Escitalopram Side Effects
Common and serious side effects of Escitalopram (Escitalopram Oxalate) — what to expect and how to manage them.
Common Side Effects
- Nausea (especially first 2 weeks)
- Insomnia or drowsiness
- Sexual dysfunction (decreased libido, delayed orgasm)
- Dry mouth
- Diarrhea
- Headache
- Weight changes (usually modest)
Serious Side Effects
Seek immediate care if severe- Suicidal thoughts (ages <25 — black box warning, monitor closely)
- Serotonin syndrome (with other serotonergic drugs — fever, agitation, rapid heart rate)
- Hyponatremia (low sodium — especially elderly)
- Bleeding risk (especially with NSAIDs or aspirin)
- Discontinuation syndrome if stopped abruptly
Managing Side Effects
- Full antidepressant effect takes 4-6 weeks — don't give up early
- Never stop abruptly — taper slowly over weeks
- Take morning if causing insomnia; evening if causing drowsiness
- Sexual side effects can be managed — talk to your doctor about options
- Avoid with MAOIs (dangerous interaction)
What Your Doctor May Monitor
Mood and suicidal ideation (especially weeks 1-4)Sodium levels in elderlyBleeding signs with concurrent NSAIDsWeight
Escitalopram Cash Price
Escitalopram cash prices start from $6 when pharmacies compete on Script Unlock — up to 78% below retail. No insurance required.
Compare Escitalopram PricesMedical Disclaimer: This information is for educational reference only. Side effects vary by individual, dose, and other medications. Always consult your healthcare provider for personalized medical advice. Do not stop or change your medication without medical guidance.