if you’re thinking about starting lexapro (escitalopram), you might be wondering what it’s going to feel like. lexapro is a medication often prescribed for depression and anxiety, working by balancing serotonin in your brain to lift your mood and calm racing thoughts. it’s generally well-tolerated, but like any new med, it can come with some side effects as your body gets used to it. the good news is that most of these are temporary, and before long, you’re likely to feel a lot better. let’s walk through what you might experience and what to keep in mind, in a way that feels like a chat with a friend who’s been there.

what to expect when you start

when you first start taking lexapro, your body might need a week or two to get used to it. you could feel a bit nauseous, like that unsettled stomach you get when you’re nervous or ate something off. taking lexapro with food or sipping ginger tea can help calm your stomach. you might also feel more tired than usual, like you’re moving through molasses, or you could have trouble falling asleep at night. these sleep changes usually settle down as your body adjusts, but a consistent bedtime routine can help in the meantime. headaches or a dry mouth might show up too, but they tend to fade quickly. staying hydrated or chewing sugar-free gum can keep you comfortable.

less common effects to know about

some people experience less common side effects, like feeling sweatier than usual, especially at night, or noticing small changes in appetite. a few folks might find their sex drive or sexual function feels a bit off, which can be frustrating but often improves with time. if these stick around, your doctor can suggest ways to manage them, like adjusting your dose or exploring other options. the key is to be patient—most of these effects are temporary as your body gets accustomed to the medication.

rare but serious side effects

though very uncommon, it’s good to be aware of a few serious side effects. in rare cases, lexapro can cause unusual agitation, confusion, or symptoms like a racing heart or muscle stiffness (a sign of serotonin syndrome). these are extremely rare, but if anything feels alarming, reach out to your doctor or seek help immediately. allergic reactions, like a rash or swelling, are also rare but worth mentioning to your healthcare provider. your doctor will keep a close eye on you, especially early on, to ensure everything’s going smoothly.

tips for starting lexapro

before you begin, have a candid chat with your doctor about your health history. mention any medications, supplements, or conditions like liver issues or seizures to avoid complications. your doctor will likely start you on a low dose to ease you in, which helps minimize side effects. it’s wise to avoid alcohol at first, as it can amplify drowsiness or interfere with lexapro’s effects. be patient—lexapro can take 4 to 6 weeks to fully work, so give it time to help you feel more balanced. if you decide to stop, don’t quit abruptly; talk to your doctor about tapering off to avoid withdrawal symptoms.

the light at the end of the tunnel

here’s the encouraging part: most of lexapro’s side effects are just a short-term bump in the road. they might feel annoying at first, but they usually fade as your body adjusts. soon, you might notice your mood lifting, your anxiety easing, or that heavy cloud starting to clear. it’s like giving your brain a gentle nudge toward balance. if anything feels overwhelming or you’re unsure what’s normal, your doctor or pharmacist is there to guide you. starting lexapro is a brave step toward feeling better, and with a little time, you’re likely to find it’s a game-changer.