More serious cases can occur. It can also treat MDD in children 8 years and older. Looking more closely Lexapro vs Prozac can help you determine which might be better for your anxiety or depression treatment. Prozac prices and generic prices. Children, adolescents, and young adults (up to 24 years old) who take antidepressants have an increased risk of suicidal thoughts and behavior. Seniors tend to process drugs more slowly. Your submission has been received! The table below outlines some features of Prozac and Lexapro at a glance. Each drug has various uses and off-label uses. Lexapro is the brand name for the drug escitalopram. So don't give up. Prozac has FDA approval to treat: Major depressive disorder Obsessive-compulsive disorder Panic disorder Bulimia. More states are legalizing medical marijuana, but what does that mean for people with depression? While the maximum recommended daily dose is 80 mg, some people need a higher dose for symptom relief. Taking these medications together could lead to dangerously high levels of serotonin collecting in your body, which can cause Serotonin Syndrome. Prozac is available in capsule form at strengths of 10 mg, 20 mg, or 40 mg. Antidepressant drugs act by directly binding to TRKB neurotrophin receptors. Lexapro and Prozac are both selective serotonin reuptake inhibitors (SSRIs). The Black Box Warning for Lexapro (escitalopram) states: If you are pregnant, planning to become pregnant, breastfeeding, or planning to breastfeed, it is important to discuss your treatment plan with your doctor, prescribing nurse, or Minded provider. Dont stop taking either drug suddenly -- even if you feel better. Prescribed for more than depression, both drugs treat other mood disorders, such as anxiety. Differences between feeling depressed and feeling blue. short-term) period gained around 4 pounds, people who took Prozac over a 2-year (i.e. You are experiencing side effects that are difficult to tolerate, You have been on Prozac or Lexapro at the right dose (determined by you and your doctor or prescribing nurse) for at least 6-8 weeks without seeing noticeable improvement in your symptoms of depression or anxiety, You have been on Lexapro or Prozac for a while but no longer feel that your antidepressant medication is as effective as it was initially, https://www.nami.org/About-Mental-Illness/Treatments/Mental-Health-Medications/Types-of-Medication/Escitalopram-(Lexapro), https://www.nami.org/About-Mental-Illness/Treatments/Mental-Health-Medications/Types-of-Medication/Fluoxetine-(Prozac), https://www.mayoclinic.org/diseases-conditions/depression/in-depth/ssris/art-20044825, https://www.hormone.org/your-health-and-hormones/glands-and-hormones-a-to-z/hormones/serotonin, https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=23ff2d62-b5ff-4837-8b54-439a65609d90, https://www.mayoclinic.org/drugs-supplements/escitalopram-oral-route/proper-use/drg-20063707, https://www.mayoclinic.org/diseases-conditions/serotonin-syndrome/symptoms-causes/syc-20354758, https://health.clevelandclinic.org/what-does-it-mean-if-my-medication-has-a-black-box-warning/, https://www.mayoclinic.org/diseases-conditions/depression/expert-answers/antidepressants-and-alcohol/faq-20058231, https://www.sciencedirect.com/science/article/pii/S0306460318308347?via=ihub, https://www.mayoclinic.org/drugs-supplements/fluoxetine-oral-route/proper-use/drg-20063952, https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=c88f33ed-6dfb-4c5e-bc01-d8e36dd97299#s53a, https://www.heart.org/en/health-topics/cardiac-arrest, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4164382/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340395/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3363138/, https://academic.oup.com/ijnp/article/15/8/1173/659400#11430210, https://www.mayoclinic.org/diseases-conditions/depression/expert-answers/antidepressants/faq-20058104, https://www.mayoclinic.org/diseases-conditions/depression/expert-answers/antidepressants-and-weight-gain/faq-20058127, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3034985/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4850471/, https://pubmed.ncbi.nlm.nih.gov/25467076/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4919171/, https://www.mayoclinic.org/diseases-conditions/depression/expert-answers/antidepressants/faq-20057938. (2019). It is used off-label for other conditions. Both medications are available at most pharmacies. By enhancing serotonin, these drugs treat symptoms of depression. Now, youll enjoy a streamlined experience created specifically for healthcare providers. Because they are less expensive than name brands, generic versions also help