EscitalopramPrices, Coupons & Savings

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*Based on the difference between the U&C price submitted and the price the patient paid, as of April 2023.

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  2. Escitalopram Oxalate
    Generic for Lexapro
    30 tablets $4.5 USD
    Save $43.20
  3. Escitalopram Oxalate
    Generic for Lexapro
    30 tablets $4.5 USD
    Save $43.20
  4. Escitalopram Oxalate
    Generic for Lexapro
    30 tablets $3.9 USD
    Save $43.80
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Save up to 90% of your branded or generic medications using the Now Patient Rx Advantage Card

Do you need a prescription for escitalopram?

Yes, escitalopram is only available with a valid physician Rx.

How much is escitalopram without Insurance in the US?

Our website gives two competitive savings options to US customers who wish to purchase escitalopram, as either a brand or generic, if available. The first is access to medications through our mail-order online pharmacy. The second is by using the Now Patient Rx Advantage Card, which can be used in over 65,000 pharmacies nationwide, across America. If you are insured, then in most cases, the cash price will be significantly cheaper than the copay.

What will my out-of-pocket cost be for escitalopram in the US?

There are no out-of-pocket (OOP) costs because we are currently only offering a cash-based option to purchase medications.

Is Now Patient a escitalopram savings card?

Yes. Save up to 90% on your escitalopram with the FREE Now Patient Rx Advantage card*.
*Based on the difference between the U&C submitted by the pharmacy and the price the patients pay.

Can you handle Rx transfers for home delivery in the US?

Yes. If you use the mail-order online pharmacy option, then we can handle requests by you to have your prescription transferred to our pharmacy for home delivery. We can even help you manage your refills by giving you timely reminders, so you do not run out of your medication.

Is Now Patient a escitalopram coupon provider in the US?

No. Now Patient does not provide escitalopram coupons or FREE escitalopram samples.

Do you accept commercial, Medicare or Medicaid coverage for escitalopram in the US?

No. Currently, we only offer cash-based options for purchase, therefore we do not require your insurance benefit details. In the future, our plan is to be able to handle commercial insurance, Medicare and Medicaid including cases where you have multiple health plans that provide benefit coverage (e.g. Medicaid and Commercial). We also anticipate being able to handle more complex scenarios such as using primary insurance combined with a manufacturer copay assistance program.

Does Now Patient work with Medicare?

Our cash-based prices for medications are typically cheaper than Medicare copays. We do not bill Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug coverage). When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

Does Now Patient work with Commercial Insurance?

Our cash-based prices for medications are typically cheaper than commercial plan copays. We do not bill your commercial plan. When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

What should you do if you use too much escitalopram?


Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using escitalopram. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource if you think you’ve used too much escitalopram. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.


If you think it is an emergency, call 999 or find your nearest A&E
If you need help now, but it’s not an emergency go to 111.nhs.uk or call 111. Alternatively you can speak to one of our pharmacists or use the Now Patient app to make an appointment with your GP.

What should I do if I miss my dose?

There are occasions when people forget to take their medication at correct prescribed times. This may not only have an effect on potentially making the medication less effective but it may also inadvertently lead to taking doses too close together, thereby increasing the risks of side effects.

Click here to find out what to do if you forgot to take your medication

What is generic escitalopram?

US brand name of escitalopram and manufacturer

Escitalopram is available in the US under the brand name Lexapro. It is manufactured by Forest Pharmaceuticals, Inc.

UK brand name of escitalopram and manufacturer

Escitalopram is available in the UK under the brand name Cipralex. It is also manufactured by Lundbeck Limited.

Prescription requirement for escitalopram

Escitalopram is a prescription medication, which means it requires a prescription (Rx) from a healthcare provider in both the US and the UK. It is important to consult with a healthcare professional who can evaluate your medical condition and determine if escitalopram is appropriate for you.

FDA Approval of escitalopram

Escitalopram has been approved by the U.S. Food and Drug Administration (FDA) for the treatment of major depressive disorder and generalized anxiety disorder in adults.

Is escitalopram available in the UK on NHS?

