ESCITALOPRAM

72/100 · Elevated

Manufactured by Allergan, Inc.

Escitalopram Adverse Events: High Serious Reaction Rate and Diverse Safety Profile

264,686 FDA adverse event reports analyzed

Last updated: 2026-05-12

About ESCITALOPRAM

ESCITALOPRAM is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Allergan, Inc.. Based on analysis of 264,686 FDA adverse event reports, ESCITALOPRAM has a safety score of 72 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for ESCITALOPRAM include FATIGUE, NAUSEA, DRUG INEFFECTIVE, HEADACHE, DIARRHOEA. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for ESCITALOPRAM.

AI Safety Analysis

Escitalopram has a safety concern score of 72 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 264,686 adverse event reports for this medication, which is primarily manufactured by Allergan, Inc..

The most commonly reported adverse events include Fatigue, Nausea, Drug Ineffective. Of classified reports, 67.2% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Escitalopram reports show a high percentage of serious adverse events, particularly related to mental health and cardiovascular issues.

The most common reactions include fatigue, nausea, and headache, indicating a broad range of potential side effects. Serious reactions such as death, suicidal ideation, and pneumonia are notable, highlighting significant safety concerns.

Patients taking Escitalopram should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Escitalopram warnings include potential for serotonin syndrome, drug interactions, and increased risk of suicidal ideation, especially in young adults. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 72/100

Escitalopram received a safety concern score of 72/100 (elevated concern). This is based on a 67.2% serious event ratio across 134,486 classified reports. The score accounts for 264,686 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

FATIGUE9,197 reports
NAUSEA9,163 reports
DRUG INEFFECTIVE8,599 reports
HEADACHE7,113 reports
DIARRHOEA6,709 reports
ANXIETY6,446 reports
DIZZINESS6,086 reports
DEPRESSION5,975 reports
OFF LABEL USE5,853 reports
PAIN5,646 reports
FALL5,402 reports
DYSPNOEA5,273 reports
VOMITING5,092 reports
INSOMNIA4,376 reports
ASTHENIA4,357 reports
SOMNOLENCE3,953 reports
CONDITION AGGRAVATED3,892 reports
MALAISE3,880 reports
ARTHRALGIA3,754 reports
DRUG INTERACTION3,704 reports
RASH3,268 reports
WEIGHT INCREASED3,235 reports
WEIGHT DECREASED3,232 reports
TREMOR3,210 reports
DEATH3,129 reports
FEELING ABNORMAL3,105 reports
SUICIDAL IDEATION3,100 reports
PRURITUS3,053 reports
PAIN IN EXTREMITY2,934 reports
PNEUMONIA2,907 reports
PYREXIA2,907 reports
CONFUSIONAL STATE2,829 reports
COUGH2,765 reports
DECREASED APPETITE2,729 reports
ABDOMINAL PAIN2,620 reports
COMPLETED SUICIDE2,485 reports
CONSTIPATION2,389 reports
BACK PAIN2,379 reports
SUICIDE ATTEMPT2,365 reports
HYPOTENSION2,212 reports
URINARY TRACT INFECTION2,211 reports
GAIT DISTURBANCE2,187 reports
HYPERTENSION2,152 reports
ABDOMINAL PAIN UPPER2,149 reports
PRODUCT DOSE OMISSION ISSUE2,090 reports
HYPERHIDROSIS2,045 reports
TOXICITY TO VARIOUS AGENTS1,949 reports
ACUTE KIDNEY INJURY1,943 reports
CHEST PAIN1,925 reports
OVERDOSE1,897 reports
PRODUCT USE IN UNAPPROVED INDICATION1,880 reports
MEMORY IMPAIRMENT1,866 reports
COVID 191,857 reports
PARAESTHESIA1,854 reports
INTENTIONAL OVERDOSE1,842 reports
MUSCLE SPASMS1,836 reports
BLOOD PRESSURE INCREASED1,817 reports
MYALGIA1,783 reports
ANAEMIA1,764 reports
DEHYDRATION1,750 reports
LOSS OF CONSCIOUSNESS1,742 reports
ABDOMINAL DISCOMFORT1,705 reports
HYPOAESTHESIA1,674 reports
PULMONARY EMBOLISM1,666 reports
AGITATION1,620 reports
ALOPECIA1,619 reports
SEROTONIN SYNDROME1,600 reports
NASOPHARYNGITIS1,579 reports
VISION BLURRED1,554 reports
PALPITATIONS1,546 reports
TACHYCARDIA1,465 reports
SYNCOPE1,464 reports
BALANCE DISORDER1,434 reports
INJECTION SITE PAIN1,433 reports
RENAL FAILURE1,431 reports
HYPERSENSITIVITY1,415 reports
HALLUCINATION1,390 reports
CHILLS1,385 reports
MIGRAINE1,379 reports
CHRONIC KIDNEY DISEASE1,376 reports
OEDEMA PERIPHERAL1,309 reports
SEIZURE1,294 reports
DRUG HYPERSENSITIVITY1,280 reports
CEREBROVASCULAR ACCIDENT1,278 reports
HYPONATRAEMIA1,268 reports
MUSCULAR WEAKNESS1,249 reports
SINUSITIS1,230 reports
PERIPHERAL SWELLING1,209 reports
DIABETES MELLITUS1,207 reports
ERYTHEMA1,204 reports
ASTHMA1,199 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION1,196 reports
CONTUSION1,190 reports
ELECTROCARDIOGRAM QT PROLONGED1,186 reports
SLEEP DISORDER1,156 reports
DRUG DOSE OMISSION1,139 reports
FLUSHING1,135 reports
GASTROOESOPHAGEAL REFLUX DISEASE1,126 reports
STRESS1,122 reports
DISTURBANCE IN ATTENTION1,112 reports

