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Serum or Plasma Concentration of Escitalopram (Active Metabolite of Escitalopram)

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of escitalopram, a medication used to treat depression, anxiety, and other mental health conditions, in your blood.

Quick summary

["Knowing your escitalopram level helps your doctor monitor your dose and ensure it’s working safely for you."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
73025-9
Short code
Escitalopram (neut) IgM SerPl Ql FC
Synonyms
Escitalopram (neut) IgM SerPl Ql FC
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
flow-cytometry
CPT
82784
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your doctor may order this test if you’re taking escitalopram (Lexapro) and want to check how your body is processing the medication. It can also be done if you have concerns about side effects or if your symptoms aren’t improving as expected.

What to Expect Before the Test

No special preparation is needed. You’ll provide a blood sample, usually drawn from a vein in your arm. If you’re on a blood thinner, let your doctor know before the test.

What the Test Results Mean

Results are used to adjust your medication dose if needed. While reference ranges vary by lab, lower-than-expected levels might suggest your dose isn’t sufficient, while very high levels could indicate potential side effects.

Common Reasons for Testing

Doctors may test escitalopram levels if you’re experiencing unusual side effects, if your symptoms don’t improve after a few weeks, or if you’re considering stopping the medication.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Escitalopram Level

Frequently asked questions

This test helps ensure your medication is at an effective dose without causing excessive side effects. It’s particularly useful for patients who may have liver issues, as escitalopram is metabolized by the liver.
This test is not a routine check for everyone on escitalopram. It’s typically ordered based on clinical concerns, such as poor response to treatment or suspected drug interactions.
If you have questions about your test results, discuss them with your healthcare provider. They can help interpret your specific results and explain any changes to your treatment plan.
Blood tests like this one are generally safe, but rare risks include bruising, fainting, or a slight pain at the injection site. If you experience dizziness or severe pain, contact your doctor immediately.
This test measures the active form of escitalopram in your bloodstream, which is different from tests that check for other antidepressants (like sertraline or fluoxetine).
Your doctor may recommend follow-up testing if your levels are outside expected ranges or if you’re adjusting your dose. Always follow their guidance for ongoing care.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy