Suggest Dosage For Lexapro

Posted on Fri, 19 May 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 19 May 2017 Answered on

Mon, 12 Jun 2017 Last reviewed on

Question : I've been taking 20mg of lexapro at night and it seems like it doesn't work but I switch to mornings and I think it's working better .Why would that be?

Answered by Dr. Ashok Kumar Choudhary (2 hours later)

Brief Answer:
The cause is not known

Detailed Answer:
Hello,
Thanks for using Healthcaremagic.

Although the cause for relative efficacy is not known but it has been shown that about 60% of patients perform better with morning dose of lexapro and remaining 40% do well with evening dose. This is possible as everyone have have different set of biological characteristics and respond differently.

In my opinion if you are having better response with morning dose it can be shifted at morning from current schedule.

I hope this helps you.
If you have more questions feel free to write back to me.
Thanks and regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ashok Kumar Choudhary (2 days later)

I think I know why my antidepressant wasn't working my test for candida and hployri came back positive ..Could this be the culprit because before I had no problem at all with paxil alone.

Answered by Dr. Ashok Kumar Choudhary (1 hour later)

Brief Answer:
Not much relationship

Detailed Answer:
Hello,
Thanks for follow up.

Candida and H pylori infections are not known to interfere with action of lexapro directly.

However it is possible that chronic infection maintained the depression leading to feeling that lexapro is not working.

I hope this helps you further.
Thanks and regards.

Above answer was peer-reviewed by : Dr. Prasad