Many experience mild side effects when starting Lexapro 20mg. These often lessen over time. Common ones include nausea, insomnia, drowsiness, decreased libido, and headache.
Managing Nausea and Gastrointestinal Issues
For nausea, take Lexapro with food. Smaller, more frequent meals can help. If nausea persists, talk to your doctor; they might suggest an anti-nausea medication.
Addressing Sleep Disturbances
Insomnia or drowsiness often improve within a few weeks. Meanwhile, stick to a regular sleep schedule, avoid caffeine and alcohol before bed, and create a relaxing bedtime routine.
Dealing with Sexual Side Effects
Decreased libido is a possible side effect. Open communication with your doctor is crucial. They might adjust your dosage or suggest alternative treatments.
Headaches and Other Side Effects
Headaches are common. Over-the-counter pain relievers can help, but always check with your doctor before taking any new medication. Other side effects, such as dizziness or constipation, often resolve spontaneously. If they don’t improve or worsen, contact your doctor immediately.
Lexapro Side Effects Summary
| Nausea | Take with food, smaller meals |
| Insomnia/Drowsiness | Regular sleep schedule, avoid caffeine/alcohol before bed |
| Decreased Libido | Talk to your doctor, potential dosage adjustment |
| Headache | Over-the-counter pain relievers (after consulting your doctor) |
| Other (dizziness, constipation, etc.) | Contact your doctor if symptoms worsen or persist |
When to Contact Your Doctor
While many side effects are mild and temporary, contact your doctor immediately if you experience serious side effects, such as suicidal thoughts, severe allergic reactions (rash, swelling, difficulty breathing), or unusual changes in mood or behavior.


