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Lexapro vs. Nefazodone

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Lexapro (escitalopram) and nefazodone are both used to treat depression, but they have some key differences. Lexapro is a selective serotonin reuptake inhibitor (SSRI) and is also approved for generalized anxiety disorder (GAD). It is a first-choice option for both conditions and is available in both tablet and liquid forms. Nefazodone, on the other hand, is an atypical antidepressant that affects both serotonin and norepinephrine levels. It is not a first-choice option due to its risk of serious liver damage. Lexapro is typically taken once daily, while nefazodone needs to be taken twice daily. Lexapro can cause side effects like nausea and trouble sleeping, whereas nefazodone can cause headaches, dry mouth, and dizziness. Both medications can cause withdrawal symptoms if stopped abruptly.

Escitalopram

(Lexapro)

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Nefazodone

 

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Summary for Lexapro

Prescription only

Escitalopram, also known by its brand name, Lexapro, is a selective serotonin reuptake inhibitor (SSRI). It's a first-choice antidepressant to treat depression and anxiety in adults and children. The medication is available as a tablet and oral solution, in both brand and generic forms. A dose is typically taken by mouth once per day. Some common side effects include nausea, trouble sleeping (insomnia), and dizziness.

Indications for Lexapro

Pros and Cons for Lexapro

Pros

  • First-choice medication for anxiety and depression
  • Only need to take it once a day
  • Generally has fewer side effects compared to other antidepressants
  • Can be taken with or without food

Cons

  • Can take up to 2 months before you feel the the full benefits
  • Risk of certain sexual problems
  • Can raise your risk for bleeds
  • Can cause withdrawal symptoms if you suddenly stop taking it

Common Side Effects for Lexapro

  • Headache (24%)
  • Nausea (15-18%)
  • Ejaculation problems (9-14%)
  • Sleepiness (6-13%)
  • Trouble sleeping (9-12%)
  • Dry mouth (6-9%)
  • Diarrhea (8%)
  • Tiredness (5-8%)

Warnings for Lexapro

  • Worsening depression, suicidal thoughts, and unusual behavior
  • Serotonin syndrome
  • Stopping escitalopram (Lexapro) too suddenly
  • Risk of bleeding
  • Not for use alone in bipolar disorder
  • Glaucoma
  • Life-threatening abnormal heart rhythm (QT prolongation)
  • Low blood sodium levels
  • Sexual problems

Summary for Nefazodone

Prescription only

Nefazodone is used to treat depression, but it’s usually not a first-choice option because it can cause serious liver damage. Some side effects include headache, dry mouth, nausea, and drowsiness. But, it's not likely to cause weight gain or weight loss. Withdrawal symptoms aren't typically with this medication, but it still can't be ruled out. Nefazodone is only available as a generic medication since the brand name Serzone has been discontinued.

Indications for Nefazodone

  • Depression

Pros and Cons for Nefazodone

Pros

  • Comes in different strengths, so your provider can adjust your dose if needed
  • Okay to use in people with kidney problems
  • Not associated with weight changes (weight gain or weight loss)
  • Available as a lower-cost generic

Cons

Common Side Effects for Nefazodone

  • Headache (36%)
  • Sleepiness (25%)
  • Dry mouth (25%)
  • Nausea (22%)
  • Dizziness (17%)
  • Constipation (14%)
  • Trouble sleeping (11%)
  • Weakness (11%)
  • Lightheadedness (10%)
  • Blurred vision (9%)
  • Indigestion (9%)

Warnings for Nefazodone

  • Worsening depression and suicidal thoughts and behavior
  • Liver problems
  • Bipolar disorder
  • Eye problems
  • Drop in blood pressure upon standing
  • Seizures
  • Heart conditions

Prices with our coupons for Lexapro vs. Nefazodone

Price Card Drug Icon
Escitalopram30 tablets / 10mg
$9.51$17.29
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Nefazodone30 tablets / 100mg
$40.40$87.73
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