Anti Depressants "Cipralex"

Discussion in 'Et Cetera, Et Cetera' started by gordonuk, Nov 18, 2006.

  1. gordonuk

    gordonuk Member

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    I was diagnosed with depression in 2000 and have been on and off them for a while, Started off with paxil and had very bad side effects then went onto Citalepram and now been put on Cipralex.

    Is anyone on this site using Cipralex, what is it like and how has it affected you?
     
  2. joyboytoy79

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    Well, i used Lexapro (same thing as Cipralex) here in the US. It did absolutely nothing for me. However, i have had many friends use Lexapro with great success. My best advice is for you to use it for one or two months and see how it works for you. Take note of any side effects as they occur and bring them up with your doctor.

    Best of luck!
     
  3. dags

    dags New Member

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  4. gordonuk

    gordonuk Member

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    dags: what side effects did you have?
     
  5. speshk

    speshk New Member

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  6. snoozan

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    I'm bipolar and can't do Cipralex, but I was able to take its cousin, citalopram, for awhile okay. Cipralex is supposed to be able to be prescribed at higher equivalent dosages with fewer side effects than citalopram. Drugs in that SSRI class don't do much for me personally, but they work miracles for many people. Most of finding the right treatment for your depression is trial and error-- and having a good psychiatrist and therapist.

    I moderated this board for a long time-- and its approach is very edgy, not cuddly and politically correct, and urges people to inform themselves and take charge of their treatment. The URL is:

    CrazyBoards (Powered by Invision Power Board)

    Also, take a look at:

    Crazy Meds! The Good, The Bad & The Funny of Neurological Medications
     
  7. BigA

    BigA New Member

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    I've been on several anti-depressants. Never felt any different. The only side effect I've ever had from any is that it's a little harder to cum. No withdrawals either. Except currently I'm on 375 mgs of Effexor and seem to have insomnia if i miss a dose. I was on 75 mgs of Paxil too... nothing. So I think of them as sugar pills, but I guess they help some people. I never heard of Cipralex
     
  8. Rikter8

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    I havent tried Cipralex yet, but I have tried:

    Lexapro - side effects of stomach pains overtook me
    Paxil - didn't do much
    Zanax - same
    Zoloft - stomach pains
    Effexor XR - extreme dizzyness
    Prozac - Sad Giggles
    Celexia - helped a bit, but couldn't cum at all

    I think the side effects list is correct...ive been on so many that I cant remember them all.
    C
     
  9. snoozan

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    Most SSRI antidepressants can cause some sort of sexual dysfunction-- it's the number one side effect of the entire class of drugs. If you do indeed suffer from depression and you've never been on anything that works, you might want to talk to another doctor about the Effexor because there are definitely drugs out there that work. Just not the same ones for everyone. One thing about Effexor is that the withdrawal syndrome from it can be horrific. For a lot of people, it is extremely difficult to get off of, especially at the dose you are at. You might want to consider that (and possibly tapering down off of it) if it's not working for you.

    Cipralex and Lexapro are the exact same thing, just called by different brand names in different countries. Xanax isn't an antidepressant, so it's very unlikely it would help your depression at all. It would help with anxiety though. It's a anxiolytic.

    Wellbutrin is an antidepressant that is not an SSRI and is known to have few if any sexual side effects. In my case, it made me orgasmic for the first time in my life (this was about 10 years ago).

    I'm really outspoken and a pain in the ass especially about the mental health stuff because I've been on the rollercoaster for over 10 years. One thing I have to recommend to everyone is that if you are anything but mildly depressed, DO NOT get you treatment from your general practitioner. They try, but they really have no idea how to handle mental illness. Drug companies try to sell prescribing psych meds to general docs, and generally that's the only education they have on current treatments. They just don't have the experience and knowledge that a good psychiatrist does. After all, would you let your general practitioner give you heart surgery?

    Ok, I'm done now.

