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Luvox vs. Lexapro

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

Key takeaways

Fluvoxamine (former brand name: Luvox) and Lexapro (generic name: escitalopram) are both selective serotonin reuptake inhibitors (SSRIs), but they are used to treat different conditions. Fluvoxamine is primarily prescribed for obsessive-compulsive disorder (OCD) and is available only in generic form, while Lexapro is used to treat depression and generalized anxiety disorder (GAD) and is available as both a brand name and generic medication. Fluvoxamine can be taken once or twice daily, depending on the form, and may cause more side effects like nausea and sleep problems compared to other SSRIs. Lexapro is typically taken once daily and may start showing effects within a week, though full benefits can take up to two months. Both medications can cause withdrawal symptoms if stopped abruptly and have risks of serious side effects like suicidal thoughts and serotonin syndrome. However, Lexapro is noted for having fewer drug interactions and side effects compared to some other SSRIs.

Fluvoxamine

 

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Escitalopram

(Lexapro)

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Summary for Luvox

Prescription only

Fluvoxamine maleate is an SSRI, or a selective serotonin reuptake inhibitor. It's approved to treat obsessive-compulsive disorder (OCD) in people ages 8 years and up. Fluvoxamine comes as immediate-release tablets taken by mouth once or twice a day. For adults, it also comes as extended-release capsules taken once a day. Your specific dosage depends on which form you're taking. Side effects include nausea, sleepiness or trouble sleeping, and headache. Fluvoxamine is a generic medication; the brand name Luvox is no longer available.

Indications for Luvox

Pros and Cons for Luvox

Pros

  • A first-choice treatment option for OCD
  • Immediate-release tablets approved for children as young as 8 years old

Cons

  • Can cause a lot of side effects, like sleepiness, nausea, diarrhea, and dry mouth
  • Can interact with many medications, such as triptan migraine medications, antidepressants, and benzodiazepines

Common Side Effects for Luvox

Immediate-release tablets:

  • Nausea (40%)
  • Headache (22%)
  • Sleepiness (22%)
  • Trouble sleeping (21%)
  • Dry mouth (14%)
  • Weakness (14%)
  • Nervousness (12%)
  • Dizziness (11%)
  • Diarrhea (11%)
  • Constipation (10%)
  • Indigestion (10%)

Extended-release capsules:

  • Trouble sleeping (35%)
  • Nausea (34%)
  • Headache (32%)
  • Sleepiness (27%)
  • Weakness (26%)
  • Diarrhea (18%)
  • Low appetite (13%)
  • Dizziness (12%)
  • General pain (10%)
  • Dry mouth (10%)
  • Low sex drive or ejaculation problems (10%)

Warnings for Luvox

  • Risk of suicidal thoughts and behavior
  • Serotonin syndrome
  • Dangerous drug interactions
  • Withdrawal symptoms
  • Higher risk of bleeding
  • Low sodium levels
  • Sexual problems
  • Not for use alone for bipolar disorder because of the risk of mania
  • Angle-closure glaucoma in certain people

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

Prices with our coupons for Luvox vs. Lexapro

Price Card Drug Icon
Fluvoxamine90 tablets / 100mg
$36.37$101.37
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Escitalopram30 tablets / 10mg
$9.01$15.00
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