Will Escitalopram's Drowsiness Side Effect Fade Over Time? - Psychiatry

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Regarding escitalopram, it may cause drowsiness?


Hello, doctor.
I previously asked you about anxiety disorder, and I forgot to ask one more question.
I am currently taking this medication once a day in the morning, and I always feel very sleepy after taking it, which somewhat affects my classes.
Will this side effect gradually disappear? I haven't experienced much gastrointestinal side effects.

Chen Dada, 20~29 year old female. Ask Date: 2018/05/02

Dr. Liang Sunyuan reply Psychiatry


Hello, the side effects of this type of medication usually diminish as the body gradually adapts.
However, if the same issues persist after some time, you might consider taking it before bedtime, as this often reduces the feeling of drowsiness.
You can also discuss this in person with your doctor during your follow-up appointment.

Reply Date: 2018/05/02

More Info


Escitalopram, a selective serotonin reuptake inhibitor (SSRI), is commonly prescribed for anxiety and depression. One of the side effects that some patients experience is drowsiness or sedation, especially when they first start taking the medication. This side effect can indeed be concerning, particularly for individuals who need to maintain alertness for activities such as attending classes or working.

In many cases, the drowsiness associated with Escitalopram tends to diminish over time as the body adjusts to the medication. This phenomenon is often referred to as "tolerance," where the initial side effects become less pronounced as the patient continues treatment. However, the timeline for this adjustment can vary significantly from person to person. Some individuals may find that their drowsiness decreases within a few days to weeks, while others may continue to experience this side effect for a longer period.

If the drowsiness persists beyond a few weeks, it may be worth discussing with your healthcare provider. They might consider adjusting the timing of your dose, such as switching from a morning to an evening regimen, which could help mitigate daytime drowsiness. Additionally, if the sedation is significantly impacting your daily life, your doctor may explore alternative medications or adjunct therapies that could be more suitable for your situation.

It's also important to consider other factors that could contribute to drowsiness, such as sleep quality, overall health, and any other medications you may be taking. Ensuring that you maintain good sleep hygiene and manage stress effectively can also play a crucial role in how you feel during the day.

Regarding your question about the potential for drowsiness to fade over time, it is generally expected that many patients will experience a reduction in this side effect as their bodies adapt to the medication. However, if you find that the drowsiness is not improving or is becoming intolerable, it is essential to communicate this with your healthcare provider. They can provide guidance tailored to your specific circumstances and may recommend alternative treatments or strategies to help manage your symptoms effectively.

In summary, while drowsiness is a common side effect of Escitalopram, it often lessens with continued use. If it does not improve, or if it significantly interferes with your daily activities, consulting your healthcare provider is crucial for finding an appropriate solution.

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