Can you drink alcohol on Lexapro?
Last updated September 3, 2026.
Best not to: the NHS says alcohol on escitalopram raises the risk of side effects - especially sleepiness, dizziness, and poor coordination - and works against the treatment, since alcohol deepens low mood and wrecks sleep. In the first weeks, when side effects peak, even one drink can hit much harder than usual. The wedding-glass question is one for honesty with your doctor, not quiet testing: people stable on their dose are sometimes told an occasional single drink is tolerated, but the official line stays best avoided, especially early or right after a dose change. Food is fine - eat normally. Pymander is a free AI doctor, 24/7 by text, and can help you weigh your specifics.
What to do
- Avoid in the first weeks: side effects peak, tolerance drops.
- Never mix and drive: the sleepiness multiplies.
- Watch the mood loop: regular drinking works against the drug.
- Ask honestly about occasional drinks: your prescriber has heard it before.
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