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Dr. Bob is Robert Hsiung, MD,
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Posted by Geezer on September 29, 2002, at 16:26:52
In reply to GEEZER---Here's the link!, posted by McPac on September 28, 2002, at 1:16:53
McPac,
Thank you for the link!!
Geezer
Posted by cody on September 30, 2002, at 11:50:26
In reply to Re: Lexapro side-effects - where's the evidence? » dr. dave, posted by IsoM on September 27, 2002, at 13:02:22
This is my first post here. I have been on Remeron (45 mg) for 3 years. My doc wants me to try Lexapro. My main problem is extreme anxiety. I tried the Lexapro (5 mg.) a few weeks ago but quit after 3 days because of side effects. I want to give it another try at 2.5 mg. because of reading that the side effects may go away after 4-5 days. My question is, what is the best time of the day to take it. Would appreciate any input.
Thanks,
Cody
Posted by yeltom on September 30, 2002, at 12:18:23
In reply to What is the best time to take, posted by cody on September 30, 2002, at 11:50:26
I'm surprised you had any side effects at all from Lexapro at 5 mg. Are you sure it wasn't withdrawal from Remeron? In any case, they will almost certainly go away. For me, it doesnt matter what time I take it, but if the side effect is drowsiness, take it at night, and vice versa.
> This is my first post here. I have been on Remeron (45 mg) for 3 years. My doc wants me to try Lexapro. My main problem is extreme anxiety. I tried the Lexapro (5 mg.) a few weeks ago but quit after 3 days because of side effects. I want to give it another try at 2.5 mg. because of reading that the side effects may go away after 4-5 days. My question is, what is the best time of the day to take it. Would appreciate any input.
>
> Thanks,
> Cody
Posted by cody on September 30, 2002, at 13:31:03
In reply to Re: What is the best time to take, posted by yeltom on September 30, 2002, at 12:18:23
Not sure if it was Remeron withdrawal. I'm down to about 22.5 mg right now. I think that I'm very sensitive. Had to increase my Remeron very slowly. With the Lexapro, I was very nauseous, headache, spaced out feeling and my heart was racing. Can't afford to be down for long. Have husband and 4 children to take of. But I think I have to give it another try, because although the Remeron really helped with the anxiety, I have no energy or motivation for life. Doc told me to increase ativan while I'm adjusting to Lexapro. I really hope it works.
Posted by kimc on September 30, 2002, at 18:28:03
In reply to Re: Lexapro side-effects/dosage » Roman, posted by pharmrep on September 28, 2002, at 20:00:47
This is for Pharmrep or anyone: I have been on lexapro for 18 days at 10mg. Stopped taking Celexa around Nov 01 due to thinking it added to my protatisis probelm which I still have. I was on Zoloft 100mg for 7 or 8 years and switched because it wasn't working quite as good but was working. Anyways I started Remeron 15 mg and my protatisis (seems to be related to tension) got much better for a week and when I tried to raise it my vision was blurry so could'nt go to 30 mg which is what I needed. When lexapro came out I wanted to try it. It seems to stimulate me alot (or the prostate area) and I take it in the morning 5mg and 5mg in afternoon and 7.5 Remeron at night. My prostate seems to tightened up more on all the antidepressants except Remeron which is very sedating ( which I don't like) DO you think it will get better after a month or any suggestions from anyone. If I take Xanax with it that helps my prostate condition too but being a recovering alcoholic can't take that much and doctor wouldn't give me much either.
Thanks everyone for your time
Mr. Kim Cummings
Posted by alaskagirl on September 30, 2002, at 18:45:43
In reply to Re: What is the best time to take, posted by cody on September 30, 2002, at 13:31:03
Cody, don't give up yet!!
I went on Lexapro for anxiety too.
I started with 5mg and had horrible nausea and heart palpitations.
I also found 5mg did nothing to help the anxiety.
After 5 days at 5mg, I bumped the dose up to 10mg.
