Our expert says:
There should be no difference at all. Both are preparations of the same active drug, citalopram. One is the original form in which it was marketed, the other is a generic equivalent, required, before it could be registered for sale, to prove that it was biologically equivalent in every significant way. Your pharmacist is really not qualified to comment on these matters ( in terms of clinical effectiveness ) and of cours,e if he gives a falsely negative iew of Cilift to all those to whom he dispenses it, they may well experience less benefits because of the negative expectations he is creating, rather than for any other reason. Doctors, particularly GPs, are also generally little informed about such matters and over-influences by the pretty girly sales reps that visit them. As the originating company mde enormous sums out of selling Cipramil, and lost income when Cilift arrived, they would have been keen to persuade gullible GPS that there was some mysterious difference when there is none. If Citalopram, the only active ingredient, suits you, either version will do as well. If it doesn't suit you best, then neither would be best.
Weight gain is not inevtiable on any psychotropic drug, and if it didn't bother you earlier on either drug, its not likely to start now.
SNRI's can have the same side-effects as SSRI's PLUS the side-effects more typical of an older family of antidepressants, and can be a bit stimulant in people with major anxiety symptoms. And remember, there is wide idividial variation in our internal chemistry and hency in our responses to all drugs
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