I came across this video by chance. I have been on 40mg Citalopram for as long as I can remember certainly 25+years, combined with 45mg Mirtzapine. Over the last year, I experienced a mental health crisis, doing something that I had not considered before. I was saved and after leaving hospital, the local mental health team monitored me for 6 weeks. I was given a course of CBT that lasted 6 weeks. An event in my family has triggered another crisis. I would point out that I live in the UK, so access to mental health professionals along with my general doctor is difficult to access. I have also seen my physical health decline rapidly, particularly feeling exhausted all the time. I am 66 years old and apart from the odd cold was fit. Your video was a message that I was meant to receive, I have demanded an appointment with my Doctor this week, you may have saved a life , thank you David
Amazingly well-presented information. I have been looking to finally "give in" to taking medication for the depressive/anxiety symptoms I've had since a child. My reluctance to go on medications like these was more culturally based which looked at a person resorting to ("mental medications") as weak. Unfortunately, I've had M.D.s refuse to prescribe opting that I should exercise and eat a well-balanced diet instead. I'm going to my newer family internist tomorrow and I will ask for a prescription for Lexapro. I'm hoping he'll agree to do it.
I was really excited to be on citalopram when I first started because of how well I slept but now that I’m happy and anxiety free, I’m just always tired. Giving Zoloft a shot next after the taper off/on, hopefully that changes things.
Citalopram is prescribed more because it's way cheaper than the other one. In Belgium I pay 5 euro out of my own pocket for 98 tablets. Concerning my depression episodes since the eighties, I consider Citalopram the best anti-depressant for me, ever prescribed. I can lead a 'normal' life now. Like all anti-depressant, first month you feel like a zombie, but after it becomes much better.
just a note, the isomer can be thought of the "handedness", sort of like how the shapes of our left and right hands are mirror images of each other, therefore a left sided glove won't fit on a right hand. the shapes of citalopram and escitalopram are isomers, or mirror images of each other
Hello doctor, please tell me Escitolopram (Lexapro), is it better to take it in the morning or at night?, and at what dosage is it better to start taking the medicine?
I'm a Psychiatric Nurse Practitioner. For most people lexapro is best taken in the morning. However, for some people it makes them sleepy so they take it at night. Either way, just make sure to take it around the same time each day.
Was on lexapro for years and loved it. Restarted it later and about lost my mind with side effects. Now I feel like a medical Guinea pig while trying to get my anxiety under control again. Love your videos as they have been very informative. Thank you
I had this SAME ISSUE! When I first started it, it seemed to be working great. Pretty much NO side effects whatsoever at 10mg per day. This was like 3 years ago. Thought I was feeling better so I tapered off with no issues. Well, my anxiety is back in full force so I tried taking again about 3 months ago at 5mg, the side effects the first night were horrific. WHY WHY WHY! LOL
@@User_85923 I ended up pushing through the side effects and it’s been getting more and more effective daily. Good days and bad days, but the good is starting to outweigh the bad. This process is sooooo annoying and long, but I’d def push through if you can. Good luck!
@@mmberry1231 it’s VERY annoying. And I’m such a baby when it comes to taking medicine, especially when I receive unwanted side effects. I’m sure I’ll end up trying again because living in my little boxed in safe zone is no way to live.
Did they check your heart? Nobody told me to do ECG Until years ago showed the side effect of the long QT I was happy with the medicine too now I am Sad because isn’t good to have a long QT for a medicine. Any antidepressant can provoke this but still some with less risk
Hellow. Mam I am suffering from disease which even i dont know ,as im not able to realise what is happening around me whether it is a happy moment or sad. Recently one of the doctor has told me that it is type of depression in which patient is unable to realise anything and he prescribed me tablet citalex( escilopram) 10 mg along with the combination of mirtazipine 15 mg ... However, probably five days have been passed i am taking the dozes of these medicine on time but tyranny is that still I hv not noticed a minor change ,mam i am limbo either to carry pn this course or shun the usage of these medicine ...Your suggestion in this regard is required❤
I'm glad you find the videos useful. Yes, I can make a video on inducers and inhibitors of the CYP enzymes, I talk about it in other videos as well. But having a specific video about it is a good idea. Thank you!
I've been taking citalopram 20mg for six years but have noticed just how sedated it makes me feel. How different do you think escitalopram would make me feel
As I stated in my final thoughts, Citalopram is very useful for patients who have issues with falling asleep and have depression and anxiety. That is when I will use it over Escitalopram since it will have a better effect on sleep.
