Reported Reactions

Drugs › Serotonin reuptake inhibitor

Brand name · Escitalopram

Lexapro: adverse event reports filed with FDA

9,424 reports list it as a suspect or interacting product, 2004–2026. Class: Serotonin reuptake inhibitor. Also reported as Lexapro 10mg, Lexapro /01588501/, Lexapro /01588502/.

9,424
reports as suspect product
0.1% of all reports · about 419 a year
318
reports, 12 months to June 2026
341 in the 12 months before
64.4%
marked serious by the reporter
83.7% across the class
6.7%
record death among outcomes, as reported
634 reports · not verified by FDA

9,424 adverse event reports received by FDA list the brand name Lexapro (escitalopram) as a suspect or interacting product, from January 2004 to June 2026. A further 59,555 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 318 reports listed it, close to the 341 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 419 reports a year and 0.1% of the 20,646,523 reports in the database, and 3.5% of the reports for the serotonin reuptake inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are drug ineffective (9.4%), anxiety (8%) and depression (7.5%). A report can list several reactions, so shares add to more than 100%; 1,313 different terms appear across these reports. Drug ineffective is recorded in 9.4% of these reports, about the same share as in the median serotonin reuptake inhibitor drug (7.9%).

64.4% of the reports are marked serious by the reporter (83.7% across the class); 6.7% record death among the outcomes and 20.7% record hospitalisation, as reported. 46.8% of the reports came from consumers, and the largest patient age group is 18 to 44 (23.6%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

058116Jul 2021: 20Aug 2021: 12Sep 2021: 24Oct 2021: 16Nov 2021: 21Dec 2021: 192022Jan 2022: 17Feb 2022: 6Mar 2022: 10Apr 2022: 9May 2022: 10Jun 2022: 14Jul 2022: 10Aug 2022: 26Sep 2022: 116Oct 2022: 12Nov 2022: 17Dec 2022: 152023Jan 2023: 21Feb 2023: 17Mar 2023: 38Apr 2023: 9May 2023: 16Jun 2023: 40Jul 2023: 32Aug 2023: 21Sep 2023: 57Oct 2023: 19Nov 2023: 31Dec 2023: 252024Jan 2024: 18Feb 2024: 20Mar 2024: 30Apr 2024: 29May 2024: 27Jun 2024: 27Jul 2024: 46Aug 2024: 21Sep 2024: 27Oct 2024: 23Nov 2024: 21Dec 2024: 302025Jan 2025: 32Feb 2025: 20Mar 2025: 18Apr 2025: 30May 2025: 37Jun 2025: 36Jul 2025: 30Aug 2025: 34Sep 2025: 29Oct 2025: 31Nov 2025: 19Dec 2025: 332026Jan 2026: 18Feb 2026: 24Mar 2026: 33Apr 2026: 25May 2026: 12Jun 2026: 30

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

02815612004: 53020042005: 5342006: 5612007: 53620072008: 3712009: 4352010: 48220102011: 4432012: 5562013: 38520132014: 3592015: 3282016: 52220162017: 5242018: 4062019: 44520192020: 3912021: 2182022: 26220222023: 3262024: 3192025: 34920252026: 142

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Lexapro reports recording the termmedian drug in serotonin reuptake inhibitor

  1. Drug ineffectivethe medicine did not work as expected9.4%890
  2. Anxietyanxiety8%752
  3. Depressionlow mood7.5%703
  4. Suicidal ideationthoughts of suicide6.8%645
  5. Nauseafeeling sick6.8%642
  6. Fatiguetiredness5.7%533
  7. Dizzinesslight-headedness or unsteadiness5.6%528
  8. Insomniadifficulty sleeping5.4%512
  9. Drug interactionan interaction between medicines5.2%489
  10. Headachehead pain5.1%479
  11. Feeling abnormalfeeling odd or not right4.8%457
  12. Tremorshaking4.2%400
  13. Weight increasedweight gain4%380
  14. Drug hypersensitivityan allergic-type reaction to a medicine3.6%343
  15. Completed suicidedeath by suicide3.5%329
  16. Somnolencedrowsiness3.4%322
  17. Diarrhoealoose or frequent stools3.1%293
  18. Off label useused for a purpose or in a way not on the label3.1%293
  19. Vomitingbeing sick3.1%289
  20. Hyperhidrosisexcessive sweating2.9%272
  21. Condition aggravatedthe condition being treated got worse2.8%267
  22. Suicide attempta suicide attempt2.8%267
  23. Confusional stateconfusion2.8%260
  24. Agitationrestlessness2.7%257
  25. Falla fall2.5%240
  26. Astheniaweakness or lack of energy2.5%234
  27. Painpain, site not specified2.4%222
  28. Malaisegeneral feeling of being unwell2.3%216
  29. Loss of consciousnesspassing out2.3%215

