side effects of stopping lexapro

2 min read 17-03-2025

Lexapro, or escitalopram, is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed for depression and anxiety. While it's highly effective for many, stopping Lexapro abruptly can lead to withdrawal symptoms. This guide details the potential side effects, how to safely discontinue the medication, and when to seek professional help.

Understanding Lexapro Withdrawal

Lexapro's effectiveness stems from its impact on serotonin levels in the brain. When you abruptly stop taking it, your brain needs time to adjust. This adjustment period can cause various unpleasant symptoms, sometimes referred to as discontinuation syndrome. The severity and duration vary significantly depending on factors like dosage, duration of treatment, and individual sensitivity.

Common Side Effects of Stopping Lexapro

Many experience mild to moderate withdrawal. These common side effects include:

Flu-like symptoms: These are very common and include nausea, headache, fatigue, and dizziness. These symptoms can be particularly debilitating for some individuals.
Emotional disturbances: Irritability, anxiety, and difficulty sleeping are frequent occurrences. Mood swings may also be experienced. Some individuals might feel a return of their original depressive symptoms.
Physical discomfort: Muscle aches, tremors, and sensory disturbances (like electric shock sensations) are also reported. These can be quite alarming, but generally resolve over time.
Gastrointestinal issues: Nausea, vomiting, diarrhea, and constipation are possible. These symptoms often lessen as the body adjusts.
Dizziness and lightheadedness: These sensations can be disconcerting and might lead to falls or other injuries.

Less Common, but Potentially Severe Side Effects

While less common, some individuals experience more severe symptoms. These require immediate medical attention:

Severe anxiety or panic attacks: This can be especially dangerous if it leads to self-harm or suicidal thoughts.
Hallucinations or delusions: These are signs of a serious mental health episode and require prompt professional help.
Seizures: This is rare but a serious complication that needs immediate medical intervention.
Serotonin syndrome: This is a rare but potentially life-threatening condition characterized by high fever, muscle rigidity, and confusion.

How to Safely Discontinue Lexapro

Never stop taking Lexapro suddenly. Always consult your doctor or psychiatrist before making any changes to your medication. They will create a tapering schedule to gradually reduce your dosage over several weeks or months. This gradual reduction allows your body to adjust and minimizes the risk of withdrawal symptoms.

Your doctor will likely recommend:

Slow dosage reduction: A gradual decrease in dosage, following a prescribed schedule. This is crucial to minimizing withdrawal effects.
Monitoring for symptoms: Regular check-ups to monitor your progress and adjust the tapering schedule if needed.
Alternative treatments: If withdrawal is severe, your doctor might suggest alternative medications to manage the symptoms.

When to Seek Medical Attention

If you experience any severe or concerning withdrawal symptoms, contact your doctor or seek immediate medical attention. This includes:

Suicidal thoughts or self-harm: This requires urgent professional help.
Severe anxiety or panic attacks: These episodes can be incapacitating and need treatment.
Hallucinations or delusions: These indicate a serious mental health episode requiring immediate attention.
Seizures: This is a medical emergency that requires immediate attention.
Serotonin syndrome: This is a life-threatening condition that requires urgent medical treatment.

Conclusion

Stopping Lexapro requires careful planning and medical supervision. Understanding the potential side effects and following a doctor's recommended tapering schedule are crucial to minimizing withdrawal symptoms and ensuring a safe transition. Prioritizing your mental and physical health by working closely with your healthcare provider is paramount. Never attempt to stop this medication without their guidance. Remember, you're not alone, and help is available.