For many people taking escitalopram 10 mg for only a few weeks, a clinician may use a taper over roughly 4 to 8 weeks, reducing the dose every 2 to 4 weeks if symptoms stay manageable.
If you have taken it for months or years, previously had withdrawal symptoms, are taking it for recurrent depression/anxiety, or feel unwell with reductions, tapering may need to take several months or longer. There is no single correct duration.
A general clinician-guided approach is to reduce the
current dose stepwise, often by about
25% to 50%, wait
2 to 4 weeks, then reassess. Smaller reductions, such as 10% or 5%, may be used when someone is sensitive to withdrawal or at lower doses. NICE recommends stepwise reductions, commonly starting around 50% of the prior dose and using smaller reductions as doses get lower, with liquid medication if needed (
NICE recommendations).
Do not take escitalopram on alternate days to taper. This causes fluctuating drug levels and can make withdrawal more likely.
If withdrawal symptoms occur, pause further reductions and contact your prescriber. Symptoms can include dizziness, nausea, anxiety, poor sleep, vivid dreams, low mood, irritability, or “electric shock” sensations. Severe anxiety, suicidal thoughts, or inability to stay safe needs urgent medical help.
Recent evidence reviews show withdrawal symptoms can vary substantially between individuals, supporting an individualized rather than fixed-speed taper (
2025 systematic review).