Follow Emergency Services’ Guidance:

    • Follow the guidance provided by emergency services and healthcare professionals. Be ready to answer any additional questions and comply with their instructions. Cooperation ensures a seamless and coordinated effort to address the emergency effectively.

Remember that time is of the essence in emergencies, and taking swift, informed action can significantly impact the outcome. By staying composed, promptly dialing emergency services, remaining by the individual’s side, providing essential information, and collaborating with healthcare professionals, you contribute to a comprehensive and efficient response to a potential Lexapro overdose.

Important Follow Up Care After Lexapro Overdose

After experiencing a Lexapro (escitalopram) overdose, follow-up care is crucial to ensure the individual’s well-being and address any potential complications. Here are steps and considerations for follow-up care:

  1. Hospitalization and Stabilization:

    • In many cases of overdose, the individual will be hospitalized for monitoring and stabilization. Emergency medical professionals will assess the severity of the overdose and provide necessary interventions.
  2. Medical Evaluation:

    • A thorough medical evaluation will be conducted to assess the impact of the overdose on the individual’s physical health. This may include blood tests, imaging studies, and other diagnostic measures.
  3. Psychiatric Evaluation:

    • A psychiatric evaluation may be conducted to assess the individual’s mental health and determine the circumstances leading to the overdose. This evaluation can help identify any underlying mental health concerns that need attention.
  4. Adjustment of Medications:

    • The healthcare provider will assess the individual’s current medication regimen, including Lexapro, and make any necessary adjustments. This may involve discontinuing or changing the dosage of Lexapro, depending on the circumstances.
  5. Monitoring for Withdrawal Symptoms:

    • If Lexapro is discontinued or adjusted, healthcare providers will monitor for any withdrawal symptoms. Abruptly stopping an antidepressant medication can lead to withdrawal effects, and a gradual tapering may be recommended.
  6. Counseling and Therapy:

    • Mental health counseling and therapy may be recommended to address the underlying issues contributing to the overdose. Cognitive-behavioral therapy (CBT) and other therapeutic approaches can be beneficial in treating depression, anxiety, or other mental health conditions.
  7. Safety Planning:

    • Healthcare providers may work with the individual to develop a safety plan to prevent future overdose incidents. This may involve identifying triggers, building a support system, and implementing strategies for coping with stressors.
  8. Support Systems:

    • Encourage the individual to engage with support systems, including friends, family, and mental health professionals. A strong support network is essential for recovery.
  9. Education on Medication Management:

    • Provide education on the importance of taking medications as prescribed and the potential risks associated with misuse. Emphasize the need to communicate openly with healthcare providers about any concerns or side effects.
  10. Follow-Up Appointments:

    • Schedule and attend follow-up appointments with healthcare providers as recommended. Regular check-ins are essential to monitor progress, adjust treatment plans if necessary, and ensure ongoing mental health support.

It’s crucial for individuals who have experienced a Lexapro overdose to actively participate in their recovery process and adhere to the recommendations of healthcare professionals. If you or someone you know is in need of mental health support, do not hesitate to seek help from healthcare providers, therapists, or crisis helplines. Immediate intervention and ongoing care can contribute to a positive outcome and help prevent future incidents.


Why Do People Overdose?

People may unintentionally overdose on Lexapro (escitalopram) for various reasons. An overdose occurs when an individual takes more of the medication than the prescribed or recommended dose, leading to an excessive amount of the drug in the body. Reasons for Lexapro overdoses may include:

  1. Accidental Overdose: This can occur when individuals mistakenly take a higher dose than prescribed, misinterpret dosing instructions, or accidentally take a duplicate dose.

  2. Self-Medication: Some individuals may attempt to self-medicate or manage their symptoms by taking larger doses of Lexapro without consulting a healthcare professional. This is risky and can lead to overdose.

  3. Suicidal Intent: In some cases, individuals may intentionally overdose on Lexapro or other medications as a form of self-harm. This is a serious concern and requires immediate medical attention.

  4. Drug Interactions: Concurrent use of Lexapro with other medications or substances that affect serotonin levels (such as certain other antidepressants, herbal supplements, or recreational drugs) can increase the risk of serotonin syndrome, potentially leading to an overdose.

