Escitalopram (Lexapro) - Social Anxiety Forum
 
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post #1 of 19 (permalink) Old 06-16-2020, 01:25 PM Thread Starter
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Escitalopram (Lexapro)


Does anyone take Escitalopram? If so, what are you thoughts on the medicine? I've been taking mine for three months now, and sometimes I feel like it's helping me (my anxiety got a bit better), but sometimes I feel like it's doing nothing to me. For the first month, I started taking it as Lexapro, but since that medicine is absurdly expensive here in my country, I changed it to a generic one: Escitalopram Oxalate.

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post #2 of 19 (permalink) Old 06-17-2020, 02:00 PM
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I don't know why anyone would ever pay for the brand name Lexapro over the generic. I don't remember it helping much, maybe slightly with my mood but that didn't long.

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post #3 of 19 (permalink) Old 06-17-2020, 08:48 PM
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Lexapro was extremely slow acting for me. It helped a lot for depression after the 2-3 week mark, but I still felt terrible in terms of SA at the 3 month mark. I did notice very slow month by month improvement for SA. It wasn't until 9-10 months in that I felt significantly better for my SA. These meds are extremely slow to work for my SA. I have read online about other people saying that antidepressants took up to a year.

I used to hate the fact that Paxil took a whole 3 months to work, but at least it didn't take almost a year for like Lexapro.
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post #4 of 19 (permalink) Old 06-25-2020, 04:17 PM Thread Starter
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I feel like that recently that medicine is not helping me so much. I will definitely tell that to my psychiatrist and hope he can double the dose and see if that helps.

"It's been so long. Years have gone since I belonged. Hold me please, stay with me and I will sleep. I will go now but I will be with you. Hold my gaze, hold me inside you."
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post #5 of 19 (permalink) Old 06-25-2020, 07:14 PM
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I was on it for a while and it helped with depression but didn't do anything for my anxiety.


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post #6 of 19 (permalink) Old 06-25-2020, 07:34 PM
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I feel like that recently that medicine is not helping me so much. I will definitely tell that to my psychiatrist and hope he can double the dose and see if that helps.
I was on escitalopram many years ago. I took it for roughly 6 months. I'm 29 years old now and I think I was like 20 or 21 years old when I was on it. I used to not like SSRI type medications. Even to this day I still don't. They do help with social anxiety and confidence though.

What do you hope to get out of medication?
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post #7 of 19 (permalink) Old 06-26-2020, 09:17 AM Thread Starter
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@Ben12, I guess I will have to wait a bit more then. I am on this medication for almost 4 months now, if I am not wrong. I noticed that it's helping me a bit with my depression and a tiny bit with my anxiety, but sometimes it all builds up to a point which I can't control myself and I have really bad anxiety/depressive episodes. I noticed that I feel a bit more confident now. I am able to talk with online people through voice calls, something I couldn't do so easily before. Although I hate my English accent, I feel comfortable talking to people now. The same happens when I play online. I don't usually talk that much, but I feel confident enough to use my own voice from time to time.

I want that my mood swings get better and don't happen so often like it does now. I always forget to mention that to my psychiatrist. =/ I will have to write it down so I won't forget to mention that in my next appointment.

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post #8 of 19 (permalink) Old 07-05-2020, 09:00 AM
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my doctor has me on escitalopram along with trintellix going on 10 months now. I feel they make me tired and since I'm here they aren't helping with my anxiety or depression. I never really liked SSRIs though.
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post #9 of 19 (permalink) Old 07-05-2020, 09:48 AM
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my doctor has me on escitalopram along with trintellix going on 10 months now. I feel they make me tired and since I'm here they aren't helping with my anxiety or depression. I never really liked SSRIs though.

Why dont you push for MAOI's?



They are better than SSRIs, or these new serotonin modulator money spinning crap. Of course, they are not guaranteed to work, but they do work more often, and when they do, they can be life changing. And they are SAFE to use !



Besides, if someone is suffering from mental health issues, which obviously can be a really serious illness, then they deserve to be offered the full range of treatments available....and MAOIs are approved antidepressants in a lot of countries.



Its negligent as **** that so many patients are denied them because the specialist cant be arsed to keep up to date with things.

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post #10 of 19 (permalink) Old 07-05-2020, 09:10 PM
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Why dont you push for MAOI's?

Its negligent as **** that so many patients are denied them because the specialist cant be arsed to keep up to date with things.
@D'avjo

Yeah it's ridiculous how hard it is to have a doctor be open to prescribing something like nardil or parnate. Based on my experience having seen all the doctors and psychiatrists over the past 12 years having been a patient in the mental health system, I've only had one doctor being willing to prescribe an MAOI. It was only Nardil that he was ok with. I had brought up Parnate because at the time I believed that it was free of many of the side effects that Nardil had. For whatever reason he didn't seem to like it. Can't remember why.

