A 31-year-old female asked:
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do prozac and lexapro (escitalopram) work the same way? which one works best for treatimg depression and anxiety?

2 doctor answers
Dr. Shawn Cassady
35 years experience Psychiatry
Essentially yes: They both work. Lexapro may have less associated side effects but stronger serotonin effects (so more serotonin side effects can be seen with lexapro). Lexapro was developed to get rid of the bits of proxac/ Paxil (paroxetine) molecules which cause other organ side effects. Side effects are still similar even if lessened. For sure, Lexapro seems to have less interactions with other medications.
Answered on Sep 17, 2015
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Dr. Fred Gallo
35 years experience Clinical Psychology
SSRIs: Prozac and Lexapro (escitalopram) are ssris for the treatment of depression. Lexapro (escitalopram) is also approved for treating anxiety, panic, and ocd, as well as in treating autistic spectrum disorders such as asperger's. While both medications are similar, the molecules are still somewhat different.
Answered on May 15, 2016
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Dr. Douglas Bey
Dr. Douglas Bey commented
56 years experience Psychiatry
Some people do better on one or the other --it's trial & error if someone in your family is doing well on one try it first
Nov 14, 2012

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Dr. Aron Tendler
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Not Necessarily: Some people respond to lexapro, (escitalopram) some to prozac. They are both equally effective for anxiety at high doses.
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A 24-year-old male asked:
Dr. Marc Zimmermann
21 years experience Psychiatry
2-4 weeks: Noticeable changes take between two and four weeks.
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