Lexapro vs Escitalopram: are they the same?
Lexapro is a commercial brand whose active ingredient is exactly Escitalopram. This page explains what that means in practice: where they differ (brand, manufacturer, price, available strengths), why they are clinically equivalent, and when the brand or an authorised generic is the better choice.
Are they the same?
Yes — Lexapro contains Escitalopram as its active ingredient. Talking about "Lexapro" in clinical terms is the same as talking about Escitalopram at the dose strengths 5mg, 10mg, 20mg. The differences from the authorised generic are brand, manufacturer (Forest/Allergan), excipients, tablet appearance and price — not the active molecule itself.
When Lexapro is used
Lexapro is approved for major depressive disorder and generalised anxiety disorder in adults and adolescents 12 years and older (depression) and adults (generalised anxiety).
Mechanisms compared
Because they share the same active ingredient, the mechanism is identical: Lexapro acts by selectively inhibiting the serotonin reuptake transporter (SERT) at the synapse, increasing serotonin availability for postsynaptic receptors.
Brand or generic — which to choose?
For most patients, authorised generics of Escitalopram are clinically equivalent substitutes for Lexapro and typically cost substantially less. The practical differences are manufacturer, excipients (rarely matters except in specific sensitivities), tablet appearance and price. The brand is preferred by some patients for personal reasons or insurance coverage; the generic is the default when cost matters.
Frequently asked questions
Is Lexapro the same as Escitalopram? ▾
Clinically yes — Lexapro is the brand and Escitalopram is its active ingredient. At equivalent doses (5mg, 10mg, 20mg) they produce the same effect. The difference is brand, manufacturer (Forest/Allergan) and price.
Is generic Escitalopram as effective as Lexapro? ▾
Yes. Authorised generics of Escitalopram must demonstrate bioequivalence to the brand. The active substance is the same; average effect is the same. Price is usually substantially lower.
Why does Lexapro cost more than generic Escitalopram? ▾
The price difference reflects originator development costs, brand recognition and competition among generic manufacturers. The molecule is identical; the cost is not.
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.