Please note: a valid prescription is required for all prescription medication.
Lexapro® Tablets for Depression and Anxiety
Buy More, Save More: Get 20% off when you buy 3 or more of any one product using code LESS20 at checkout.
Applies to all products originating from Canada. Maximum allowable quantity equal to a 90-day supply per single order.
Black Friday Bonus: Enjoy free standard shipping on all orders over $250.
Offer can be combined with the 20% “Buy More, Save More” discount. Enter each coupon code separately at checkout to claim your offers. Offer ends December 5, 2025.
Price range: $28.59 through $29.59
Secure Encrypted Payments
Escitalopram is a selective serotonin reuptake inhibitor used for mood and anxiety disorders. This page helps you understand how it works, who it suits, and how to use it safely. We also explain access with US shipping from Canada and ways to manage costs without insurance. Learn more about treatment options and related conditions like Depression.
What Escitalopram Is and How It Works
Escitalopram is the active ingredient in Lexapro®, a prescription SSRI. It increases serotonin availability in the brain, which may help improve mood, reduce worry, and ease physical anxiety symptoms. Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
This medicine is a widely used option for major depressive disorder and generalized anxiety disorder. It is available as a generic, which can lower the escitalopram cost without insurance for many patients. The treatment is taken once daily, and most people can take it with or without food.
Effects and tolerability can vary. Your prescriber may adjust the plan based on your response, medical history, and other medicines. Always follow the official label and your clinician’s directions.
Who It’s For
This SSRI is indicated for adults with major depressive disorder and generalized anxiety disorder. It may also be considered for adolescents with depression when a prescriber finds it appropriate under local labeling. People with a history of bipolar disorder, seizures, serious heart rhythm issues, or significant liver problems should discuss risks carefully with a healthcare professional.
Do not use this medicine if you are taking or recently took an MAOI, linezolid, or intravenous methylene blue. If you have glaucoma risk, low sodium, bleeding risks, or are pregnant or nursing, your clinician will weigh benefits and potential risks.
Dosage and Usage
Escitalopram is typically taken once daily at the same time each day. Many adults start at 10 mg once daily and, if needed, may be increased to 20 mg once daily under the label and prescriber guidance. Older adults or people with certain conditions may need a lower target dose.
Swallow tablets whole with water. You can take it with or without food. Consistency supports adherence, so pair your dose with a daily routine. Do not change your dose or stop suddenly without medical guidance. For detailed dosing considerations, see our Escitalopram Dosage Guide.
Strengths and Forms
Availability may vary by pharmacy and manufacturer. Common presentations include escitalopram oxalate tablets in film-coated form. Typical strengths are 5 mg, 10 mg, and 20 mg.
This class is part of the broader SSRI category. Explore more options in SSRI and related treatments within Antidepressants.
Missed Dose and Timing
If you miss a dose, take it when you remember unless it is close to your next scheduled dose. If it is almost time for the next one, skip the missed dose and resume your regular schedule. Do not double up. Building a daily routine and using reminders can help you stay on track.
Storage and Travel Basics
Store tablets at room temperature away from moisture and light. Keep them in the original, child-resistant container. If you are traveling, carry your prescription label, pack your medicine in your carry-on, and keep a simple list of your medicines. Time zone changes can alter dose timing, so plan with your prescriber before long trips. Our checkout is encrypted for your security.
For cross-border travel, keep documentation accessible. If a trip includes multiple stops or extended heat exposure, ask your clinician or pharmacist about practical packing options. Do not store tablets in bathrooms or cars for long periods. Always keep medicines out of reach of children and pets.
Benefits
As an SSRI, this therapy can help reduce persistent sadness, excessive worry, and related physical symptoms like restlessness and muscle tension. Once-daily dosing supports routine use. The availability of generics helps manage budgets, and escitalopram Canadian pricing may be attractive for some U.S. patients compared with local cash-pay rates.
Support resources can be helpful. For symptom education, see Generalized Anxiety Disorder and related guides such as Anxiety And Depression And Medicines. Your prescriber will tailor decisions to your medical history and therapeutic goals.
