#12: escitalopram (Lexapro) | Depression, Anxiety, and Other Mood Disorders

Escitalopram is the S-enantiomer of citalopram. This drug works by selectively inhibiting serotonin. The brand name that escitalopram is most recognized as Lexapro. Dosing is typically initiated at 10 mg po qd with adjustments made incrementally with the max dose generally being around 20 mg per day. There are many off label uses for escitalopram so those should be utilized on a case by case basis. However, the main indications for this drug is to treat depression and anxiety. Escitalopram is not approved for use in patients under the age of 12. The black box warning for escitalopram is for suicidal thoughts and behaviors. Important monitoring parameters are ECG in patients at risk of QT prolongation and pregnancy since the drug crosses the placenta.  Go to DrugCardsDaily.com for episode show notes which consist of the drug summary, quiz, and link to the drug card for FREE! Please SUBSCRIBE, FOLLOW, and RATE on Spotify, Apple Podcasts, or wherever your favorite place to listen to podcasts are. The main goal is to go over the Top 200 Drugs with the occasional drug of interest. Also, if you’d like to say hello, suggest a drug, or leave some feedback I’d really appreciate hearing from you! Leave a voice message at anchor.fm/drugcardsdaily or find me on twitter @drugcardsdaily