    Snooz
     
  10. baseball99

    baseball99 New Member

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    cipralex is lexapro is escitalopram.....same drug different names

    effexor is great for anxiety when there is no underlying depression, at least what i have seen in clinical experience

    welbutrin/bupropion can function as both an SSRI and an SNRI (selective norepinephrine reuptake inhibitor) depending on the dosage however the major side effect is reducing seizure threshold and is contraindicated in anyone with seizures, prevalence for seizures or eating disorders

    there are a lot of SSRI's to talk to your doctor about
     
  11. snoozan

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    yes but why would you put a patient on effexor with its horrible withdrawal syndrome for anxiety? there are other medications that are effective for anxiety-- short term benzodiazepines and for long term treatment, SSRIs are first line for long term treatment. Effexor acts as an SSRI at low doses, an SSNRI at higher does.

    Wellbutrin IS NOT an SSRI. It does not function as an SSRI. At all dosages, it has minimal effects on serotonin. Wellbutrin acts primarily on doapmine and to a lesser extent on norepinephrine. The SSNRIs (SSRI + SNRI) on the market right now are Effexor and Cymbalta. Get your facts straight before posting these things. This is information available all over online and in pamphlets handed out by drug companies to healthcare professionals.

    I've spent more than 10 years studying psychiatric medication (with the help of a very good psychiatrist) as a patient and spent two years as a moderator of a medication forum, and the amount of ignorance and lack of knowledge that health care professionals demonstrate is criminal when they are prescribing these medications.

    As well as lithium as an adjunct therapy to ADs, the tricyclics, Seroquel and other drugs not primarily for depression used as adjunct treatments, CNS stimulants, MAOI inhibitors, and even electroconvulsive therapy. My drug of choice to manage my bipolar depression is Lamictal. I didn't know I was bipolar until I had a mixed manic episode triggered by an SSRI-- something that a general practitioner did not catch.

    Go to a psychiatrist if you are having emotional problems that can't be addressed by a therapist. Period.
     
  12. baseball99

    baseball99 New Member

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    Why? because it works? Why do we prescribe lithium when it can cause neprhogenic diabetes insipidus or hypoparathyroidism? We do bc it works and generally benefits outweigh the risks. Short term benzos are generally a bad choice bc of their abuse potential and are highly addictive. Yes SSRI's are first line treatment but first line does not always work.


    Thanks for the lesson but it does function as a weak SSRI, and like you said dopamine and norepinephrine dosage dependent. My facts are straight and please dont lecture me. Also, you of all people should know drugs NEVER effect solely one receptor, come on dont tell me you dont understand that? Just bc something is not marketed as having an effect does not mean it is not there. Sildenafil is a perfect example.....originally researched and marketed for angina and hypertension. and now those are unheard of and its completely associated with erections

    You are right, welbutrin is NOT solely an SSRI. I didnt say it was. I said it can function as one, whether or not that effect is minimal, if it blocks the receptor at all then it functions as one.

    Have you taken a pharmacology course? Its very very very very very easy to memorize drug of choice, side effects, etc......however now associate it clinically in the real world in real people with other problems, medications, etc. Anyone who clinically practices can tell you first hand how often DOC's dont work or need to be adjusted for sensitivity. So basically you're claiming that Joe Public has more knowledge about drugs than the doctors who studied 4 years of med school, 3-5 years of residency and 1-3 years of fellowship? Yeh, doubt it. Medicine is a constant battle and advertisements on tv are no help. DAily we deal with patients who DEMAND a certain drug bc they saw it on tv and it said it was better than what theyre taking.....


    I have seen that happen countless times with very good psychiatrists as well. One of the biggest risks of putting someone on antidepressants when theyre depressed is causing a manic episode.....i agree tho, i think if a GP is going to prescribe an antidepressant they should at the very least also be referred to a psychiatrist so they can change or adjust the drug or dose

    I hate to say it but its very easy to memorize information and think you know everything about treatment. I am amazed daily at how much more I learn every year and never realized how little i knew until my knowledge subsequently increased. In medical school I thought i knew all the pathophysiology, pharmacology, biochemistry, histology and anatomy available and then once i moved to the next part in my training i realized how little i knew.

    I'm not a pharmacist and I consult with them frequently but your attitude is out of line. If a pharmacist ever laughed at me for a question that would be the last I ever used them bc if you took them out of their little world and put them on the wards and having to do patient care they would fail miserably bc its not their field
     
  13. snoozan

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    I am not arguing with this. I lived with puking up my guts because I didn't drink enough water, feeling old and sluggish, and generally being sick for a long time when I was on lithium. I had blood tests all the time and put my kidneys at risk to arrest and avoid another manic episode.

