What to do if I have accidentally taken two doses of 20 mg Lexapro? 

What to do if I have accidentally taken two doses of 20 mg Lexapro? 

If you have accidentally taken two 20 mg Lexapro tablets and you feel unusual, please call your local medical emergency helpline. Although 40 mg is not considered a lethal dose of Lexapro and it will not likely cause dangerous side effects or significantly harm your health, it may affect some people more than others. 

People are different and they can respond differently to medications. Different factors like an individual’s age, weight, duration of treatment of Lexapro, frequency, any other underlying health condition, genetics, and overall health status can make a difference. 

Potential side effects of taking two 20 mg Lexapro tablets

Some of the common Lexapro overdose symptoms include:

  • Vertigo 
  • Drowsiness/sleepiness
  • Insomnia or poor quality of sleep 
  • Nausea
  • vomiting 

Some serious and rare side effects include:

  • Seizures 
  • Unconsciousness or coma
  • Hypotension (low blood pressure)
  • Arrhythmia or irregular heartbeat

These side effects can vary from person to person, and as I just stated earlier, two 20 mg Lexapro tablets are not associated with terrible side effects. 

According to research studies, life-threatening Lexapro toxicity is usually observed at doses as high as 400 to 600 mg. However, people are different and some of them may not be able to tolerate doses lower than that. 

If you have accidentally taken two Lexapro pills and you start to experience unbearable side effects, immediately seek medical attention. 

How to prevent accidental overdosing on Lexapro?

It is important that you prevent accidental overdosing on Lexapro for a safe and effective treatment with this antidepressant. If you have trouble remembering whether or not you have already taken the medication, try keeping a pill box. 

It is one of the oldest and safest methods of preventing overdoses. You can also use your smart gadgets to set reminders, which you can then turn off after taking the medication as a sign that you have taken it. 

You can also keep a checklist if you are old-schooled and like to keep a journal. If you are a new user, you have to pay some extra attention to the proper use of this antidepressant, as the first few weeks are usually a bit tricky. 

Lexapro may take a few weeks to work and may make you feel worse before better. During this stage, your body is trying to adjust to the medication and overdosing while your body is struggling can be troublesome. 

This is why you should take Lexapro as properly as you can to make the most out of it. If you are concerned about your current or any of the side effects, please reach out to your healthcare provider.

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Landy K, Rosani A, Estevez R. Escitalopram. 2022 Oct 24. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 32491666. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557734/#article-60.s8

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