I was on Lexapro for years - 20mg 1xprday. Due to the increase in cost I went back to Paxil. I'm not sure if they are really in the same family and have noticed a difference in my overall demeanor and have gained a "healthy" 7 pounds. What is the difference and is Citalopram (generic for Celexa) a better and closer match to Lexapro?
11 Nov 2012
Hi, i came across this explanation & thought it might help you to understand the difference... "Hi, both Citalopram and Escitalopram are selective serotonin reuptake inhibitors. The difference between the two drugs is on the chemical level. I will not bother you with the explanation of this difference but basically, Escitalopram is an active form contained in Citalopram. Because of this the mechanism of action is the same. But, since Escitalopram does not contain the inactive component found in Citalopram, it is a more selective serotonin reuptake inhibitor. This means that Escitalopram works more effectively in treatment of depression. However, these advantages are not that significant in patients that are responding well to Citalopram therapy. This would mean that in your case there is no need for the change in the therapy."
11 Nov 2012
Everyone here is spot on as usual. I'd like to talk about the cost. As soon as they came out with a generic for lexapro the insurance company wanted me to take the generic since it is way cheaper. I love to save money, who doesn't , so I tried it. Even with the same mg (20) it stopped working after a few hours and had terrible side effects that I never experianced in my 6 years of taking lexapro. I tried two other brands of generic with the same results. I was irritable had migraines that wouldn't go away as well as ssri withdrawls... Nasuea, brain zaps etc... It took some work but I finally got my doctor to tell the insurance company that I HAD to have the name brand... They still denied it but my dr.
Noticed I wasn't doing good so he told them straight up "if you don't approve the name brand she will end up in the hospital for withdrawls and it will cost ten fold" now I pay about 1/3 of the cost for lexapro and hope I never have to take the generic or celexa again. Hope this helps people, don't ever take a tole on your health just because an insurance company is being a cheapskate. Lexapro is a god send and I hope you are feeling better soon. Much love <3
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