Dɔktɔ dɔn ɛva gi yu mɛrɛsin fɔ wan sik lɛk pwɛl hat ɔ wɔri? If na so, yu kin dɔn yɛri bɔt mɛrɛsin dɛn we dɛn kɔl `Celexa` ɔ `Lexapro`. Dis na tu pan de mɛrɛsin wae dɛn kin gi fɔ dis sik ɔlsay na di wɔl ɛn na wi kɔntri. So, di kweshon we plenti pipul get na wetin bi di difrens bitwin dis tu, dem bi di sem, and wich wan rait fo mi. Lɛ wi tɔk bɔt dis tide fɔ klin ɔl di dawt dɛn we yu gɛt na yu maynd.
Fɔs, lɛ wi si wetin na Celexa ɛn Lexapro.
Fɔ tɔk am simpul wan, dɛn tu mɛrɛsin ya de na wan grup we dɛn kɔl antidipreshan . fכ bi prεsis, dεn kכmכt frכm wan spεsifi k grup fכ mεdikeshכn dεm we dεn kכl ``SSRIs`` (Selective Serotonin Reuptake Inhibitors). Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, di we aw dɛn kin du am rili simpul.
Imajin se mɛsenja dɛn de insay wi bren we de kɛr infɔmeshɔn go ɛn go. Wi kin kɔl dɛn mɛsenja ya nyurotransmitta. Serotonin na wan impɔtant mɛsenja we de kɔntrol tin dɛn lɛk aw wi de fil, aw wi de biev, ɛn aw wi de mɛmba. pan kכndishכn lεk diprεshכn, dis lεvεl fכ Serotonin kin dכn.
Wetin SSRI dεm de du na fכ stכp dis mεsenja sεrotonin fכ riabsכp kwik afta i dכn. Dɔn sɛrotonin kin de na di bren in nɛv sɛl dɛn fɔ lɔng tɛm. Dat min se "gladi" mɛsej de aktif fɔ lɔng tɛm. Dis na we wi maynd kin bigin fɔ bɛtɛ.
Celexa na di brand nem fɔ di mɛrɛsin we dɛn kɔl Citalopram . Lexapro na di brand nem fɔ di mɛrɛsin we dɛn kɔl Escitalopram . Dɛn dɔn gri fɔ trit dɛn ɔl tu fɔ trit mɛja dipreshɔn disɔda (MDD) pan big pipul dɛm, we dɛn dɔn gri fɔ Lexapro bak fɔ trit jenɛralized anxiety disorder (GAD).
Okay, so wetin bi di big difrens bitwin di tu?
Dis na tru tin we rili intrestin. `Citalopram` (Celexa) εn `Escitalopram` (Lexapro) na, kεmikכl, miro imej dεm fכ di sem mכlikul. Jɔs lɛk wi lɛft an ɛn wi raytan. Dɛn ɔl tu na an, bɔt dɛn difrɛn. insay kemistri, dεn kכl dεn tin ya `enantiomers`.
- Citalopram (Celexa) na wan kɔmbaynshɔn fɔ ɔl tu di "lɛft-an" ɛn "rayt-an" fɔm dɛm we yu bin tɔk bɔt.
- Escitalopram (Lexapro) na di wan we de wok mɔ pan di tu, we min se na drɔg we dɛn mek frɔm di men pat nɔmɔ, lɛk di "rayt an".
Dis na di rizin we mek smɔl difrɛns de pan di we aw dɛn tu mɛrɛsin ya de wok na wi bɔdi.
Fɔ tɔk am simpul wan, Escitalopram (Lexapro) tan lɛk wan mɔ rifin, targeted vɛshɔn fɔ Citalopram (Celexa).
Lɛ wi tek tɛm luk sɔm pan di men tin dɛn we difrɛn:
- Yuz dɛm we dɛn dɔn gri fɔ: Pan ɔl we dɛn dɔn gri fɔ `Citalopram` fɔ pwɛl hat pan big pipul dɛm, dɛn dɔn gri fɔ `Escitalopram` fɔ pwɛl hat pan big pipul dɛm ɛn pikin dɛm wae dɔn pas 12 ia, ɛn fɔ wɔri pasmak pan big pipul dɛm ɛn pikin dɛm wae dɔn pas 7 ia.
- Efficacy: Sɔm stɔdi dɔn sho se Escitalopram kin woke smɔl pas Citalopram fɔ kɔntrol di simptom dɛm fɔ pwɛl hat.