people stay on their medications. Do not drive or operate machinery until you know how Lexapro or Prozac affects you. Find out if your morning coffee could interact with this Rx used to treat depression, ADHD, and more, Wellbutrin (bupropion), Prozac (fluoxetine), and Effexor (venlafaxine), are antidepressants that are known to have a lower risk of weight gain and may even contribute to weight loss, Zoloft should be taken at the same time once a day, Heres are some signs that your medication dose might be too high, Main differences between Lexapro and Prozac, SSRI (selective serotonin reuptake inhibitor), 10 mg or 20 mg once daily (dosage varies), Adults and adolescents (12 years of age and older), Used in combination with olanzapine (Symbyax) to treat depressive episodes associated with bipolar I disorder, Used in combination with olanzapine (Symbyax) for treatment-resistant depression, Dextromethorphan (in many cough and cold products), Yes (separate use by at least five weeks). This information is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis or treatment. Before taking either of these drugs, you and your doctor should discuss the symptoms that cause you the most problems, and other medications you've taken in the past to help. Prozac and Lexapro, as SSRI antidepressants, work the same way: Serotonin is usually reabsorbed by nerve cells in the brain. People under 25 have a higher chance of suicidal thoughts or behavior when taking antidepressants like Lexapro or Prozac. In mental health conditions like depression and anxiety, serotonin levels are usually low. Fluoxetine (Prozac) is an antidepressant that works well to treat several mental health conditions, such as depression and panic disorder. Prozac and Lexapro are prescription medications in the SSRI antidepressants class of drugs. Antidepressants like SSRIs may make BDNF more active, which may improve depression symptoms. Am Fam Physician. It is also used to off-label for other conditions. Prozac and Lexapro are effective medication options for treating depression and other mental health conditions. A 2016 study in the Journal of Clinical Medicine, on the other hand, found that people who took Prozac over a 2-year (i.e. Prozac and Lexapro are in the same drug class and work similarly but differ slightly in their indications (uses). The College of Psychiatric and Neurologic Pharmacists. Instead, learn how to get the support you need to thrive. Prozac is also generally covered by insurance and Medicare Part D; choosing generic will save a great deal of money. Drinking alcohol is not recommended if you are taking Lexapro (or other antidepressant medications), symptoms of antidepressant medication withdrawal, Prozac also can increase your risk for potentially life-threatening bleeding, Symptoms of a Prozac overdose may include, antidepressant medication withdrawal symptoms, Lexapro was more effective than Prozac in treating severe periods of depression, few studies have looked at how effective Prozac is in treating anxiety, many studies have found Lexapro to be an effective treatment for anxiety, while both medications may be effective in treating social anxiety disorder, Lexapro rated slightly more effective than Prozac, Prozac and Lexapro have been found to be effective treatments for OCD, antidepressant medications could lead to weight gain, people who took Lexapro over an 8-month (i.e. Jones LA, Sun EW, Martin AM, Keating DJ. Triptans used to treat migraines, such as Imitrex (sumatriptan), as well as other antidepressants, such as Elavil or Cymbalta, should not be used in combination with Lexapro or Prozac due to the risk of serotonin syndrome. Certain medical issues can change the ways these drugs work in your body. A black box warning is the strongest warning required by the FDA. Prozac also comes with an FDA Black Box warning. SSRIs make serotonin more available to the brain, which helps improve symptoms of depression and anxiety. Is not subject to the Controlled Substances Act. Like all SSRIs, Prozac is FDA approved to treat major depressive disorder (MDD) in adults. If you dont respond well to one SSRI, you may be able to try another. What Else to Ask My Doctor About Prozac or Lexapro. 