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Compare Lexapro vs. Xanax

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

Key takeaways

Escitalopram (Lexapro) and alprazolam (Xanax) are both medications used to treat generalized anxiety disorder (GAD), but they belong to different medication classes. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) that is also approved for treating depression, while alprazolam is a benzodiazepine used for GAD and panic disorder. Escitalopram is typically taken once a day, whereas alprazolam is usually taken up to three times a day. Escitalopram is available in both brand and generic forms, as is alprazolam. Alprazolam is also available in an extended-release form (Xanax XR). Common side effects of escitalopram include nausea and trouble sleeping, while alprazolam can cause drowsiness and memory problems. Both can interact with many medications and have a risk of withdrawal symptoms if stopped suddenly. Alprazolam is a controlled substance due to its potential for misuse and dependence, while escitalopram is not.

  • Escitalopram (Lexapro)
    Alprazolam (Xanax)
  • Escitalopram (Lexapro)
    Alprazolam (Xanax)

  • Summary of Lexapro vs. Xanax

    Summary for SSRI
    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.

    Summary for Benzodiazepine
    Prescription only

    Alprazolam (Xanax) is a benzodiazepine. It's approved to treat generalized anxiety disorder (GAD) and panic attacks in adults. It's taken by mouth, typically 3 times a day or as directed by your healthcare team. To avoid the risk of dependence, alprazolam (Xanax) is meant for short-term treatment only. Some of the more common side effects of this medication include drowsiness and memory problems. You should avoid drinking alcohol while taking alprazolam (Xanax) because this can lead to serious interactions.

  • Indications of Lexapro vs. Xanax

    Indications for
    •Depression in people ages 12 years and older
    •Generalized anxiety disorder (GAD) in people ages 7 years and older
    Indications for
    •Generalized anxiety disorder (GAD)
    •Panic disorder

  • Pros and Cons of Lexapro vs. Xanax

    Pros and Const for SSRI
    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
    Pros and Const for Benzodiazepine
    Pros
    •Taken by mouth
    •Can start to work in 30 minutes
    •Available as quick-dissolving tablets or liquid for people who have trouble swallowing pills
    Cons
    •Can cause memory problems, drowsiness, and confusion
    •Stopping suddenly can cause withdrawal symptoms
    •Not preferred during pregnancy

  • Common Side Effects of Lexapro vs. Xanax

    Common Side Effects for
    •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%)
    Common Side Effects for

    Generalized anxiety disorder:

    •Drowsiness (41%)
    •Lightheadedness (21%)
    •Dry mouth (15%)

    Panic disorder:

    •Drowsiness (77%)
    •Fatigue (49%)
    •Poor coordination (40%)
    •Memory issues (33%)
    •Irritability (33%)
    •Appetite changes (28-33%)
    •Thinking problems (29%)
    •Constipation (26%)

    Side effects listed are for the immediate-release forms. Side effects for extended-release form might differ.

  • Warnings of Lexapro vs. Xanax

    Common Side Effects for
    •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
    Common Side Effects for
    •Sedation and difficulty breathing
    •Potential for misuse, addiction, dependence, and withdrawal
    •Effect on driving and concentration
    •Harm to babies
    •Interactions with other medications
    •Use with caution in people with depression

  • Prices with our coupons for Lexapro vs. Xanax

    Learn more about Escitalopram
    Learn more about Alprazolam

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