Escitalopram
Major depressive disorder, Generalized anxiety disorder
Indications
- Major depressive disorder
- Generalized anxiety disorder
Adult dosing
- standard: dose: 10; unit: mg; route: PO daily; interval: May increase to 20mg after 1 week; max 20mg; fixed: true
Contraindications
- MAOI use within 14 days
- Concurrent pimozide
- QTc prolongation (dose-dependent)
Clinical pearls
- Most selective SSRI — fewest drug-drug interactions
- QTc prolongation risk at doses >20mg — FDA black box
- Elderly: max 10mg daily
- Generally well-tolerated — good first-choice SSRI
Source and review
- FDA Label; APA Practice Guidelines. Last reviewed: 2024-11-01