Side Effects and Safety
Common effects may include:
- Nausea or upset stomach
- Trouble sleeping or sleepiness
- Headache and dizziness
- Dry mouth and sweating
- Diarrhea or constipation
- Fatigue
- Decreased libido or sexual dysfunction
Serious risks can include suicidal thoughts and behaviors in young people, serotonin syndrome, severe allergic reactions, eye pain or vision changes from angle-closure glaucoma, significant hyponatremia, seizures, and heart rhythm issues in susceptible individuals. Bleeding risk can rise with NSAIDs, aspirin, or anticoagulants. Seek urgent help for symptoms of serotonin syndrome or severe reaction. For more details, review Escitalopram Side Effects.
Drug Interactions and Cautions
Do not combine with MAOIs, recent MAOI use, linezolid, or IV methylene blue. Use caution with other serotonergic agents, including triptans, tramadol, St. John’s wort, and other SSRIs or SNRIs. Blood thinners and NSAIDs can raise bleeding risk. QT-prolonging medicines may increase rhythm concerns in predisposed patients.
Alcohol can worsen drowsiness or impair judgment. Some strong CYP2C19 inhibitors may affect levels; clinicians consider this when prescribing. Do not stop therapy abruptly; discuss tapering with your prescriber. For comparisons within SSRIs, you can read Fluvoxamine vs Escitalopram and related options like Zoloft For Anxiety.
What to Expect Over Time
Early treatment may bring mild nausea, headache, or sleep changes that often lessen as your body adapts. Mood and anxiety updates are typically gradual. Your clinician will focus on symptom patterns, function, and tolerability. Continue routine follow-ups, especially during the first weeks, and avoid abrupt changes without guidance.
If you do not feel benefit or you experience persistent effects, your prescriber may adjust timing or recommend another medicine. Combining therapy with counseling, sleep hygiene, and activity may support long-term outcomes. Keep a simple symptom journal to share during visits.
Compare With Alternatives
Some patients begin with a brand version, while others start with a generic. For brand formulation, see Cipralex®. Another SSRI option is Sertraline Tablets, which your prescriber may consider based on history, effects, and tolerability. When comparing choices, some focus on lexapro generic price versus other SSRIs, expected effects, and personal preferences.
Pricing and Access
We aim to make access straightforward for U.S. patients using Canadian partners. Review current escitalopram price details on this page, including supply options. If you use insurance locally, you can still compare cash-pay across sources. For occasional coupons or seasonal offers, see our Promotions.
You can browse related categories such as Antidepressants and conditions like Panic Disorder. Checkout is designed for clarity and encrypted for security. We provide transparent information and US delivery from Canada without making timing guarantees.
Availability and Substitutions
Stock can change based on manufacturer supply. If an item is not available, your prescriber may recommend a comparable SSRI or a brand alternative. If you have questions about formulation, dye content, or tablet size, speak with your pharmacist. We can also help you compare escitalopram cost with similar therapies before you confirm an order.
Patient Suitability and Cost-Saving Tips
Many adults with depression or generalized anxiety may be candidates when an SSRI is appropriate. People with bipolar disorder, seizure history, significant heart rhythm concerns, or active MAOI therapy may not be suitable. If pregnancy or breastfeeding is relevant, discuss risks and benefits with your clinician.
To save on ongoing therapy, consider a multi-month fill if your prescriber approves. A 90-day supply may reduce per-fill fees and help adherence. Set refill reminders so you do not miss doses. Compare options by total monthly outlay rather than bottle price alone. Ask about the escitalopram cash price compared with local quotes. If you are paying without insurance, generic options usually help stretch budgets.
Questions to Ask Your Clinician
- Starting goals: what symptoms should improve first?
- Side effect plan: what to track and when to check in?
- Interaction review: which medicines or supplements to avoid?
- Duration: how long to continue after feeling better?
- Switching: how to taper if changing therapies?
- Sleep and routine: best time of day for your schedule?
