shaneris5 replied: "www.drugs.com SIDE EFFECTS: More common: ***sleeplessness; trouble sleeping; unable to sleep; sleepiness or unusual drowsiness*** See on Lexapro. Ask yourself: "Why do I feel depressed, and when did I first start to feel this way: can I associate this with any recent change in my life?" (if so, it is probably reactive [situational] depression: counselling, such as Cognitive Behavioural Therapy may be indicated, but most of life's adverse situations are resolved within 16 weeks, yet the medical criteria for depression, and the prescription of antidepressants is only 2 weeks!). Or, was it a more gradual thing, with no apparent cause? (a nutritional deficiency, hypothyroidism, environmental toxicity, or reactions to some medications, etc., becomes more likely as the cause). Antidepressants work quicker than the following; 2 - 6 weeks, but you may have to adjust dosage, or types. St. John's wort helps most people; tolerance doesn't develop, and the few side effects don't occur often, and even then are normally not severe (neither should be relied on as a sole treatment). It doesn't cause sleeping problems, or weight change, but usually takes at least 2, and generally 4 - 6 weeks to become effective, but can work quicker than antidepressants, sometimes. A recent, independent German double blind study showed it to be as effective as a commonly prescribed antidepressant, in cases of major depression, with far fewer side effects, and those were generally better tolerated, with a lower rate of discontinuation. Unlike antidepressants, where sexual dysfunction is a common side effect, it happens much more rarely with St. John's wort (I have noticed no effect in this area). A multidimensional approach to treating depression without medication follows. All except for no. (7.) are safe to use with medication, but not St. John's wort, because of interactions, and it's sensible to check out anything else first with your doctor. (1.) Take 4 Omega 3 fish oil supplements, daily: (certified free of mercury) it is best if consumed with an antioxidant, such as an orange, or grapefruit, or their FRESHLY SQUEEZED juice. If vitamin E is added, it should be certified as being 100% from natural sources, or it may be synthetic: avoid it. In the winter months, if not getting sufficient daily exposure to strong light, see SEARCHBAR: enter: "vitamin D3", & Go to a doctor and ask for a 25(OH)D, also called 25-hydroxyvitamin D, blood test. When you get the results, don’t follow the typical “normal” reference range, as these are too low. The OPTIMAL value that you’re looking for is 45-52 ng/ml (115-128 nmol/l)". The company which tests your levels has to be one of those using the correct form of test, and this topic is addressed via the searchbar at mercola.com - "vitamin D3; testing". Also take a vitamin B complex which is certified as being 100% of natural origin; a deficiency in vitamin B9 (folic acid, or folate) is known to cause depression. Around 30% - 40% of depressed people have low vitamin B12 levels. Depressed females using the contraceptive pill may benefit from vitamin B6 supplements. (2.) Work up slowly to at least 20 minutes minutes of exercise, daily, or 30 - 60 mns, 5 times weekly. Too much exercise can cause stress, which isn't wanted when dealing with depression. (3.) Occupational therapy (keeping busy allows little time for unproductive introspection, and keeps mental activity out of less desirable areas of the brain). (4.) Use daily, a relaxation method* and/or yoga*, and/or Tai Chi*.(5.) Initially, at least, some form of psychotherapy or counselling; later, perhaps either Cognitive Behavio(u)ral Therapy, or Rational Emotive Behavio(u)ral Therapy for, say, 6 months. (6.) Maintain a mood chart, and daily activities schedule**. (7.) As options, if desired, either a known, effective herbal remedy, such as St. John's wort, (get a German variety, if possible; local ones may vary in effectiveness. Perika, and Kira brands have been recommended as being effective. Take with a meal) or supplements, such as SAMe, or Inositol (from vitamin and health food stores, some supermarkets, or mail order: view section 55)."

Diane S replied: "My husband and I both take Lexapro, have been for a while. No problems in the bedroom ;) I read it needs to build up in your system, I think 4-6 weeks before it's fully effective."