This is my first go around with antidepressants. I started off with 5 mg of generic lexapro 5 days ago and on the 3rd day my psychoatrist upped to 10 mg. i have been feeling anxious and more depressed but she says that thats how they make you feel in the beginning. Is this normal? Do they typically make you feel worse at first and then start to work?
Lexapro - can it start making you feel worse before making you feel better?
Question posted by Btaylor2012 on 30 Sep 2015
Last updated on 22 March 2022
The information on this page reflects personal experiences shared by our community members. It is not reviewed for medical accuracy and should not replace professional medical advice.
47 Answers Page 2
I am 41 and just started Lexapro 2 days ago. I am so willing to give it a full try if it will help with my anxiety and depression that began with the sudden death of my father 3years ago. I thought it would just get better as time went by but I recently realized it was only getting worse. I was having more days in tears and panic attacks than ever before. I spoke with my doctor about it and she prescribed Lexapro 20mg. I'm not noticing any worsening symptoms of anxiety and depression but I feel like I'm choking and I'm extremely nauseated. I'm also having symptoms of dizziness that comes in waves along with the nausea. I want this to work because I'm tired crying and feeling sad all the time. Any suggestions for these symptoms and are they normal? This is my first time ever taking any sort of prescription besides an occasional antibiotic.
I have started lexapro 10mg-felt better but noticed positives. Went to 15mg after two weeks as per Dr instructions. Just had session and we decided to go to 20mg. Thing is my anxiety is super high three days in and not going down. Is this normal has anyone else had worse anxiety on higher dose??? Will it settle down or not? Is it normal and wil go away? It’s sunday so I can’t call to check with Dr. should I persist till I can talk to doctor??? Thankyou for your insights?
Hi Bella, max I’ve been on is 10mg but when I jumped from 5 to 10 my anxiety was at a all time high for days. I also had 3 or 4 days feeling terribly depressed but it all evened out about day 9-10. Hang in there until tomorrow love. Then maybe touch base with dr. It’s such a horrid feeling. Your not alone. X
Thank you. I will continue to take tonight and try to touch base with my doctor in the morning. Thank you for replying. Today was rough.
I was just put on 20 mg lexapro 3 days ago for what im guessing is OCD and exreme anxiety. The first two days i felt worse than before but today i am feeling a little better. I kinda actually feel like a normal person today.
I have been having really bad anxiety and intrusive thoughts for about two months now. Sometimes i feel like i am crazy and belong in a mental institution, although i know all these things are quite normal for some people and are very well managable, i keep telling myself things wont get better. I started on 10mg lexapro about a year ago. I stopped taking without winging myself (bad idea) i went back to the doctor yesterday & she put me on 20 mg. I feel foggy and more jittery than before. I hope i start to feel better soon. Is that a good dose to be on? Just looking for positive feedback i guess.! Hope everyone has a blessed day.
Intrusive thoughts happen to everyone and are “just” thoughts, no different than thinking of what you are going to eat for dinner or when your childhood friend pops in your head. I know it doesn’t feel this way, as I have struggled with intrusive/scary thoughts, and thought something was terribly wrong with me. I have also felt like I should be institutionalized permantly due to OCD and anxiety. You aren’t alone, give the new dosage a couple weeks. When I was on Lexapro it took about a month to even out. Same thing with my new Zoloft. Hang in there!
Thank you so much for the positive feedback. I am gonna stick it out and hopefully it changes my life for the better & yeah everytime i have a thought i tell myself that its just a thought and it doesnt define who i am. I have faith this will work! Thank you!
I just started Lexapro 10 mg and this is my 3 week. I am feeling sad. It’s as bad as it was before I started the medication and sometimes I feel it’s actiall worse. I have no other side effects and no troubles eating or sleeping but I don’t want to talk and when I do, I cut it short. I guess I will hang in there hoping it will get better.
