
(1) So lexapro is good for GAD but there can be a few problems depending on the person. 1. It’s limited to 20 mg due to heart issues past that. Studies show SSRIs are more effective at higher doses. So 20 mg may not be enough for you. 2. As someone who has been on it for years and has family on it, it can make you tired and demotivated. It can also fog up your brain/memory. It’s commonly known and it’s not a myth it can and does affect sexual function. You can also gain weight on it.
(2) it can also decrease your overall emotions. What I mean is yes, you don’t the lows as hard, but it can also make you not feel the highs as hard too. Obviously the higher the dose the more likely the side effects. Now this is my own personal experience and it may not apply to you, but recently I’ve gone down to 10 mg of Lexapro and started doing Effexor now at 75 mg and 37.5 mg combined. Effexor is an SNRI and has its own side effects but it unlike Lexapro it can actually give motivation…
(3) …and energy, and it can make you lose weight (this is only “good” to an extent decreased appetite can obviously become bad). Essentially it’s like lexapro but it shouldn’t be making you tired etc (unless it disrupts your sleep which is a side effect that can happen). Ultimately your own body, mind, and experiences are different, so I recommend talking with a psychiatrist (most regular MDs will just give you Lexapro and be done with it and don’t give as detailed info) and formulating a plan
Lexapro is one of the first options of SSRIs because it works well and most people don’t have major side effects, lowered sex drive and weight gain being a couple more common / irritating ones. Your doc should talk to you about best options because depending on other symptoms a few other meds might fit better, but it’s a good med. - actual psych nurse. I was on it but sertraline works better for me personally
Forgot to say some medications like Effexor also can go up to higher doses (remember higher the dose more the effects). My point is to say that Lexapro isn’t the only medical option and you should be presented with a list of options by a medical professional or psychiatrist. You can combine drugs (although vast majority won’t start you on a combination) or try different ones. Theres a whole world of treatments out there
Hey this is a good description of meds as they probably apply to you, but not necessarily how they apply to everyone. Psych meds are wonky in that they don’t always affect everyone the same way in the little ways (brain fog, etc). I have 0 doubt this is your truth. Unfortunately it’s not advice that is appropriate for everyone because of which random things are emphasized that leave chunks missing from the big picture. Everyone is super individual, esp in psych