    However, my problem is with the assertion that Effexor XR is a good treatment for anxiety without depression. It may work for some people better than other antidepressants, but the hell of Effexor discontinuation syndrome makes it a bad choice for a first or even second drug to try to cure anxiety disorders. GPs generally are not aware of this but instead rely on the pharma company's lunches, dinners, pens, sales reps, etc.

    Benzos are still prescribed by a vast majority of psychiatrists even with the abuse potential and addiction potential. Why? Because, as you said, the benefits outweight the risks. I have been on Ativan for 10 years off and on because it works and I can't tolerate SSRIs. I have been able to step up and down in dosage as needed. Psychiatrists prescribe benzos all the time. Ask a few.

    Actually it does not act as an SSRI. From the Wellbutrin PI (prescribing information) sheet (which you can get from http://www/wellbutrin-xl.com):

    Pharmacodynamics: Bupropion is a relatively weak inhibitor of the neuronal uptake of norepinephrine and dopamine, and does not inhibit monoamine oxidase or the re-uptake of serotonin. While the mechanism of action of bupropion, as with other antidepressants, is unknown, it is presumed that this action is mediated by noradrenergic and/or dopaminergic mechanisms.


    As you can see it is also not, and SNRI. The mechanism of action is unknown.

    I never said that. Just as the discontinuation syndrome from SSRIs and SNRIs (Effexor and Paxil being the worst) was never in the prescribing literature, it doesn't mean that the millions of people that have had to deal with it are lying and.or fabricating. There are many drugs that are prescribed off-label for psychiatric disorders. I've never denied this.

    That is not what you said and that's not what it does. See information from the PI sheet above.

    Yes, actually, I am two classes short of having a pharmacology degree. My information is not a list of memorized drugs of choice. I have spent the last 10 years of my life being on these medications, reading PI sheets, reading graduate-level psychiatry and psychopharmacology texts, reading the DSM, talking to psychiatrists, and, most importantly, talking every day to many many people on psychiatric drugs. Bipolar disorder and depression are debilitating. The only way I've been able to deal with my illness effectively is to have as much information as I possibly can so I can help myself and help others.

    I never argued this.

    Absolutely not. What I am saying is that a general practitioner is not qualified to treat mental illness except for possibly short term situational depression. A GP has done 1-2 rotations or so in psychiatry. Contrast this to a psychiatrist who has done said residency and fellowship in psychiatry.

    You're offended because I, "Joe Public (which I am not)," claim to know more than you on this particular subject. Guess what? I do. I am not a typical patient by any means. I do not claim to know anything about say, cardiac medicine, nor do I claim to know more than a good psychiatrist. I simply don't have the clinical experience a psychiatrist has. Neither does a general practitioner. What I do have is experience with being on most of these drugs at one time or another for more than 1/3rd of my life.

    I'm not arguing with this at all. I defer to my doctors in all cases, and have had many discussion about this very problem with them. I personally think pharmaceutical ads should be much more tightly controlled than they are because of this problem of which you are speaking.

    Bottom line, GPs should not be treating mental illness, cardiac problems, endocrine disorders, epilepsy, urologic problems, obstetrics and gynecology etc. so on. That's why there are specialists. A psychiatrist is a specialist. The risk of misdiagnosis and bad treatment is much higher with a doctor that does not treat mentally ill patients every day than with one for whom psychiatry is their sole area of practice.

    This is not what I've said or implied and it's not true. I don't know everything. Your facts were wrong. Period. I corrected you. Unless you are a psychiatrist, even if you are a doctor, you have no right practicing psychiatry or acting like you know anything about the clinical treatment of psychiatric disorders any more than a well-informed consumer would.

    Then you should be pleasantly amazed that I was able to teach you a bit about mental illness and some treatment from a patient's perspective.

    Exactly my point. A GP or a specialist in an area other than psychiatry has spent very little time on psychiatric wards and in clinics and they fail miserably because it's not their field.

