Doctor insights on:
Zoloft Lexapro Escitalopram
I suffer from generalized anxiety with dep Through the years zoloft,lexapro (escitalopram) and effexor(because of BP) lost efficacy.Is there anything else I can take?
Therapy?: Have you yet tried any form of psychotherapy? Typically, the optimal combination of things to treat emotional issues such as anxiety or depression is medication (which, on your best day, is supposed to take the edge off symptoms) but the real gruntwork takes place in psychotherapist's consulting room. ...Read moreSee 1 more doctor answer
I have been diagnosed with gad & have tried zoloft, lexapro, (escitalopram) citalopram and remeron all to no avail. Would gabapentin be a good choice?
Probably not: In my experience, I have not seen Gabapentin to be useful in treating anxiety. Makes sure that your diagnosis is correct, and that you have been taking full, therapeutic doses of the medications you have been taking. You may need a combination of medications, such as the addition of an antipsychotic. Lastly, consider a second opinion with a different psychiatrist. ...Read more
Not much: Both are selective serotonin reuptake inhibitors, or ssris, a fancy way of saying they help your brain hold onto and use more of the serotonin it has. Serotonin is one of the chemicals in your body related to happy things, like food, sex, and sleep (which is why the side effects often affect these issues). Celexa, prozac, Paxil (paroxetine) are also in class. Diff comes in personal brain chemistry + med. ...Read moreSee 1 more doctor answer
Different SSRIs: Both belong to the selective serotonin reuptake inhibitor or ssri family, same as the old prozac. Lexapro (escitalopram) works faster, in days, but sometimes makes people more "hyper" or "jumpy." zoloft needs 2-3 weeks to have an effect. It has more weight gain and sexual side effects, but in general is better tolerated. They both can be used for anxiety and/or depression in doses that depend on your sx. ...Read moreSee 1 more doctor answer
I switched from Zoloft to Lexapro (escitalopram) after a week on zoloft. Can i still count that towards time till i feel benefits or do I have to start over?
Luvox, Zoloft, (sertraline) and : Lexapro (escitalopram) are all SSRIs. They're all 1st line agents in tx of anxiety and depression. They all work via the same mechanism -- inhibiting re-uptake of serotonin, thus increasing serotonin concentrations. the differences between the meds have to do with subtle differences in half life, serotonin receptors targeted, and slight differences in side effect profiles. Talk with ur doc abt the right med 4u! ...Read more
Switching from Zoloft to lexapro (escitalopram). Worried Lexapro (escitalopram) will make me dizzy? How common is dizziness so worried.
Straight switch from Zoloft to lexapro (escitalopram). Doc told me to just switch without tapering off. Is this ok. Was on 150mg Zoloft going to 20 mg of lexapro (escitalopram).
Zoloft to Lexapro (escitalopram): Many physicians will do a cross taper gradually lowering the dose of one antidepressant while raising the dose of another. If however it has been determined that the zoloft has been of absolutely no benefit than there is no need for a cross taper. The Lexapro (escitalopram) should block any possible ssri discontinuation syndrome. Discontinuation symptoms with zoloft have been reported to be 1 to 2% but in my clinical experience have actually been far less than that. You should have no problem doing this. Best wishes. ...Read more
In general, do you prefer Zoloft or Lexapro (escitalopram) for GAD, panic, agoraphobia? I of course worry about side effects - prolonged qt interval - read too much!
GAD and medication: Please do what your doc asks but consider adding a behavioral approach to address the root of the situation such as clinical hypnosis, biofeedback, psychotherapy. See www.asch.net for licensed providers who do clinical hypnosis and www.relaxationresponse.org for some self-help. Peace and good health. ...Read more
Went cold turkey Zoloft 200mg to Lexapro (escitalopram) 20mg. Feeling lethargic and unmotivated. How long until these feelings pass?
3-4 weeks: These medicines take at least 3,weeks to start therapeutic effect. ...Read more
Dr's job: Doctors diagnose and prescribe. That's the way it ought to work. You provide honest descriptions of what's happening then they make honest, well managed prescriptions. So far our society does not recognize do-it-yourself prescription privileges. Work together and good luck. ...Read more
Doc told me to switch from 150 mg Zoloft to 20 mg Lexapro (escitalopram) without weaning just switch. Is that ok? Worried i will withdrawl.
Do i need to wean off Zoloft when switching to Lexapro (escitalopram) or can I just go straight to the Lexapro (escitalopram) without still taking zoloft. Doc said to do that?
Start Lexapro (escitalopram): While still on the zoloft . I usually have someone start on a small dose of the Lexapro (escitalopram) and increase it gradually while at the same time, taper down even more slowly on the zoloft. Each new antidepressant essentially has to start over again and needs time to work. Therefore you don't want to go off the zoloft too quickly, you may find out it had been doing much more for you than you had thought. ...Read more
28yo fem w/ depression, anxiety. Zoloft for ~10 yrs, 50mg then 75. Added welbutrin. Zoloft quit helping, tried lexapro (escitalopram). Big weight gain. Rec new drug?
Antidepressants best: Another antidepressant, possibly snri like Effexor (venlafaxine) may be more helpful at this time. Add ons such as gaba- calm and natural anxiety aids can help. They do cause weight gain usually. Therapy is always an important treatment modality for depression and anxiety, don't think it is not helpful! ...Read moreSee 1 more doctor answer
only: Only if your dr prescribed it this way; the only normal situation to do this is because you are decreasing one and increasing the other (cross taper) with the goal of eventually end up with only one. Do not start/stop/mix meds without asking prescribing dr. Good luck. ...Read more
Generally yes: Obviously you should talk to your prescribing doc, don't switch behind their back. They need to know what you're taking, & may have other options to suggest. But yes, it's usually safe & easy to switch between Lexapro (escitalopram) & zoloft. Note that the dosages (mg) are different. Also, zoloft is available as generic while Lexapro (escitalopram) isn't, so Lexapro (escitalopram) costs more & insurance may not cover it. ...Read moreSee 6 more doctor answers
Not long usually.: If the doses are equivalent then there should not be discontinuance symptoms. If the doses are not equivalent, then you could have recurrence of symptoms or you could have side effects from too high a dosage. 3-7% of the population cannot make the switch easily due to different metabolic rates of these two medications. You need to bring your symtoms to your doctors attention. ...Read more
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