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Two months in and still rough is frustrating, but it's worth checking whether you're actually on the dose that's supposed to work for you - sometimes people get started low and need to go higher before the side effects even have a chance to settle. If you haven't had a real conversation with your prescriber about whether a dose increase is planned, that's the move. Some folks genuinely are slower responders and need to push past the 8-week mark, but that's a conversation to have with them first, not something to just white-knuckle through on your own.
Talk to your prescriber about adjusting your dose or switching medications, because two months is usually enough time for most side effects to settle, but some people need tweaks. Lexapro can take 4 - 6 weeks to reach steady state, and if you're still dealing with nausea, fatigue, or other stuff by now, it might mean your body isn't responding well to that particular drug or dose. Your doctor might lower it, increase it gradually, or try somthing else entirely - there are plenty of SSRIs out there and what works varies wildly between people. Don't just tough it out; these conversations are exactly what your prescriber needs to hear.
Side effects that stick around past 8 weeks usually fall into two camps: either your body genuinely needs more time (some people are just slow responders), or the dose isn't right for you. The tricky part is that two months feels like forever when you're dealing with nausea, headaches, or whatever else is going on, but it's not uncommon for adjustment to take longer than expected.
One thing people don't talk about much is timing and food interactions. If you're taking it at different times each day or on an empty stomach some days and with food others, that inconsistency can actually drag out side effects. Lock in the exact same time and eat something with it every single time - nothing fancy, just a snack. That consistency can sometimes make a real difference in how your body settles into it. Also keep track of what you're eating overall; some stuff like high caffeine or alcohol can amplify side effects even if the med itself is fine.
Beyond that, there's genuinely a point where waiting it out isn't the answer anymore. If nothing has improved at all in two months, or if side effects are getting worse, your prescriber needs to know the specifics - which side effect, how often, how bad. They might adjust the dose, try a different timing, or recommend switching to something like Zoloft or Citalopram. Don't tough it out hoping it'll magically resolve; that's just wasting time when a real fix might be one conversation away.
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