shaneris replied: "See & & (Lexapro). It's your life: your decision. I'd seek a second opinion, but I'd never be taking them in the first place! ANXIETY: See anxiety treatments, at ezy build (below) in section 6. Set yourself a fixed limit for worrying about any particular subject, (say; 10, or 15 minutes) after which, resolve firmly to refuse to even consider that subject again on that day: realise and accept that to do otherwise would be counterproductive to your mental health, and enjoyment of life. Use the technique for reprogramming negative thoughts and internal monologue (self talk), on pages 2, and 2L, to help you in this: some people carry a wide rubber band in their pocket: put it on their wrist; stretch, and release, as a means of reinforcing it, and speeding up the process, re-pocketing it afterwards, but I regard this as being purely optional. Practice one of the relaxation methods on pages 2, 11, 2c, or 2i, daily, and when needed. Also, give the EFT a good tryout, to see if it helps you. There is also a version for use in public places, (if you like, you can claim to have a headache, as you massage/lightly tap your temples, but you would then be restricted to subvocalising: saying it to yourself in your mind). Section 53, and pages 2, 2.q and 2.o at also refer: "Even though I sometimes suffer from anxiety, I deeply and completely accept myself." ~~~ LOW COST/FREE COUNSELLING: Contact your county/local mental health agency, and find out what help they can offer. Psychological counselling, with a sliding scale, based on income, is available through many religious organisations, such as Catholic counselling, the Methodist church, and the Unitarian Universalists. You don't have to be a member. ~~~~~~~~~~~~~~~~~~~~~~~~~~ DEPRESSION: My standard post follows, but, if you are young, antidepressants are unsuitable for young people. See depression treatments, at ezy build, below, in section 2, and consult a doctor, to eliminate thyroid problems, etc. as possible contributing factors: also seek a referral to a therapist using Cognitive Behavioural Therapy, or Rational Emotive Behavioural Therapy. It is your decision, and yours alone, as to whether to take any antidepressants offered, but, before you do, read section 1, and check medications out at so you will be on the lookout for side effects, like sexual dysfunction. My strong recommendation, however, is to follow the advice of my doctor, his associate, and also Marcelle Pick, OB/GYN NP, and Dr. Mercola, at and many others: avoid antidepressants (pages 2V, and 2Z refer, & antidepressant websites: page 2). The reasons why we all share the same view on this are explained in full, as you will find, if you read the whole section. All of their advice, (except prayer, because many people are not religious) I have incorporated into the "core treatments", including occupational therapy, relaxation techniques, and exercise, with others as options, such as the supplements: Inositol, or SAMe, or herbal remedies, like St. John's wort. If you are diagnosed with clinical (major) depression, antidepressants may be necessary for a while, which will give the treatments time to become effective. The antidepressants themselves need at least several days, or even weeks to begin becoming effective. It's a good idea to taper off them slowly, with medical advice, after several months, say, to a couple of years, at most, because they are only effective in the long term for about 30% of people. Because of this, you would be well advised to begin the treatments immediately, and maintain them. I'd just thank your mental health care provider, and pocket the prescription, trying the treatments for a few months, to see if they are sufficient for you, before considering filling it (unless clinically depressed, and having great difficulty functioning, or suicidal, in which case I'd take them). If the amount of daylight you have been exposed to recently has reduced, perhaps due to the change of seasons, see Seasonal Affective Disorder (S.A.D.) in section 2, at and, instead of taking 4 Omega 3 fish oil supplements, daily; replace 2 of them with cod liver oil supplements for the winter months only! (or, as probably a better alternative to the 2 cod liver oil supplements: 1 teaspoonful of cod liver oil, with a little butter, to ensure its use; I take mine on sourdough rye bread, or toast, covered with fishpaste, and pepper, to mask the strong taste). Consider having your doctor test your vitamin D levels, using the 25 Hydroxyvitamin D test. Optimal levels are 50 - 55 ng/ml (115 - 125 nmol/l. It should be above 32 ng/ml. Those people who receive adequate exposure to sunlight, daily, won't need the vitamin D from cod liver oil, but many people, particularly those in latitudes far from the equator, find this difficult, to achieve."
Kathy D replied: "I have to say i did not have much success with lexapro. nothing bad but nothing changed either. it was like i was taking the meds for nothing. I agree with one of the others , it never hurts to try , these meds affect everyone differently. I recently was put on Effexor XR...I loved it I was doing so much better, except I seem to be allergic to it. I would break out itching like crazy within 30 mins of taking it. So I told my doc, and we are taking me off the efexor and trying Cymbalta. Good luck I hope you find the one that works for you !"
