Escitalopram (Lexapro) came on the market once citalopram (Celexa) lost it patten.
Citalopram (Celexa) also causes mild antagonistic effects at H1 histamine receptors causing drowsiness which is difficulty to tolerate being a young man.
I will share with you that I never start patients on citalopram. Certainly I have patients that are on it for many years and doing fine, so I will not change it, but the better choice for new starts is escitalopram (Lexapro). Escitalopram (Lexapro) is the newer version and is clearer in that it has less potential to cause QT prolongation and 20mgs of citalopram is equal to 10mgs of escitalopram. Escitalopram is considered the best tolerated and has the fewest CYP mediated drug interactions.
1. Why should patients avoid NSAIDs when taking SSRIs?
2. What will you tell your patient about the black box warning they will see on the box when they pick it up at the pharmacy?
3. Will you advise them about firearms for example?
4. Why is it imperative to complete the MDQ and check for symptoms of ‘DIGFAST” prior to prescribing an SSRI Michael?
a. Answer the 4 questions above. Engage by asking questions, and offering new insights, applications, perspectives, information, or implications for practice. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice. Communicate with minimal errors in English grammar, spelling, syntax, and punctuation. Use current 7th edition APA format to format citations and references and is free of errors. References must be within 5 years. And scholarly. A total of 2 references are needed with one reference provided for you below.
Stahl, S. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (5th ed.). Cambridge University Press.