All about Xanax
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Celexa and XanaxAlmost everyone has experienced the feeling of being let down at least once in their life — it’s when it feels like the world around you is falling apart and there is no way to escape that. This exact feeling is called depression and, unfortunately, its influence on the person’s life is extremely underestimated.

Depression is a nervous system disorder that influences every aspect of our lives. If not treated properly, it can grow into severe forms and even pose fatal threat. More than 20% of the US population have been diagnosed with this dysfunction, 48% of which experience the severe form of it.

An average depression medication list includes Xanax, a medication with worldwide popularity. But you can come across other medicine, like Celexa. What is the difference between these two drugs? Can you take Xanax with Celexa? Let’s find out.

Is Celexa like Xanax?

The difference between Xanax and Celexa is that these drugs have different classification. Xanax is a psychoactive benzodiazepine while Celexa belongs to the SSRI class (it stands for the selective serotonin reuptake inhibitor). Nevertheless, both Xanax and Celexa can be applied for similar purposes.

Alprazolam vs. Citalopram

Alprazolam is the active substance of Xanax and its primary use is to treat various kinds of anxiety, severe depressive states and panic attacks. Sometimes this substance is also applied for relaxation and  relieving menstrual pains.

Celexa is mostly prescribed for treating major depression, although there are other off-label applications, like:

  • Frequent panic attacks
  • Anxiety
  • Obsessive compulsive disorder
  • Dysthymia
  • Body dysmorphic disorder
  • Premenstrual pain treatment

Celexa vs. Xanax: Drug Forms and Application

Xanax is manufactured by various companies, but the original version is under the patent of Pfizer. Generic Xanax pills variations are widely presented on the market. Celexa compared to Xanax is produced by only one manufacturer, which is Forest Pharmaceuticals Incorporation.

Pill forms

To make the dosing more accurate and comfortable for everyone, Xanax is issued in different strengths:

You can easily avoid confusion as all pills are coloured with different dyes according to the dose.

Original Xanax (Alprazolam) 0.5-2 mg tablets have divisions for splitting.

Celexa is presented in three types of Citalopram doses:

  • 10 mg
  • 20 mg
  • 40 mg

The tablets are coloured beige, orange and white correspondingly. 20mg and 40 mg pills have oval-shaped divisions.

Dosing Xanax or Celexa

Xanax treatment should start with small doses, which have to be increased slowly ever 2-3 days basing on the patient’s responses. The recommended first intake should comprise 0.25-0.5 mg of Alprazolam taken three times a day. The maximum allowed dose is 10 mg per day. The best result is achieved if the pills are applied after the meal with a big amount of water.

Celexa should be taken only once a day at the initial amount of 20 mg. Like Alprazolam, Citalopram doses have to be increased, but less frequently. The recommended step is 20 mg per week. There are no restrictions regarding the daily limits, but the doses exceeding 40 mg/day are not recommended. Bigger amounts prolong the QT interval on the electrocardiogram.

Xanax vs. Citalopram: Side Effects

The most frequently reported reactions to Celexa and Xanax are presented in the table below.

Drug (component) Alprazolam (Xanax) Celexa (Citalopram)
Rating 33.13/5 3.16/5
Adverse reaction Drowsiness, dizziness, blurred vision, headache, memory problems, trouble concentrating, sleep problems, swelling in limbs, muscle weakness, lack of balance and coordination, slurred speech, upset stomach, nausea, vomiting, sweatiness, dry mouth etc. Several, including nausea, dry mouth, vomiting, sweating, headaches, tremors, drowsiness and inability to sleep.

Male patients often suffer from erectile dysfunctions during the Celexa treatment. The symptoms also include the lack of interest in sexual intercourses, having troubles with achieving and maintaining erections.

Precautions

It is extremely important to consult a professional doctor before taking the medicine. Xanax and Celexa are not appropriate for treatment during both pregnancy and breastfeeding. The drugs’ active components are dangerous to children and can cause difficulties with birth.

Celexa and Xanax are designed for patients over 18 years old and have to be prescribed with extreme carefulness to elderly people. Alcohol or drug consumption during the treatment is strictly forbidden.

Allergic reactions

Face and/or tongue swelling, hives, heartburns, fever, skin rashes and difficulties with breathing indicate the allergy to Xanax or Celexa. Stop taking the pills once you have noticed any of the above mentioned reactions. The best way to avoid having allergic reactions is to check for allergies to the drugs’ components before taking them.

Xanax vs. Celexa: addiction and withdrawal

Numerous studies have proven the addiction-forming properties of Xanax. Dependence on the drug might occur because of the misuse or inaccurate dosing management. Xanax withdrawal is rather hard for the patient and has to be done slowly and gently.

Celexa compared to Xanax is not habit-forming and is safe to take during the period of treatment. Nevertheless, there is no scientific evidence to support that statement.

Overdose

The signs of Xanax or Celexa overdose include the following:

  1. Extreme drowsiness
  2. Fainting
  3. Being totally unable to control your movements
  4. Muscle weakness
  5. Low blood pressure
  6. Coma

If you are having any of the above described symptoms, get the emergency at once as overdose might lead to death!

Can you mix Xanax and Celexa?

Xanax and Celexa influence brain chemicals and nervous system. This means that mixing Celexa and Xanax would double the effect, and it might lead to dangerous consequences. Patients are more likely to experience major and hazardous side effects and get overdosed. Talk with your physician and consider the possible consequences of taking Xanax with Celexa.

Dr. Andrew J. Olson

Author: Dr. Andrew J. Olson

Dr. Andrew J. Olson is a PHD in psychiatry. He is also a psychiatrist consultant at the Royal Berkshire NHS Foundation Trust. He also serves as a Clinical Director of the Department of Psychiatry, at Royal Marsden Hospital, in London, UK.


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Almost everyone has experienced the feeling of being let down at least once in their life — it's when it feels like the world around you is falling apart and there is no way to escape that. This exact feeling is called depression and, unfortunately, its influence on the person’s life is extremely underestimated. Depression is a nervous system disorder that influences every aspect of our lives. If not treated properly, it can grow into severe forms and even pose fatal threat. More than 20% of the US population have been diagnosed with this dysfunction, 48% of which experience the…
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