we have a patient that has been taking this medication since 1991, and gradually been titrated to 30mgs., through the coarse of his treatment, But his insurance says that's more than the FDA guidelines, and surely we arent the only people who write for more than 20mgs., or is this just another OBAMA thing. Please help.
I think it is just plain wrong for the insurance company to dictate a patients treatment over what the doctor has prescribed.
The literature says for Lexapro:
The recommended dose of Lexapro is 10 mg once daily. A fixed-dose trial of Lexapro demonstrated the effectiveness of both 10 mg and 20 mg of Lexapro, but failed to demonstrate a greater benefit of 20 mg over 10 mg.
I am not aware of any clinical trails that have tested Lexapro at a higher dose than 20 mgs, although a chemically similar antidepressant Celexa is prescribed at 40 mgs so maybe the doctor is considering that.
I wish I could be of more help. Take care,
- Lexapro Information for Consumers
- Lexapro Information for Healthcare Professionals (includes dosage details)
- Side Effects of Lexapro (detailed)
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