Do the metabolites of escitalopram play a therapeutic role?
Escitalopram is metabolised to produce several metabolites. The potency for serotonin reuptake inhibition of the main (demethyl) metabolite is ten-fold lower than that of escitalopram, and its serum concentration is three-fold lower. This metabolite is not considered to contribute to the therapeutic effect. The other metabolites have no activity (ref.1).
References:
1. Hyttel et al, 1992