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?
Difference between lexapro and citalopram?
Question posted by vlohanesian on 11 Nov 2012
Last updated on 25 November 2022 by Wiley111
Citalopram is the generic form of Celexa.
Escitalopram is the generic form of Lexapro.
Anytime you see a drug name beginning with "es", it is a mirror of an earlier released drug.
In some cases, the mirror is created just to extend the patent time but in other cases, the mirror turns out to be a better drug which I believe is the case with Esomeprazole and Escitalopram.
Citalopram has always been used as an anti-depressant, but is only prescribed off-label for anxiety. Escitalopram is advertised as being effective for both. Personally, I believe Escitalopram to be the better choice for anxiety. I've been taking it, on and off, for nearly 10 years.
Be aware that the recommended adult dose of Citalopram is 20 mg, but for Escitalopram it is just 10 mg.
A 30-day supply of Escitalopram is $15 at Walmart using a free GoodRX card.
A 30-day supply of Citalopram is $4 at Walmart using a free GoodRX card.
I know nothing about Lexapro but FYI - I have been on Citalopram for 3 months and although no one believes me, since I started taking it I have lost 15 pounds with no change in activity or diet. The lymphedema swelling in my feet and ankles has completely disappeared and I now don't wear any compression socks. The drawbacks are diarrhea and total loss of sexual desire and function. Oh well, no wife or girlfriend anyway. I have decided to put up with the drawbacks because weightloss and not having to wear compression socks are more important to me.
Why do they always list as a side effect "weight changes"? When what they mean is you will gain 40 or 50 pounds? If you aren't depressed before you certainly will be then.
Lexapro ,let me tell you is newer that don't make it better , side effects on Escitalopram generic or real Lexapro are brutal. muscle ache being really bad , you feel 90 year old , sex is worse , I have no trouble with citalopram . but Lexapro you never orgasm even manually. so don't think because it cost more money its better , in fact in ENGLAND they have stopped the generic now ,they never had the real Lexapro , but the generic poops out Megga fast and is busting with side effects, I was on it and went down to a tiny 5mg and it still screwed me over
I too was on Lexapro 20mg, for several years. Citalopram is actually the generic for Celexa. Ask your Doctor for Escitalopram which is the generic for Lexapro. I have taken Escitalopram 20mg.for about as long as it has been available and it works as well as Lexapro for me.
I understand that Citalopram and Lexapro are in the same family but Lexapro is a newer version; Citalopram having more side effects.
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
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."
Yes it is in the same class of drugs known as ssri. The only distinguishing thing is Lexapro has one more molecule than Citalopram.
All the mentioned antidepressants are of the SSRI group. Celexa (citalopram) and Lexapro (escitalopram) are the closest in chemical structure.
They are in the same family.
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