Is lexapro activating or sedating
One of the main advantages to using Lexapro, because it has a shorter half-life, is that you can stop it for a day or two and markedly decrease its blood level and therefore its side effects.Celexa was my SSRI of choice until Lexapro came along.
Obsessive-compulsive disorder is treated with SSRIs exclusively.The presence of food protecting the stomach lining helps to diminish this side effect. In general, if a pill makes you feel nauseated, you should take it with food unless the bottle specifically states that you need an empty stomach for it to work, as is the case with Synthroid and some antibiotics.).Sometimes taking Lexapro first thing in the morning will make you very sleepy after lunch (I call it the exaggerated siesta response), so taking it in the late afternoon will delay that sleepiness until closer to bedtime.When I give my patients a prescription for Lexapro, I tell them to break the tablet in half to start.I usually start with the 10-milligram tablets, but sometimes I’ll start with 5-milligram tablets in people who are very sensitive to medicine or have absolutely no history of taking anything that alters their brain chemistry.In my experience prescribing these medicines, the SSRI with the fewest sexual side effects is Lexapro, but there can still be decreased libido and increased time to orgasm at higher doses.
Other psychiatrists prefer Prozac, the original SSRI, which they feel is less likely to cause weight gain and sexual side effects.
So I tend to recommend “tea time” as the best time to take Lexapro; the only problem with that is remembering to take it, which is crucial in order for it to work!
The bottom line with the timing issue is that you really have to experiment and figure out which of those three types of people you are.
There are changes that occur long term in the number of catcher’s mitts produced; the postsynaptic neuron learns to accommodate the extra serotonin in the synapse by adjusting how many receptors there are. (If there were less serotonin in the synapse, the number of receptors would increase, called upregulation.) This up- and downregulation is the neurologic basis for tolerance to a drug.
If you keep on taking a drug that increases a neurotransmitter level, you will eventually develop fewer receptors for that transmitter.
Others get a lift from it and take it first thing in the morning after breakfast.