I have been using lexapro for 9 months now, I find that I am hot all the time and NO sex drive whatsoever, but in all its the best drug I have ever tried for my chronic depression, it helps me with the severe anger too, I am on a more even level and for that I am thankful, the other side effect that I had when I first started taking it, was really bad headaches, which they finally went away after using this drug for 2 weeks. If I skip a dosage, then I get a headache, but over all, I love the drug. I haven't gained any weight on them at all. I do however wish I had the sex drive I need, I am a newlywed, and well I guess you all know what a healthy sex drives means there! BUT I will not stop taking the drug until I feel good enough to, I figure I will be on the drug approx: 2 years.