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Trintellix vs. Lexapro

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

Key takeaways

Trintellix (vortioxetine) and Lexapro (escitalopram) are antidepressants that treat depression. But they’re not in the same medication class. Lexapro (escitalopram) is a selective serotonin reuptake inhibitor (SSRI) that’s also FDA approved for anxiety. It works by increasing serotonin levels in the brain. Trintellix is an atypical antidepressant. It also works by boosting serotonin activity in your brain. They’re both taken once a day. Lexapro is often a first-choice medication for anxiety over Trintellix although both work well. But Trintellix is only available as a brand-name medication, so it can be expensive. Trintellix and Lexapro have common side effects such as nausea, diarrhea, and withdrawal symptoms if you stop taking them abruptly. But sexual problems are less likely with Trintellix than they are with Lexapro.

Trintellix

(vortioxetine)

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Escitalopram

(Lexapro)

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Summary for Trintellix

Prescription only

Trintellix, the brand name for vortioxetine, belongs to a drug class called atypical antidepressants. It's used to treat depression in adults. This medication comes as a tablet that you take by mouth once a day. Common side effects include nausea, diarrhea, and dry mouth. Sexual side effects can also happen, but it's usually less likely than with some other antidepressants. As of 2025, there's no generic version of Trintellix (vortioxetine) available yet.

Indications for Trintellix

Pros and Cons for Trintellix

Pros

Cons

  • Can take up to a month or more before you feel the full effects
  • Not approved for use in children
  • Not approved to treat anxiety

Common Side Effects for Trintellix

  • Nausea (21-32%)
  • Diarrhea (7-10%)
  • Dizziness (6-9%)
  • Dry mouth (6-8%)
  • Vomiting (3-6%)
  • Constipation (3-6%)

Warnings for Trintellix

  • Suicidal thoughts or behavior
  • Serotonin syndrome
  • Higher risk of bleeding
  • Not for use alone for bipolar disorder
  • Withdrawal symptoms
  • Worsening of glaucoma in certain people
  • Low sodium levels
  • Sexual side effects

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 Trintellix vs. Lexapro

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Trintellix30 tablets / 10mg
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Escitalopram30 tablets / 10mg
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