Originally Posted by RockiNToM
I have no hard feelings about this, I'm just not in the mood for debating due to a lot of reasons, many of which prevent me from more than just not being able to debate, but that's another topic.
Maybe I was unclear about what I meant. I wasn't saying to take a different SSRI because one is stronger than the other. I was trying to say that Celexa and Lexapro both give different results. Lexapro gives very little side-effects in my experience (since it's the cleaner drug) but if a person was to switch from 40mg of Celexa they might need to go up a dose higher than 10mg of Lexapro to get the same therapeutic effect, that's all I was getting at - that's why there are vary doses for each drug in the first place. In practice, most physicians try to put you on a similar therapeutic level in terms of efficacy on the new drug by modifying the doses. I was merely suggesting equivalency from experience.
I have no intention to argue and get into all the 'jargon' as you call it, about how these drugs work. I am well versed on how they work, so I don't need someone to explain to me in simple terms how they work. I've used them for a number of years, and for my own personal reasons have had to research into how each of them work. Like I said, it's not that I don't know how they work - it's that I really can't be bothered to get into a debate about how each of them work to prove to you that I do know what they do. More or less, most people here have a grasp on what each of them do, and if you've been on a few, you tend to become more knowledgeable on what they do, so you don't need to try and educate me.
I'm going to leave it here, because otherwise it's just going to go on and on, and yes I do have far more important things in my life than to debate this. I'm glad you realise this.
Again, not even about a debate. (Of which you should know I am a Master-debater <---haha get it?)
I've been on SSRI's, you've been on SSRI's, we've all been on SSRI's. For the sake of the original poster and those who are reading I would like to dispel your misinformation which you so stubbornly hold onto for some reason. Why? You say yourself how you have more important things to do, can't be bothered, aren't in the mood and are well educated in the matter. Oh well enough about you.
Having been on both myself and noting that they are exactly the same I hadn't researched much how the R-enantiomer and S-enantiomer differ. Guess what, the R-enantiomer has not been shown to do anything.
From the manufacturer's own research, they have not been able to find that R-citalporam does ANYTHING or that there is any difference between the affects of Celexa (Racemic-citalopram) and Lexapro (S-Citalporam).
If not even the manufacturer of Escitalopram can find any difference or benefit of it over good old Celexa, you know that there is no difference.
So Escitalopram is not any "cleaner," than Citalopram. They are exactly the same besides the fact that you must take twice the amount of racemic Citalopram because half of it is R-citalopram which is what? Totally inactive!
Well, RockiNToM I hope you simply were misinformed and not well-researched about these drugs; deliberately spreading misinformation for some reason. Giving you the benefit of the doubt now you know the truth and as they say, knowing is half the battle.
To rawiswaruk: I hope this clears it up for you, Celxa or Lexapro - there is no difference whatsoever in how each drug will affect you.
Escitalopram was clearly put on the market to obtain a new patent and an additional revenue stream.