I have been able to try Moclobemide. I don't consider it to be a true MAOI like Parnate or Nardil. Moclobemide I found to be worse in terms of side effects and getting sustaining benefits than an SSRI in the long run. However I do believe that it's an option that should be more utilized. Though I'd rather go to something like Parnate if someone was going to be able to go on one. Moclobemide is nice because you don't need to worry about the dietary restrictions. I think that with the irreversible MAOI's, the strict dietary requirements are sort of blown out of proportion for most people.
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post #11 of 19 (permalink) Old 07-06-2020, 12:46 AM
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@D'avjo

Yeah it's ridiculous how hard it is to have a doctor be open to prescribing something like nardil or parnate. Based on my experience having seen all the doctors and psychiatrists over the past 12 years having been a patient in the mental health system, I've only had one doctor being willing to prescribe an MAOI. It was only Nardil that he was ok with. I had brought up Parnate because at the time I believed that it was free of many of the side effects that Nardil had. For whatever reason he didn't seem to like it. Can't remember why.

I have been able to try Moclobemide. I don't consider it to be a true MAOI like Parnate or Nardil. Moclobemide I found to be worse in terms of side effects and getting sustaining benefits than an SSRI in the long run. However I do believe that it's an option that should be more utilized. Though I'd rather go to something like Parnate if someone was going to be able to go on one. Moclobemide is nice because you don't need to worry about the dietary restrictions. I think that with the irreversible MAOI's, the strict dietary requirements are sort of blown out of proportion for most people.

Have heard mixed reviews about Moclobemide.


Re the diet on MAOI's, I eat everything and my diet hasnt changed one bit, still it cheese, drink beer etc. There is one study that narrowed the list down to about 6 items of food to avoid, and to be honest I had never heard of them. They were certaim types of aged cheese, but not stuff like stilton, certain specialist soy sauces, no your run of the mill soy sauce, and saurkraut !


Even the drug interaction is enrtirely wrong or overstated in the official literature.


Should get some worldwide campiagn going as it would be great to see more people benefit.



Thing with the Doctors or GPs, and I guess its expected but when you tell them how much you have researched etc about MAOIs, they take no notice.

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post #12 of 19 (permalink) Old 07-12-2020, 07:40 AM
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Thing with the Doctors or GPs, and I guess its expected but when you tell them how much you have researched etc about MAOIs, they take no notice.

Very true. I've found that as soon as I mention something I've "read online", the doctor/psychiatrist/therapist instantly starts shaking their head, as if anything found online is inherently unreliable.

I guess you have to be careful in how you word things, to avoid hurting their ego. No doctor likes to be told, "The stuff you've been giving me isn't working. I've read about this one and want to try it."

Do your research, show you know what you're talking about and that you're prepared to be responsible and follow any diet restrictions, avoid other medicines that may interact badly etc.

It took me a few sessions of asking - at first my psychiatrist tried to palm me off with Parnate - but in the end I got what I wanted, to try Nardil.
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post #13 of 19 (permalink) Old 07-13-2020, 08:54 AM
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Have heard mixed reviews about Moclobemide.

Thing with the Doctors or GPs, and I guess its expected but when you tell them how much you have researched etc about MAOIs, they take no notice.
It's as if you have to be a proven academic in order to be someone who can communicate the research and the science in order for a doctor to treat it as if it's ok. I've found that you can say the very basics like this medication works on serotonin which is the happy neurotransmitter. You almost have to play dumber than how you really are. You can't go into any detail whatsoever.
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post #14 of 19 (permalink) Old 07-17-2020, 10:17 AM
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It's as if you have to be a proven academic in order to be someone who can communicate the research and the science in order for a doctor to treat it as if it's ok. I've found that you can say the very basics like this medication works on serotonin which is the happy neurotransmitter. You almost have to play dumber than how you really are. You can't go into any detail whatsoever.

Up until the recent good news on nardil supply, I had agreed with my doc to go on parnate if I couldnt get nardil, this was a couple months back. Now I have been on parnate twice before with zero issues, prescribed by a pdoc but I was still under the same doctor.


I asked her a couple weeks back about maybe having to swap back to parnate as nardil supply looking dodgy. She phoned me back and said she had checked with the surgery pharmacist and she says you have to see a pdoc again to get it so I wouldnt be able to just go back on it.


I asked her why did she agree to it once, two months ago, and then decide to take advice from a ****in pharmacist.



I told her luckily nardil supply is now sorted as there was no way I was accepting her decison on parnate.



****in 100K a year job and she asks a pharmacist for advice.....and there is no way the pharmacist had even heard of parnate until then, and was bound to have to look it up in a book to see wtf it was!! Jeez.

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post #15 of 19 (permalink) Old 07-17-2020, 12:36 PM
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I asked her why did she agree to it once, two months ago, and then decide to take advice from a ****in pharmacist.



I told her luckily nardil supply is now sorted as there was no way I was accepting her decison on parnate.



****in 100K a year job and she asks a pharmacist for advice.....and there is no way the pharmacist had even heard of parnate until then, and was bound to have to look it up in a book to see wtf it was!! Jeez.
Wow. What the hell is a pharmacist going to say that a doctor doesn't already know anyways? If she is ok with nardil what is so bad about parnate? If she just wants consistency then why not just say that that is what she wants.

I've never been on parnate or nardil. Something that has sort of surprised me is that the medications that possess the pro-dopaminergic property that MAO-B inhibition has, aren't classified as scheduled drugs. They aren't like stimulant medications however I have definitely read about both MAO inhibitors causing euphoria and quite nice honeymoon phases during the start of treatment. So they can be somewhat addictive.

Do you know what the pharmacist said to your doctor that made the doctor not open to parnate?
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post #16 of 19 (permalink) Old 07-17-2020, 12:50 PM
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I take 20mg of Escitalopram a day and I find that it helps quieten that internal dialogue. It makes things easier to deal with. Honestly sometimes I feel I have BPD along with SA. It also quietens down my sex drive, without the meds it's just through the roof crazy lol. I do find though as I've been back on it almost a year if I need to be quite chatty, not to take it that day and it helps- well so far anyways lol.
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post #17 of 19 (permalink) Old 07-17-2020, 04:26 PM
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Wow. What the hell is a pharmacist going to say that a doctor doesn't already know anyways? If she is ok with nardil what is so bad about parnate? If she just wants consistency then why not just say that that is what she wants.

I've never been on parnate or nardil. Something that has sort of surprised me is that the medications that possess the pro-dopaminergic property that MAO-B inhibition has, aren't classified as scheduled drugs. They aren't like stimulant medications however I have definitely read about both MAO inhibitors causing euphoria and quite nice honeymoon phases during the start of treatment. So they can be somewhat addictive.

Do you know what the pharmacist said to your doctor that made the doctor not open to parnate?

God knows what the pharmacist said, but I know for a fact as I have spoke to her before that she knows nothing about either MAOI, so she must have just quoted what their med books says. I said before to my doc that I could give her pages and pages of info about the safety of MAOIs, I could give her names of pdocs in the US that have been using MAOI's on patients regularly for 30 years with not one single issue, plus my own 7 year history where I have had no issues whatsoever.



But of course, a pharmacist who just looked up what the actual drug was, is suddenly an expert.


Re pro dopamine effect of MAOI's, they seem to raise dopamine levels in a much more beneficial way over stimulants. I've taken plenty of amphetamine and more expensive stims in my younger days, and while you will feel great and buzzing, more so than you will with MAOIs....you have to deal with the come down, and at some point if you take enough, you lose that euphoria.


I definitely feel the mood, motivation, and confidence boost from the pro dopamine effects of MAOIs, but its sustained and far more productive.


Ive taken amphetamines quite a few times on nardil, and i can feel my dopamine levels drop for a few days after, but each time, the nardil kicks it back up very noticibaly and you get all the good dopamine effects back.

**** your feelings !!


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post #18 of 19 (permalink) Old 07-17-2020, 07:01 PM
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I definitely feel the mood, motivation, and confidence boost from the pro dopamine effects of MAOIs, but its sustained and far more productive.


Ive taken amphetamines quite a few times on nardil, and i can feel my dopamine levels drop for a few days after, but each time, the nardil kicks it back up very noticibaly and you get all the good dopamine effects back.
Does parnate or nardil have any pro-cognitive effects? Do either medications dampen emotions like SSRI's do?
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post #19 of 19 (permalink) Old 07-18-2020, 07:23 AM
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Does parnate or nardil have any pro-cognitive effects? Do either medications dampen emotions like SSRI's do?

No emotional dampening at all for me, although I dont remember that on SSRI's. Its very hard to feel anxious or depressed on nardil, i dont think i ever have just all positive stuff.


Not sure on pro-cognitive effects, maybe not directly but obviously when you arent depresssed or constantly anxious anymore, performance on all levels will improve. A lot more motivated, a lot more calm and focussed, and self confidence etc.


Phenelzine according to some studies is also neuroprotective, so may reduce risk of alzheimers...and alzheimers.


Can help reduce alzheimers too apparently.

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