I was on Lexapro two different times and was nauseous both times. It lasted only a week, and the second time I knew how to control it more. I know the pills are tiny, but I cut them into quarters and went up VERY slowly. I also had Zofran the second time, and that helped. That helped control the nausea much more. I never v* from them, and it did help me a lot when I was dealing with some really sad issues. It is worth trying, but I completely understand your panic.