Millions of people throughout the globe suffer from some kind of anxiety problem. One of the most prevalent kinds of anxiety is generalized anxiety disorder (GAD), which is marked by symptoms such as chronic concern, inability to relax or focus, and impatience. Fortunately, psychotherapy and medicine are two of many potential treatments.
Lexapro, or Escitalopram in its generic form, is a popular anti-anxiety medicine. In this article, we’ll discuss using Lexapro to treat anxiety, as well as its efficacy, mechanism of action, benefits, and adverse effects.
Lexapro’s Mechanism of Action: What You Need to Know
Selective serotonin reuptake inhibitors (SSRIs) like Lexapro treat mood disorders. Antidepressants and anxiety disorders are only two of the many mental health issues that SSRIs are used to address.
Antidepressant SSRIs work primarily by increasing the brain’s supply of serotonin, a neurotransmitter that plays a role in controlling mood and emotion.
Anxiety sufferers may have serotonin imbalances due to the brain’s inefficient processing of the neurotransmitter. Lexapro prevents serotonin from being reabsorbed by brain cells. This keeps the neurotransmitter available for longer.
The enhanced availability of serotonin has been shown to aid in mood regulation and the reduction of anxious feelings.
Effectiveness of Lexapro in Treating Anxiety
Lexapro’s efficacy in treating anxiety disorders, notably GAD, has been the subject of a large number of clinical trials and research. Lexapro seems to be an effective and well-tolerated therapy for anxiety based on the available data.
Journal of Clinical Psychiatry released an analysis of Lexapro’s effectiveness in treating generalized anxiety disorder (GAD). Anxiety symptoms decreased significantly in the Lexapro group compared to the placebo group, the study showed. Other research found the same thing, so it seems the medicine really does help with anxiety.
First-Line Treatment for Generalized Anxiety Disorder
Lexapro is frequently regarded as a first-line therapy for generalized anxiety disorder due to its effectiveness and safety profile. First-line medicines are those suggested for use from the outset because of their known efficacy and low risk of adverse effects.
SSRIs like Lexapro are recommended as a pharmacological therapy option for GAD in the American Psychiatric Association’s (APA) recommendations for the treatment of anxiety disorders. Experts in the area and a systematic study informed these recommendations.
Benefits of Lexapro for Anxiety
Several benefits contribute to Lexapro’s popularity as a treatment for anxiety:
a) Efficacy: Lexapro’s effectiveness in treating GAD patients’ anxiety and enhancing their quality of life has been well-documented.
b) Non-Addictive: Because it does not cause physical dependency or misuse, Lexapro is classified as a non-addictive medicine. This makes it, in comparison to other anxiety drugs, a more viable alternative for long-term usage.
c) Quick Onset of Action: Within the first few weeks of initiating Lexapro medication, several individuals notice relief in their anxiety symptoms. Those who suffer from severe anxiety may find relief from its comparatively rapid start effect.
d) Fewer Side Effects: Side effects are possible with any medicine, but those associated with Lexapro are typically minor and short-lived. Nausea, headaches, and sleepiness are some of the most often reported adverse effects.
Potential Side Effects and Considerations
Although Lexapro is well-tolerated by most individuals, some potential side effects should be considered:
a) Sexual Dysfunction: Lexapro, like many antidepressants, has the potential to produce sexual adverse effects including a drop in libido, trouble getting to an orgasmic state, or even impotence. These side effects are dose-dependent and may lessen with time or after making changes.
b) Weight Changes: While using Lexapro, some people may see shifts in their body weight. Some patients experience weight gain or loss as a side effect of their therapy. The extent to which an individual experiences this influence varies widely.
c) Withdrawal Symptoms: Withdrawal symptoms from Lexapro include dizziness, flu-like symptoms, and mood fluctuations if the drug is stopped suddenly. Avoiding these withdrawal symptoms requires careful collaboration with a healthcare practitioner throughout the medication’s withdrawal.
d) Individual Variation: What works well for one person may not work as well for another because of individual differences in how drugs affect different people. The doctor may look into other treatment options if Lexapro doesn’t work or if it creates serious negative effects.
Dosage and Treatment Duration
Initial Lexapro doses are usually modest and are adjusted upwards according to how well the patient responds to the drug. The dose is determined after a thorough evaluation of the patient’s anxiety level by the treating physician.
