Lexapro Withdrawal: Symptoms, Risks, and Treatment Options

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Last Updated 9/16/2025

Medically Reviewed

Drug Information

Brand / names: Escitalopram / Lexapro
Drug class: SSRI (selective serotonin reuptake inhibitor)

Controlled status: Not a controlled medication (CSA)

What it’s used for: Major depressive disorder and generalized anxiety disorder; sometimes other anxiety‑related conditions per clinician judgment.

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Key takeaways

  • Lexapro is an SSRI antidepressant—not a benzodiazepine, opioid, or narcotic.
  • It’s not a controlled substance under the U.S. Controlled Substances Act.
  • Lexapro isn’t considered “addictive,” but dependence and withdrawal can occur if you stop suddenly; taper with a clinician.
  • Never stop cold turkey. Work with your prescriber to taper and manage discontinuation symptoms.

What is Lexapro?

Lexapro (escitalopram) is a prescription antidepressant medication used to treat symptoms of depression, anxiety, and other mental health conditions. As a commonly prescribed selective serotonin reuptake inhibitors (SSRI), Lexapro helps balance serotonin in the brain to improve mood. When combined with talking therapies, it provides comprehensive support. However, stopping Lexapro suddenly can lead to challenging Lexapro withdrawal symptoms, which vary person to person.

This article explains how Lexapro works. It also covers what to expect during withdrawal. You will learn how to taper safely. Finally, it discusses how to recognize and manage Lexapro addiction.

What is Lexapro’s classification?

Lexapro (escitalopram) belongs to the SSRI class of antidepressants. SSRIs increase serotonin availability in the brain to help stabilize mood and anxiety.

Is Lexapro a controlled substance?

No. Lexapro/escitalopram is not scheduled under the Controlled Substances Act and is not a controlled medication. You still need a prescription and medical supervision.

Is Lexapro a benzodiazepine (benzo)?

No. Lexapro is an SSRI, while benzodiazepines (like alprazolam/Xanax) are a separate class used for short‑term anxiety relief and carry dependence risks.

Is Lexapro an opioid or a narcotic?

No. Lexapro is not an opioid and not a narcotic. It does not produce opioid‑like euphoria or analgesia and doesn’t share their addiction profile.

Is Lexapro addictive?

Not in the typical sense. Large medical references do not classify escitalopram as an addictive drug. However, physical dependence can develop, and stopping suddenly can trigger antidepressant discontinuation syndrome (withdrawal‑like symptoms). That’s why clinicians recommend a slow, supervised taper.

Can you get addicted to Lexapro?

True addiction (compulsive use, craving, reward‑seeking) is uncommon with SSRIs. That said, misuse—taking more than prescribed or mixing with other substances—adds risk and should be addressed promptly with your prescriber.

Lexapro and Mental Health Care

Lexapro is often used in a treatment plan for people with major depressive disorder, anxiety, or bipolar disorder. Doctors also prescribe it to those in recovery from substance use disorder or alcohol addiction. By stabilizing mood, Lexapro helps reduce emotional swings and improve daily function.

Lexapro does not create a euphoric high. However, it can lead to psychological addiction if taken for a long time or without a doctor’s guidance.

What Are the Withdrawal Symptoms of Lexapro?

Patients often ask, what are the withdrawal symptoms of Lexapro? These effects can range from mild to severe. Common physical withdrawal symptoms include nausea, dizziness, headaches, and flu – like symptoms. People may also experience fatigue, mood swings, and trouble sleeping.

Other symptoms include brain zaps, irritability, confusion, and loss of interest in activities. In young people, stopping Lexapro abruptly can trigger suicidal thoughts, which require immediate medical attention.

Lexapro (escitalopram) is an SSRI antidepressant that increases serotonin levels in the brain. This helps improve mood, reduce anxiety, and ease symptoms of depression, making it easier for people to manage daily life.

No, Lexapro and Xanax are different medications. Lexapro is an SSRI taken daily for long-term treatment of depression and anxiety, while Xanax (alprazolam) is a benzodiazepine prescribed for short-term relief of acute anxiety or panic attacks.

Lexapro is commonly prescribed for individuals with major depressive disorder, generalized anxiety disorder, panic disorder, and social anxiety disorder. It is generally for people who need long-term symptom management rather than immediate relief.

No, Lexapro is not a sleeping pill. However, it may improve sleep for people whose insomnia is linked to depression or anxiety. Some people may experience drowsiness as a side effect.

Lexapro does not cause euphoria but helps restore emotional balance. Many people report feeling calmer, more stable, and less anxious, which can contribute to an improved sense of well-being.

Possible downsides of Lexapro include:

  • Sexual side effects

  • Nausea or digestive upset

  • Weight changes

  • Fatigue or insomnia

  • Withdrawal symptoms if stopped suddenly

Why You Should Not Stop Cold Turkey

Stopping Lexapro cold turkey can increase the risk of withdrawal complications. Sudden changes in serotonin levels may cause mood crashes, panic, or insomnia. People with post traumatic stress disorder, bipolar disorder, or other serious mental health disorders face greater risk.

