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Lexapro Side Effects In Women 

What Is Lexapro?

Lexapro, scientifically known as escitalopram, is a strong selective serotonin reuptake inhibitor (SSRI) commonly prescribed to manage and treat major depressive disorder and generalized anxiety disorder. Its usage slows down the reuptake of serotonin in the brain, which helps to improve mood and reduce anxiety over time. By maintaining higher serotonin levels, Lexapro improves overall emotional well-being and stability. 

Escitalopram antidepressant drug (SSRI class) molecule

Common Lexapro Side Effects in Women

While Lexapro can improve the quality of your life significantly, women taking Lexapro may encounter certain side effects, varying in frequency and intensity. Lexapro long-term side effects, and Lexapro side effects in women in general, include:

  • Nausea and Indigestion: These symptoms are common when you start taking Lexapro, often in the early stages of treatment
  • Headaches and Dizziness: Common in the early weeks of treatment, these usually decrease as the body adjusts to the medication. 
  • Fatigue and Sleep Disturbances: These side effects include insomnia or excessive sleepiness, which may require adjustments in dosage or timing of medication.
  • Weight Changes: Some women may experience unexpected weight gain or loss while on Lexapro.
  • Reduced Sexual Desire: A decrease in libido can occur, impacting intimate relationships and overall satisfaction. 
  • Challenges with Orgasm: Difficulties achieving orgasm can also arise, further affecting sexual health and personal well-being. 
  • Heightened Nervousness: Although Lexapro is used to reduce anxiety, some women may initially experience increased nervousness. 

It’s important to recognize the signs of these serious side effects early to ensure timely and appropriate medical intervention.

Lexapro Long-Term Side Effects

While Lexapro is effective for treating psychological disorders, it also carries risks for serious side effects that require immediate medical attention:

  • Serotonin Syndrome: A rare but life-threatening condition characterized by symptoms such as rapid heart rate, muscle twitching, and heightened body temperature. It requires immediate medical intervention.
  • Cardiac Effects: Lexapro can cause QT prolongation, a heart rhythm condition that can potentially lead to arrhythmic episodes.
  • Neurological Impacts: In rare cases, high doses or interactions with other drugs can lead to seizures or significant changes in mental status.
  • Hyponatremia: This involves abnormally low sodium levels in the blood, which can manifest as headache, confusion, and seizures, especially in the elderly.
  • Increased Bleeding Risks: Lexapro, when combined with drugs like NSAIDs or anticoagulants, can increase the risk of bleeding, which may require extra preventive measures.

These long term side effects are critical. Patients and healthcare providers need to monitor these during treatment.

Impact of Lexapro During Pregnancy

Using Lexapro in pregnancy carries potential risks and benefits. It’s important for expecting mothers to understand these Lexapro side effects in women so they can make informed decisions about their mental and physical health.

  • Risk of Birth Defects: As a Category C medication, Lexapro’s effects on the fetus are uncertain. There’s a slight increase in risks like respiratory distress and feeding difficulties in newborns.
  • Management of Depression: Managing untreated depression is crucial as it can lead to low birth weight and premature delivery. In some cases, the benefits of using Lexapro may outweigh the risks.
  • Planning and Consultation: Collaborating with healthcare providers is essential to determine the safest approach, using the lowest effective dose if Lexapro is necessary.

Impact of Lexapro During Breastfeeding

The decision to continue Lexapro while breastfeeding requires careful consideration of the benefits to the mother’s mental health against potential risks to the infant.

  • Lexapro in Breast Milk: Although Lexapro is present in breast milk, it’s typically at low levels deemed safe for most infants, particularly those older than two months.
  • Monitoring for Side Effects: Infants should be monitored for signs like excessive drowsiness or feeding issues, with any concerns discussed with a pediatrician.
  • Healthcare Guidance: A healthcare provider can assist in evaluating the risks and benefits, adjusting the dosage to minimize the baby’s exposure while managing the mother’s symptoms effectively.

Impact of Lexapro During Menopause

Menopausal women may experience symptoms of depression and anxiety due to hormonal fluctuations. Lexapro can be an effective treatment option during this transition.

  • Effectiveness: SSRIs, including Lexapro, are commonly prescribed for managing mood swings and depressive states during menopause.
  • Side Effects Management: Menopausal women might be more prone to side effects such as weight gain and sexual dysfunction.
  • Holistic Approaches: Integrating Lexapro with therapies like hormone replacement and lifestyle changes can improve treatment outcomes for menopausal symptoms.

Tips for Managing Side Effects

Effectively managing the side effects of Lexapro in women is important to help maintain quality of life while undergoing treatment. Here are practical strategies to help minimize discomfort:

  • Adherence to Prescribed Dosage: Always take Lexapro exactly as prescribed. Altering the dose without guidance can increase side effects.
  • Lifestyle Modifications: Simple changes such as maintaining a healthy diet, incorporating regular exercise, and having a consistent sleep schedule can mitigate side effects.
  • Addressing Sexual Side Effects: Open communication with your healthcare provider can provide access to strategies or treatments to manage sexual side effects.
  • Hydration and Diet: Staying hydrated and eating balanced meals can help reduce nausea and manage weight changes related to Lexapro.
  • Monitoring Symptoms: Keep a detailed symptom diary that tracks any side effects experienced, their severity, and their impact on daily activities for healthcare consultations.
woman in recovery celebrates on balcony with arms open wide after discovering ways to get more energy naturally

Have more questions about Lexapro side effects? Reach out to your psychiatrist, or give us a call at Casa Capri to get connected to someone who can help adjust your medication. We’re here to help.

Frequently Asked Questions

Common side effects include nausea, headache, dizziness, fatigue, changes in weight, decreased libido, and difficulty achieving orgasm. These may vary based on individual health conditions and hormonal factors.

Managing long-term side effects of Lexapro involves regular consultation with your healthcare provider, adjusting the dosage if necessary, and incorporating lifestyle changes like diet and exercise to mitigate side effects.

If you experience severe side effects such as serotonin syndrome, heart rhythm problems, or extreme mood shifts, seek immediate medical attention. Discussing these symptoms promptly with a healthcare provider is crucial.

To safely stop using Lexapro, consult with your healthcare provider to gradually reduce the dosage to minimize withdrawal symptoms. Abrupt discontinuation can lead to significant side effects, so a tailored tapering schedule is recommended.

Lexapro can lead to risks such as respiratory distress and feeding difficulties in newborns. However, the benefits of managing depression might outweigh these risks for some women, and decisions should be made with the help of a healthcare provider.

Monitor the infant for side effects like drowsiness or feeding issues. Discuss with your healthcare provider the possibility of adjusting the dosage to ensure minimal impact while maintaining the benefits for your mental health.

Lexapro withdrawal can include symptoms such as dizziness, irritability, nausea, headache, and sensory disturbances. Gradually decreasing the dose under medical supervision can help manage these symptoms effectively.

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