- Risk fɔ mek yu at bit: Dɛn tu mɛrɛsin ya kin gɛt smɔl ifɛkt pan di ilɛktrik wok we di at de du. dis dεn kכl am `QT prolongation`. Dis kin kɛr smɔl risk fɔ mek yu at bit fayn. כltu, dis risk de hכy sכmtεm wit `Citalopram` pas wit `Escitalopram`, spεshal wan pan hכy dos.
Sayd ɛfɛkt ɛn tin dɛn we yu fɔ no bɔt
Bikɔs dɛn tu mɛrɛsin ya de na di sem famili, di sayd ɛfɛkt dɛn bak rili fiba. Nɔto ɔlman kin gɛt dɛn, bɔt dɛn kin go afta sɔm tɛm as di bɔdi de yus to di mɛrɛsin.
| Kɔmɔn sayd ɛfɛkt dɛn we Celexa ɛn Lexapro kin gɛt | |
|---|---|
| Kɔmɔn sayd ɛfɛkt dɛn | |
| Prɔblɛm dɛn we pɔsin kin gɛt we i de slip | Fɔ fil se yu de slip na de ɔ yu nɔ ebul fɔ slip na nɛt |
| Di bɔdi we de taya | Taya, diziz |
| Ɔda tin dɛn we pipul dɛn kin du | Diziz, ed we de at, we yu de swet pasmak, yu mɔt de dray |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Nɔs, vɔmit, kɔnstipɛshɔn, ɔ dayarɛa |
| Prɔblɛm dɛn we kin apin we pɔsin de du mami ɛn dadi biznɛs | Di want fɔ du mami ɛn dadi biznɛs we de go dɔŋ, i nɔ kin izi fɔ rich ɔrgazm, i kin delay fɔ pul di mami ɛn dadi biznɛs |
| Rare bɔt kin gɛt siriɔs sayd ɛfɛkt | |
| Di chenj dɛn we de apin na di at rit | Di `QT Prolongation` kondishɔn we wi bin dɔn tɔk bɔt (di risk de we pas smɔl wit Citalopram) . |
| Di sodium lɛvɛl we de na di blɔd we de go dɔŋ | I kin kam wit wan sik we dɛn kɔl ``SIADH'', mɔ pan pipul dɛm we dɔn pas 65 ia. |
‘Serotonin Syndrome’ na wan sik wae nid fɔ gɛt spɛshal atɛnshɔn.
Dis na sɔntin we yu fɔ rili no . Serotonin Syndrome na wan denja we de mek yu gɛt bɔku bɔku sɛrotonin na di bɔdi. Dis kin apin mɔs we yu fɔs bigin fɔ tek di mɛrɛsin, we yu inkrisayz di doz, ɔ we yu tek am wit ɔda mɛrɛsin dɛm we de afɛkt di sɛrotonin lɛvɛl (e.g., sɔm mɛrɛsin dɛm fɔ maygren, ɔda antidipreshan).
If yu ɔ pɔsin we yu sabi gɛt dɛn sik ya di sem tɛm, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Rɛstlɛs, nɔ rɛst
- Nɔs, vɔmit, dayarɛa
- Di pupil dɛn we dɔn dilayt
- Tremor, mɔsul dɛn de twitch, stiffness
- Fɔ swet pasmak, kol, ɛn shek shek
- Sivɛri kɔnfyushɔn, lɔs kɔnshɛns
- Hat rit we de go ɔp, blɔd prɛshɔn de go ɔp
- Fiva, sik we de mek pɔsin sik, we i nɔ de no natin
Yu fɔ no bɔt di tin dɛn we yu kin tink bɔt fɔ kil yusɛf.
Dis na tin bak we rili impɔtant. Di risk fɔ tink bɔt fɔ kil yusɛf kin go ɔp smɔl insay di fɔs wik dɛm wae yu bigin fɔ tek mɛrɛsin wae de mɛk pɔrsin fil bad ɔr wae yu de chenj di doz, mɔr lɛk pan yɔŋ pipul dɛm ɛn pikin dɛm wae nɔr rich 24. Yu fɔ no bɔt dɛn sik ya.
- Di pwɛl hat sik de wɔs.
- Tink bɔt fɔ dɔn yu layf.
- Panik atak dɛn.
- Nɔ ebul slip.
- Nɔ rɛst, agreshɔn, vɛks.
- Fɔ du tin we yu nɔ tink bɔt ɛn fɔ gɛt gladi at we nɔ kɔmɔn.
