Lexapro belongs to a class of medications known as selective serotonin reuptake inhibitors, or SSRIs. Primarily, SSRIs are antidepressants. They’re sometimes prescribed alongside cognitive behavioral therapy to help people manage depression, anxiety and panic disorders.[1]
It was also noticed that SSRIs increased the length of time it took men to climax. Because of this side effect, SSRIs are often prescribed ‘off-label’[2] to men who suffer from premature ejaculation.
Premature ejaculation is when men ejaculate too quickly, or sooner than they want it to, during sex. Often referred to as PE, it can affect relationships and cause unwanted stress and anxiety the longer it goes untreated.
How does Lexapro work?
It was discovered that SSRIs can sometimes delay ejaculation, and so they’re sometimes prescribed ‘off-label’ to men who suffer from premature ejaculation (PE). They work by raising your serotonin levels, or more specifically, stopping it from being reabsorbed, which is known as ‘reuptake’.
Serotonin is a neurotransmitter that regulates numerous physiological functions, including mood and memory.[3] The effect medications like Lexpro have on your serotonin is thought to play a part in controlling how long it takes you to reach climax. By allowing you to last longer, the tablets can put you back in control of your sex life.
What doses of Lexapro are there?
Lexapro tablets are available in three strengths — 5mg, 10mg, and 20mg.
Our clinicians can take the full picture of your health into account before recommending a starting dose they think is safe and suitable for you.
This page was written by The Treated Content Team.
This page was medically reviewed by Dr. Joseph Palumbo on September 17, 2024. Next review due on September 17, 2027.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
LexaproEscitalopram
How to take Lexapro
Lexapro can be taken with or without food. You should always take the tablets exactly as they’ve been prescribed.
Whichever strength tablet you’re taking, you will usually only need to take one each day. Taking more than you need won’t help improve your PE symptoms. SSRIs work by building up in your system, so doubling your dose or taking them shortly before sex won’t make them more effective at slowing down the time it takes you to ejaculate. Instead, take the tablets at the same time each day.
How long does it take Lexapro to work?
It’s hard to say exactly how long it will be before you see the benefits of Lexapro. People respond to medications differently, and since there aren’t a great amount of studies about using escitalopram to treat premature ejaculations, we can’t say for certain when you’ll start to feel the full effects of the tablets.
Compared to other antidepressants, though, escitalopram is thought to have a faster onset of action.[1] SSRIs are usually prescribed for a number of months so they can build up in your system, but based on a 2006 study, escitalopram might work sooner than other similar SSRIs. Another study found that the benefits of escitalopram can be long-term, continuing after a course of treatment is finished.[2]
What should I do if I make a mistake when taking Lexapro?
You should always take Lexapro exactly how a clinician has advised you to. If you forget to take your tablet at the usual time, you can take it as soon as you remember. If you realize you’ve missed a dose the following day, you don’t need to double your dose to make up for it. Just skip the missed dose and continue with your normal dosage routine.
If you accidentally take too much Lexapro, go to your nearest hospital and seek urgent medical attention. If you can, bring the package insert that comes with your tablets so you can get the right help sooner.
Treated trusted source:
FDA (2018). Understanding Unapproved Use of Approved Drugs ‘Off Label’. U.S. Food and Drug Administration.
Safarinejad, M.R. (2007). Safety and Efficacy of Escitalopram in the Treatment of Premature Ejaculation. Journal of Clinical Psychopharmacology, 27(5), pp.444–450.
This page was written by The Treated Content Team.
This page was medically reviewed by Dr. Joseph Palumbo on September 17, 2024. Next review due on September 17, 2027.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
LexaproEscitalopram
Lexapro isn’t suitable for everyone, and there are some things that you need to be aware of when taking it.
Here’s all the official info on it. If anything is unclear, let our clinician know, and they can talk with you about it.
LexaproEscitalopram
Lexapro: FAQ
Have something specific you want to know? Search our info below, or ask our experts a question if you can’t find what you’re looking for.
How is Lexapro different from other treatments for premature ejaculation?
Answer:
SSRIs might be prescribed to you if other premature ejaculation treatments haven’t worked. PE can have a number of causes, both physical and psychological, and there are a few different approaches when it comes to managing it.
Other SSRIs such as Zoloft and Paxil are used off-label in a similar way to Lexapro. There is only one SSRI currently available for resting premature ejaculation, called Dapoxetine. It’s short acting, which means you can use it as and when you need it, usually before you have sex. It can help delay ejaculation, and might be your preferred option if you don’t want to take medication daily.
Another approach to managing PE is to use a numbing agent. Creams such as EMLA, or sprays like Fortacin, are applied directly to your penis to decrease sensitivity. These types of medications don’t work on your whole system, so might be less likely to cause side effects.
Will Lexapro cause any side effects?
Answer:
All medications can cause side effects, but that doesn’t necessarily mean you’ll experience any while taking Lexapro.
Some of the side effects listed as common on the package insert that come with your tablets include feeling sleepy, dry mouth, restlessness and increased sweating. People react to medicines differently, so there’s no guarantee you’ll get any of these. If you do, they should normally settle down as your body adjusts to the medication.
It’s important to take Lexapro daily so it has a chance to build up in your system and work effectively. If you’re thinking of stopping this treatment, speak to a clinician about weaning off the tablets safely, as stopping them abruptly can sometimes cause unwanted side effects.
Will I gain weight while I’m taking Lexapro?
Answer:
Both an increase and a decrease in weight are listed as a possible side effect of taking Lexapro. There is no strong evidence to suggest you’ll gain weight while using the tablets.
Because SSRIs are often used to treat depression, patients can sometimes gain weight as a residual symptom of overeating, or because they were underweight before they started treatment.[1] If you’re worried about changes to your weight while using Lexapro, you can ask a clinician for advice. They’re happy to answer any questions you have before starting a treatment.
Does Lexapro affect fertility?
Answer:
Citalopram, which is similar to Lexapro, was studied and found to affect sperm quality in animals. This effect hasn’t been observed in humans though, so there’s no reason to think the tablets will impact fertility.
If you’re trying for a baby and having difficulties, you can talk to a physician about whether or not taking Lexapro could be affecting things. There is currently no evidence to suggest citalopram affects women’s fertility.[2]
Do I need a prescription for Lexapro?
Answer:
You will need a prescription to start using Lexapro. This is so our doctors can make sure it’s the right medication for you.
All SSRIs require a prescription because the dosages need to be considered if you have certain conditions, such as epilepsy, diabetes, or coronary heart disease. Our medical experts take the full picture of your health into account before they recommend treatments.
Treated trusted source:
Fava, M. (2000). Weight gain and antidepressants. The Journal of Clinical Psychiatry, [online] 61 Suppl 11, pp.37–41.
NHS (2022). Nhs.co.uk. Pregnancy, breastfeeding and fertility while taking citalopram.
Last updated on Sep 16, 2024.
How we reviewed this page:
Our experts continually monitor new findings in health and medicine, and we update our articles when new info becomes available.
Sep 16, 2024
Published by: The Treated Content Team.Medically reviewed by: Dr. Joseph Palumbo, Senior Medical Adviser
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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Dr. Joseph Palumbo
Senior Medical Adviser
Joseph joined Treated in 2023, and is one of the lead doctors providing prescribing services for the platform.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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