Top 30 of 1,313 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 21 drugs in the serotonin reuptake inhibitor class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death6.7%634
Life-threatening4.4%416
Hospitalisation (initial or prolonged)20.7%1,950
Disability3.4%319
Congenital anomaly4.1%391
Other serious38.8%3,660
Not serious35.6%3,353

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 273,115 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 22.4%226
2 to 110.6%58
12 to 173.6%337
18 to 4423.6%2,225
45 to 6419.3%1,815
65 to 745.5%516
75 and over5.9%554
Age not given39.2%3,693

Patient sex

Female59.1%5,567
Male31.5%2,964
Not given9.5%893

Who reported

Physician20.5%1,936
Pharmacist4.2%397
Other health professional17.9%1,685
Lawyer4.2%393
Consumer or non-health professional46.8%4,407
Not given6.4%606

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 80.6% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Depression2,57427.3%
Anxiety1,06011.2%
Major depression2442.6%
Generalised anxiety disorder1081.1%
Bipolar disorder840.9%
Antidepressant therapy260.3%

The indication field is filled in by the reporter and is often blank; shares are of all 9,424 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Lexapro reports
Abilify5666%
Bupropion hydrochloride4414.7%
Seroquel3513.7%
Xanax3473.7%
Zoloft3423.6%
Cymbalta2752.9%
Aspirin2652.8%
Klonopin2322.5%
Lamictal2262.4%
Synthroid1982.1%

Other products listed in reports where Lexapro is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureLexaproSerotonin reuptake inhibitorAll reports
Reports as suspect product9,424273,11520,646,523
Share of that pool—3.5%0.1%
Reports, latest 12 months318—1,332,454
Marked serious64.4%83.7%57.4%
Death recorded among outcomes, per 1,000 reports6715991
Hospitalisation recorded, per 1,000 reports207321213
Consumer-filed share46.8%30.8%45.8%
Top term, share of reportsDrug ineffective 9.4%median 7.9%6.3%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the serotonin reuptake inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Sertralinegeneric44,8143,71493%
Citalopramgeneric30,4141,16995.2%
Fluoxetinegeneric28,3191,73493%
Paxilbrand24,1935657%
Escitalopramgeneric24,1761,83992.5%
Zoloftbrand21,31129565.5%
Paroxetinegeneric16,2041,17093%
Prozacbrand11,54727669.5%
Sertraline hydrochloridegeneric11,0771,08085.2%
Citalopram hydrobromidegeneric10,67523496.4%
Paroxetine hydrochloridegeneric8,93526884.2%
Sertraline hclgeneric7,592067.7%
Fluoxetine hydrochloridegeneric6,20964891.9%
Escitalopram oxalategeneric5,06339992.8%
Trazodone hydrochloridegeneric4,21336482.2%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Lexapro reports

How many adverse event reports has FDA received for Lexapro?

9,424 reports list Lexapro as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 318 of them arrived in the latest 12 months. Another 59,555 list it only as a concomitant medication.

What reactions are recorded in Lexapro reports?

drug ineffective (9.4%), anxiety (8%), depression (7.5%), suicidal ideation (6.8%) and nausea (6.8%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Lexapro was responsible.

How serious are the reports?

64.4% are marked serious by the reporter. Among the outcomes recorded, 6.7% of reports include death and 20.7% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (46.8%), physician (20.5%) and other health professional (17.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Lexapro rising?

318 reports in the 12 months to June 2026, close to the 341 of the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Lexapro was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Lexapro?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Lexapro as a suspect or interacting product; reports listing it only as a concomitant medication (59,555) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.