Stopping Lexapro (escitalopram) can lead to various withdrawal symptoms, such as insomnia, nausea, irritability, and headaches. Stopping gradually can help prevent withdrawal effects.
However, a sudden drop in the amount of Lexapro that a person is taking can lead to withdrawal symptoms.
Keep reading for more information on Lexapro withdrawal, including why it occurs and how to cope with the symptoms.
Withdrawal is a set of symptoms that may occur when the amount of a particular medication or drug in a person’s body decreases significantly.
Due to its slow build up in the blood, withdrawal symptoms are less likely to affect people who take Lexapro for just a short time.
However, people who have either taken other SSRI medications before starting Lexapro or used Lexapro for a long time have a higher likelihood of developing withdrawal symptoms.
Lexapro withdrawal symptoms occur because of how SSRI medications affect the brain. SSRIs increase the levels of serotonin, a neurotransmitter that contributes to happiness and feelings of reward. Over time, in response to the increased levels of serotonin, the brain shuts down different receptors to prevent overstimulation.
Once a person stops taking Lexapro, the body needs time to adjust. The amount of serotonin may decrease suddenly and will need time to replenish. During this time, a person may experience withdrawal symptoms.
There are several potential symptoms that a person may experience as a result of withdrawal from Lexapro. The authors of a 2012 study divided the symptoms into two stages.
In the first stage, a person may experience the following symptoms:
- a sensation of electrical jolts or tingling through the body
In the second stage, a person may experience:
- increased anxiety
- sexual side effects, such as delayed orgasm
- changes in weight
- suicidal thoughts
- issues with concentration
- impaired memory
- mood swings
- difficulty tolerating or managing stress
If you know someone at immediate risk of self-harm, suicide, or hurting another person:
- Ask the tough question: “Are you considering suicide?”
- Listen to the person without judgment.
- Call 911 or the local emergency number, or text TALK to 741741 to communicate with a trained crisis counselor.
- Stay with the person until professional help arrives.
- Try to remove any weapons, medications, or other potentially harmful objects.
If you or someone you know is having thoughts of suicide, a prevention hotline can help. The 988 Suicide and Crisis Lifeline is available 24 hours a day at 988. During a crisis, people who are hard of hearing can use their preferred relay service or dial 711 then 988.
The timeline of Lexapro withdrawal symptoms will vary from person to person. Not everyone experiences all of the symptoms, and some people experience no withdrawal symptoms at all.
Factors that can affect the withdrawal timeline include:
- how long a person has taken Lexapro or any other SSRI medications
- the dosage
- whether they quit suddenly or slowly reduced the dosage
Withdrawal symptoms may last for several weeks or even months. During this time, a person can take some steps to help reduce the severity of symptoms.
A person should never try to quit Lexapro without discussing this decision with their doctor and developing an action plan.
In most cases, a doctor will recommend slowly reducing the dosage and possibly switching to an alternative SSRI medication to aid the tapering process.
Some general tips for coping with Lexapro withdrawal symptoms include:
- eating a healthful and nutritious diet
- exercising regularly
- taking all other medications according to the prescription
- completing the tapering process
- tracking changes in mood on a calendar or in a notebook
- telling a doctor about any withdrawal symptoms
- seeking support from friends, family, or community groups
The best way to prevent withdrawal is to taper the dosage of Lexapro slowly. A doctor will help an individual form a plan for doing this.
There are several reasons why a person may not want or need to take Lexapro any longer. For instance, they may find that:
- they are experiencing adverse side effects
- the medication is ineffective
- their body has stopped responding to it
In some cases, a doctor may prescribe a different medication that leaves the body faster. They can then taper a person off SSRIs using the alternative medication to help prevent withdrawal.
However, even if they slowly reduce the dosage, a person may still experience symptoms.
A person can find support for withdrawal symptoms by talking to a trusted doctor or another healthcare professional, who can suggest treatments, support groups, or specialized therapy centers.
A person may be able to find online support groups and forums where they can post their concerns and connect with others who are also going through withdrawal.
Finally, talking to loved ones about withdrawal symptoms can help ease the process. They may be able to take on extra tasks to reduce a person’s stress and can keep an eye out for any concerning symptoms.
Lexapro withdrawal can occur when a person stops taking Lexapro, misses one or more doses, or reduces their dosage.
A person can minimize their risk of developing withdrawal symptoms by following a doctor’s plan to taper off the medication slowly. Tapering the medication does not always prevent withdrawal, however, so it is best to be prepared and speak with a doctor about how to cope with the symptoms.
If a person experiences Lexapro withdrawal symptoms, they can also seek support from friends, family, and others who have gone through similar experiences.