Best Time to Take Lexapro for Anxiety: Complete Timing Guide
Author:
Blossom Editorial
Jul 31, 2025
Key Takeaways
Most doctors recommend taking Lexapro in the morning to help manage daytime anxiety symptoms and reduce the risk of sleep disturbances, though some people may benefit from evening dosing if the medication makes them drowsy.
The best timing depends on individual factors like your anxiety patterns, side effects experienced, and daily routine - morning dosing works well for early risers with morning anxiety, while evening dosing may help those who feel fatigued from the medication.
Consistency is key regardless of timing chosen, and any changes to your dosing schedule should be made gradually over several days and discussed with your healthcare provider to maintain steady medication levels.
If you've been prescribed Lexapro for anxiety, you might wonder when the best time to take it is. This common question affects many people starting their anxiety treatment journey. The timing of your medication can impact how well it works and how you feel throughout the day.
Lexapro (escitalopram) is a type of antidepressant called a selective serotonin reuptake inhibitor (SSRI).
It works by increasing levels of serotonin in your brain, which helps improve mood and reduce anxiety symptoms. While effective for many people, finding the right timing for your dose can make a significant difference in your treatment experience.
Morning vs. Evening: When Should You Take Lexapro?
The timing of your Lexapro dose depends on how the medication affects you personally. Most doctors recommend starting with a morning dose, but this isn't a one-size-fits-all approach.
Taking Lexapro in the morning is often preferred because it can help you feel more alert and energized throughout the day.
Since anxiety often peaks in the morning hours, having the medication in your system early can provide better symptom control when you need it most. Morning dosing also reduces the risk of sleep problems that some people experience with SSRIs.
Benefits of morning dosing:
Helps manage daytime anxiety symptoms
Reduces risk of sleep disturbances
Aligns with natural cortisol rhythms
Makes it easier to remember as part of morning routine
However, some people find that Lexapro makes them feel drowsy or tired. If you experience this, taking your dose in the evening might work better for you. Evening dosing can help you sleep better if the medication has a sedating effect on your body.
Benefits of evening dosing:
Can help if medication makes you drowsy
May improve sleep quality for some people
Reduces daytime side effects like nausea
Works well if you experience initial fatigue
Common Side Effects of Lexapro and How Timing Affects Them
Understanding potential side effects can help you choose the best time to take your medication.
Most side effects are mild and temporary, but knowing what to expect can help you plan your dosing schedule
Common side effects and timing considerations:
Nausea: Often better with food or evening dosing
Drowsiness: May benefit from evening dosing
Insomnia: Usually improves with morning dosing
Headache: Generally not affected by timing
Dry mouth: Can occur regardless of timing
If you experience nausea, taking Lexapro with food or in the evening might help. Some people find that their stomach is more sensitive in the morning, making evening dosing more comfortable.
On the other hand, if you notice sleep problems or feel more alert after taking Lexapro, morning dosing is likely better for you.
Remember that side effects often improve as your body adjusts to the medication. If you're experiencing bothersome side effects, talk to your doctor before making any changes to your dosing schedule.
Factors That Influence Optimal Timing for Taking Lexapro
Several personal factors can help determine the best time for you to take Lexapro. Your daily routine, work schedule, and how your body responds to the medication all play important roles in this decision.
Circadian Rhythm
Your natural body rhythms, called circadian rhythms, can affect how you respond to medication. Some people naturally have higher anxiety levels in the morning, while others feel more anxious in the evening.
Taking Lexapro at a time that aligns with your anxiety patterns can provide better symptom control.
Lifestyle
Your lifestyle and daily responsibilities also matter. If you have a demanding job or need to be alert during specific hours, timing your medication to avoid drowsiness during these periods is important.
Similarly, if you have trouble sleeping, you'll want to avoid taking Lexapro too close to bedtime if it makes you feel more alert.
