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Mental Wellness
Not a controlled substanceFDA-approved product

Escitalopram

First-line SSRI for depression and anxiety

The generic of Lexapro, and one of the two SSRIs most consistently recommended as a starting point for major depressive disorder and generalised anxiety. Your NP reviews your PHQ-9 and GAD-7 before initiation and again at every follow-up.

Our nurse practitioner treats uncomplicated depression and anxiety within primary-care scope. We are not a psychiatric practice. Bipolar disorder, psychosis, eating disorders, substance use disorder, active suicidal thinking and anyone already under a psychiatrist are referred out rather than started here — and we will help you find that care. We also do not prescribe benzodiazepines, stimulants or any other controlled substance.

Regulatory status

FDA-approved finished drug product.

Daily oral medication

Frequency

Once daily, oral

Route

Oral

Supply

30-day supply

Minimum age

18+

What it does

What patients get from this

  • Among the best-tolerated SSRIs at starting doses
  • Treats depression and generalised anxiety together
  • Scored follow-ups at two, six and twelve weeks
  • Inexpensive as a generic almost everywhere

We will not prescribe this if

  • Concurrent or recent MAOI use
  • Known bipolar disorder without a mood stabiliser
  • Congenital long QT syndrome
  • Current pregnancy or breastfeeding

The intake asks about each of these. Some answers stop the process; others are flagged for your nurse practitioner.

Labs your NP may order

  • CMP
  • TSH

Draw at our Fort Lauderdale clinic or a reference lab near you. Your NP reviews the results and posts them to your account.

Please read

  • Antidepressants carry a boxed warning for increased suicidal thinking in people under 25. Your NP screens for this at every visit.
  • Do not stop abruptly — discontinuation is tapered.