  5. Misuse or Abuse: Some individuals may misuse or abuse Lexapro in an attempt to experience euphoria or alter their mood. This is not only dangerous but can also lead to overdose.

How To Prevent Lexapro Overdose

Preventing a Lexapro (escitalopram) overdose involves following prescribed guidelines and taking certain precautions. Here are essential steps to help prevent an overdose:

  1. Follow Prescribed Dosage:

    • Always take Lexapro exactly as prescribed by your healthcare provider. Do not alter the dosage or frequency without consulting them first.
  2. Communicate with Healthcare Provider:

    • Keep open communication with your healthcare provider. Inform them of any side effects, changes in your health, or other medications you are taking. Your healthcare provider can adjust the dosage if necessary or explore alternative treatments.
  3. Regular Check-ups:

    • Attend regular check-ups with your healthcare provider to monitor your progress and discuss any concerns or changes in your condition.
  4. Understand Medication Interactions:

    • Be aware of potential interactions between Lexapro and other medications, supplements, or substances you may be taking. Consult your healthcare provider before starting any new medication or supplement.
  5. Store Medication Safely:

    • Keep Lexapro and all medications out of reach of children and pets. Store them in a secure location, and avoid leaving them in places where they can be easily accessed.
  6. Educate Family and Caregivers:

    • If you are under the care of family members or caregivers, ensure that they are aware of your medication regimen and the importance of following prescribed dosages. They should also be informed about the signs of overdose.
  7. Use Pill Organizers:

    • Consider using a pill organizer to help you keep track of your medication schedule. This can reduce the risk of accidentally taking extra doses.
  8. Avoid Alcohol and Certain Substances:

    • Limit or avoid alcohol while taking Lexapro, as alcohol can enhance the sedative effects of the medication and increase the risk of side effects. Additionally, avoid taking illicit substances or medications that may interact negatively with Lexapro.
  9. Be Mindful of Over-the-Counter Medications:

    • Some over-the-counter medications may interact with Lexapro. Inform your healthcare provider about any non-prescription medications, including herbal supplements, to ensure there are no potential interactions.
  10. Seek Professional Guidance:

    • If you have concerns about your medication or experience side effects, consult your healthcare provider promptly. Do not attempt to adjust the dosage on your own.

By following these preventative measures and staying vigilant about your medication regimen, you can minimize the risk of a Lexapro overdose. If you ever suspect an overdose or experience unusual symptoms, seek emergency medical attention immediately. Early intervention is crucial for a positive outcome.

Additional Lexapro Risks

Serotonin Syndrome

Another serious concern associated with Lexapro use is serotonin syndrome, a potentially life-threatening condition caused by elevated serotonin levels in the brain. Symptoms of serotonin syndrome encompass restlessness, agitation, diarrhea, increased heart rate, high blood pressure, nausea, vomiting, hallucinations, confusion, and more. It demands immediate medical attention.

Alcohol Use and Lexapro

Using alcohol while taking Lexapro (escitalopram) can increase the risk of side effects and may also interfere with the effectiveness of the medication. Here are some important considerations regarding alcohol use and Lexapro:

  1. Increased Sedation: Both alcohol and Lexapro can cause drowsiness and impair cognitive and motor function. When used together, they can intensify each other’s sedative effects, leading to increased drowsiness, confusion, and impaired coordination. This can impair judgment and increase the risk of accidents, falls, and injuries.

  2. Worsened Depression and Anxiety: Alcohol is a central nervous system depressant, and its use can worsen symptoms of depression and anxiety. Drinking alcohol while taking Lexapro may counteract the medication’s therapeutic effects and make it less effective in managing symptoms.

  3. Interference with Treatment: Alcohol can interfere with the absorption, metabolism, and elimination of medications in the body, including Lexapro. This may affect how well Lexapro works and could potentially reduce its effectiveness in treating depression and anxiety.

  4. Increased Risk of Serotonin Syndrome: Combining alcohol with Lexapro can also increase the risk of developing serotonin syndrome, a rare but potentially life-threatening condition characterized by dangerously high levels of serotonin in the body. Symptoms of serotonin syndrome include agitation, hallucinations, rapid changes in blood pressure, increased heart rate, fever, excessive sweating, and loss of coordination.

