How Long Does It Take for Lexapro to Work for Anxiety – Patience is Key to Success

Anxiety can be overwhelming, making daily life a struggle for many. One of the most commonly prescribed medications for treating anxiety is Lexapro (escitalopram).

If you or someone you know has been prescribed Lexapro, you might wonder: “How long does it take to see its effects?” This blog post discusses this question, ensuring you’re equipped with valuable insights.

An Overview

Pills for Anxiety

Lexapro, known by its generic name as escitalopram, is a selective serotonin reuptake inhibitor (SSRI). It works by restoring the balance of serotonin in the brain, a neurotransmitter that influences mood.

What Is It Used For?

Lexapro is primarily prescribed for generalized anxiety disorder (GAD) and major depressive disorder (MDD). Both conditions can significantly impact one’s quality of life.

According to the Mayo Clinic, Lexapro has been shown to reduce the severity of anxiety symptoms, making it easier for individuals to manage their condition.

How Does It Work in the Brain?

Serotonin is often referred to as the “feel good” neurotransmitter. Lexapro works by preventing the reuptake of serotonin, ensuring more of this neurotransmitter is available in the synaptic gaps.

The National Institute of Mental Health states that an imbalance of serotonin levels can lead to mood disorders. By enhancing the action of serotonin, Lexapro helps in alleviating symptoms of both anxiety and depression.

The Timeline of Lexapro’s Effectiveness

The Timeline of Lexapro's Effectiveness

Understanding the timeline of Lexapro can help set realistic expectations, ensuring users don’t get discouraged if results aren’t immediate.

The Initial Phase: First 1-2 weeks

The onset of Lexapro’s effects varies among individuals. During the initial phase, some might experience side effects.

  • Mild nausea
  • Sleep disturbances
  • Fatigue or drowsiness

Research from the U.S. National Library of Medicine claims that it’s not uncommon for anxiety symptoms to remain unchanged or even increase during the first couple of weeks. It’s crucial to continue the medication and communicate any concerns with your healthcare provider.

The Intermediate Phase: 3-6 weeks

Around the third week, many patients start noticing a reduction in their anxiety symptoms. Christopher Bullock, MD, MFA from Harvard Health Publishing has said that many patients report a significant reduction in anxiety symptoms by the fourth to sixth week.

It’s during this phase that the therapeutic effects of Lexapro or some other antidepressant become more evident.

Maximizing Lexapro’s Benefits

Maximizing Lexapro's Benefits

It’s not just about taking the medication; certain strategies can enhance its effectiveness.

Consistency is Key

Consistent use is vital. Skipping doses can interfere with the drug’s effectiveness.

  • Set reminders to take the medication at the same time daily.
  • Use pill organizers to keep track.
  • Communicate any side effects or concerns with your doctor.

Sources from the Cleveland Clinic state that maintaining consistency in how and when you take Lexapro can optimize its therapeutic effects, ensuring the best possible outcome for the patient.

Pairing Medication with Therapy

Medication alone might not be the panacea for anxiety. Combining Lexapro with therapy, particularly cognitive-behavioral therapy (CBT), can be particularly effective.

According to the Anxiety and Depression Association of America, combining SSRIs like Lexapro with therapy has been shown to be more effective than medication alone, offering a holistic approach to anxiety management.

Common Concerns and Addressing Them

Common Concerns and Addressing Them

Starting a new medication like Lexapro can bring up various concerns and questions. Here, we address some of the most common ones.

Will I Become Dependent on Lexapro?

Dependency concerns are prevalent, especially with mental health medications.

  • SSRIs, including Lexapro, are not considered addictive.
  • However, sudden cessation can lead to withdrawal symptoms.

National Library of Medicine states that while SSRIs aren’t addictive in the traditional sense, it’s crucial to taper off them under medical supervision to avoid potential discontinuation symptoms.

What if Lexapro Doesn’t Work for Me?

Not every medication works the same way for everyone, and that’s okay.

  • Discuss with your doctor if you feel no relief after 6-8 weeks.
  • There might be a need to adjust the dosage or consider alternative treatments.

Researchers from the National Library of Medicine also claimed in one of their research that personalized treatment plans, which may involve adjusting medication types or dosages, often provide the best results for patients.