Key Safety Signals

  • High percentage of serious adverse events (67.2%)
  • Significant reports of suicidal ideation and death
  • Diverse range of reactions including cardiovascular, gastrointestinal, and mental health issues

Patient Demographics

Adverse event reports by sex: Female: 85,594, Male: 38,528, Unknown: 325. The most frequently reported age groups are age 65 (1,811 reports), age 56 (1,796 reports), age 57 (1,784 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 134,486 classified reports for ESCITALOPRAM:

  • Serious: 90,391 reports (67.2%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 44,095 reports (32.8%)
Serious 67.2%Non-Serious 32.8%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female85,594 (68.8%)
Male38,528 (31.0%)
Unknown325 (0.3%)

Reports by Age

Age 651,811 reports
Age 561,796 reports
Age 571,784 reports
Age 611,776 reports
Age 631,775 reports
Age 621,770 reports
Age 601,693 reports
Age 521,683 reports
Age 641,656 reports
Age 551,655 reports
Age 581,632 reports
Age 531,612 reports
Age 591,612 reports
Age 661,562 reports
Age 721,560 reports
Age 541,537 reports
Age 491,535 reports
Age 671,511 reports
Age 501,496 reports
Age 691,491 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Escitalopram warnings include potential for serotonin syndrome, drug interactions, and increased risk of suicidal ideation, especially in young adults.

What You Should Know

If you are taking Escitalopram, here are important things to know. The most commonly reported side effects include fatigue, nausea, drug ineffective, headache, diarrhoea. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Monitor for signs of suicidal ideation, especially in the first few weeks of treatment. Be aware of potential drug interactions and inform healthcare providers of all medications being taken. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

Escitalopram is subject to strict monitoring by the FDA due to its high rate of serious adverse events, particularly in elderly and young adult populations.

Frequently Asked Questions

How many adverse event reports has the FDA received for Escitalopram?

The FDA has received approximately 264,686 adverse event reports associated with Escitalopram. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Escitalopram?

The most frequently reported adverse events for Escitalopram include Fatigue, Nausea, Drug Ineffective, Headache, Diarrhoea. By volume, the top reported reactions are: Fatigue (9,197 reports), Nausea (9,163 reports), Drug Ineffective (8,599 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Escitalopram.

What percentage of Escitalopram adverse event reports are serious?

Out of 134,486 classified reports, 90,391 (67.2%) were classified as serious and 44,095 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Escitalopram (by sex)?

Adverse event reports for Escitalopram break down by patient sex as follows: Female: 85,594, Male: 38,528, Unknown: 325. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Escitalopram?

The most frequently reported age groups for Escitalopram adverse events are: age 65: 1,811 reports, age 56: 1,796 reports, age 57: 1,784 reports, age 61: 1,776 reports, age 63: 1,775 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Escitalopram?

The primary manufacturer associated with Escitalopram adverse event reports is Allergan, Inc.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Escitalopram?

Beyond the most common reactions, other reported adverse events for Escitalopram include: Anxiety, Dizziness, Depression, Off Label Use, Pain. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Escitalopram?

You can report adverse events from Escitalopram to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Escitalopram's safety score and what does it mean?

Escitalopram has a safety concern score of 72 out of 100 (elevated concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Escitalopram reports show a high percentage of serious adverse events, particularly related to mental health and cardiovascular issues.

What are the key safety signals for Escitalopram?

Key safety signals identified in Escitalopram's adverse event data include: High percentage of serious adverse events (67.2%). Significant reports of suicidal ideation and death. Diverse range of reactions including cardiovascular, gastrointestinal, and mental health issues. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Escitalopram interact with other drugs?

Escitalopram warnings include potential for serotonin syndrome, drug interactions, and increased risk of suicidal ideation, especially in young adults. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Escitalopram.

What should patients know before taking Escitalopram?

Monitor for signs of suicidal ideation, especially in the first few weeks of treatment. Be aware of potential drug interactions and inform healthcare providers of all medications being taken.

Are Escitalopram side effects well-documented?

Escitalopram has 264,686 adverse event reports on file with the FDA. The most common reactions include fatigue, nausea, and headache, indicating a broad range of potential side effects. The volume of reports for Escitalopram reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Escitalopram?

Escitalopram is subject to strict monitoring by the FDA due to its high rate of serious adverse events, particularly in elderly and young adult populations. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to ESCITALOPRAM based on therapeutic use, drug class, or shared indications:

SertralineFluoxetineParoxetineCitalopramVenlafaxine
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.