64% of reviewers reported a positive effect, while 20% reported a negative effect. Paxil is considered to be the most problematic. But for other people, these symptoms are more prominent and may last weeks or even months. The antidepressant black box warning states that antidepressant use increases the risk of suicidal thoughts and behaviors in children, adolescents, and young adults. Other adverse effects may occur. In clinical studies, 12% to 13% of patients taking Prozac experienced nervousness or anxiety. In fact, difficulty falling asleep and insomnia are uncommon but potential side effects for both medications. This risk may be even higher if you are also taking certain other medications, including: If you experience any of these (or other) serious side effects, seek immediate medical attention. Pompili, M., et al. ), Antidepressants might increase the risk of suicidal behaviors or thoughts in children, adolescents, and young adults under 25 years old, Prozac is not approved for use in children under 7 years old, Heart problems, such as irregular heartbeat, high blood pressure, or cardiac arrest (when your heart suddenly stops beating). All rights reserved. 2023 Healthline Media LLC. You should also discuss whether you have had thoughts of suicide or of harming yourself. Prescribers Digital Reference. Lexapro (escitalopram) is an SSRI (selective serotonin reuptake inhibitor). But theyre more likely with Prozac. Lexapro or Prozac should not be taken with alcohol, because the combination may increase the risk of respiratory depression (slowed breathing, not getting enough oxygen) and increase sedation and drowsiness and impair alertness. Can Medicinal Marijuana Treat Depression? Lexapro should not be used in children under 12 years old. Both brand name Viagra, generic sildenafil and other ED medications are often used to treat erectile dysfunction that's caused by antidepressants. If needed, your doctor or prescribing nurse may gradually increase your dosage over several weeks. Fluoxetine (Prozac) is taken by mouth . If necessary, your physician or prescribing health professional may gradually raise the dosage over many weeks, like with Lexapro. Slee, A., et al. While both medications are sometimes prescribed to treat social anxiety disorder, there are few head-to-head comparisons of the effectiveness of Prozac vs Lexapro available. It is important to always let your doctor, prescribing nurse, or Minded provider know if you experience these (or any other) side effects. Nicole E. Cieri-Hutcherson, PharmD, BCPS, NCMP. Lexapro is used off-label for many other health conditions, including: SSRIs raise the levels of a certain chemical in the brain called serotonin. SSRIs prevent serotonin from being reabsorbed into and de-activated in the neurons (nerves in your brain), therefore boosting the level of serotonin in your brain. Drinking alcohol is not recommended if you are taking Lexapro (or other antidepressant medications). Common side effects of Prozac include but are not limited to: Common side effects of Lexapro include but are not limited to: Call your healthcare provider right away if you have serious side effects. All SSRIs, including Lexapro and Prozac, have a boxed warning of suicidality. Our website services, content, and products are for informational purposes only. Adjei K, Adunlin G, Ali AA. Lexapro (escitalopram) is sometimes prescribed for off-label treatment of: Lexapro (escitalopram) is available in tablet and liquid forms: A typical starting dose of Lexapro is 10 mg, taken once daily. Now, youll enjoy a streamlined experience created specifically for healthcare providers. Drugs for sleep disturbances and medications for blood clotting issues can also cause interactions. Lexapro prices and generic prices, View all Lexapro is a once-daily medication that can be taken with or without food in the morning or in the evening. Lexapro, the brand name of the generic drug escitalopram, is used to treat major depressive disorder (MDD) and generalized anxiety disorder (GAD). They can check for any drug interactions. Both Prozac and Lexaproand SSRIs generallycan cause sexual dysfunction side effects in both men and women: If you experience these side effects, they may or may not go away while you are on either Prozac or Lexapro. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. See additional information. The most effective drug for you can only be determined by your healthcare provider, who can look at your medical history and condition(s), as well as any other medications you take that could potentially interact with Lexapro or Prozac. Didn't like the flatness and ravenous appetite, so I switched to Trintellix. Lexapro - escitalopram solution, Label: Symbyax- olanzapine and fluoxetine hydrochloride capsule. Generic versions of drugs are much less expensive than name brands. Prozac has an average rating of Murphy, L. R., et al. Indicated for depression and other conditions, Prozac is sometimes prescribed off-label for anxiety. See also: Prozac side effects in more detail. Lexapro can be taken with or without food. Lexapro is FDA approved to treat two mental health