Escitalopram (generic Lexapro®)

Just $19 for a 30-day supply
Free 2-day shipping
No insurance required

Escitalopram is a prescription antidepressant that may be prescribed to treat generalized anxiety disorder (GAD) or major depressive disorder (MDD). It can help improve mood and reduce symptoms of anxiety.

• Get care from a real doctor, without leaving home
• Same-day prescriptions available
• Medication delivered free, straight to your door

Book a visit to meet with a QuickMD doctor for an escitalopram prescription or refill

A QuickMD doctor can prescribe medication only after your visit, and prescriptions aren't guaranteed. The listed price covers medication only and doesn't include the cost of your doctor visit.

You deserve to feel good every day

Get escitalopram prescribed online from the comfort of home. $99 visit fee—no insurance required.

Getting started with escitalopram at QuickMD

Description
Escitalopram is FDA-approved for major depressive disorder (MDD) and generalized anxiety disorder (GAD). It belongs to the selective serotonin reuptake inhibitor (SSRI) class of medications. When prescribed appropriately, it can help manage anxiety, depression, and panic disorders. Patients may notice a reduction in persistent worry, sadness, and tension.

• How to use
  Take escitalopram by mouth with a glass of water, once a day, at the same time each day, or as directed by your QuickMD doctor. It can be taken in the morning or evening, with or without food. If it upsets your stomach, take it with food. Do not take escitalopram more often than directed, and do not stop taking it suddenly without speaking to your doctor first. Staying on schedule helps your body maintain consistent levels of the medication, which makes the treatment more effective. Each prescription comes with a patient information leaflet. Be sure to read it carefully, and ask your doctor if you have any questions.

• Benefits
  Escitalopram may provide the following benefits:

  • Reduced feelings of persistent worry, fear, and sadness
  • Improved ability to concentrate and think clearly
  • More stable mood and emotional regulation day to day
  • Restored interest and motivation in daily activities
  • Better sleep quality and increased energy levels
  • Well tolerated with a mild side effect profile

Benefits and treatment outcomes vary from person to person.

• Side effects
  Serious or adverse side effects from escitalopram are rare. However, some patients may experience:
  • Nausea
  • Dry mouth
  • Vivid dreams
  • Trouble sleeping
  • Loss of appetite
  • Drowsiness
  • Increased sweating
  • Reduced sex drive

Contact your doctor right away if you experience signs of serotonin syndrome (a rare but serious reaction that can include rapid heart rate, confusion, and muscle twitching), worsening anxiety, extreme mood changes, or worsening depression.

This is not a full list of side effects, interactions, or warnings, and it should not replace medical advice. For guidance tailored to your health and medications, always talk with your healthcare provider or pharmacist.

• Safety information
  Escitalopram must be prescribed by a licensed doctor. Like any medication, escitalopram comes with important safety considerations, including possible side effects, serious risks, and certain conditions where it may not be safe to use. A consultation with a QuickMD doctor is required to review your health and determine if this prescription medication is appropriate for you.

Escitalopram may not be appropriate if you:

• Are taking or have recently taken an MAO inhibitor (such as phenelzine, selegiline, or linezolid)
• Are taking pimozide
• Are taking citalopram (Celexa), as they are closely related and should not be used together
• Have a known allergy or hypersensitivity to escitalopram or citalopram
• Have a history of QT prolongation or are taking other medications that affect heart rhythm
• Are in the first trimester of pregnancy or breastfeeding, without first discussing risks with your doctor

This is not a complete list of precautions, contraindications, or drug interactions. Always talk with your healthcare provider or pharmacist about your medical history and any medications or supplements you are taking before starting escitalopram.

Frequently asked questions

How long does it take for escitalopram to work?

Some patients may begin to notice early changes in sleep and energy within the first one to two weeks, but the full effects on mood and anxiety may take four to six weeks to develop. It is important to keep taking escitalopram as prescribed during this time, even if you do not feel a difference right away. You will follow up with a QuickMD doctor to track how you are responding and adjust your dose if needed.

Can you take escitalopram in the evening?

Yes. Escitalopram can be taken in the morning or the evening, whichever works best for you. The most important thing is to take it at the same time each day to keep consistent levels of the medication in your system. If you find that escitalopram affects your sleep when taken at night, your doctor may recommend switching to a morning dose. Always follow the specific instructions provided by your QuickMD doctor.

Does escitalopram cause weight loss?

Escitalopram may affect weight differently from person to person. Some patients may experience a mild decrease in appetite in the early weeks of treatment, which may lead to slight weight loss. However, others may notice gradual weight gain with longer-term use. If you notice significant changes in your weight while taking escitalopram, let your QuickMD doctor know so they can evaluate whether any adjustments are needed.

Start treatment with escitalopram online

Book your first visit

Getting started begins with a simple online visit. You'll meet with a licensed QuickMD doctor from the comfort of home, where you can talk openly about what you've been going through and what kind of support you're looking for. The process is designed to feel comfortable, supportive, and pressure-free, so you can move forward with a clear understanding of what to expect and what comes next.

Learn more about escitalopram

Your doctor will take time to understand any challenges you're facing, your mental health history, and what you've tried so far. If escitalopram is appropriate, they'll guide you through how it works in your body, how to take it, what to expect, and how it can help quiet the noise of anxiety and restore your motivation to engage with daily life. You'll leave your visit feeling informed and confident in your next steps.

Get your medication delivered

If your doctor prescribes escitalopram, your prescription is sent directly to our pharmacy partner and shipped straight to your door. You'll receive clear instructions on how to take it, and your care doesn't stop there. Follow-up visits give your doctor a chance to check in on how you're responding, adjust your dose if needed, and make sure you're getting the support and relief you need.