Before stopping Lexapro, always consult a healthcare professional. They can help you plan a safe and effective taper.

Tapering Off Lexapro Safely

Reducing Lexapro gradually with guidance from a mental health professional is the safest approach. Your provider will consider your medical history, current symptoms, and overall medical condition. If you have a history of drug addictions, you may need closer monitoring and more support.

A slow taper helps avoid severe withdrawal symptoms and gives your body time to adjust naturally.

Detox and Structured Treatment Programs

For some, a structured treatment option is the best path. Inpatient detox or programs through a health service offer 24/7 health care, emotional support, and medication management. These environments are safe, supportive, and equipped to handle intense symptoms.

Many programs also offer support groups where people can connect, share experiences, and find motivation to continue healing.

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Lexapro is not classified as either. It is a selective serotonin reuptake inhibitor (SSRI) that stabilizes mood. For some, it may feel calming, while others may experience increased energy as symptoms of depression improve.

No, Lexapro is not a narcotic. It is a prescription antidepressant in the SSRI class and does not have the addictive properties associated with narcotics or opioids.

Yes, Lexapro is often prescribed for panic disorder. By increasing serotonin, it helps reduce the frequency and severity of panic attacks over time.

Lexapro may not be suitable for people with:

  • Severe liver disease

  • A history of seizures

  • Bipolar disorder without mood stabilizers

  • Use of MAOIs or other interacting medications

Pregnant or breastfeeding women should consult their doctor before use.

Yes, Lexapro can help reduce rumination and excessive worrying by regulating serotonin levels. This makes it effective for people with anxiety-related overthinking patterns.

On the first day, some people may feel nausea, headache, drowsiness, or mild anxiety as their body adjusts. These side effects often improve after the first couple of weeks, while the therapeutic effects may take 4–6 weeks to appear.

Daily Habits That Support Recovery

Certain habits help ease the symptoms of Lexapro withdrawal. Staying physically active boosts your mood and reduces stress. Even light exercise like walking or yoga can help you feel better and sleep more soundly.

To address sleep problems, keep a consistent bedtime and avoid caffeine or screen time late at night.

Eating balanced meals supports your body and brain. Whole foods, lean proteins, and hydration can reduce side effects and improve focus. Journaling or creative hobbies may also reduce stress.

The Role of Family and Friends

Support from family and friends plays a key role during recovery. Trusted loved ones can help with errands, offer encouragement, or provide emotional comfort.

Knowing the signs and symptoms of withdrawal is important for them. This way, they can offer extra help or contact your provider when needed.

Risk Factors That Make Withdrawal Harder

Some risk factors can make Lexapro withdrawal more difficult. These include high doses, long-term use, and coexisting mental health conditions. A family history of emotional disorders or past addiction treatment may also increase sensitivity.

You should discuss other factors, including stress, health problems, or other medications, with your provider when planning your taper.

Lexapro withdrawal (discontinuation) symptoms & timeline

If Lexapro is reduced too quickly or stopped abruptly, you may notice: dizziness, flu‑like feelings, sleep problems, mood swings/irritability, “brain zaps,” and anxiety. Symptoms typically begin within a few days and ease over 1–2 weeks, though some people need longer. A gradual taper greatly reduces discomfort.

Important: Don’t change your dose on your own. Discuss a taper plan and safety monitoring with your clinician.

How to stop Lexapro safely (what to expect)

  • Partner with your prescriber. They’ll set a taper pace based on dose, duration, and history.
  • Step down gradually. Many people taper over weeks to months; your plan will be individualized.
  • Track symptoms. Report dizziness, mood changes, severe insomnia, or suicidal thoughts immediately.

Side Effects of Long-Term Lexapro Use

Long-term Lexapro use may cause weight gain, fatigue, and reduced libido. These side effects can affect your quality of life. If you notice changes, speak with your doctor.

Always make adjustments to your dose or switch medications under medical supervision to avoid rebound symptoms.

Can You Drink Alcohol While on Lexapro?

You should not drink alcohol while taking Lexapro. Alcohol can reduce the drug’s effectiveness and worsen side effects like drowsiness, confusion, or mood instability.

For those with alcohol addiction, mixing Lexapro with alcohol may increase the risk of relapse or emotional regression.

When to Call 911

If someone experiences hallucinations, seizures, or suicidal thoughts, call 911 immediately. These may be signs of a dangerous reaction and require emergency medical care.

Have a plan in place so that you or someone close to you knows what to do in a crisis.

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Interactions & safety notes

  • Avoid MAOIs and report all meds/supplements to your prescriber to reduce serotonin syndrome risk. 
  • Alcohol can worsen side effects and mood symptoms; most clinicians advise avoiding it. 
  • Boxed warning (FDA): Monitor for increased suicidal thoughts in younger people, especially during dose changes.