@@LevelheadedMind can u do a video on pristiq? Just been prescribed 50mg daily for social phobia and just curious how my doctor decided to to use desvenlafaxine
@@LevelheadedMind I feel really sleepy in the day because of Celexa it reducing my sex drive is good I like that it can take all my sex drive away from me I would want that sex dive has been nothing but trouble in my life but it making me sleepy I don't like and plus the doctor gave me crazy strong sleeping tablet that together with Alexa nocks me out stone cold and I don't feel like waking up from bed until night by then it's time for the next dose of hell my doctor forces me to take both Celexa and Lexapro I'm medicated to the sky
@@jayton580 all I know is I'm jealous, I was on desvenlafaxine in Australia, it was great, then I went back home and they didn't have it... still miss that SNRI
Hello, Is it possible to develope .anic like symptoms on a 5 mg does of lexapro? After 3 months it wakes me up at night with panic, no focus, agitated and just wired. If the magnesium it cause a lot of speed like symptoms in me. Does 2.5mg work or just ween off it and do lamictal? Ty
Hello Doctor this is Ranjith from India i have been on antidepressants since 9 years and also on benzo ....in before antidepressants i was very creative,i was poet, lyricist,speaker, singer, dancer...but when I started benzo and antidepressants gradually i lost everything...is there any help
Celexa is less activating than Lexapro but is Lexapro less activating than Zoloft? Or are zoloft and Lexapro both gonna be about the same in that respect? Thanks!
I took escitalopram a few years ago. I am now prescribed citalopram. Is there a high probability that I will react differently to this drug since escital helped me in the past? 🤨🤨
@@divreenable I asked the doctor about it and he said there was no clear answer. Everyone reacts differently, even to the same medication they have taken in the past. 😐
Hey beautiful lady I’ve been dealing with an agitated irritable depression what would be a good SSRI to treat that please ?Im going to see my doc soon!Thank you
I am probably starting escitalopram in a few weeks. I am first having an ECG though, because I was told (and also read in every description of it online) that it can definitely prolong your QT intervals, just like Citalopram. I have a benign heart rhythm disorder called AVNRT which sometimes causes my heart to race suddenly for short or longer periods of time (I am on a medication for this), and because of this I am naturally very concerned when it comes to heart related issues. But since appearantly many SSRI's can prolong your QT intervals I decided to give it a chance anyway. At least, if my ECG comes back clear.
Hi there, you explain it so well, thank you! I take Zytomil/Essitalopram and I find it makes me constipated. I been taking it for about 3 months now.. when will the constipation subside?
I take 10 mg of escitalopram and still have the long QT( healthy heart genetically after checked at the cardiologist) iv been long on antidepressants and on this one 15 years but I am considering a change. I know won’t be easy
Did you experience any symptoms that prompted your cardiologist checkup? I started 15mg (no titration) of escitalopram and my resting heart rate dropped by 12bpm over 5 days. My psychiatrist decided to half my dosage to 7.5mg, and my resting heart rate has partially gone back to normal. Now reading your comment it makes me wonder if the bradycardia was more than a low heart rate.
Hi . Can you advise me please. Iv been on cytalopram 10mg for about 6 weeks, then I was put up to a 10mg a& a half , I’m now on 20mg for a week but I feel I’m getting more anxiety & my body feels more tense. Will I just have to give it time or talk to a doctor. I have an appointment next week with my doctor. Please reply me as I just want my life back. Thank you . X
I am curently lexapro since 7 month for anxiety. It works well on me but it also causes me insomnia... Should i try to switch to citalopram as it has a little sedative effect? Or it won't be enough to get back a good sleep and i should directly try another antidepressant like sertraline?
Actually in my case escitalopram gave me the worst sexual dysfunction among the few ADs I tried. Many people won't spontaneously report SSRI-related sexual dysfunction, because they don't like to talk about that. But things change when you ask them specifically. From 10% it becomes at least 50%. It doesn't mean you don't have a sex life anymore, but you have to adapt: it takes longer to reach orgasm, and sex drive can be reduced.
Too much serotonin can cause inflammation in the gut. Protect your gut with good spore-based probiotics to reduce inflammation. My favorite one is here: amzn.to/4dXnUVU
Maybe one day it will pass , in my case it already lasts so a year after taking. We just got IBS from SSRIs, you can get over it. It helps to remember what a healthy stomach and intestines you once had
Very helpful video. Just a note for you, the music in the background of your voiceover is very distracting and adds nothing to the quality of your video video.