Creating a Consistent Dosing Schedule When Taking Lexapro
Taking your medication at the same time every day helps maintain steady levels in your bloodstream, which can improve effectiveness and reduce side effects.
Tips for maintaining consistency
Set a daily alarm or reminder on your phone
Use a pill organizer to track your doses
Link medication time to an existing daily habit
Keep your medication in a visible location
Consider using a medication tracking app
If you occasionally miss a dose, don't panic. Take it as soon as you remember, unless it's almost time for your next dose. Never take two doses at once to make up for a missed one. If you frequently forget doses, consider using a pill organizer or setting a daily alarm on your phone.
Switching Your Lexapro Dosing Time
If you've been taking Lexapro at one time of day but want to switch, it's possible to do so safely with proper planning.
However, it's important to make this change gradually to avoid any disruption in your treatment.
The safest way to switch timing is to gradually shift your dose by 2-3 hours every few days until you reach your desired time. For example, if you currently take Lexapro at 8 AM but want to switch to 8 PM, you might take it at 11 AM for a few days, then 2 PM, then 5 PM, and finally 8 PM.
Always consult with your doctor before making significant changes to your dosing schedule. They can provide personalized guidance based on your specific situation and help you make the transition as smooth as possible.
Comparison: Morning vs. Evening Dosing
Aspect | Morning Dosing | Evening Dosing |
|---|---|---|
Best for | People who experience morning anxiety, those who get energy from Lexapro | People who feel drowsy from Lexapro, those with sleep benefits |
Pros | Manages daytime anxiety, reduces sleep interference, easier to remember | Can improve sleep, reduces daytime drowsiness, helps with morning nausea |
Cons | May cause initial nausea, could interfere with sleep if energizing | Might increase morning anxiety, could be harder to remember |
Ideal candidates | Early risers, people with morning anxiety, those who want daytime alertness | Night owls, people who experience fatigue, those with evening routines |
Working with Your Healthcare Provider
Your doctor is your best resource for determining the optimal timing for your Lexapro dose. They can consider your individual medical history, other medications, and specific symptoms to provide personalized recommendations.
Don't hesitate to discuss any concerns or side effects you're experiencing. Your healthcare provider can help you weigh the benefits and risks of different dosing times and may suggest adjustments to improve your treatment experience.
Keep a simple journal of your symptoms, side effects, and how you feel at different times of day. This information can be valuable during your appointments and help your doctor make informed recommendations about your treatment plan.
Important Safety Considerations
While Lexapro is generally safe when used as prescribed, there are important safety considerations to keep in mind regardless of when you take it.
Never stop taking Lexapro suddenly without medical supervision. Stopping abruptly can cause withdrawal symptoms such as dizziness, nausea, and mood changes. If you need to stop taking the medication, your doctor will help you reduce the dose gradually.
Be aware of potential drug interactions. Lexapro can interact with other medications, including some over-the-counter drugs and supplements. Always inform your healthcare providers about all medications and supplements you're taking.
Remember: This information is not a substitute for professional medical advice. Always work with your healthcare provider to determine the best treatment plan for your individual needs.
Medical Disclaimer
This article is for educational purposes only and does not constitute medical advice. The information provided should not replace consultation with a qualified healthcare provider. Individual responses to medications and alcohol can vary significantly, and what applies to one person may not be safe for another.
Always consult with your doctor or pharmacist before making any decisions about alcohol consumption while taking Lexapro or any other medication. If you're struggling with alcohol use, please seek professional help from a healthcare provider or addiction specialist.
In case of a medical emergency, contact your local emergency services immediately or call 911. For mental health emergencies, contact the National Suicide Prevention Lifeline at 988.
Important: This information is not a substitute for professional medical advice. Never stop taking prescribed medication or start drinking alcohol without consulting your healthcare provider first. Your safety and recovery are the top priorities.
Sources
NHS. (n.d.). Side‑effects of escitalopram. NHS. https://www.nhs.uk/medicines/escitalopram/side-effects-of-escitalopram/
