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I went to the doctors today because i have some prety bad anxiety and he suggested to start with 20mg lexapro once a day and take .5mg xanax as needed. i read posts online and most people said they started of with 10mg lexapro. my question is, is it fine to start off with 20mg lexapro? please help! Answers : I'm pretty sure your doctor would know better than the people here on Yahoo Answers. It is, after all, their job to know these things. Follow exactly how your doctor prescribed it. If you have any questions, call the pharmacist where you got them. S/He can look up the script to be sure how the doctor wrote it. Pharmacists are so smart and kind. Don't be afraid to ask the pharmacist any questions you have. 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