What is the indication for Escitalopram (Citalopram) 5 milligrams?

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Last updated: March 24, 2025 • View editorial policy

From the Research

Escitalopram 5mg is typically used as a starting dose for elderly patients, those with liver problems, or individuals who may be sensitive to medication side effects, although the standard starting dose for most adults is 10mg once daily 1. The indication for Escitalopram 5 milligrams is primarily for the treatment of depression and anxiety disorders in patients who require a lower dose due to sensitivity or other factors.

  • The typical starting dose is 10mg once daily for most adults, though 5mg is often used for specific patient populations.
  • Escitalopram works by increasing serotonin levels in the brain, which helps regulate mood, but it typically takes 2-4 weeks to experience the full therapeutic benefits.
  • Common side effects include nausea, insomnia, sexual dysfunction, and increased anxiety during the first few weeks.
  • Patients should take escitalopram at the same time each day, with or without food, and should not stop the medication abruptly as this can cause withdrawal symptoms.
  • If prescribed escitalopram, it's essential to inform your doctor about all other medications you're taking to avoid potential interactions, particularly with MAOIs, which can cause dangerous serotonin syndrome 2. The most recent and highest quality study available is from 2012, which confirms the efficacy and safety of escitalopram in the management of major depressive disorder 1.
  • This study showed that escitalopram was superior to placebo and nearly equal or superior to other SSRIs and serotonin-noradrenaline reuptake inhibitors.
  • Escitalopram also demonstrated a preventive effect on MDD relapse and recurrence with long-term administration.
  • The study concluded that escitalopram is an effective and generally well-tolerated treatment for moderate to severe MDD, with a favorable tolerability profile and low propensity for drug interactions.

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