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Common Side Effects of Lexapro Explained

Brain Fog and Drowsiness: What to Expect

It’s not uncommon for people starting Lexapro to notice their thoughts feel a bit sluggish or that they struggle to keep up the same mental clarity as before. This sensation, often described as “brain fog,” can make focusing on work or everyday tasks noticeably harder, especially in the first few weeks. Along with mental cloudiness, a wave of drowsiness or daytime sleepiness might appear—even if you’ve had a good night’s rest.

These side effects happen because Lexapro adjusts how brain chemicals communicate, leading to temporary slowing or sedation. Most individuals find these symptoms fade over time as the body adapts. If they persist, discussing strategies with a healthcare provider can be very helpful.

Digestive Woes: Nausea, Diarrhea, and More

For many people starting lexapro, the digestive system is among the first places to signal that something has changed. Early in treatment, sensations of queasiness can sneak up, especially during the first week; this nausea often fades as your body adjusts, though it can linger for some. Lexapro can also lead to changes in regularity, with diarrhea being one of the more commonly reported side effects. Less often, you might experience heartburn, mild abdominal discomfort, or even constipation.

It’s important to remember that while these symptoms can be uncomfortable, most are temporary and decrease with continued use. Eating smaller meals, sticking to gentle foods, and staying hydrated can help mitigate the discomfort. If the digestive issues persist or significantly affect daily life, reaching out to your healthcare provider is recommended.

Weight Changes and Appetite Shifts with Lexapro

Navigating changes in how your body feels and reacts is a common part of starting lexapro. For some people, the medication can increase hunger, leading to sudden cravings or more frequent snacking. Others may notice a decrease in appetite and unintentional weight loss during the first few weeks.

These fluctuations can be surprising, but they're generally not dangerous. It's important to listen to your body and maintain regular eating habits. If weight changes persist or become concerning, consult your healthcare provider for guidance.

Sexual Side Effects: What You Should Know

For many individuals starting Lexapro, unexpected changes in intimacy can catch them off guard. Some notice a reduced interest in sex, while others may experience difficulty reaching orgasm or delayed arousal. These shifts can be subtle at first but become more noticeable over time, sometimes creating frustration for both patients and their partners.

Understanding why Lexapro might impact sexual functioning is important. The medication increases serotonin in the brain, which helps improve mood but can also interfere with the brain’s sexual response pathways. This side effect is not uncommon, with a significant number of people reporting similar experiences during treatment.

Fortunately, many find that these challenges can improve by speaking openly with a healthcare provider. Strategies like adjusting the timing of doses, lowering the dose, or considering alternative medications are often discussed as possible solutions.

Emotional Blunting: When Feelings Feel Flat

For some people taking Lexapro, emotions can seem dulled—joy isn’t as bright, and sadness feels strangely distant. This shift, often described as feeling “flat,” may appear after a few weeks of continuous use. It can be unsettling for those who expected relief from sadness, only to find all feelings muted.

While emotional blunting helps some avoid overwhelming lows, others miss their emotional highs. It’s important to discuss these experiences with your healthcare provider so adjustments or supportive strategies can be explored.

Insomnia and Sleep Disruptions on Lexapro

For some people, switching on Lexapro can mean restless nights or trouble falling asleep. You might find yourself lying awake, mind racing, after starting your prescription. This shift in sleep patterns is not uncommon and is often reported during the first weeks as your body adapts.

It helps to maintain good sleep hygiene, like creating a calming bedtime routine and avoiding screens before bed. Some users notice their sleep returns to normal after a few weeks, while others consider adjusting their dose or timing.

If disrupted sleep persists or dramatically affects your daily energy, don’t hesitate to bring it up with your healthcare provider. Adjustments or strategies tailored to your experience can significantly improve your comfort while taking Lexapro.