Talk to your prescriber before changing the dose
Do not stop Lexapro suddenly unless a clinician tells you to
Ask for a taper plan based on your current dose and how long you have taken it
Reduce the dose gradually, usually in small steps over weeks to months
Follow the exact taper schedule your prescriber gives you
Monitor for withdrawal symptoms such as dizziness, nausea, anxiety, irritability, headache, sleep problems, or “brain zaps”
If withdrawal symptoms are severe, contact your prescriber promptly
If symptoms are mild, ask whether to slow the taper or hold the current dose longer
Avoid alcohol and recreational drugs during tapering if possible
Keep regular follow-up appointments while tapering
Seek urgent help if you have suicidal thoughts, severe mood changes, or feel unsafe
Do not change other psychiatric medications without medical advice
If you miss a dose, follow your prescriber’s instructions or the medication label
Use a pill splitter or liquid formulation if needed for smaller dose reductions
Keep a daily log of mood, sleep, and side effects during the taper