After just 5 or 6 days at the 10mg it helped the anxiety.
The nausea is gone now, and the heart palpitations
happen only occasionally. I think try and be fair
to the drug and give it two weeks for your body to adjust.The only continuing side effect I have is some insomnia.
I'm now taking the medication in the morning and it has
helped some.Good luck!!
Posted by norml on September 30, 2002, at 20:40:51
In reply to Anyone switched to Lexapro? « ggrrl, posted by Dr. Bob on June 11, 2002, at 7:52:48
Sexual side effects? Good grief; was there something else that I didn't read????
norml
Posted by CarolinaGirl26 on September 30, 2002, at 21:47:12
In reply to Re: Anyone switched to Lexapro? « ggrrl, posted by norml on September 30, 2002, at 20:40:51
Does it have side affects?????
Posted by FLGolfer on September 30, 2002, at 22:11:48
In reply to Anyone switched to Lexapro? « ggrrl, posted by Dr. Bob on June 11, 2002, at 7:52:48
I switched to Lexapro Sept 18th and really love it. I was on effexor and had TOO many side effects. I also have MS and this seems to work great with my therapy.
Posted by cody on October 1, 2002, at 17:51:56
In reply to Re: What is the best time to take, posted by alaskagirl on September 30, 2002, at 18:45:43
Alaskagirl, thanks for your support. Sometimes I feel like I'm groping in the dark. It's good to hear other's experiences. I started Lexapro at 5mg. this morning. Decided against doing the 2.5mg. Rather get the adjustment over with. So far, so good. Not too many s/e. Mild headache, tightness in chest, some palpatations. Will keep you posted.
Thanks again!
Posted by NML on October 1, 2002, at 18:29:50
In reply to Re: What is the best time to take, posted by cody on October 1, 2002, at 17:51:56
I have been reading this board for months and never posted. I was on 20mg Celexa and loved it except for the sexual s/e (I am female - no orgasm). So I tried 10mg of Lexapro for 3 weeks, no s/e but very high irritability and irrational screaming/yelling YUCK - so my Dr. has increased me to 20mg as of yesterday. I can't find anyone else on this dosage. Just looking for some support. Thanks.
NML
Posted by kimc on October 1, 2002, at 18:59:42
In reply to pharmrep , a question about Lexapro dosage, posted by johnnylex on September 28, 2002, at 18:13:37
This is for Pharmrep or anyone: I have been on lexapro for 18 days at 10mg. Stopped taking Celexa around Nov 01 due to thinking it added to my protatisis probelm which I still have most of the time. I was on Zoloft 100mg for 7 or 8 years and switched because it wasn't working quite as good but was working. Anyways I started Remeron 15 mg and my protatisis (seems to be related to tension) got much better for a week and when I tried to raise it my vision was blurry so could'nt go to 30 mg which is what I needed. When lexapro came out I wanted to try it. It seems to stimulate me alot (or the prostate area muscles) and I take it in the morning 5mg and 5mg in afternoon and 7.5 Remeron at night. My prostate seems to tightened up more on all the antidepressants except Remeron which is very sedating ( which I don't like) DO you think it will get better after a month or any suggestions from anyone. If I take Xanax with it that helps my prostate condition too but being a recovering alcoholic can't take that much and doctor wouldn't give me much either and Flomax seems to help relax the prostate muscles too.
Thanks everyone for your time
Mr. Kim Cummings
Posted by yeltom on October 1, 2002, at 21:48:34
In reply to Anyone on 20mg?, posted by NML on October 1, 2002, at 18:29:50
I've definitely heard of people taking 20 mg, but it's equivalent to about 80 mg of Celexa, quite a high dose. If you were doing fine on 20 mg of celexa, it seems more likely that 10 mg of Lexapro was too much, rather than not enough. Since celexa and lexapro are very similar, it would seem that the screaming had something to do with adjusting to a more potent dose.