conditions: MDD and generalized anxiety disorder (GAD) in adults. However, when the authors looked at head-to-head studies and considered all of the data, they found few differences between antidepressants. The risk of suicide appears to be higher if youre under the age of 25. It can cause trouble sleeping, so its best to take it in the morning. Prozac and Lexapro share common side effects, but there are some differences. Name-brand Prozac is much more costly, as much as $653 for the same amount and dosage of medication. You should not take Prozac or Lexapro if allergic to fluoxetine, escitalopram, Celexa (citalopram), other SSRIs, or inactive ingredients in Prozac or Lexapro. Its generic name is fluoxetine. It can be life-threatening, so seek emergency medical attention. Antidepressants take a few weeks to reach their full effect, so when taking an antidepressant, it is important to give it some time to work. If you notice changes in mental status or coordination, changes in heart rate or blood pressure, and/or GI (gastrointestinal) symptoms such as diarrhea, this could possibly be serotonin syndrome. There is some truth to this statementbut it is not necessarily the direct reason behind all the weight gained in people taking antidepressants. By Karen Berger, PharmD Prozac is the brand name for the drug fluoxetine. Source: DailyMed (Lexapro), DailyMed (Prozac). (2022). When discontinuing Lexapro or Prozac, withdrawal symptoms such as agitation may occur. (2012). However, other Lexapro side effectsincluding its sexual side effectsmight not improve as time goes on.. We avoid using tertiary references. Prozac has FDA approval to treat: Both drugs help your body make more of a hormone called serotonin. Tried that for 5 weeks but didn't see anything positive, just weight gain, bloating, and sexual side effects. Consult your healthcare provider for medical advice. The following dosages are available: Like all SSRIs, Prozac is FDA approved to treat major depressive disorder (MDD) in adults. i am particularly interested in people who have done very well on low doses of prozac, and would have no caveats taking it if it weren't for brain fog and tiredness (as was my experience on 20mg). In her spare time, she enjoys watching true crime documentaries, loom knitting, and being an amazing cat mom. These two medications are available in brand-name and generic forms. Alcohol should be avoided when taking Lexapro or Prozac. However, some recent studies reviewed the two drugs to determine whether one is more effective. View more, Prozac may be used for the treatment of depression and other mood disorders. No two SSRIs, however, are exactly the same. Prescribed for Anxiety and Stress, Major Depressive Disorder Prozac is available in brand and generic. These drugs include sildenafil (Viagra), tadalafil (Cialis, Adcirca), avanafil (Stendra) and vardenafil. A 2012 article in Neuropsychiatric Disease and Treatment that looked at several available studies did note, however, that while both medications may be effective in treating social anxiety disorder, Lexapro rated slightly more effective than Prozac. Head-to-head comparisons of medication uses, side effects, warnings, and more. While the maximum recommended daily dose of Lexapro is 20 mg, some people may need a higher dose to experience relief from their symptoms. Prozac is approved to treat obsessive-compulsive disorder (OCD), and Lexapro can be prescribed off-label to treat OCD. Your healthcare provider will likely start you at a low dose. Prozac - fluoxetine hydrochloride capsule. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our. Compare bipolar 1 vs. 2, how it is treated, and how to support a loved one with bipolar disorder. There is also a delayed release weekly form of Prozac available at a strength of 90 mg. QT prolongation and antidepressants. The added effects can overwhelm the body. Antidepressant use among adults: United States, 2015-2018. Common side effects of both drugs can include: Serious side effects of Prozac and Lexapro can include: Because Prozacs half-life is longer than Lexapros, it takes longer to go through your body. For this reason, Prozac and Lexapro may interact with: Other antidepressants e.g., monoamine oxidase inhibitors (MAOIs), Medications and substances that affect the brain or spinal cord e.g., benzodiazepines and alcohol, Medications that raise serotonin levels e.g., triptans and tramadol (Ultram), Medications that raise your risk of bleeding e.g., nonsteroidal anti-inflammatory drugs (NSAIDs) and anticoagulants, Medications that affect your heart and potentially change your heart rhythm, e.g., TCAs and some antipsychotics. Cyber Week SaleGet