Have you tried a natural approach or looked into root causes? I agree medications are not always the answer and may cause more harm than good. If you'd like to consult with me use this link bit.ly/mhcoaching_initial
Lexapro definitely have the potential to deal with mental health issues like anxiety and depression, it really helped me alot and below where l got mine..👇👇
![BLACK BAG - Official Trailer [HD] - Only in Theaters March 14](http://i.ytimg.com/vi/Du0Xp8WX_7I/mqdefault.jpg)
I came across this video by chance. I have been on 40mg Citalopram for as long as I can remember certainly 25+years, combined with 45mg Mirtzapine. Over the last year, I experienced a mental health crisis, doing something that I had not considered before. I was saved and after leaving hospital, the local mental health team monitored me for 6 weeks. I was given a course of CBT that lasted 6 weeks. An event in my family has triggered another crisis. I would point out that I live in the UK, so access to mental health professionals along with my general doctor is difficult to access. I have also seen my physical health decline rapidly, particularly feeling exhausted all the time. I am 66 years old and apart from the odd cold was fit. Your video was a message that I was meant to receive, I have demanded an appointment with my Doctor this week, you may have saved a life , thank you David
Amazingly well-presented information. I have been looking to finally "give in" to taking medication for the depressive/anxiety symptoms I've had since a child. My reluctance to go on medications like these was more culturally based which looked at a person resorting to ("mental medications") as weak. Unfortunately, I've had M.D.s refuse to prescribe opting that I should exercise and eat a well-balanced diet instead. I'm going to my newer family internist tomorrow and I will ask for a prescription for Lexapro. I'm hoping he'll agree to do it.
Just started 5 days ago with escitalopram i think i already feel a positive effect.
How are you now?
I was really excited to be on citalopram when I first started because of how well I slept but now that I’m happy and anxiety free, I’m just always tired. Giving Zoloft a shot next after the taper off/on, hopefully that changes things.
Citalopram is prescribed more because it's way cheaper than the other one. In Belgium I pay 5 euro out of my own pocket for 98 tablets. Concerning my depression episodes since the eighties, I consider Citalopram the best anti-depressant for me, ever prescribed. I can lead a 'normal' life now. Like all anti-depressant, first month you feel like a zombie, but after it becomes much better.
just a note, the isomer can be thought of the "handedness", sort of like how the shapes of our left and right hands are mirror images of each other, therefore a left sided glove won't fit on a right hand. the shapes of citalopram and escitalopram are isomers, or mirror images of each other
Which is better for anxiety ecitalopram or citalopram ? Please 🙏🏼🥺
I am nearly 84 and my doctor put me on 20mg citalopram daily. Is this safe for my she? I cried all the time beforehand.
Hello doctor, please tell me Escitolopram (Lexapro), is it better to take it in the morning or at night?, and at what dosage is it better to start taking the medicine?
I'm a Psychiatric Nurse Practitioner. For most people lexapro is best taken in the morning. However, for some people it makes them sleepy so they take it at night. Either way, just make sure to take it around the same time each day.
Was on lexapro for years and loved it. Restarted it later and about lost my mind with side effects. Now I feel like a medical Guinea pig while trying to get my anxiety under control again. Love your videos as they have been very informative. Thank you
I had this SAME ISSUE! When I first started it, it seemed to be working great. Pretty much NO side effects whatsoever at 10mg per day. This was like 3 years ago. Thought I was feeling better so I tapered off with no issues. Well, my anxiety is back in full force so I tried taking again about 3 months ago at 5mg, the side effects the first night were horrific. WHY WHY WHY! LOL
@@User_85923 I ended up pushing through the side effects and it’s been getting more and more effective daily. Good days and bad days, but the good is starting to outweigh the bad. This process is sooooo annoying and long, but I’d def push through if you can. Good luck!
@@mmberry1231 it’s VERY annoying. And I’m such a baby when it comes to taking medicine, especially when I receive unwanted side effects. I’m sure I’ll end up trying again because living in my little boxed in safe zone is no way to live.
What are the side effects you a experienced?
Did they check your heart? Nobody told me to do ECG
Until years ago showed the side effect of the long QT I was happy with the medicine too now I am
Sad because isn’t good to have a long QT for a medicine. Any antidepressant can provoke this but still some with less risk
Does it affect testosterone and muscle development?
When the side effects gone?
Hellow.
Mam I am suffering from disease which even i dont know ,as im not able to realise what is happening around me whether it is a happy moment or sad. Recently one of the doctor has told me that it is type of depression in which patient is unable to realise anything and he prescribed me tablet citalex( escilopram) 10 mg along with the combination of mirtazipine 15 mg ...
