A Deep Dive into Citalopram and Escitalopram

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The Psychopharmacology Institute has recently published a comprehensive article on citalopram and escitalopram.

This article is a must-read for clinicians who want to deepen their understanding of these two commonly prescribed antidepressants.

Some pearls extracted from the article:

  • Both citalopram (Celexa) and escitalopram (Lexapro) have low potential for drug-drug interactions due to their minimal inhibition of CYP450 isoenzymes.

  • Citalopram has been linked with QT prolongation. While it was initially approved for use in doses ranging from 20 to 60 mg/day, in 2011 the FDA recommended against its use in doses higher than 40 mg/day.

  • A helpful prescribing tip highlighted in the article is that the equivalent dose of escitalopram is half that of citalopram.

Here’s what you can expect to learn:

  • Pharmacology
  • Dosage forms and available strengths
  • FDA-approved indications and dosing
  • Off-label uses
  • Switching
  • Pharmacokinetics
  • Side Effects
  • Special populations

Citalopram and Escitalopram: A Summary of Key Differences and Similarities