Have you talked with your doctor about your symptoms? If not, I highly suggest you do. This may not be the medication for you.
By changing your brain chemistry, Lexapro can have unwanted side effects initially. Those might include anxiety, insomnia, weird dreams, etc. Hang in there. In my experience, the side effects diminish rather quickly. I think the worse goes away after about a week. The upside, for me, was a remarkable improvement in my attitude toward life... along with less anxiety and an end to intrusive/negative thoughts. Lexapro affects positive change rather quickly. Good luck :)
I stopped taking this stuff on day 6. My doctor tried Zoloft and Effexor and they both had the same effect. Some people just aren’t meant to be on SSRI’s or SNRI’s. My doctor tried a tricyclic (an old school med) and it’s working like a charm! Day 5 and I’m already feeling more like myself. She put me on amitriptyline. Talk to your doc about switching meds. Lexapro was not for me and may not be for you, either.
Thank goodness for this thread. I’m only on my second day of 5mg lexapro and I feel horrible. Racing thoughts, no appetite, vomiting and diarrhea, dry mouth, panicking a lot about everything. I can fall asleep but can’t stay asleep and I will toss and turn for five hours and then my alarm goes off. Also getting that horrible anxiety feeling of crawling skin/numb/on fire skin feeling all at the same time. Told my doctor who will lower my dosage, but I hope I can tough this out for two weeks. I can’t take much more of this :(
Totally totally normal. It is the most horrible feeling! But it will get better. Commit to two weeks. I find the stronger reaction you have at the start the quicker it seems to settle in to your system. I felt awful. I felt like I was in a dream like depressed state just watching my body from the outside. The worst brain fog. Racing heart. Day 7 and 8 were my worst. Then by day 10 I started feeling good. Then a bit better each day. Right now you just need to get through one day at a time. Can your dr prescribe a low dose of Valium or something for when you really need it at night? Just to get some sleep? Baths, essential oils, self help books. Anything you can do to distract yourself. Hang in there friend. It’s worth it. X
I have been on many of these medications and yes they will probably make you all kinds of nervous etc. They basically increase and alter the chemicals in our brain that control mood , happiness, and sadness. I’d stick with it for a while longer I always described it like a roller coaster ride.
Once you reach the top and level out it can make it all worth the crazy ride.
But if it continued for an extended abnormal period of time then I would recommend asking for something else. I know first hand that not every anti depressant fits everyone.
I stopped Lexapro because of its sexual side effects. After about two weeks, I started to notice a return of anxiety attacks. They were small and controllable moments. Nonetheless, I was reminded of life pre-Lexapro. Started back on Lexapro today. I am now experiencing much stronger anxious feelings. I'm planning to tough out whatever a return to the medication brings me because I know I will eventually benefit. As far as the sexual problems (I am a male), I've checked out the medication "holidays" suggested on WebMD and other sites. I may try a holiday but not for a few weeks. My situation is different from the question but we share same anxious effects with the start of this med. Just hang in there!
Maybe some of the side effects are from a little withdrawal from stopping the Lexapro... I quit 5mg cold turkey because I thought I didn’t need it... sent my body into a tailspin... it was horrible. Started back up but went through side side effects again plus withdrawal symptoms. I took the 5 mg for 17 years and just quit cold turkey because I didn’t know any better
Hi! I’ve never posted on a thread before.. I’m on buspar 3.75 2x daily and my psychiatrist just added lexapro 5mg. I was started on this for anxiety but since starting lexapro I feel as though I’ve developed depression. Staying in bed all day, not eating, no motivation and loss of interest. Should I stick it out or give up?
Hi guys! I started taking 10mg of Lexapro 5 days ago and I feel like I’m crawling out of my skin! Constant panic, worry, white wash feeling. Last night it woke me up and I couldn’t get back to sleep. I’ve never been on antidepressants before and this thread has really helped me believe that this will work. I might ask my doc for some Xanax to get me through the initial few weeks. Here’s hoping these symptoms subside soon because it’s driving me mad!