SXYMAMA replied: "I have been on lexapro, it's good, it makes you feel very normal, almost as if you aren't taking medicin, but you dont feel depressed."
lexi m replied: "I took lexapro and it didn't help with depression. Plus I had sexual side effects (no orgasms). But that problem went away once I stopped taking that medication and switched to Abilify 10 mg."
work1hours replied: "go for celexa its the best
u need to try it
go for it
ok
doctor is right
u just take his advie
he is right
u go for celexA"
switching from lexapro to celexa because of my insurance? I was having major anxiety and maybe even a panic attack or two. My physician gave me lexapro samples to try (4 weeks worth). I am also seeing a psychologist/counselor. Lexapro started working right away. After about 2 weeks my body got used to the medicined (no more side effects). Well, now that I went back to get the prescription, my insurance won't cover it but it will cover Celexa. Today would be my first day of taking the celexa, I'm already having a anxiety of what side effects I may have for switching, I don't need this right now after Thanksgiving, I have a test in my grad class tonight and am flipping out?
john e russo md replied: "We all make this substitution as citalopram hydrobromide (Celexa) is the pro drug of escitalopram (Lexapro) although the mg dosing is not equivalent. I have yet to have a failure or have patients with side effects due to this change. If we were offered samples of Celexa you would have started on that and there would have been no reason to upset you. I hope that your transition goes well and bear in mind that they are really the same medication."
Peanut replied: "I beg to differ quite strongly with the doctor who answered previously. Celexa and Lexapro are NOT the same medication, as my psychiatrist confirmed to me. If they were the same, the same company (Forest Laboratories) wouldn't be making them both! Forest bills Lexapro as "The next generation of Celexa," so that should also tell you something. See. The difference, as you've noticed, and as Forest advertises, is that Lexapro treats both depression AND generalized anxiety disorder (GAD). Celexa only treats depression. If your insurance won't cover Lexapro, have your doctor submit a "prior auth" stating that Celexa was tried on you and doesn't work because of your GAD, and that should (hopefully) get your insurance company to OK Lexapro for you. [Your doctor's office should know how this prior auth business works to get an insurance override. They do it all the time; I heard this from my mother, who works in a psychiatrists' clinic.]"
Altruist replied: "I think that you're certainly taking the right approach through meds and therapy.
In some cases, I believe that you're psychiatrist can put a call into your insurance company to gain approval for Lexapro - indicating the you're experiencing SSRI discontinuation syndrome and is affecting your quality of life.
Lexapro is the new and improved version of Celexa and has not been released as a generic yet, which is probably why your insurance won't cover it.
In the past, I was prescribed Straterra and it was rejected by my insurance, however, my psychiatrist called the insurance company to discuss my condition and it was immediately approved.
Good luck, I hope you get well.
By the way, there is no way this dude above is an MD. I've checked some of his answers and he can bearly spell and form gramatically correct sentances -"
Switching from Lexapro to Celexa? Right now I'm on 10mg of Lexapro for generalized anxiety. My insurance is about to end and Lexapro is very expensive since there is no generic. My dr recommended switching to 20 mg of Celexa, since Walmart offers them at $4- for a 30 day supply. Has anyone done this before with success? I know Lexapro is the better drug and its worked wonders for me. I'm just so worried that switching to Celexa will upset things, but I can't afford the Lexapro. If anyone has experience with this, please let me know.
Shauna replied: "I have OCD and IBS which can both be treated by these drugs. My doctor started me on free samples of Lexapro. When I ran out of the Lexapro, he gave me a prescription for Celexa because it's only $4 at the grocery store.
I am taking it for different reasons than you, but I can tell you I actually like the Celexa better. I got weird headaches when I was taking the Lexapro...but everyone is different. The Celexa is treating my conditions and I feel great."
Az R replied: "In chemistry we have things called right and left handed isomers. They have the same chemical structure and makeup, but are rotated in such a way that their mirror images are not superimposable. Purifying a chemical to enantiomeric purity (only one isomer) is rather difficult to do. Most reactions used to produce these drugs will produce both in a mixture.
Celexa contains both isomers. Lexapro contains only the escitalopram isomer, which is active. In theory, Lexapro has a better side effect profile, but that's kinda murky in the actual clinical data.
The difference will largely be in dosage. As a general rule, 10mg of Lexapro equals between 20mg and 30mg of Celexa, so that will have to be adjusted. Other than that, this is very frequently done for many people with mental illness and poor health insurance.