> I have been reading this board for months and never posted. I was on 20mg Celexa and loved it except for the sexual s/e (I am female - no orgasm). So I tried 10mg of Lexapro for 3 weeks, no s/e but very high irritability and irrational screaming/yelling YUCK - so my Dr. has increased me to 20mg as of yesterday. I can't find anyone else on this dosage. Just looking for some support. Thanks.
> NML
Posted by sjfd on October 2, 2002, at 3:59:45
In reply to Re: Anyone on 20mg? » NML, posted by yeltom on October 1, 2002, at 21:48:34
> I've definitely heard of people taking 20 mg, but it's equivalent to about 80 mg of Celexa, quite a high dose. If you were doing fine on 20 mg of celexa, it seems more likely that 10 mg of Lexapro was too much, rather than not enough. Since celexa and lexapro are very similar, it would seem that the screaming had something to do with adjusting to a more potent dose.
>
> > I have been reading this board for months and never posted. I was on 20mg Celexa and loved it except for the sexual s/e (I am female - no orgasm). So I tried 10mg of Lexapro for 3 weeks, no s/e but very high irritability and irrational screaming/yelling YUCK - so my Dr. has increased me to 20mg as of yesterday. I can't find anyone else on this dosage. Just looking for some support. Thanks.
> > NML
>
>
So . . . yeah, I was recently switched from Celexa 80 mg/day to Lexapro 20 mg/day. I take one 10/mg pill in the morning and one 10/mg pill in the evening, as opposed to 40/mg pill Celexa in the morning and one 40/mg pill Celexa in the evening. I'm not sure if the changes I am experiencing are due to the Celexa/Lexapro switch or perhaps because of something else. I also take Wellbutrin and at this moment, 2:35 a.m., I'm not sure of that dosage; I think maybe 200 mg/day. Anyway, the biggest thing with me since the switch from Celexa to Lexapro is insomnia via restless leg syndrome. I know, it sounds weird, but is an actual thing. I was so relieved to discover this as I have experienced it for years. Still, I would like to sleep and am not sure what to blame for this malady. Also, my depression does not seem to be much improved since the switch. I've been taking Lexapro for about 3-4 weeks now. Not sure. Once I discovered for sure that I had mental issues, it has been difficult to decide whether or not my disturbances are drug related or perhaps are due to this or that extra stress; maybe this kid or that mother or this added responsibility or that one over there. Who knows? Not me.
Posted by NML on October 2, 2002, at 8:02:26
In reply to Re: Anyone on 20mg? » NML, posted by yeltom on October 1, 2002, at 21:48:34
I was ok at 20mg Celexa but was about to increase to 40mg Celexa b/c of this irrational irritability. 20mg Celexa was just not doing it for me. I have not tried many other SSRI's (Paxil CR and Wellbutrin) which really had no effect on me at all whatsoever. I'm trying to stick to the Lexapro because at least the Celexa worked a little bit?? This is frustrating.
NML
Posted by shakingoscar on October 2, 2002, at 10:04:11
In reply to Re: Anyone on 20mg? » NML, posted by yeltom on October 1, 2002, at 21:48:34
Hi,
Ive been taking THIRTY (30) MG of lexapro for about 6 weeks now. I was on 60mg of Celexa before. I am thinking of dropping my lexapro because I feel really buzzed-up and I think its too high a dose.However, my doctor (in SWITZERLAND) just cut my celexa dose in half to determine my Lexapro (cirpalex) dose. I now think he has made a mistake.
I am dropping my dose from 30mg lexapro to 20mg as from tomorrow.... I just hope it works.
Because of the high doses of both celexa and lexapro, I cant honestly say anything good on the sex front - both cripple my orgasm (32yr, male).
BTW, I suffer major depression and anxiety.
Regards,
Oscar
Posted by shakingoscar on October 2, 2002, at 10:19:25
In reply to I TAKE 30MG LEXAPRO, posted by shakingoscar on October 2, 2002, at 10:04:11
> Hi,
> Ive been taking THIRTY (30) MG of lexapro for about 6 weeks now. I was on 60mg of Celexa before. I am thinking of dropping my lexapro because I feel really buzzed-up and I think its too high a dose.
