What to do if you have accidentally taken Lexapro twice? 

What to do if you have accidentally taken Lexapro twice? 

If you have accidentally taken Lexapro twice and you feel unusual, immediately seek medical attention. However, you may not feel any significant side effects after doubling your prescribed dose. 

The usual Lexapro dosage is 10 mg. If you have taken 10 mg twice, the total of 20 mg Lexapro may not affect you enough to seek medical attention. This is because Lexapro has a maximum daily dose of 20 mg and exceeding this dosage strength is not recommended. 

However, if you are on a higher dose of Lexapro than 10 mg, doubling it would exceed the daily dose limit – but it would still not cause significant side effects. 

What are the side effects caused by Lexapro overdose? 

If you have taken your Lexapro overdose, you will most likely experience mild side effects. However, each individual is unique and responds differently to medications. (1,2)

Mild side effects 

Severe side effects 

  • Seizures 
  • Vertigo 
  • Hypotension (low blood pressure)
  • QT prolongation 
  • Tremors
  • Anger and mania
  • Muscle twitching and muscle pain
  • Shivering and goosebumps
  • Unconsciousness or coma

Make sure you immediately seek medical attention if you start to experience severe side effects of Lexapro overdose. Although it’s highly unlikely to get that much damage just by taking an extra Lexapro dose, it may affect some individuals. 

Make sure you carefully take your antidepressant. If you struggle with remembering whether or not you have taken your medicine, I recommend keeping a pill box. It’s the easiest way of reminding you whether or not you have taken your Lexapro. 

How to ensure the safe and effective use of Lexapro?

To ensure the safe and effective use of Lexapro, it’s important to follow the prescribed dosage and instructions provided by your healthcare provider (3,4). Take the medication exactly as directed and avoid making any changes without consulting your doctor.

It’s recommended to take Lexapro at the same time each day to maintain a consistent level of the medication in your system. Be patient as it may take a few weeks for the full effects to be noticeable. 

Do not stop taking Lexapro suddenly without medical guidance, as this can lead to withdrawal symptoms. If you have any concerns or experience any unusual side effects, contact your healthcare provider for advice.

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Barbey JT, Roose SP. SSRI safety in overdose. J Clin Psychiatry. 1998;59 Suppl 15:42-8. PMID: 9786310. https://pubmed.ncbi.nlm.nih.gov/9786310/


Isbister GK, Bowe SJ, Dawson A, Whyte IM. Relative toxicity of selective serotonin reuptake inhibitors (SSRIs) in overdose. J Toxicol Clin Toxicol. 2004;42(3):277-85. doi: 10.1081/clt-120037428. PMID: 15362595. https://pubmed.ncbi.nlm.nih.gov/15362595/


Landy K, Rosani A, Estevez R. Escitalopram. 2022 Oct 24. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 32491666. https://www.ncbi.nlm.nih.gov/books/NBK557734


Garnock-Jones KP, McCormack PL. Escitalopram: a review of its use in the management of major depressive disorder in adults. CNS Drugs. 2010 Sep;24(9):769-96. doi: 10.2165/11204760-000000000-00000. PMID: 20806989. https://pubmed.ncbi.nlm.nih.gov/20806989/

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