Lexapro vs Elavil: side-by-side comparison
Lexapro (Escitalopram) and Elavil (Amitriptyline) both belong to the Anti-Depressants class. They share clinical context but use different active ingredients. The choice between them depends on mechanism nuances, side-effect profile and individual response.
| Property | Lexapro | Elavil |
|---|---|---|
| Active ingredient | Escitalopram | Amitriptyline |
| Manufacturer | Forest/Allergan | Various generics |
| Class | Anti-Depressants | Anti-Depressants |
| Strengths | 5mg, 10mg, 20mg | 10mg, 25mg, 50mg, 75mg, 100mg |
| Forms | tablet | tablet |
What's the same
Lexapro and Elavil both belong to the Anti-Depressants class and are used for partially overlapping indications. The active ingredients — Escitalopram vs Amitriptyline — share the same therapeutic approach, so many safety and management points carry across both.
Key differences
Meaningful differences are in active ingredient (Escitalopram vs Amitriptyline), strengths (5mg, 10mg, 20mg vs 10mg, 25mg, 50mg, 75mg, 100mg), forms (tablet vs tablet), and the mechanism, half-life and side-effect nuances that distinguish members of the class.
Mechanism and action
Lexapro: Lexapro acts by selectively inhibiting the serotonin reuptake transporter (SERT) at the synapse, increasing serotonin availability for postsynaptic receptors. Elavil: Amitriptyline inhibits reuptake of serotonin and noradrenaline at central synapses.
When Lexapro is preferred
Lexapro is approved for major depressive disorder and generalised anxiety disorder in adults and adolescents 12 years and older (depression) and adults (generalised anxiety).
When Elavil is preferred
Amitriptyline is approved for major depressive disorder, but contemporary use is dominated by low-dose off-label indications: neuropathic pain, fibromyalgia, chronic tension headache, migraine prevention, irritable bowel syndrome, nocturnal enuresis, and insomnia.
Frequently asked questions
Is Lexapro or Elavil better? ▾
There is no single answer. Lexapro and Elavil both belong to the Anti-Depressants class but differ in mechanism nuances, half-life and side-effect profile. Preference depends on the patient, the prescriber and prior response to other therapies.
Can I switch from Lexapro to Elavil? ▾
Switching within the Anti-Depressants class is done under supervision, typically using equivalent doses and a follow-up period to confirm response and tolerance. It is not a self-directed decision.
Do Lexapro and Elavil have the same side effects? ▾
They share many of the Anti-Depressants class side effects, with differences from mechanism and dose. Each medication's prescribing information lists specifics.
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The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.