Care for depression and generalized anxiety
Escitalopram is an FDA-approved selective serotonin reuptake inhibitor (SSRI) for major depressive disorder and generalized anxiety disorder. It carries a boxed warning on suicidal thoughts and behaviors in young people, and it is prescribed online only if a licensed provider decides it is right for you. Forever Health Rx does not provide crisis or emergency care.
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Notify me when availablePrescription only. A licensed provider decides.
Escitalopram is an FDA-approved SSRI; if a licensed provider decides it is right for you, here is what it is approved to treat and how care works:
FDA-approved to treat major depressive disorder in adults.
Also FDA-approved to treat generalized anxiety disorder in adults.
It is thought to block serotonin reuptake by nerve cells in the brain, which increases serotonin activity.
A licensed provider screens, sets the dose and follows up through the portal; not for crisis care.
It carries a boxed warning on suicidal thoughts in young people; your provider decides whether it fits you.
Not medical advice. Individual results vary. A licensed provider decides whether a treatment is right for you.
Escitalopram is FDA-approved to treat major depressive disorder (MDD) in adults and adolescents 12 years and older, and generalized anxiety disorder (GAD) in adults and children 7 years and older. It is not approved for children younger than 7.
Escitalopram is thought to work by blocking the reuptake of serotonin, a chemical messenger, by nerve cells in the brain, which increases serotonin activity. How much it helps varies from person to person, and it can take time to notice a difference. Your provider sets the dose, and the label calls for close monitoring, especially during the first few months and whenever the dose changes. Because any psychoactive medicine may affect judgment, thinking or motor skills, use caution with driving or machinery until you know how it affects you. If stopping is ever needed, the dose is usually lowered gradually.
A provider may consider escitalopram for adults with major depressive disorder or generalized anxiety disorder, after screening for bipolar disorder and reviewing every medicine you take. It is not for people taking, or who recently stopped, an MAOI antidepressant, people taking pimozide, or anyone allergic to escitalopram or citalopram, and it is used with caution after a recent heart attack, with unstable heart disease or with liver impairment. Forever Health Rx does not provide crisis or emergency care. Your provider decides.
Answer questions about your health history, medications and goals. Submitting a visit does not guarantee a prescription.
A provider licensed in your state decides whether treatment is appropriate for you, or recommends a different path.
A licensed pharmacy dispenses your medication and ships it to your door. Follow-up continues through the patient portal.
Escitalopram is FDA-approved for major depressive disorder in adults and adolescents 12 and older, and for generalized anxiety disorder in adults and children 7 and older. It is not approved for children under 7. A licensed provider reviews your symptoms, history and other medicines to decide whether escitalopram may be appropriate for you, and the conditions evaluated online may be narrower than the full label.
Antidepressants increased the risk of suicidal thoughts and behaviors in children, adolescents and young adults in short-term studies. Anyone starting an antidepressant should be watched closely for worsening mood or new suicidal thoughts, especially in the first few months and when the dose changes, and family or caregivers can help notice changes. If you are in crisis or thinking about suicide, call or text 988 or call 911.
Please do not stop suddenly. Reports after abrupt discontinuation of SSRIs include low mood, irritability, agitation, dizziness, electric shock-like sensations, anxiety, confusion, headache, tiredness, emotional ups and downs, trouble sleeping and hypomania. These symptoms are usually self-limiting, but serious cases have been reported. The label recommends a gradual reduction whenever possible, and your provider can plan the safest way to stop if that is the right choice.
All of them, including supplements. Escitalopram must not be combined with MAOIs (including linezolid or methylene blue given into a vein) or pimozide. Triptans such as sumatriptan, tricyclic antidepressants, opioids such as fentanyl, tramadol, meperidine and methadone, lithium, tryptophan, buspirone, amphetamines and St. John's wort raise the risk of serotonin syndrome. Aspirin, NSAIDs, warfarin and other blood thinners raise the risk of bleeding.
It can. The label notes that SSRIs may cause sexual side effects: in men, delayed or failed ejaculation, decreased desire and erectile problems; in women, decreased desire and delayed or absent orgasm. These changes may not come up unless someone asks, so it helps to tell your provider about anything you notice. Your provider can discuss options with you.
No. Forever Health Rx is a telemedicine platform for non-urgent care and does not provide crisis or emergency care. If you are in crisis or thinking about suicide, call or text 988 (Suicide & Crisis Lifeline), which is free, confidential and available 24/7, or call 911. If someone is in immediate danger, call 911 right away.
You complete a health assessment online and a licensed provider reviews your answers, history and current medicines. If they decide escitalopram is appropriate, a licensed pharmacy dispenses it. Forever Health Rx is a telemedicine platform, not a pharmacy, and completing an assessment or paying does not mean you will receive a prescription. Not everyone qualifies, and individual results vary.
Antidepressants increased the risk of suicidal thoughts and behaviors in pediatric and young adult patients in short-term studies. Everyone who takes an antidepressant should be monitored closely for clinical worsening and for the emergence of suicidal thoughts and behaviors, especially during the first few months and whenever the dose changes. Families and caregivers should watch for changes and tell the prescriber. Escitalopram is not approved for children younger than 7.
Escitalopram is FDA-approved to treat major depressive disorder (MDD) in adults and adolescents 12 years and older, and generalized anxiety disorder (GAD) in adults and children 7 years and older. It is not approved for children younger than 7.
Common side effects: trouble sleeping, ejaculation problems (mainly delayed ejaculation), nausea, increased sweating, tiredness and sleepiness, decreased sexual desire and difficulty reaching orgasm. These are not all the possible side effects.
You may report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
Talk with your provider before starting, stopping or changing escitalopram during pregnancy, because untreated depression also has risks. Published studies have not established an increased risk of major birth defects or miscarriage. SSRI exposure during pregnancy carries risks of persistent pulmonary hypertension of the newborn (PPHN) and poor adaptation in the newborn, and use in the month before delivery has been associated with a modest increase in the risk of heavy bleeding after birth. Escitalopram passes into breast milk, and excessive sedation, restlessness, agitation, poor feeding and poor weight gain have been reported in breastfed infants, so tell your provider if you are breastfeeding.
If you are in crisis or thinking about suicide, call or text 988 (Suicide & Crisis Lifeline) or call 911.
Forever Health Rx does not provide crisis or emergency care.
Call your provider right away about new or worse depression, anxiety or panic attacks, agitation, restlessness, anger or irritability, acting aggressive or on dangerous impulses, trouble sleeping, or other unusual changes in mood or behavior.
Prescription only. Escitalopram is available only after an online visit with a licensed provider, who determines whether treatment is appropriate for you. This summary does not replace the full prescribing information. Not medical advice. Results may vary.
Forever Health Rx does not provide emergency medical care. Call 911 or go to the nearest emergency department if you are experiencing a medical emergency. For urgent questions about a serious side effect, message your care team through the patient portal and seek in-person care if symptoms are severe.
Escitalopram is coming soon to Forever Health Rx. Contact us and we will let you know when it is available.
Have a question before you start? Call our support team:
Prescription required. Eligibility is determined by a licensed provider. Not medical advice. Results may vary.