However, probably five days have been passed i am taking the dozes of these medicine on time but tyranny is that still I hv not noticed a minor change ,mam i am limbo either to carry pn this course or shun the usage of these medicine ...Your suggestion in this regard is required❤
Hello, tell me the dosage of Escitalopram 10mg is safe, can I get serotonin syndrome?
You can't
@@paintinout3709 how does serotonin syndrome happen?
Can you please do a video on 3A4 inhibitors and inducers? Your videos are very helpful. Thank you and please keep them coming!
I'm glad you find the videos useful. Yes, I can make a video on inducers and inhibitors of the CYP enzymes, I talk about it in other videos as well. But having a specific video about it is a good idea. Thank you!
I’m on 10 mg celexa I’ve been on it for about a year now and still trying to figure out if it’s best at night or mornings 😢
Thanks for the informative and very useful video. I just have one request, please remove background music. That is very unpleasant.
Great videos! Much appreciated, the psychiatrists I have seen don't want to talk about any details. Just low mood & depressed take this. Byeee
Please can you take Sertraline with Nebivolol?..and can you cut film coated Sertraline 50mg in half
I struggle with depression and insmonia could citalpram help with this ?? Thanks George
It can for many patients since it has sedating effect.
Very well, excellent way of elaborating. It seems You are a good professor of psychatery, if possible make a video on Evocalam tab thank u very much
I've been taking citalopram 20mg for six years but have noticed just how sedated it makes me feel. How different do you think escitalopram would make me feel
Esciralopram is less sedating than citalopram.
Are there any studies on the long term effects of SSRI use? Been on citalopram for 20+ years
if escitalopram is pure version of citalopram and way better than it.. then why they prescribe citalopram ?
As I stated in my final thoughts, Citalopram is very useful for patients who have issues with falling asleep and have depression and anxiety. That is when I will use it over Escitalopram since it will have a better effect on sleep.
@@LevelheadedMind can u do a video on pristiq? Just been prescribed 50mg daily for social phobia and just curious how my doctor decided to to use desvenlafaxine
@@LevelheadedMind I feel really sleepy in the day because of Celexa it reducing my sex drive is good I like that it can take all my sex drive away from me I would want that sex dive has been nothing but trouble in my life but it making me sleepy I don't like and plus the doctor gave me crazy strong sleeping tablet that together with Alexa nocks me out stone cold and I don't feel like waking up from bed until night by then it's time for the next dose of hell my doctor forces me to take both Celexa and Lexapro I'm medicated to the sky
@@jayton580 all I know is I'm jealous, I was on desvenlafaxine in Australia, it was great, then I went back home and they didn't have it... still miss that SNRI
Cheaper and it may do the trick.
Escitalopram cause pigmentation.. how to deal with it
Hello, Is it possible to develope .anic like symptoms on a 5 mg does of lexapro? After 3 months it wakes me up at night with panic, no focus, agitated and just wired. If the magnesium it cause a lot of speed like symptoms in me. Does 2.5mg work or just ween off it and do lamictal? Ty
Superb video!
It definitely was, very informative.
Can you immediately switch from Celexa to Lexapro?
Yes, they are essentially the same medication. Most people can tolerate a direct switch over.
i read recently that 20mg of citalopram-contains 10mg of EScitalopram. is that right?@@LevelheadedMind
@@LevelheadedMindgood bc i want off this wierd garbage
@@LevelheadedMindis there a chance side effects will be different compared to one or the other
Hello Doctor this is Ranjith from India i have been on antidepressants since 9 years and also on benzo ....in before antidepressants i was very creative,i was poet, lyricist,speaker, singer, dancer...but when I started benzo and antidepressants gradually i lost everything...is there any help
I've answered your question in a previous video. I wish you all the best!
Probabky slowly wean off a few
Nexito maximum dose?
Celexa is less activating than Lexapro but is Lexapro less activating than Zoloft? Or are zoloft and Lexapro both gonna be about the same in that respect? Thanks!
Great video!
I took escitalopram a few years ago. I am now prescribed citalopram. Is there a high probability that I will react differently to this drug since escital helped me in the past? 🤨🤨
I wanna know the same thing
@@divreenable I asked the doctor about it and he said there was no clear answer. Everyone reacts differently, even to the same medication they have taken in the past. 😐
@@tiktak9827 I’ve had that experience before but are they similar in their efficiency ?
what were the main differences for you when taking lexapro and then celexa??
@@David1212-p9d I felt more energized after escitolapram. Overall, I also felt it was more efficient. But each episode is different.
i'm taking citalopram and zyprexa. is that a probelm?
