Have Mental Health Questions? Ask a Psychiatrist Online
Hi, thanks for writing. I am sorry you aren't feeling your best. The side effects you are having (headache, shakiness) are common in the first 3-4 weeks of starting a medication like escitalopram and often appear pretty quickly. So are peaked anxiety, depression, nausea, and generally feeling off. Typically it is advised to ride out these activation side effects as they will dissipate as your body adjusts and just about the time the side effects break, the medication will begin to help reduce anxiety and depression symptoms. Riding it out is not indicated if you feel the side effects are more than uncomfortable and are actually intolerable.
In this case, if you have a goal of reducing the anxiety and depression with the help of a med, then you may want to 1) consider halving your dose for a while longer with hopes you can tolerate the side effects, then doubling the dose after a couple of weeks. or
2) Ride out the current dose with hopes your side effects break soon. Or
3) Consider trying an alternative SSRI. They vary significantly in the way people react to them so quite possibly, trying a different med in the same class may have no/less side effects.
I hope this helps. I am here to chat more if you'd like!