>
> However, my doctor (in SWITZERLAND) just cut my celexa dose in half to determine my Lexapro (cirpalex) dose. I now think he has made a mistake.
>
> I am dropping my dose from 30mg lexapro to 20mg as from tomorrow.... I just hope it works.
>
> Because of the high doses of both celexa and lexapro, I cant honestly say anything good on the sex front - both cripple my orgasm (32yr, male).
>
> BTW, I suffer major depression and anxiety.
>
> Regards,
> OscarI would also like to add, that the last 2 weeks, I have been feeling pretty dreadful on 30MG lexapro. It is only from this message board have I come to the conclusion that it could be that 30MG lexapro is a lot more potent than the 60mg celexa that I was on for 9 months. Im hoping that PHARMREP is right in what she says about equivalent doses and that I will feel better lowering my dose.
It is also interesting that (as I am from the UK), my UK doctor ALSO backed up the dose of 30mg lexapro to equal the 60mg celexa that I was on. Do these doctors know what they are doing?
Lexapro (cipralex) has been available in the UK for about 4-6 months and longer in Switzerland. Sureley they would know that half the celexa dose of lexapro would be too much, but yet both doctors have prescribed me 30mg lexapro because I was on 60mg celexa...
If I dont feel better soon, I will go back to 60mg celexa because I felt more-or-less ok on that dose of celexa, yet I feel cr*p on 30mg lexapro.
Cheers
Posted by yeltom on October 2, 2002, at 10:19:40
In reply to I TAKE 30MG LEXAPRO, posted by shakingoscar on October 2, 2002, at 10:04:11
You might even want to drop to 15 mg. Supposed to be 4 times as strong. (It's not clear why this is the case, since the lexapro isomer and the less active isomer exist in a 1:1 ratio in Celexa. This is probably why your doc put you on 30, but I think 30 is above the maximum recommended dose.
> Hi,
> Ive been taking THIRTY (30) MG of lexapro for about 6 weeks now. I was on 60mg of Celexa before. I am thinking of dropping my lexapro because I feel really buzzed-up and I think its too high a dose.
>
> However, my doctor (in SWITZERLAND) just cut my celexa dose in half to determine my Lexapro (cirpalex) dose. I now think he has made a mistake.
>
> I am dropping my dose from 30mg lexapro to 20mg as from tomorrow.... I just hope it works.
>
> Because of the high doses of both celexa and lexapro, I cant honestly say anything good on the sex front - both cripple my orgasm (32yr, male).
>
> BTW, I suffer major depression and anxiety.
>
> Regards,
> Oscar
Posted by shakingoscar on October 2, 2002, at 10:22:12
In reply to Re: I TAKE 30MG LEXAPRO, posted by yeltom on October 2, 2002, at 10:19:40
Thanks for the quick reply. I would do that, but Im really worried about dropping just 10mg after 6 weeks because of withdrawal effects, which I get badly with SSRIs... I'll try a drop of ten first though..
Why dont the doctors know this already? Theyve had long enough to work it out..
(see my updated post).
Cheers
Posted by Cletus2 on October 2, 2002, at 10:29:29
In reply to Anyone on 20mg?, posted by NML on October 1, 2002, at 18:29:50
> I have been reading this board for months and never posted. I was on 20mg Celexa and loved it except for the sexual s/e (I am female - no orgasm). So I tried 10mg of Lexapro for 3 weeks, no s/e but very high irritability and irrational screaming/yelling YUCK - so my Dr. has increased me to 20mg as of yesterday. I can't find anyone else on this dosage. Just looking for some support. Thanks.