Escitalopram is available in the UK with a National Health Service (NHS) prescription. It can be prescribed for the treatment of depression and anxiety disorders.

Mechanism of action

Escitalopram oxalate is a selective serotonin reuptake inhibitor (SSRI). It works by increasing the levels of serotonin, a neurotransmitter in the brain that helps regulate mood.

Uses of escitalopram

Escitalopram is primarily used for the treatment of major depressive disorder and generalized anxiety disorder in adults. It may also be prescribed off-label for other conditions, such as panic disorder (panic attacks) and obsessive-compulsive disorder (OCD).

Dosage of escitalopram

The dose of escitalopram may vary depending on the individual’s condition and response to the medication. It is important to use escitalopram according to the dosage instructions provided by your healthcare provider. Escitalopram is available in tablet form in different strengths (such as 5 mg, 10 mg, and 20 mg). The appropriate dosage will be determined by your healthcare provider based on your specific needs.

Forms of escitalopram

Escitalopram is available in tablet form.

Precautions and warnings for escitalopram

  • Before taking escitalopram, inform your healthcare provider about any pre-existing medical conditions you have, such as high blood pressure, liver or kidney problems, seizures, or a history of drug allergies
  • It is important to inform your healthcare provider about all the medications, supplements, or herbal products you are taking, as they may interact with escitalopram
  • Escitalopram may increase the risk of suicidal thoughts or behavior, especially in young adults. Close monitoring by a healthcare provider is important during the initial stages of treatment
  • Abruptly stopping escitalopram may cause withdrawal symptoms. It is recommended to gradually taper off the medication under the supervision of a healthcare provider
  • Escitalopram may cause drowsiness or dizziness. Avoid activities that require alertness until you know how the medication affects you
  • If you experience any allergic reactions or severe side effects while taking escitalopram, seek immediate medical attention

Is it safe to take escitalopram if I am pregnant or planning on becoming pregnant?

It is important to discuss with your healthcare provider if you are pregnant, planning to become pregnant, or breastfeeding before taking escitalopram. The use of escitalopram during pregnancy or breastfeeding should be carefully evaluated, and the potential risks and benefits should be considered.

Is escitalopram safe to use while breastfeeding?

Escitalopram is excreted into breast milk, and its use during breastfeeding should be discussed with a healthcare provider. The potential risks and benefits of taking escitalopram while breastfeeding should be considered.

Possible side effects of escitalopram

In clinical trials common side effects of escitalopram may include nausea, constipation, dry mouth, drowsiness, sedation, tiredness, trouble sleeping, glaucoma, and sexual dysfunction (decreased sex drive, delayed or absent ejaculation, difficulty getting or maintaining an erection). Serious side effects are rare but can occur. Promptly report any concerning symptoms to your caregiver for medical advice. Get medical help right away if you have an allergic reaction. Symptoms include hives, trouble breathing, swelling of your face, tongue or throat, skin rash, and blistering or peeling of the skin. Promptly report any adverse effects to a healthcare provider.

Interactions with other drugs

Escitalopram may interact with other medications, including NSAIDs such as ibuprofen, and naproxen, blood thinners such as warfarin, monoamine oxidase inhibitors (MAOIs) such as isocarboxazid, linezolid, methylene blue, phenelzine, selegiline, and tranylcypromine, St. John’s wort, certain antidepressants (including other SSRIs such as fluoxetine and paroxetine, SNRIs such as duloxetine and venlafaxine, and tryptophan (the risk of serotonin syndrome increases if you are taking these medications), other drugs that affect the heart rhythm (QT prolongation), such as diuretics, amiodarone, pimozide, and sotalol. It is important to inform your healthcare provider about all the prescription drugs, over the counter medication, supplements, and vitamins you are taking to avoid potential drug interactions.

Similar drugs to escitalopram

Other SSRIs, such as citalopram, sertraline and fluoxetine, may be used as alternatives for the treatment of depression.



Now Patient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information in this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

Stefano Mirabello Medical Reviewer
Pharmacist / B.Pharm
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