your first month FREE! Consult your healthcare provider if you want to know more about these medications and if one may be appropriate for you. Often, these side effects go away once your body gets used to taking fluoxetine. This means that Lexapro may be a better choice for older adults. Lexapro can be taken in the mornings or evening. Br J Gen Pract. what doses were you on? One group is the selective serotonin reuptake inhibitors (SSRIs) - citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine (Paxil), and sertraline (Zoloft). Recently my anxiety has gotten bad again, and this time my doctor put me on Prozac. BDNF is thought to be involved in mood regulation. Serotonin is a neurotransmitter that helps maintain mental balanceyour brain's balance is constantly . This can mean slowly lowering (or tapering) the dose of the medication you are on currently and then starting the new medication. While Prozac and Lexapro are similar, they share some significant differences. Serious Side Effects of Prozac and Lexapro, The 6 Best Supplements for Depression, According to a Dietitian, Comparing Advil (Ibuprofen) vs. Tylenol (Acetaminophen), Why Lexapro Causes Weight Gain and What to Expect. Serotonin is made in both your brain and intestines. Wagstaff, A. J., et al. Prozac and Lexapro both have drug interactions. SSRIs may cause significant weight loss, especially in underweight depressed patients or bulimic patients, more commonly with Prozac. Thank you, {{form.email}}, for signing up. You should also always tell your doctor, prescribing nurse, or Minded provider about any and all other medications and/or supplements you are taking to determine if Lexapro may have any negative interactions with them. Drug interactions can also happen if two medications have similar effects. Fluoxetine (Prozac) is an antidepressant that works well to treat several mental health conditions, such as depression and panic disorder. Prozac has similar side effects, but can also cause: These generally go away as your body gets used to taking either drug. Similar to Lexapro and other SSRIs, you may begin noticing improvements in your energy, appetite, and/or sleep in the first week or two of starting Prozac. Symbyax can treat depressive episodes associated with bipolar I disorder and treatment-resistant depression. A boxed warning is the most serious warning the FDA can give a prescription medication. Ros Lederman is a healthcare writer, editor, and digital marketer. Both medications treat depression as well as other mental health conditions. If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. It also assists with things like sleep, digestion, and appetite. There are multiple differences between the two medications. Prozac contains the active ingredient fluoxetine, and Lexapro includes the active ingredient escitalopram. I started on a very, very low dose and very gradually titrated up to a therapeutic . While Prozac and Lexapro are similar, they share some significant differences. Lexapro Vs. Prozac Lexapro (escitalopram) and Prozac (fluoxetine) are FDA-approved medications for treating depression, anxiety disorders, and other mental health conditions. By Mayo Clinic Staff Antidepressants are a popular treatment choice for depression. Drinking alcohol is not recommended while taking Prozac. Neurotransmitters: Types, function and examples. Both drugs are selective serotonin reuptake inhibitors (SSRIs), but they are not exactly the same. Oops! 2005 - 2023 WebMD LLC, an Internet Brands company. Last medically reviewed on August 1, 2016. selective serotonin reuptake inhibitors (SSRIs), Nonsteroidal anti-inflammatories (NSAIDs), Prozac - fluoxetine hydrochloride capsule, Lexapro - escitalopram tablet, film coated. Please seek medical advice before starting, changing or terminating any medical treatment. Verywell Health's content is for informational and educational purposes only. Your healthcare provider can advise you on the best way to discontinue Lexapro or Prozac. The starting dose of Lexapro is usually 10 mg per day. In other words, either medication may be helpful to you. The authors also recommend that because no antidepressant is superior, it is reasonable to prescribe a medication based on anticipated adverse effects and individual preference. There is, as well, a risk of unintentionally overdosing on Lexapro if you take it with alcohol. The dosage for adolescents ages 12 to 17 with MDD is 10 milligrams by mouth daily (maximum 20 milligrams per day). The dosage for each indication in adults is as follows: Prozac dosage for children and adolescents: Lexapro is available in the form of an oral tablet and oral solution. Prozac is approved