If yu ɔ yu pikin gɛt ɛni wan pan dɛn sik ya, tɔk to yu dɔktɔ we nɔ go te .
Yu kin bi adikshɔn to dis mɛrɛsin?
Nɔ, dɛn nɔ kin tek dɛn tin ya as drɔgs we kin mek pɔsin adikshɔn lɛk nakotiks. Bɔt, prɔblɛm de.If yu stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm fɔ pas 6 wik, yu kin gɛt prɔblɛm wit yu bɔdi. Dɛn kɔl dis `antidipreshan diskɔntinyueshɔn sindrom`. Sɔm kayn sik lɛk wae yu de fil kin chenj, yu gɛt diziz, ɛn wae yu de wɔri.
So, nɔ ɛva, fɔ ɛni rizin, stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm we yu nɔ go to yu dɔktɔ. Fɔ stɔp ɔnda yu dɔktɔ in advays, bay we yu de ridyus di doz smɔl smɔl.
Ɔda tin dɛn we dɛn kin yuz Celexa ɛn Lexapro (Off-label uses)
"Off-label use" de min fɔ gi mɛrɛsin fɔ wan kɔndishɔn we dɛn nɔ ɔfishal apruv fɔ da kɔndishɔn de, bɔt dɔktɔ dɛn no frɔm ɛkspiriɛns se di mɛrɛsin yusful fɔ da kɔndishɔn de. Dɛn kin yuz dɛn tu mɛrɛsin ya fɔ bɔku ɔda sik dɛn, lɛk:
- Ɔda sityueshɔn dɛn we dɛn kin yuz Citalopram (Celexa):
- Obsesiv Kɔmpulsiv Disɔda (OCD) .
- Panik Disɔda
- Sɔshial Wɔri Disɔda
- Pɔst-traumatik strɛs disɔda (PTSD) .
- Di ejakuleshɔn bifo tɛm
- Ɔda sityueshɔn dɛn we dɛn kin yuz Escitalopram (Lexapro):
- Sɔshial Wɔri Disɔda
- Disɔda we de mek pɔsin fil bad (OCD) .
- Panik Disɔda
- Di simptom dɛm wae gɛt fɔ du wit menopause (e.g. hot flash) .
So, uswan fɔ pik bitwin dɛn tu tin ya?
Dis na di kwɛstyɔn we impɔtant pas ɔl. Dis na tin we yu dɔktɔ go disayd afta i dɔn chɛk yu ɛn tink bɔt bɔku tin dɛn lɛk di sayn dɛn we yu gɛt, di ej we yu dɔn ol, ɛn ɔda tin dɛn we yu gɛt.
- If yu gɛt ɔl tu di wɔri ɛn pwɛl hat, Lexapro kin bi bɛtɛ tin fɔ pik.
- If yu gɛt histri bɔt at sik, Lexapro kin bi bɛtɛ opshɔn bikɔs i gɛt smɔl risk.
- Fo som pipul, `Celexa` de wok wel. Fɔ ɔda pipul dɛn, `Lexapro` na in fit mɔ.
So, i go fayn fɔ mek yu tɔk to yu dɔktɔ opin wan bɔt dis. Nɔ disayd bay wetin yu de rid na di intanɛt. Yu dɔktɔ go pik di mɛrɛsin we fit yu ɛn we nɔ bad fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Celexa (Citalopram) ɛn Lexapro (Escitalopram) na SSRI mɛrɛsin dɛm we de trit pwɛl hat ɛn wɔri bay we dɛn de balans di sɛrotonin lɛvɛl na di bren.
- Lexapro na wan mɔ rifin, targeted vɛshɔn fɔ Celexa, so smɔl difrɛns de pan yus ɛn sɔm sayd ɛfɛkt dɛn.
- I rili impɔtant fɔ wach fɔ tink bɔt fɔ kil yusɛf we yu de bigin dis mɛrɛsin, mɔ fɔ di wan dɛn we nɔ rich 24 ia yet.If yu notis ɛni chenj, tɛl yu dɔktɔ wantɛm wantɛm.
- Yu fɔ no di sayn dɛm fɔ wan siriɔs sik we dɛn kɔl `Serotonin Syndrome`. If yu si dɛn kayn sayn ya, go na ɔspitul wantɛm wantɛm.
- Nɔ ɛva stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu nɔ gɛt dɔktɔ advays. If yu du dat, dat kin mek yu bɔdi nɔ fil fayn.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn di sik dɛn we yu de tek.











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