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.
Frequency
Once daily, oral
Route
Oral
Supply
30-day supply
Minimum age
18+
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.
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