    My attitude is out of line? Why, because I dared to argue with you and you claim to be a healthcare professional? I don't know WTF you are saying about pharmacists because all I said was that the information I have is readily available to consumers, health care professionals, and pharmacists.

    As a side note, I do not believe doctors should shoulder the entire burden of care for their patients. A patient should take the initiative and be proactive in their treatment, and treat doctors as educated consultants, not Gods. My health is, ultimately, my responsibility, and it is my job to do the most I can to help myself and also help the clinicians that I have hired to treat me.
     
  14. baseball99

    baseball99 New Member

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    Again youre arguing my point.....it does work for some people where benefits outweigh risks



    Dont belittle me and tell me to ask a few psychiatrists. It is common knowledge that benzos abuse potential is ridiculous. Are they used, yes. Do they work, yes. Do people become addicted to them and claim its the only thing that helps, yes. If you can trust the patient then theyre good drugs, otherwise there are better choices and that is coming directly from psychiatrists



    Other sources say it does minimally inhibit reuptake of serotonin. However, arguing about which receptors it inhibits is almost irrelevant. But what we have noticed is that we are both using excellent resources that do contradict each other a bit


    yes it is wha ti said


    congrats, and i mean that seriously. Which pharm degree, im just curious. I dont doubt you are knowledgable on the subject, however, like i said clinical application is much different




    I agree to an extent. I think certain psychiatric disorders can effectively be treated by GP's. I think anxiety and several others are easily treatable and dont need psychiatric referral. Also, there are a lot of people who will not see a psychiatrist bc of stigma.....to deny treating those people would be wrong

    Im not offended when someone knows more than me. I think your rote memorization of psychopharmacology exceeds mine. I dont deal extensively in the psyciatric field. What i do disagree with tho if using personal experience.....what worked for you may not work for someone else and may be dangerous. Yes it increases your empathy but be careful to not let it lower objectivity



    I remember arguing with a patient bc we had prescribed azithromycin for a URI and he demanded a Z-pack.....could not convince him it was the same thing. This is almost a daily thing and patients always think newer is better which is not always the case.....especially in psychopharm bc that area is notorious for relabeling for patents



    I disagree.....I think GPs should be treating all those. Specialists are overused and sometimes having too much knowledge on an area can hurt a patient bc they dont remember the interactions of other disorders. GPs should treat all the above and when they get too complex or are unresponsive should seek specialists. Everyone with chest pain does not need to be referred to a cardiologist.....a GP is more than capable of ordering and interpreting EKGs, 2D echos, cardiac enzymes and stress tests. When positive thats when they should be referred, not before. It is not always beneficial to refer



    I am able to act like i know more about clinical treatment than a well-informed consumer bc no matter how much that well informed consumer has read they will not have the same level of understanding and didactics as people who go through medical school


    Your attitude is out of line in your approach.....you blatantly attack with the YOURE WRONG DONT SPEAK UNLESS YOU KNOW EVERYTHIGN APPROACH.....its wrong and unprofessional. You may know more about psychopharm than me and thats fine.....but your knowledge of interaction and patient care is minimal compared to mine. Why bc i have studied and practiced it for years. Your approac was not tactful at all and showed poor taste. What i said about pharmacists was they know more about pharmacology than doctors yes of course, however, clinically practicing medicine and memorizing drugs is completely different and if a pharmacist acts superior in every aspect they wont be on the team long

    It is ultimately in the hands of the patient.....and doctors are not looked at as gods.....spend some time on the wards and you will see how far from reality that is. What I do demand is mutual respect. Everyone is entitled to being frustrated but I dont have any obligation to treat anyone who consistently is disrespectful to me.....
     
  15. snoozan

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    So really this is all about your bruised ego, right?
     
  16. mephistopheles

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    I was diagnosed with Depression a few years ago aswell, and along with councelling I recieved a prescription for Paroxetine(Generic Paxil)

    My side affects:

    Stomach Aches
    Chest Irritation
    Suicidal Tendencies

    So yea... I stopped taking that and never looked back. My life is 100 times better without the pills or shrinks.
     
  17. baseball99

    baseball99 New Member

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    my ego is far from bruised and can withstand anonymous internet forums.....this conversation is off-topic. if you wish to continue then pm me
     
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