> NML
In the past I was on 100mg of Celexa (for OCD) for a period of about a year. It worked fairly well and I had only minor but annoying side effects (i.e. drowsiness and slight libido issues - nothing too drastic). Anyway, I stopped Celexa in order to try and find a med with fewer s/e but nothing was quite as effective as Celexa. Recently, I asked my doctor about Lexapro and he said that he has started some patients on it and has received extremly positive feedback on it. Well, since I use to take such a high dose before, he started me on 20mg this weekend and I am really liking it so far. It definetly has a quicker onset than other meds I have tried and I really dont notice any side effects at this dose. It has a very "clean" feel to it. My doctor is planning on raising my dose to 25mg next week if need be, but I feel pretty darn good now. However, I have a high tolerance for drugs so my body may adjust to it requiring an increase in the dose. We'll see. Good luck!!!!
Posted by Cletus2 on October 2, 2002, at 10:31:52
In reply to Re: I TAKE 30MG LEXAPRO - ALSO, posted by shakingoscar on October 2, 2002, at 10:19:25
My doctor told me that he finds the ratio to be 4 to 1 between Celexa and Lexapro.
Posted by dr dave on October 2, 2002, at 12:07:31
In reply to Re: I TAKE 30MG LEXAPRO - ALSO, posted by Cletus2 on October 2, 2002, at 10:31:52
This is really interesting. The '4 to 1' story first emerged from Forest because the Burke study failed to show any difference in efficacy between escitalopram 10mg, escitalopram 20mg and citalopram 40mg. This led to the statement that escitalopram 10mg was at least as effective as citalopram 40mg.
But if escitalopram 10 mg and 20 mg come out the same in this trial, isn't it likely citalopram 20mg and 40mg would as well? There is, it seems, a little added efficacy for 20mg rather than 10mg of escitalopram, which is seen in other studies. This study wasn't sensitive enough to pick it up. There is no reason to think it would have been picked up for citalopram 20mg and 40mg. It's just they didn't collect this data.
No other data supports this '4 to 1' idea. Plenty of data support the much more logical '2 to 1' ratio. Escitalopram is twice as potent as citalopram in several studies. There is no explanation of how this could translate into a 4 to 1 difference in efficacy.
The problem is that if the 2 to 1 ratio is true, which logic and the overwhelming body of evidence points to, it has to be admitted that there is no difference in side-effects. I have received Lundbeck's data on relative side-effects in all comparative studies and I quote '...there were no statistically significant differences for incidences of these events between the escitalopram and citalopram treatment groups.' These data are from 1123 patients treated in trials, and refer to the twelve commonest side-effects. Not one of these was different.
> My doctor told me that he finds the ratio to be 4 to 1 between Celexa and Lexapro.
Posted by Phil on October 2, 2002, at 12:22:35
In reply to I TAKE 30MG LEXAPRO, posted by shakingoscar on October 2, 2002, at 10:04:11
But why are you taking both of them? You can stop the Celexa today and switch to Lex tomorrow.
Maybe I missed something here.
Posted by dr dave on October 2, 2002, at 12:32:21
In reply to Don't know why dr dave didn't address this..., posted by Phil on October 2, 2002, at 12:22:35
> But why are you taking both of them? You can stop the Celexa today and switch to Lex tomorrow.
> Maybe I missed something here.I don't think they are taking both at the same time, are they? You're quite right about just swapping one to the other.
Posted by yeltom on October 2, 2002, at 13:07:26
In reply to Re: I TAKE 30MG LEXAPRO - ALSO, posted by dr dave on October 2, 2002, at 12:07:31
I'm afraid logic doesn't explain everything. If 10 mg of lexapro was found to be equivalent to 40 mg of Celexa (which my and a lot of other people's experience confirms), you need to accept this. Perhaps the inactive isomer affects the absorption or otherwise interferes with the effectiveness of the active isomer. Just because we don't understand the reason does not make it not so. And your comparison is not valid. If 20 mg lexapro is no more effective in the study than 10 mg, that doesnt suggest that 40 mg of celexa would be no more effective than 20 mg. Rather, it suggests (but does not necessarily mean) that 80 mg of Celexa would be no more effective than 40.
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