Hi, amniro!
"Side effects have been reported to be generally mild and transient. They are most common during the first 2 weeks of treatment and decrease in intensity and frequency with continued treatment. They generally do not lead to treatment cessation."
And the good news is it will start getting better quickly now... you're halfway through!
.
I have the same side effects... the burning/prickly feeling in chest and arms, shakey, anxious, nervous, loss of appetite, amongst several other side effects on the list, etc. I have been on 5 mg. name Brand Lexapro for about 4 1/2 weeks. I sure hope these side effects subside and I will be able to stay on this med. I have taken 5 mg name brand Lexapro for about 12 years up until a few months ago. And now I am back on 5 mg. name Brand Lexapro for about 4 1/2 weeks.. I sure hope these side effects subside and will be able to stay on this med. I had to switch to generic because of insurance so I just stopped taking it thinking I didn’t need it. WRONG! A couple of months later I had a panic attack... bp shot up and real nervous. Now I am back on the name brand. It is like starting all over with horrible side effects. I want to have my life back ... you all can understand I know.
There aren’t many options out there for me to try because I am so sensitive to the fillers. I just feel really down and want to enjoy life again. I am hoping that when reading these forums that these side effects go away even if I have to wait 8-12 weeks.
II have the same side effects... the burning/prickly feeling in chest and arms, shakey, anxious, nervous, loss of appetite, amongst several other side effects on the list, etc. I have been on 5 mg. name Brand Lexapro for about 4 1/2 weeks. I sure hope these side effects subside and I will be able to stay on this med. I have taken 5 mg name brand Lexapro for about 12 years up until a few months ago. And now I am back on 5 mg. name Brand Lexapro for about 4 1/2 weeks.. I sure hope these side effects subside and will be able to stay on this med. I had to switch to generic because of insurance so I just stopped taking it thinking I didn’t need it. WRONG! A couple of months later I had a panic attack... bp shot up and real nervous. Now I am back on the name brand. It is like starting all over with horrible side effects. I want to have my life back ... you all can understand I know. There aren’t many options out there for me to try because I am so sensitive to the fillers.
I just feel really down and want to enjoy life again. I am hoping that when reading these forums that these side effects go away even if I have to wait 8-12 weeks.
This is a hopeful and really helpful thread. I am on Lexapro 30mgs for severe OCD, anxiety, and depression. About a month ago, I was on Zoloft 200mgs for these conditions. My doctor and I then switched over to Lexapro. I'm having a tough time right now with some sedation, vivid dreams, internal agitation, and increased depression. My psychiatrist wants me to go up to 40mgs eventually.
I am hopeful that, if I can really try to stick it out, this medication can help me and the side effects go away. I know it takes time. Thanks for your encouragement!
So glad to have found this post... I started on 5mg of Lexapro 13 days ago and upped to 10mg 7 days ago... I'm on it due to high anxiety but the sadness I've experienced over the last three days has been so scary... I'd take the anxiety any day (& the anxiety is still here too).. Can anyone share whether they've experienced this hopelessness after starting Lexapro and does it pass, after how long? So difficult to hear when you've children to care for etc.. Thanks for any help, Sandra
I meant so difficult to bear when you're looking after children
Hi, Sandra! Been there... done that! These side effects will go away and soon:
"Side effects have been reported to be generally mild and transient. They are most common during the first 2 weeks of treatment and decrease in intensity and frequency with continued treatment. They generally do not lead to treatment cessation."
"Common (1% to 10%): Abnormal dreams, agitation, increased anxiety, nervousness, restlessness,
aggravated depression, emotional lability, excitability, feeling unreal, forgetfulness"
"Sleep, energy, or appetite may show some improvement within the first 1-2 weeks. Improvement in these physical symptoms can be an important early signal that the medication is working. Depressed mood, anxiety, and lack of interest in activities may need up to 6-8 weeks to fully improve."