- Follow-up: how often to reassess progress and safety?
Authoritative Sources
FDA DailyMed: Escitalopram Tablets
Health Canada Product Monograph: Cipralex
FDA MedWatch: Report Side Effects
Ready to get started?
You can review options and buy escitalopram online with prompt, express shipping and reliable US delivery from Canada. This information is educational and not a substitute for professional medical advice. Always follow your prescriber’s guidance.
Express Shipping - from $25.00
Shipping with this method takes 3-5 days
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Shipping Countries:
- United States (all contiguous states**)
- Worldwide (excludes some countries***)
How long does escitalopram usually take to start helping?
Many people notice small changes within the first couple of weeks, such as better sleep or reduced physical tension. Mood and worry symptoms can take longer to shift. Progress is gradual and varies by person. Keep taking your tablets as directed and stay in contact with your clinician, especially early on. Do not change your dose on your own. If you have concerns, schedule a check-in to review options.
Can I drink alcohol while taking escitalopram?
Alcohol can worsen drowsiness, dizziness, and coordination problems. It can also affect mood and sleep quality, which may work against your treatment goals. If you choose to drink, discuss limits with your clinician and use caution. People who experience sedation or impaired alertness should avoid driving and other tasks that require focus.
What are common side effects I should watch for?
Common effects include nausea, headache, sleep changes, sweating, dry mouth, and fatigue. Some people notice decreased libido or sexual dysfunction. Most are mild to moderate and may ease with time. Serious issues like serotonin syndrome, worsening mood, or eye pain need urgent attention. Review the medication guide and contact your prescriber if symptoms are severe or persistent.
Is it safe to stop escitalopram suddenly?
Stopping suddenly may lead to discontinuation symptoms such as dizziness, irritability, insomnia, and flu-like feelings. These effects can be uncomfortable. Prescribers often use a gradual taper to reduce the chance of symptoms. Do not stop the medicine on your own. Talk with your clinician about the safest way to discontinue or switch therapies.
Can I take escitalopram during pregnancy or while breastfeeding?
Talk with your healthcare professional if you are pregnant, planning pregnancy, or breastfeeding. Your prescriber will weigh the benefits of treating depression or anxiety against potential risks to the fetus or infant. Decisions are individualized, considering symptom severity and alternatives. Do not start or stop therapy without professional guidance.
What medicines or supplements may interact with escitalopram?
Avoid MAOIs, and use caution with other serotonergic drugs like triptans, tramadol, or St. John’s wort. Blood thinners and NSAIDs can raise bleeding risk. Some heart rhythm medicines may increase QT concerns. Share a full list of prescriptions, OTC items, and supplements with your clinician or pharmacist before starting therapy.
What if I feel no improvement after several weeks?
Follow up with your prescriber to review adherence, side effects, and goals. They may suggest continuing longer, adjusting timing, or switching options if appropriate. Combining therapy with counseling, sleep routines, and activity can support results. Do not change dose or stop suddenly without guidance.
Rewards Program
Earn points on birthdays, product orders, reviews, friend referrals, and more! Enjoy your medication at unparalleled discounts while reaping rewards for every step you take with us.
You can read more about rewards here.
POINT VALUE
How to earn points
- 1Create an account and start earning.
- 2Earn points every time you shop or perform certain actions.
- 3Redeem points for exclusive discounts.
How to book an appointment
- 1Create Begin by completing a profile or log into your existing account. This step ensures we have the necessary information to provide you with a service that's tailored to your needs. account and start earning.
- 2Scheduling an appointment with our online booking system is easy. Pick a day and time that suits you. You’ll receive an immediate confirmation, without the wait.
- 3Discuss your concerns and symptoms and receive a thorough diagnosis from one of our licensed doctors during a confidential video appointment.
- 4If you've been prescribed medication, your Rx is sent directly to one of our licensed pharmacies and delivered right to your door.
Get Started
To book an online doctor appointment, register for an account or login. After doing so, you can book your visit on this page.

