"i have severe  constant pain all over from rheumatoid arthritis which has me so crippled in my back, hands, fingers, shoulders, hips, ankles and knees. i am unable to walk and use a walker.  i also have fibromyalgia which causes much pain and mental confusion  sometimes.  my rheumatologist started me on 10 mg of lexipro at first two years ago . i felt a bit drowsy for a couple of weeks until my body got used to the medicine.   about four months ago had a hip replacement  and a nightmare arthritis flare up.  the flare up has not subsided yet , so my doctor increased the lexapro to 20mg each morning and 20 mg each night.  i take it about 8 pm  a little before bed time. 
i haven&#039;t noticed any additional side effects .  this drug helps me."