If you try Celexa, and for whatever reason it doesn't work (Rare, but sometimes it doesn't. Tiny differences in dosage and formulation can make a big difference to some people), then go on over to and check out patient assistance programs. Every major manufacturer has a program to get low/no cost meds to people who couldn't otherwise afford them."
Switching from Celexa to Lexapro.? Hi, I have been on 20mg of Celexa for 5 mos. Things have been going good, but don't like some of the side effects that go along with this drug. Two years ago, I was on Lexapro while going through a divorce and the drug was great. I then was off of anti-depressents for about a year. I was prescribed Celexa as I was having some anxiety attacks. My doc said the insurance company would prefer the Celexa over Lexapro so I went with it. Yesterday I got a prescription for Lexapro and there were no issues with my insurance provider. I will be on 10 mg which apparently is the equivalent of the Celexa. Has anyone had issues switching directly from Celexa to Lexapro? My understanding is that you don't have to taper off as they are pretty much the same drug. Also, is Lexapro an all-around better drug than Celexa? Any experiences, thoughts, would be greatly appreciated. Thanks in advance.
justin schwan replied: "Lexapro has a more focused amount of the drug that helps you, with less of the other material found in Celexa. That means Lexapro causes less side affects and a lower dose can help you more. I think it's a good thing that you're on Lexapro now. I don't understand why the insurance company would care, and I'm glad you found out that it doesn't matter...I would get a new doctor if he's more worried about the insurance company than helping you.
You should be able to switch instantly without any problem. I've been on both and haven't had a problem with either, but Lexapro is simply better."
M♥M replied: "I TOOK LEXAPRO AND IT MESSED ME UP I HATE IT. BE CAREFUL!! JUST GET OFF ALL DRUGS AND TAKE VITAMINS"
Jason C replied: "Celexa is basically made up of two parts chemically. One that essentially does nothing, and one that is the active anti-depressant. When they made Lexapro, they took away the inactive half. That is why you can take a lower dose and still see the same effectiveness, or more effectiveness. Side effects are also less with Lexapro.
It's hard to say if it is 'all around better' than Celexa since each anti-depressant works better for each person. I have been off and on Lexapro 4 times now. It is the most consistant drug for me, but doesn't always help with everything I need. My doctor is great and will work with me on trying other meds, and if they don't work, I always go back to Lexapro.
Currently I take Cymbalta which works differently than Lexapro. I made the switch because Lexapro was too sedating both physically and emotionally. I felt like I was tired and lazy while I was on it. The Cymbalta has been great so far. I get all the benefits, but have much more energy.
Also, 10mg of Lexapro is considered a starter dose. If you still feel some of the same problems or thoughts, you can talk to your doctor about a 20mg dose. That worked better for me, although it was too strong all at once, so I took 10mg twice a day.
There are sooooooo many options out there. Don't let an insurance company dictate your treatment. Even if a particular drug is not on their "list" your doctor can write a 'letter of prior authorization' to the insurance company and they will approve it.
Feel free to email me if you have any other questions."
Switching from Lexapro to Citalopram (Celexa)? Because of insurance issues, I've just been switched from Lexapro to Citalopram (generic form of Celexa). The Lexapro worked really well, with no side effects. The docor told me that these drugs were very similar, so I was wondering if anyone has made this same switch and what if they had any side effects or if both of the drugs pretty much affected them the same.
Thanks for any help!
susan m replied: "I was diagnosed with depression and tried several meds. Citalopram caused serious weight gain. I went to another Dr and was diagnosed with anxiety not depression. Once I was off the antidepressants,I lost 30 lbs. Dr put me on low dosage xanax. With my anxiety under control, I no longer had depression symptoms. Citalopram also caused me to have a groggy feeling."
~*Kim*~ replied: "I too switched because the carrier quit covering lexapro. I noticed no difference in the medications. I was told there was only 1 difference between the medications, which was an innate ingredient that not affect the effectiviness."
sandidandy replied: "Actually, Celexa (A seratonin reuptake inhibitor) works wonders! You should have no problems switching from lexapro. I always took it at bedtime and woke up feeling more rested, and energetic than when I took lexapro. Plus, you don't wake up feeling like you are in a fog. Good Luck."
Wisdom? replied: "Because each individual reacts differently to each medication, no 2 people will have the same side effects or efficacy/outcome; thus, the need for so many meds for each condition (for depression- effexor, Zoloft, Prozac, Luvox, etc.). Only you'll know based on what happens once you switch.