Given these risks, it’s generally advisable to avoid alcohol while taking Lexapro. If you choose to drink alcohol, it’s important to do so in moderation and to be aware of how it affects you. Talk to your healthcare provider about any concerns you have regarding alcohol use and its potential interactions with Lexapro.


Lexapro and Pregnancy

Lexapro (escitalopram) is classified as a pregnancy category C medication by the U.S. Food and Drug Administration (FDA). This means that while animal studies have shown potential adverse effects on the fetus, there are limited human studies available, and the potential benefits of the medication may outweigh the risks in certain situations.

Here are some important considerations regarding Lexapro use during pregnancy:

  1. Risk of Birth Defects: Some studies have suggested a potential increased risk of certain birth defects, such as heart defects, when Lexapro is used during the first trimester of pregnancy. However, the absolute risk of these defects is generally low.

  2. Risk of Neonatal Withdrawal Syndrome: Infants born to mothers who took SSRIs like Lexapro during pregnancy may experience symptoms of withdrawal after birth, such as irritability, feeding difficulties, and respiratory problems. This is known as neonatal withdrawal syndrome or neonatal adaptation syndrome.

  3. Potential Maternal Risks: Untreated depression during pregnancy can also pose risks to both the mother and the fetus, including poor prenatal care, inadequate weight gain, substance abuse, and an increased risk of preterm birth and low birth weight.

  4. Individual Risk-Benefit Assessment: The decision to use Lexapro during pregnancy should be made on a case-by-case basis, taking into consideration the severity of the mother’s depression or anxiety, the potential risks and benefits of treatment, and alternative treatment options.

  5. Monitoring and Follow-Up: If a pregnant woman is taking Lexapro, close monitoring by a healthcare provider is essential. Regular prenatal care visits can help ensure that both the mother and the fetus are monitored for any potential complications.

It’s important for pregnant women to discuss the risks and benefits of Lexapro use with their healthcare provider. In some cases, the healthcare provider may recommend continuing Lexapro if the benefits of treatment outweigh the potential risks. In other cases, they may recommend alternative treatment options or adjustments to the dosage.

It’s crucial for pregnant women to receive comprehensive prenatal care and to discuss any concerns or questions about medication use during pregnancy with their healthcare provider. They can provide personalized guidance and recommendations based on individual health status and treatment needs.


In conclusion, Lexapro overdose is a serious medical emergency that requires prompt attention and intervention. From the team at California Prime Recovery and Addiction Treatment Center in Orange County, CA, we hope this blog has provided valuable information to help you recognize the risks, symptoms, and treatment options for Lexapro overdose. If you or someone you know is experiencing an overdose or any other medical emergency, seek immediate medical attention by calling 911 or contacting a local emergency medical service provider. Remember, help is available, and recovery is possible with the right support and resources.

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Lexapro, also known by its generic name Escitalopram, is an SSRI (selective serotonin reuptake inhibitor). It’s primarily prescribed to treat depression and generalized anxiety disorder. It works by helping restore the balance of serotonin, a neurotransmitter in the brain.

Yes, like all medications, there’s a potential for accidental overdose with Lexapro if taken in large amounts or if combined with certain other substances. It’s vital to always follow the prescribed dosage and consult your doctor if you have concerns.

The long-term effects of a Lexapro overdose can vary depending on the severity of the overdose, how quickly medical treatment was received, and the individual’s overall health. While some people might fully recover without any long-term effects, others might experience complications. Always consult a medical professional if you suspect an overdose.

It’s generally advised to avoid alcohol while taking Lexapro. Alcohol can increase the risk of side effects and might reduce the efficacy of the medication. Furthermore, combining alcohol with Lexapro can heighten the risk of an overdose.

No, you should never take more than the prescribed dose of Lexapro. If you miss a dose, take it as soon as you remember unless it’s almost time for your next dose. In that case, skip the missed dose and continue with your regular schedule. If you’re ever unsure, consult your healthcare provider.

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