Continuing Treatment After Lexapro

Even after stopping Lexapro, many people continue to seek treatment. This might involve therapy, new medications, lifestyle changes, support groups, or sober living. Ongoing care builds long-term stability and reduces relapse risk.

Consistency matters. Stick to your plan, stay in touch with your provider, and track your progress.

Additional Recovery Tips

When going through withdrawal, it’s crucial to be patient with yourself. Recovery is a gradual process. You may experience both good and challenging days, which is completely normal. Progress doesn’t always follow a linear path.

Keep a daily record of your feelings. Documenting your journey can help you recognize improvements over time. Consider using a journal or a simple app for this purpose.

Reach out to people you trust. You don’t have to face withdrawal by yourself. A friend or family member can offer support. Even a brief chat can lift your spirits.

If you’re part of a support group, share your experiences. Others might offer valuable advice. Hearing someone else’s story can make you feel less isolated.

Aim to get some sunlight daily if you can. Exposure to natural light aids in maintaining healthy sleep patterns and elevates your mood. If feasible, take brief walks outdoors.

Physical activity and fresh air enhance circulation and alleviate anxiety. If you’re inside, open your windows to allow light to enter.

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Coping Strategies and Emotional Support

Develop a strategy for stressful situations. Identify who to contact and what actions to take if you feel overwhelmed. This might involve reaching out to a hotline, a trusted friend, or your physician. Having a well-defined plan can reduce panic and serve as a reminder that support is accessible.

Practice deep breathing by slowly inhaling and exhaling for five minutes. This technique can lower your heart rate and decrease stress levels. A simple yet highly effective method exists.

Additionally, consider trying guided meditation. Numerous free apps provide short sessions for beginners, helping you remain calm and focused.

Refrain from comparing your recovery journey to others. Everyone is unique. Some individuals recover quickly, while others need more time. Your progress is what counts.

Celebrate every step forward. Concentrate on what benefits you.

Set achievable goals. These might be simple tasks like increasing your water intake or maintaining a consistent bedtime. Achieving small goals boosts your confidence and keeps you motivated.

Be gentle with yourself. You’re undertaking a challenging task. Prioritizing your health is courageous. Acknowledge yourself for appearing and making an effort. That effort is significant.

With patience, support, and a solid plan, you can overcome Lexapro withdrawal. You can restore your health and regain stability. Keep moving forward. You are not alone.

When to get help

Seek urgent care (911) for seizures, hallucinations, severe confusion, thoughts of self‑harm, or signs of serotonin syndrome (agitation, fever, fast heartbeat, muscle stiffness). For 24/7 emotional support, call/text 988 (U.S.).

Treatment at Nova if Lexapro misuse is part of a bigger picture

If SSRI misuse or polydrug use is complicating your recovery, we offer a full continuum of care—detox, residential rehab, IOP, and sober living—with medication‑management and evidence‑based therapies tailored to co‑occurring mental health needs. We accept most insurance and can verify benefits confidentially the same day.

Get Help Today – Speak with our admissions team in Austin, Houston, San Antonio, or Colorado Springs.

Lexapro FAQs — Controlled Substance Status, Addiction Risks, Classification, and Withdrawal Symptoms

No. Escitalopram/Lexapro is not a controlled substance in the U.S. (not scheduled under the CSA).

Lexapro is an SSRI antidepressant.

It’s not considered addictive like opioids or benzodiazepines, but dependence/withdrawal can occur if stopped abruptly—taper with a clinician.

No—Lexapro is an SSRI; benzodiazepines are a different drug class (e.g., Xanax).

No. It’s neither an opioid nor a narcotic.

Addiction is uncommon; misuse can increase risk and abrupt stopping can cause withdrawal—work with your prescriber.

Dizziness, insomnia, flu‑like feelings, irritability, and “brain zaps.”

Sources

  • Healthline – escitalopram monograph with Q&A on controlled status/benzo/addiction and boxed warning.
  • GoodRx – Lexapro “Drug Facts” (SSRI class; Not a controlled medication; pharmacist tips on withdrawal).
  • Drugs.com – Lexapro monograph (CSA: Not a controlled drug; interactions/warnings).
  • MedicalNewsToday – Lexapro drug page (Is Lexapro addictive? withdrawal vs addiction).
  • MedlinePlus – Escitalopram overview and class/use.
  • StatPearls (NCBI Bookshelf) – Escitalopram pharmacology/indications (peer‑reviewed).
  • SingleCare – Lexapro vs Xanax (benzo vs SSRI clarity).
  • Verywell Mind – Lexapro withdrawal symptoms/timeline.

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Medical Disclaimer

The information provided on this page is for educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Lexapro (escitalopram) and other prescription medications should only be taken under the supervision of a licensed healthcare provider. Do not start, stop, or change your dosage without consulting your doctor. If you are experiencing severe side effects, withdrawal symptoms, or thoughts of self-harm, call 911 in the United States or seek immediate medical attention. For mental health support, you can dial 988 for the Suicide & Crisis Lifeline, available 24/7.

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