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Lexapro (generic name escitalopram) is a selective serotonin reuptake inhibitor (SSRI) antidepressant commonly used to treat depression and various anxiety disorders. While most people experience a calming effect with SSRIs, including Lexapro, it's possible for some individuals to experience paradoxical reactions or unexpected side effects.

Feeling "hopped-up" or experiencing increased energy and restlessness, similar to the effects of stimulants like Adderall, can be an unusual and less common side effect of SSRIs. This reaction might be attributed to several factors:

  1. Individual brain chemistry: Each person's brain chemistry is unique, and the way antidepressants affect neurotransmitters like serotonin can vary. In some individuals, SSRIs may lead to increased excitability rather than a calming effect.

  2. Dosage: The dosage of Lexapro might play a role. Sometimes, higher doses of SSRIs can have different effects than lower doses, and a higher dose might cause overstimulation in certain individuals.

  3. Paradoxical reactions: Paradoxical reactions are unexpected responses to medications, where the drug produces effects opposite to its intended purpose. While SSRIs are generally meant to reduce anxiety and promote relaxation, paradoxical reactions can lead to increased anxiety or restlessness.

  4. Interaction with other medications or substances: If you are taking other medications or substances that interact with Lexapro, it could alter how the drug affects your body and potentially lead to unusual side effects.

  5. Underlying conditions: Sometimes, individuals with certain underlying psychiatric conditions or neurobiological differences may experience unusual reactions to medications.

If you are experiencing a hopped-up feeling or any other concerning side effects from Lexapro or any other medication, it's essential to discuss this with your prescribing healthcare provider. They can evaluate your symptoms, adjust your dosage if necessary, or consider alternative treatments based on your individual response and medical history.

It's crucial to work closely with your healthcare provider throughout the medication process to monitor your progress and address any unexpected reactions promptly. Do not stop or adjust your medication without consulting your doctor, as suddenly discontinuing antidepressants can lead to withdrawal symptoms and potential health risks.

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