Lifestyle Adjustments to Complement Lexapro

Lifestyle Adjustments to Complement Lexapro

Along with taking Lexapro, making certain lifestyle changes can further assist in managing anxiety.

Prioritize Sleep

Quality sleep is a cornerstone of mental health.

  • Aim for 7-9 hours of sleep each night.
  • Maintain a consistent sleep schedule, even on weekends.
  • Create a relaxing bedtime routine, such as reading or meditating.

Research from the Sleep Foundation states that proper sleep hygiene can significantly improve mood and anxiety levels, complementing the effects of medications like Lexapro or other antidepressants.

Regular Physical Activity

Exercise is often dubbed the “natural antidepressant.”

  • Engage in at least 150 minutes of moderate exercise weekly.
  • Activities like walking, swimming, or yoga can be effective.
  • Exercise releases endorphins, which are natural mood lifters.

Studies from the Centers for Disease Control and Prevention (CDC) state that regular physical activity can help reduce the risk of depression and anxiety. Incorporating it into your routine can work synergistically with Lexapro to manage anxiety.

Lexapro and the Long-Term Perspective

Lexapro and the Long-Term Perspective

Considering the long-term implications is essential when contemplating any treatment option.

Continuation and Maintenance

Staying on Lexapro involves two primary phases.

  • Continuation phase: Usually lasts 6-12 months after symptom relief.
  • Maintenance phase: Can go beyond a year, depending on recurrent episodes.

According to the Royal College of Psychiatrists, some individuals might need to remain on Lexapro for several years, especially if they’ve had multiple episodes of anxiety or depression. The key is regular assessments with your healthcare provider.

Coming Off Lexapro

Deciding to stop Lexapro should be a collaborative decision.

  • Never stop abruptly; tapering off is vital.
  • Be vigilant about any resurgence of anxiety symptoms.
  • Engage in therapy or counseling during the transition.

The research from the National Health Service (NHS) states that when the decision is made to come off an SSRI like Lexapro, a gradual reduction in dose over several weeks or even months is recommended to minimize withdrawal effects.


Can I take other medications while on Lexapro?

It depends on the specific medication. Lexapro can interact with various other drugs, potentially altering their effectiveness or increasing side effects.

Always inform your healthcare provider of any medications, supplements, or over-the-counter drugs you’re taking to ensure no harmful interactions.

Does Lexapro affect libido or sexual performance?

Some individuals on this medication report changes in sexual desire, performance, or satisfaction. If you experience such side effects, discuss them with your doctor.

They might adjust your dosage or suggest strategies to cope.

Are there any foods I should avoid while taking Lexapro?

Generally, it doesn’t have any specific food interactions. However, it’s wise to limit caffeine intake as it might exacerbate anxiety symptoms or interfere with sleep for some.

Always discuss any dietary concerns with your healthcare provider.

What should I do if I miss a dose of Lexapro?

If you realize you’ve missed a dose within a few hours of your regular schedule, take it as soon as you remember. If it’s close to the time for your next dose, skip the missed dose and continue your regular schedule. Avoid doubling up on doses.

Can I take Lexapro during pregnancy?

If you’re pregnant or planning to become pregnant, discuss this with your doctor. While some studies have suggested potential risks associated with SSRIs during pregnancy, the benefits of treating depression or anxiety might outweigh those risks.

A healthcare professional can provide guidance tailored to your situation.

Does Lexapro cause weight gain?

Weight changes, either gain or loss, can be a potential side effect. Everyone reacts differently, and while some might experience weight gain, others might not notice any change.

If you’re concerned about weight fluctuations, consult with your healthcare provider for recommendations or potential adjustments to your treatment.

Final Words

To wrap it up, while Lexapro provides a clinically proven method to alleviate anxiety symptoms, integrating it into a broader health strategy can yield even better results.  Remember, mental health is multifaceted, and an integrated approach combining medication, therapy, and lifestyle changes often leads to the best outcomes.

Always keep the lines of communication open with your healthcare provider to ensure you’re on the right path. We’ve recently written about how to tell if shortness of breath is from anxiety, so make sure to check it out.