Depending on the severity of the patient’s disease, treatment might take anywhere from a few weeks to several months.
Important Considerations Before Taking Lexapro
Before starting Lexapro or any other medication for anxiety, there are several important considerations:
a) Medical History: It’s important for people to provide their doctors with an accurate picture of their health by disclosing all of their diseases and drugs. The doctor will be better equipped to decide whether Lexapro is an appropriate therapy choice after reviewing this data.
b) Pregnancy and Breastfeeding: Lexapro may offer certain dangers to the developing fetus or nursing child, therefore expectant or nursing mothers should talk to their doctor before taking it.
c) Drug Interactions: Other antidepressants, antipsychotics, and drugs processed by certain liver enzymes may interact negatively with Lexapro. Patients should inform their doctors of all the drugs they are currently taking to prevent dangerous drug interactions.
d) Suicidal Thoughts: Increases in suicide ideation or behavior are possible, but not typical, in some people who begin taking antidepressants. Patients and their loved ones need to keep a close eye out for any drastic changes in mood or behavior and should act swiftly to get medical help if required.
Benefits of Getting Expert Help
A skilled healthcare practitioner, preferably a psychiatrist or mental health expert, should prescribe and monitor Lexapro use, as is the case with other drugs.
These trained experts can determine the best course of action for each individual patient, which may involve medication and/or psychotherapy.
Are There Any Alternative to Lexapro
The anxiety medicine Lexapro is helpful for many people, but it is not the only choice. It’s possible that alternate types of SSRIs or other types of antidepressants will help some people. Cognitive-behavioral therapy (CBT) and mindfulness-based treatments are two types of psychotherapy that have shown promise in the treatment of anxiety disorders.
Frequently Ask Questions
What is Lexapro, and how does it help with anxiety?
In its generic form, Escitalopram (brand name Lexapro), an SSRI used to treat anxiety disorders, is widely prescribed. It helps regulate mood and lessen anxiety symptoms including excessive worrying, restlessness, and irritability by raising serotonin levels in the brain.
Is Lexapro an effective treatment for anxiety?
The anxiety disorders generalized anxiety disorder (GAD) and its relatives are well treated with Lexapro. It has been shown in a large number of clinical trials and research to be effective in lowering anxiety symptoms and increasing well-being in people with GAD.
What are the common side effects of Lexapro for anxiety treatment?
While Lexapro has a high safety profile, it does come with the potential for a few unwanted effects. Note that some people have fewer or less severe side effects than others and that some people feel better after increasing or decreasing their dose.
How long does it take for Lexapro to start working for anxiety?
Some people using Lexapro for anxiety report feeling better during the first few weeks of medication. However, the full therapeutic benefit of the medicine may not be seen for up to four to six weeks. In order to gauge the medication’s efficacy, patients should stick to their doctor’s orders and take the whole course of treatment.
Can Lexapro be used for long-term anxiety management?
Lexapro is non-addictive and safe for long-term anxiety control. The medication’s reaction and anxiety level will determine therapy length. Patients and doctors should discuss treatment duration and alternatives.
Sources:
- DailyMed. (2021). LEXAPRO- escitalopram tablet, film-coated LEXAPRO- escitalopram solution. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm
- StatPearls. (2022, October 24). Escitalopram – StatPearls – NCBI bookshelf. National Center for Biotechnology Information. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK557734
- StatPearls. (2022, May 8). Selective serotonin reuptake inhibitors – StatPearls – NCBI bookshelf. National Center for Biotechnology Information. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK554406
- NHS. (2021, February 5). Overview – Antidepressants. nhs.uk. Retrieved from https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/medicines-and-psychiatry/antidepressants/overview
- NHS. (2022, February 25). Pregnancy, breastfeeding and fertility while taking escitalopram. nhs.uk. Retrieved from https://www.nhs.uk/medicines/escitalopram/pregnancy-breastfeeding-and-fertility-while-taking-escitalopram
- Menkes, D. B., & Herxheimer, A. (2014). Interaction between antidepressants and alcohol: signal amplification by multiple case reports. PubMed. Retrieved from https://pubmed.ncbi.nlm.nih.gov/25214162/
