Lexapro (escitalopram) is not considered addictive in the traditional sense, as it doesn’t produce cravings or a “high” like drugs of abuse. However, some people may develop a psychological dependence or experience withdrawal symptoms—such as dizziness, irritability, or flu-like feelings—if they stop taking it abruptly. That’s why it’s important to work with a doctor when starting or stopping Lexapro.
What is Lexapro?
Lexapro (escitalopram) is a selective serotonin reuptake inhibitor (SSRI) commonly prescribed to treat depression and anxiety disorders. It works by increasing the levels of serotonin in the brain, a neurotransmitter that plays a key role in mood regulation. By helping to balance serotonin levels, Lexapro can alleviate symptoms of depression and anxiety, making it a go-to medication for mental health professionals. While it is generally considered safe and effective when taken as prescribed, some people may develop a dependence on Lexapro, particularly if they use it long-term or try to stop taking it too abruptly.
Lexapro Addiction
Lexapro is not considered addictive in the traditional sense, like opioids or stimulants, because it doesn’t cause cravings or a compulsive need to take more. However, that doesn’t mean dependence isn’t possible. Many people who take Lexapro for an extended period find it difficult to stop due to the withdrawal symptoms, which can make them feel like they "need" the medication to function. This is known as physical dependence - different from addiction but still challenging to manage.
Aside from physical dependence, psychological dependence can also develop, where individuals feel anxious or fearful about coping without Lexapro. Since Lexapro helps regulate mood, some people may worry that stopping the medication will bring back intense depression or anxiety.
Can Lexapro Get You High?
Lexapro does not produce a “high” in the way that recreational drugs like opioids, stimulants, or marijuana do. As an SSRI, its primary function is to regulate serotonin levels in the brain gradually over time, rather than creating an immediate euphoric effect. Because of this, Lexapro is not typically sought out for recreational use.
That being said, some people may misuse Lexapro by taking higher doses than prescribed, hoping for a calming or mood-enhancing effect. However, doing so is unlikely to result in a pleasurable high and can instead lead to unpleasant side effects like dizziness, confusion, extreme drowsiness, or nausea. In high enough doses, Lexapro poses a risk of serotonin syndrome, a potentially dangerous condition caused by excessive serotonin in the brain. While Lexapro isn’t considered a drug of abuse, it’s still important to take it only as directed to avoid negative health effects.
Lexapro Side Effects
Like all medications, Lexapro comes with a host of potential side effects, which can vary from person to person. Lexapro side effects in the first week are common as the body adjusts to the medication. These may include nausea, dizziness, headaches, drowsiness, or increased anxiety. For most people, these symptoms improve as their system gets used to the drug.
However, some side effects can persist or become more concerning over time. Long-term users may experience weight changes, fatigue, or emotional numbness. In rare cases, Lexapro can cause more serious reactions, like serotonin syndrome—a dangerous condition caused by excessive serotonin levels in the brain. It’s important to monitor any changes while taking Lexapro and consult a doctor if side effects become severe or unmanageable.
Lexapro Long Term Side Effects
Long-term use of Lexapro can lead to a range of side effects which may impact daily life. One of the most commonly reported issues is known as “emotional blunting”, where individuals feel a reduced ability to experience both positive and negative emotions. Some people describe feeling “numb” or detached from their surroundings.
Other long-term effects may include weight gain, chronic fatigue, and cognitive issues such as brain fog or memory problems. Prolonged use of Lexapro can also lead to physical dependence, meaning the body becomes accustomed to the drug, making it difficult to stop.
Side Effects of Coming off Lexapro
Discontinuing Lexapro—especially abruptly—can lead to a range of withdrawal symptoms, often referred to as SSRI discontinuation syndrome. These symptoms can be both physical and emotional, making it difficult for some people to quit the medication.
Common physical side effects of coming off Lexapro include:
- Dizziness
- Headaches
- Nausea
- Fatigue
- Flu-like symptoms
Many people also experience "brain zaps” - a sensation of electric shocks or tingling in the brain that can be unsettling.
Emotional Side Effects of Lexapro Withdrawal
Common emotional side effects of coming off Lexapro include:
- Mood swings
- Irritability
- Heightened anxiety
- Depressive episodes
Some people report feeling more sensitive to stress, experiencing intense dreams, or struggling with insomnia. The severity of these symptoms often depends on how long someone has been taking Lexapro and the dosage they were on. Tapering off the medication gradually under a doctor's supervision can help minimize these withdrawal effects and make the process smoother.
Lexapro Abuse
While Lexapro isn’t commonly associated with abuse, some people may misuse it in an attempt to enhance its effects. Lexapro abuse typically involves taking higher doses than prescribed, mixing it with other substances, or using it without a prescription. Some people may misuse Lexapro in the hopes of feeling more relaxed or emotionally numb, while others might take extra doses believing it will work faster or more effectively. However, increasing the dosage beyond what’s prescribed doesn’t enhance its benefits and can lead to serious side effects.
Some people combine Lexapro with alcohol or other drugs, which can be risky. Mixing Lexapro with depressants like alcohol can heighten sedation and impair judgment, while combining it with stimulants or other serotonergic drugs can increase the likelihood of serotonin syndrome.
Lexapro Abuse: A Final Word
While Lexapro is an effective medication for managing depression and anxiety, it’s not without risks. Long-term use can lead to dependence, and stopping the medication too quickly can cause uncomfortable withdrawal symptoms. While Lexapro isn’t considered addictive in the traditional sense, many people struggle to discontinue it safely. Understanding the potential side effects, risks of misuse, and proper ways to taper off can help individuals make informed decisions about their mental health treatment.
If you or someone you love is struggling with Lexapro dependence or withdrawal, Avenues Recovery Center is here to help. Our skilled and compassionate team offers professional support to guide you through the detox process safely and comfortably.
You don’t have to go through this alone—reach out to Avenues Recovery Center today and take the first step towards healing.