It's so much harder when you have responsibilities like a job or caring for children, but I'd advise trying to be patient and positive until you start feeling the full benefits of the medication.
Best regards and feel free to post here anytime you have questions or concerns, okay?
Thanks for that Wildcat... I sincerely hope that I see an uplift in mood sooner rather than later... 6 to 8 weeks seems unimaginable to live with this... I need to get back to work & to myself... is there anything I can do to assuage these side effects... would exercise help (not that I feel like it)... I'd never felt this sadness before starting these antidepressants... it's quite scary! I do appreciate you're taking the time to reply and send light & love too you x
Yes, by all means exercise will help! It provides distraction and gets some oxygen flowing to that foggy brain... and it doesn't have to be full out workouts at the gym. I remember when I was in the depths of despair and didn't feel like even moving off the couch... I determined that I would take the dogs out every day for a walk no matter what. I stuck to it and not only did I feel sooo much lighter and calmer emotionally, but it was great for my physical stamina and well-being too.
The same goes for any activity... could you find time to join a book club, volunteer at an animal shelter, do crafts, whatever your interests are, anything to get your mind off your worries even for just a few hours?
I'm experiencing the exact same thing. I just increased my does from 5mg to 10 and am feeling incredibly sad. A feeling I've never really felt before. I started taking lexapro for anxiety. I hope this goes away soon. I can deal with the rest of the side effects but this is awful. Hope it works out for us.
Good morning
I wish I could tell you it passed quickly for me. I’m on day 35 and haven’t had much luck as my body is still not leveling off.
My dr recently gave me Ativan to help get through until by body adjusts and that has helped a lot.
I’m going to give the Escitalopram 10mg three more weeks before I try going back to citalopram.
Stay strong and don’t be afraid to ask for a benzo to get you through. I wish I had 35 days ago.
Yes, it will get worse (anxiety, etc) but by week 3-4 should be evening out and you will feel better.
Hi there, My first 2 weeks after increasing to 10mg of Lexapro I felt awful. About 16 days after I started feeling better. I'm on my twentieth day now, and the past couple days I've had bad anxiety still. I also had to take my panic attack pill yesterday. Do you know if it's normal to still have really bad days or does this mean I need to increase my 10mg to 15mg? Also, I can't eat nearly as much as I use to. i get a stomach ache everytime I eat. Do u know if this medication affects your appetite?
Thanks,
Steven
Hatch-do you feel better now? I know this is an old post just curious if your body ever leveled off and how long it took to do so? Thanks!
Thanks for having this forum! Really helps me calm down knowing other people are going through the same problems I am. Similar story to everyone else. 10mg Lexapro and it seems my anxiety is SO much worse. Especially in the morning. Can't seem to get out of bed. But it's also just the first week of me taking this drug. Seems like I should stick to it... but it's very tough, as all of you know.
The first week was the absolute worst. I can now say looking back it was worth it though. I’m a month in and I’ve noticed a huge improvement in my overal symptoms and mood. Even my husband and family have said that they’ve noticed a difference. There are still days but I can honestly say it gets better. Hang in there and know you are definitely not alone.
Thank you for the encouragement!
I cut down to 7.5mg in Jan. Had a big anxiety downer this week so have moved back up to 10mg today. Lordy lord I hope I don’t have all the gross side effects as bad this time. I’m thinking it’s not as bigger increase as last time but who knows. So glad you guys have all been through it. I know there is a light at the end of the tunnel.. 1 day at a time. Xx
Absolutely, I hope you’re starting to feel better!
Related topics
lexapro, depression, anxiety, generic, antidepressant
Further information
- Lexapro uses and safety info
- Lexapro prescribing info & package insert (for Health Professionals)
- Side effects of Lexapro (detailed)
Similar questions
Search for questions
Still looking for answers? Try searching for what you seek or ask your own question.