Switching to or from Lexapro
Switching medications is more nuanced than simply stopping one and starting another. For Lexapro (Escitalopram), the right protocol depends on whether the switch is within the same class, across classes, the half-life of the medications involved, and any underlying disease control. This page outlines the practical considerations at 5mg, 10mg, 20mg.
Switching within the same class
Switching from another Anti-Depressants agent to Lexapro, or vice versa, is usually direct: the prescriber establishes the equivalent dose of Escitalopram and the schedule, and the change happens on a defined day. Symptom monitoring during the first weeks confirms the new regimen is delivering equivalent control. Lexapro acts by selectively inhibiting the serotonin reuptake transporter (SERT) at the synapse, increasing serotonin availability for postsynaptic receptors.
Switching across classes
Switching to Lexapro from a different therapeutic class is more involved. Some switches require a washout period (especially when crossing receptor antagonists/agonists or shared metabolic pathways), others use cross-titration where both medications overlap briefly. The prescriber chooses the protocol based on the medications involved, the indication and individual factors at 5mg, 10mg, 20mg.
Frequently asked questions
Can I switch directly from another medication to Lexapro? ▾
Sometimes yes — within the same class, direct switches are common. Across classes, a structured protocol (washout or cross-titration) is usually safer. The prescriber confirms whether direct switch to Lexapro at 5mg, 10mg, 20mg is appropriate.
What should I do if the switch isn't working? ▾
Switching results vary; the underlying condition may need a few weeks to restabilise on the new medication. If symptoms worsen significantly or new side effects appear, contact the prescriber for review rather than waiting indefinitely or self-switching back to the original medication.
More on Lexapro
- With alcoholLexapro and alcohol — is it safe to drink?
- With foodShould Lexapro be taken with food?
- Side effectsLexapro side effects: common, rare and warning signs
- Dosage guideLexapro dosage guide: how much to take and when
- OnsetHow fast does Lexapro start working?
- DurationHow long does Lexapro last?
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.