Is It Safe and Effective to Cut Lexapro Pills in Half? What to Know

Safety and Effectiveness of Cutting Lexapro Pills in Half

Lexapro is a commonly prescribed antidepressant medication. It goes by the generic name escitalopram and belongs to the SSRI class of antidepressants. Lexapro is often prescribed to treat anxiety, depression, OCD and other mental health conditions. A frequently asked question by Lexapro users is whether it is safe and effective to cut the pills in half. Here is what you need to know.

What is Lexapro?

Lexapro is the brand name version of the generic drug escitalopram. It works by increasing levels of serotonin, a neurotransmitter that regulates mood, in the brain. Lexapro belongs to the selective serotonin reuptake inhibitor (SSRI) class of antidepressants. It was first approved for use in the U.S. in 2002.

In addition to treating depression, Lexapro is also frequently prescribed for anxiety, OCD, panic disorder, PTSD and premenstrual dysphoric disorder (PMDD). It is available in tablet form in several strengths ranging from 5mg to 20mg per pill.

Why Do Patients Cut Lexapro Pills in Half?

There are several reasons why a patient taking Lexapro may want to cut their pills in half. Some of the common reasons include:

• Starting at a lower dose - Cutting a 10mg pill in half creates an initial 5mg dose for slowly tapering up.
• Titrating dose - Patients may cut pills to slowly adjust up or down on their dosage.
• Saving money - Pills cost the same regardless of strength, so cutting them saves money.
• Easing side effects - Lower doses can sometimes reduce side effects like nausea.

Talk to your doctor first before cutting your Lexapro tablets in half. They will help decide if this is appropriate and safe based on your specific condition, symptoms and dosage requirements.

Is It Safe to Cut Lexapro Pills in Half?

Lexapro tablets are scored down the middle so they can be evenly split into two equal halves. Cutting them as intended is generally considered safe. However, there are some important factors to consider:

• Only cut tablets scored for dividing. Don't cut unscored tablets.
• Use a pill cutter, knife or razor blade to evenly split the pill.
• Don't use scissors or crush the pill, which destroys sustained release properties.
• Handle cut pills carefully to avoid crumbling or uneven halves.
• Don't split time-released or extended release versions.

As long as you properly cut Lexapro tablets along the middle score line, research shows the medication retains its effectiveness and the halves remain stable. One study found that halving Lexapro 20mg tablets still achieved nearly 98% accuracy of the dose.

Are There Any Downsides to Cutting Pills?

While generally considered safe and effective, there are some potential downsides to splitting Lexapro tablets:

• Uneven halves - Can lead to inconsistent dosing and blood levels.
• Crumbling - Broken or crumbled pills are hard to measure proper doses from.
• Contamination - Hands or tools transfer dirt and germs when cutting.
• Inconvenience - Cutting each dose adds extra time and steps.
• Swallowing - Some people have trouble swallowing smaller split pieces.

Be cautious when handling cut pills to avoid crumbs and cross-contamination. For convenience, you may want to split all your pills after getting a new refill and store the halves together in a baggie or pill case.

Tips for Safely Cutting Your Lexapro Tablets

Follow these tips for securely splitting your Lexapro pills:

• Wash hands before and after cutting each dose.
• Use a clean, dry pill cutting tool on a flat surface.
• Don’t use wet hands or tools which can activate medication.
• Check that the tablet is scored bisectly for even halves.
• Apply firm, even pressure when cutting - don't crush!
• Inspect halves to ensure they are complete and not crumbling.

Proper storage is also important for cut pills. Keep them together in the original bottle or a clearly labeled baggie away from moisture and humidity. Keep out of reach of children.

Does Cutting Lexapro Tablets Change How They Work?

Lexapro tablets are designed to be evenly split in half without impacting the effectiveness of the active drug inside. The scored tablets ensure the escitalopram dose gets divided consistently. Research shows halving scored Lexapro tablets maintains nearly the full potency and drug release profile.

However, improper splitting can alter doses. Chipping, crumbling or uneven breakage may lead to variability in the actual amount of escitalopram in each half. Mishandled cut tablets have more exposed surface area, increasing degradation.

Talk to Your Doctor First

While Lexapro tablets can technically be divided safely at home, talk to your doctor before making any changes to your prescribed dose. There are a few important things to discuss:

• Make sure your tablets are scored - Some versions may not be.
• Ask about how to properly cut them for accuracy.
• Discuss the right starting dose if tapering on or weaning off.
• Develop a plan for adjusting your dosage as needed.
• Tell them if you have trouble swallowing smaller pills.
• Report any side effects from dose changes.

With your doctor overseeing the process, splitting your Lexapro tablets should offer an easy way to customize and optimize your dosage, improve convenience and save on costs.

Frequently Asked Questions

Can I cut all types of Lexapro tablets?

Only tablets scored right down the middle can be safely and accurately split. Don't cut unscored tablets or capsules.

Does cutting pills in half reduce side effects?

For some people, yes - starting at a lower dose then tapering up can minimize side effects like nausea.

How should I store cut Lexapro tablets?

Store split Lexapro tablets together in the original bottle or a clearly marked sealed container, protected from moisture.

Can I cut extended release or time release Lexapro pills?

No, these specially formulated versions should never be cut, crushed, chewed or divided.

How can I make splitting pills easier?

Use a proper pill cutter on a flat, hard surface, take your time, and inspect halves for accuracy.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.