Hey beautiful lady I’ve been dealing with an agitated irritable depression what would be a good SSRI to treat that please ?Im going to see my doc soon!Thank you
Excellent video!
Thank you!
I am probably starting escitalopram in a few weeks. I am first having an ECG though, because I was told (and also read in every description of it online) that it can definitely prolong your QT intervals, just like Citalopram. I have a benign heart rhythm disorder called AVNRT which sometimes causes my heart to race suddenly for short or longer periods of time (I am on a medication for this), and because of this I am naturally very concerned when it comes to heart related issues. But since appearantly many SSRI's can prolong your QT intervals I decided to give it a chance anyway. At least, if my ECG comes back clear.
I’m taking escitalopram for 2 years now but I’m completely lost in everything it’s worst than before..
Tell people the truth
How are you doing?
This video was very helpful
This was a great video. Thankyou
Hi there, you explain it so well, thank you! I take Zytomil/Essitalopram and I find it makes me constipated. I been taking it for about 3 months now.. when will the constipation subside?
Discuss this with your provider as it will most likely not subside. You may need to increase your fiber and water intake.
use a teaspoon of milk sugar daily
I take 10 mg of escitalopram and still have the long QT( healthy heart genetically after checked at the cardiologist) iv been long on antidepressants and on this one 15 years but I am considering a change. I know won’t be easy
Did you experience any symptoms that prompted your cardiologist checkup? I started 15mg (no titration) of escitalopram and my resting heart rate dropped by 12bpm over 5 days. My psychiatrist decided to half my dosage to 7.5mg, and my resting heart rate has partially gone back to normal. Now reading your comment it makes me wonder if the bradycardia was more than a low heart rate.
How much time will sideffect nausea settle
Usually within 1 week.
@@LevelheadedMind thanks
Hi . Can you advise me please. Iv been on cytalopram 10mg for about 6 weeks, then I was put up to a 10mg a& a half , I’m now on 20mg for a week but I feel I’m getting more anxiety & my body feels more tense. Will I just have to give it time or talk to a doctor. I have an appointment next week with my doctor. Please reply me as I just want my life back. Thank you . X
Talk to your provider, you may be experiencing adverse effects.
I really love your videos!! Can you please make a video on agomelatine?
That medication is banned in the US, however, I'll consider it since many people have asked about it.
I am curently lexapro since 7 month for anxiety. It works well on me but it also causes me insomnia...
Should i try to switch to citalopram as it has a little sedative effect? Or it won't be enough to get back a good sleep and i should directly try another antidepressant like sertraline?
I have insomnia after it, which is now persisted. For such insomnia from this SSRI they give seroquel
Pssd?
Actually in my case escitalopram gave me the worst sexual dysfunction among the few ADs I tried. Many people won't spontaneously report SSRI-related sexual dysfunction, because they don't like to talk about that. But things change when you ask them specifically. From 10% it becomes at least 50%. It doesn't mean you don't have a sex life anymore, but you have to adapt: it takes longer to reach orgasm, and sex drive can be reduced.
Belive me celexa much better
Thank you
Why is it that Lexapro makes me bloated?? And gassy?? Everyday. Not just once in a while.
Too much serotonin can cause inflammation in the gut. Protect your gut with good spore-based probiotics to reduce inflammation. My favorite one is here: amzn.to/4dXnUVU
Maybe one day it will pass , in my case it already lasts so a year after taking. We just got IBS from SSRIs, you can get over it. It helps to remember what a healthy stomach and intestines you once had
Thank you for the information.
You do a good job. I am in Psych NP school and these videos help.
Thank you! I am glad you are finding the videos helpful.
how long do citalpram side effects last ??
For me when I started taking them a month to 6 weeks.
Very helpful video. Just a note for you, the music in the background of your voiceover is very distracting and adds nothing to the quality of your video video.
I like the music!
Man this video was a mind twist, wish you would have just said Lexapro and Celexa lol
Sorry about that.
I'm carrying a prescription round with me. I can't do this. I don't want to be a zombie.
Have you tried a natural approach or looked into root causes? I agree medications are not always the answer and may cause more harm than good. If you'd like to consult with me use this link bit.ly/mhcoaching_initial
Nice
Thanks
I always don’t have an appetite.
6:35
You are gorgeous
I can't listen to you or focus on what you're saying with that intrusive music playing. I need info not 'entertainment'.
Lexapro definitely have the potential to deal with mental health issues like anxiety and depression, it really helped me alot and below where l got mine..👇👇
@novatripps
He's on Instagram