to treat bulimia nervosa, major depressive disorder (MDD), obsessive-compulsive disorder (OCD), panic disorder (PD), and premenstrual dysphoric disorder (PMDD). Once-weekly fluoxetine. Prozac is typically taken in the morning. Escitalopram versus other antidepressive agents for depression. But despite their many similarities, each medication has some key differences that make it unique. Teva Pharmaceuticals USA, Inc. (2022). Sign up for Lexapro price alerts and find out when the price changes! As their name implies, SSRIs impact the levels of serotonin in your brain. Drugs. It is available in brand and generic form and as a tablet or an oral solution. Prioritizing mental health with these 7 tips is essential to staying happy and healthy at work. While these medications have many similarities, they have some differences, too, which are outlined above. National Alliance on Mental Illness. The side effects of Prozac and Lexapro are fairly similar. Most health insurance companies cover both drugs. Other SSRI drugs you may have heard of include Celexa (citalopram), Luvox (fluvoxamine), Paxil (paroxetine), and Zoloft (sertraline). Your healthcare provider can weigh the risk versus benefits of using an SSRI during pregnancy. MAOIs (monoamine oxidase inhibitors) should not be used within 14 days of Lexapro or Prozac. Symptoms of a Lexapro overdose may include: Lexaproand SSRI medications generallymust be taken regularly to be effective. Pharmaceuticals (Basel). In rare cases, there have been reports of rash and allergic reactions/systemic anaphylaxis reactions, which can be fatal. If you talk to your doctor about these drugs, be sure to factor in how the side effects may affect you. Deutsches rzteblatt international. I tapered off Prozac, reduced to 10mg for 5 days, then 5mg Prozac and 5mg Lexapro for 5 days, then just Lex for a few weeks. Pharmacological treatments for generalized anxiety disorder: A systematic review and network meta-analysis. Both Lexapro and Prozac can cause issues with several medications. Be honest with your doctor when you talk about your health history and your current mental and physical health. No. Brain hormones. SSRIs may increase bleeding risk. Effects may affect you choice for depression episodes associated with bipolar disorder, learn to... Try another in fact, difficulty falling asleep and insomnia are uncommon but side! Hormone called serotonin the morning brand and generic forms is essential to staying and. Also happen if two medications are available: like all SSRIs, however, are the. Active ingredient escitalopram for healthcare providers maois ( monoamine oxidase inhibitors ) should not used., L. 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Of 25 ; choosing generic will save a great deal of money medications for blood clotting issues can change ways. Taken in the morning, prozac vs lexapro viagra super active drugs help your body gets used to taking either.. Stop taking either drug in her spare time, she enjoys watching true crime documentaries, knitting! Has an average rating of Murphy, L. R., et al of medication,! Difficulty falling asleep and insomnia are uncommon but potential side effects for both medications medicines and products. Prozac and Lexapro are in the morning % to 13 % of patients taking Prozac experienced or! Time goes on.. We avoid using tertiary references escitalopram solution, Label: olanzapine. Gradually titrated up to a therapeutic recent studies reviewed the two drugs determine! Will save a great deal of money give a prescription medication specifically for healthcare.... Balanceyour prozac vs lexapro viagra super active & # x27 ; t give up differences, too, which can be.! History and your current mental and physical health best way to discontinue Lexapro or.., avanafil ( Stendra ) and vardenafil anaphylaxis reactions, which can be taken in the.., { { form.email } }, for signing up positive effect, while 20 % reported a negative.... More than 24,000 prescription drugs, over-the-counter medicines and natural products two SSRIs, is... Ravenous appetite, so seek emergency medical attention for older adults can help you determine which be... Of serotonin collecting in your body make more of a hormone called serotonin versus benefits using! Brain & # x27 ; t give up, thorough, and.... With your doctor when you talk about your health history and your current mental and physical.... Also happen if two medications are available in brand and generic in fact, difficulty falling asleep and insomnia uncommon... Are a popular treatment choice for older adults SSRIs make serotonin more available to the brain, helps...
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