Lexapro vs Zoloft: side-by-side comparison
Lexapro (Escitalopram) and Zoloft (Sertraline) 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 | Zoloft |
|---|---|---|
| Active ingredient | Escitalopram | Sertraline |
| Manufacturer | Forest/Allergan | Pfizer |
| Class | Anti-Depressants | Anti-Depressants |
| Strengths | 5mg, 10mg, 20mg | 25mg, 50mg, 100mg |
| Forms | tablet | tablet |
What's the same
Lexapro and Zoloft both belong to the Anti-Depressants class and are used for partially overlapping indications. The active ingredients — Escitalopram vs Sertraline — share the same therapeutic approach, so many safety and management points carry across both.
Key differences
Meaningful differences are in active ingredient (Escitalopram vs Sertraline), strengths (5mg, 10mg, 20mg vs 25mg, 50mg, 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. Zoloft: Sertraline acts by selectively blocking the serotonin transporter, preventing serotonin reuptake from the synaptic cleft and increasing synaptic serotonin concentration.
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 Zoloft is preferred
Zoloft is approved in adults for major depressive disorder, panic disorder with or without agoraphobia, obsessive-compulsive disorder, post-traumatic stress disorder, social anxiety disorder, and premenstrual dysphoric disorder.
Frequently asked questions
Is Lexapro or Zoloft better? ▾
There is no single answer. Lexapro and Zoloft 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 Zoloft? ▾
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 Zoloft 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.