Posted by jboud24 on November 2, 2004, at 16:01:41
In reply to Re: Citalopram vs escitalopram, posted by Crazy_Charlie on November 2, 2004, at 12:51:27
I found citalopram more tolerable in terms of side-effects. Escitalopram also made me feel like I was tripping about 3 hrs after dosing. I was on it for 1 year before switching to Zoloft which for me is 100x better than citalopram/escitalopram. I believe escitalopram produces more pronounced side-effects in people because it lacks that inactive isomer. That inactive isomer, R-citalopram, may compete with the s-citalopram for absorbtion and/or entry into the brain. I haven't read any literature suggestive of this phenomena, but its a theory of mine until someone else says otherwise. Other than that rapid onset of action difference though, there was little difference in the anti-depressant effect between the two drugs.
Oh yeah, and my dx are: social anxiety, generalized anxiety, depression(not severe), and ADHD. As an aside, but worth mentioning is that both celexa and escitalopram cause an INCREASE in the number of socially induced panic attacks which I would experience.
I hope this helps to inform you some, and I hope you find the right AD.
Best wishes,
Justin
poster:jboud24
thread:410459
URL: http://www.dr-bob.org/babble/20041029/msgs/410711.html