It's important to remember that association is not the same as causation. Weight gain during antidepressant therapy can be due to several factors. Many people lose weight as part of their depression. Improvement in appetite associated with improved mood may result in increased weight, as can overeating as a result of depression . In addition, some medical conditions that mimic depression, such as under-active thyroid (hypothyroidism), may cause weight gain.
Lowering the dose or changing meds often helps.
Good luck!"
Is there harm is switching from 20 mg of Lexapro (es-Cetalopram) SSRI to Celexa (Cetalopram) in ONE day? Both are SSRI of the same Cetalopram family; it's just that Celexa is the older version (no 'es' means a shorter half-life). Would switching in 1 day be healthy?
sporkk replied: "It would probably be ok.
Lexapro doesn't require much "weaning" to be able to stop it without ill effects, and if it's being replaced immediatly with another, similar, SSRI, it should be fine."
Meng replied: "Not a problem afaik, but considering both are prescription medications, shouldn't you just ask the person who prescribed them to you? Did you switch doctors and forget to tell them that you were taking Lexapro or what? Also, why switch? Financial reasons or because Lexapro doesn't work? Because I doubt that Celexa would work if Lexapro doesn't.
So anyway, I'm basically confused as to why you're asking Yahoo Answers instead of your psychiatrist. Also, you could ask the pharmacist but the best person to ask is the person who prescribed the drug."
Switching from 10 mg Lexapro to 20 mg Celexa generic? Does anyone know if I will experience any withdrawal symptoms or anything? I've been taking the 10 mg of Lexapro for about a year now. I have new health insurance and Lexapro is about 40 bucks a month. I can get 90 days of Citalopram for $10!!!! So, I just switched yesterday. I didn't wean off the Lexapro, I just replaced it with the Celexa. Today, I feel tired and kind of out of it. Does that sound like a side effect of the switch? Any help would be appreciated.
Hola, Lee. replied: "That is indeed a symptom of switching. Just give it a few days and you'll be fine.
Best of luck!"
rob d replied: "I was switched from lexapro to celexa for the exact same reason, the sleepy side effect wore off after two days, there was no drop off in effectiveness. I take it now and it works well for me. So, if lexapro worked well for you celexa will also. They are both basically the same drug, which is called citolapram. It is just the way it is formulated that makes it different."
Michelle D replied: "I would like to suggest to try to get as much information as you could before making up your mind,here is a very resourceful
one."
Is it safe to just stop Lexapro and replace it with Celexa immediately? My doctor didn’t mention it as a problem so I’m hoping it’s not an issue. I’m switching from Lexapro to Celexa. Is it safe to just stop Lexapro and replace it with Celexa immediately?
Not really quitting cold turkey just swtiching to another one.
Mina replied: "If your doctor didn't recommend to wean you off of it then you should be fine. It's not usually safe to quit psychiatric meds cold turkey, but since you're under the care of a doctor then it's no big deal.
Just make sure to call them if you notice any major changes.
Edit: What I mean by cold turkey is you're not lowering the dose and tapering off of it, simply stopping. Even if you are switching to a different medication you're still stopping the Lexapro.
However, as I said, since your doctor knows what's going on you don't need to worry."
elle replied: "Well they are pretty much the same thing, one is just a more "pure" form I guess you could say. Celexa contains both active and inactive isomers whereas Lexapro contains only active isomers. This has almost no effect on the therapeutic mechanism of the drug.
The drug company made Lexapro when the patent on celexa started running out so they they could still make a ton of money off of it.
You are basically taking the same drug."
vivian replied: "It should be fine as long as thats what the dr recommended. Ive recently have done the same . The downfall is the withdrawl"
YA Junkie replied: "I agree with Elle that Celexa and Lexapro are basically the same drug. It may be trickier to switch from one class of drug (for example, an SSRI like Prozac or Lexapro) to another class of drug (for example, an SNRI like Effexor). Also, people generally have trouble getting off Effexor.
The transition from Lexapro to Celexa should be quite easy. If not, keep track of any side effects and report them to your doctor. Also remember that many side effects last only a few days to a few weeks."
shaneris5 replied: "See on Lexapro (notorious). Few doctors know about weaning off (not taught). Page Z.22, in section 2, at has a detailed method, suitable for Lexapro. See page R, while you are there. I suggest that once you have slowly tapered to 50%, you could begin low dose Celexa, building up, as the Lexapro is reduced, but even this is not without risk.
Check out medications at: * & & & &
Use the medication interaction function, here*."
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