Overview

Finding a good psychiatrist to speak to online that fits with your life schedule may seem difficult, but over the last few years there has been a rise in online psychiatry platforms that can help. Through these platforms, a psychiatrist delivers counseling through the Internet to help diagnose, treat, and prevent mental health conditions. Psychiatrists with various fields of expertise are available online, including those who specialise in substance abuse disorders, eating disorders, depression, and anxiety treatments, among others. To become qualified as a psychiatrist requires years of training alongside experience in treating patients, and this can be proven with certificates and state-board licenses. 

If you are looking for an online psychiatry platform, you should consider a few things, including the interaction methods, payment options, and confidentiality of your persona online. To help your search, we have reviewed several of the best online psychiatry platforms for you. Check it out.

What are the best online psychiatry platforms? 

There are a myriad of online psychiatry platforms that deliver mental health treatment via the Internet. Some have a wider specialization in depression, anxiety, addiction, eating disorders counseling, while some may offer therapy alongside medication support. Check out our top 5 picks which may help support you.

• Best Overall: Brightside
• Best for medication with therapy support: Brightside
• Best Value: Cerebral
• Best for those looking for conditions such as anxiety/depression: PlushCare
• Best for insurance coverage: Doctors on Demand

Why choose online psychiatry? 

Many online psychiatrists combine the practice of online counseling with face-to-face therapies in their clinical settings. Depending on the severity of mental health conditions, individuals may not get a doctor’s approval for online psychiatry due to the need for complex treatment in-person. However, if approved, an online psychiatrist may be good for: 

• Convenience. At the touch of a button, you can access an online psychiatrist and start treatment for your particular mental health condition through a mobile phone or any other device with the Internet connection.
• Waiting time. You do not need to sit in a waiting room for a doctor as  you decide on the time for a conversation.
• Follow-ups. Online platforms are designed to have up to 8 times more follow-ups with your doctor than in-person psychiatry. Some platforms allow you to chat unlimitedly with a doctor or therapist, regardless of time and day.
• Cost. The average cost of an in-person initial visit can be as high as $400 compared to online psychiatry counseling which can be as little as $100-200 if buying a monthly subscription.

Some online psychiatrist platforms may offer insurance coverage as well, so that you may get treatment at a lower price or have it partially covered. 

What to look for in a good psychiatrist? 

Some qualities that make a good psychiatrist may differ between patients and cases, however, everyone should expect their psychiatrist to demonstrate  a commitment to help individuals cope with their mental health symptoms. Beyond that, we recommend you to follow several steps which may ensure you find a good psychiatrist:

• Ask your doctor, friends, or relatives whether they can recommend an online psychiatrist.
• Look for top-rated online psychiatrists or online psychiatry platforms using Yelp.com or Google.com.
• Review the profiles of online psychiatrists and look for their credentials, accreditations, and fields of expertise.
• Ask if they have experience with your mental health condition.
• Evaluate how they communicate with you and whether you feel comfortable counseling with them.
• Determine if an online psychiatrist is covered by your insurance plan. 

How is it different between seeing a psychiatrist online vs in person? 

Seeing a psychiatrist online may have many benefits compared to in-person psychotherapy. The first and most obvious reason is convenience. Speaking to a psychiatrist through an internet platform using a mobile phone or other device is much more convenient than travelling to a clinic. At the touch of a button you can start chatting with the doctor and get advice. They are therefore obviously beneficial to people who can’t physically get to a clinic or who live in rural areas far from a city. Beyond that, online psychiatry may be less expensive if you buy a monthly subscription for unlimited messaging. 

However, an online psychiatrist may not be a good fit for every individual, as some may need only in-person psychotherapy due to the severity of their mental health conditions or treatment protocol. Speak to your doctor about the applicability of virtual psychotherapy for your particular case.

How does online psychiatry work? 

The delivery of online psychiatry services via the Internet is simple. First, ensure you have a steady Internet connection, then visit your preferred online psychiatry platform. For example, the Cerebral system works as follows:

• Fill out a short questionnaire to help the platform understand your symptoms and match you with a psychiatrist.
• When matched, connect to a video call with a prescribing provider who will determine your treatment protocol.
• Meet your counselor who will support you through the treatment journey. You will be connected to a video call to get acquainted.

If you are prescribed medications to cope with depression or anxiety, you will receive them monthly, shipped to your door. Beyond that, you may speak to a counselor unlimitedly  to discuss the progress of the treatment and learn skills to cope with your mental health condition.

Best Overall and Best for medication with therapy support: Brightside 

“Get expert care, risk free for 30 days”

Brightside is certified by LegitScript and a HIPAA-compliant platform. It offers mental health treatment from a variety of top-rated online psychiatrists. Their doctors are state-board licensed depression experts.  Brightside offers a range of therapies, including cognitive-behavioral therapy, dialectical behavior therapy, acceptance and commitment therapy as well as interpersonal therapy. An individual may receive supportive guidance throughout the treatment, and learn how to get the most out of counseling.

Brightside has been featured by experts from Stanford Center for Mental Health and Technology, the University of Wisconsin as well as Yale University.

Their partnership with TruePill allows Brightside to deliver safe and effective medications to patients. Medication treatment with Brightside is currently only available in: Arizona, California, Colorado, Connecticut, Florida, Idaho, Illinois, Indiana, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Hampshire, New York, Ohio, Pennsylvania, South Carolina, Texas, Utah, Virginia, Washington, Wisconsin, and West Virginia.

Highlights:

• The medication plan costs $95 per month in addition to pharmacy copay or $15 per medication.
• Medication+Therapy plan costs $240 per month with a pharmacy copay or $15 per medication.
• Therapy with Brightside costs $165 per month for unlimited messaging with an online psychiatrist.
• Medications are provided by the TruePill pharmacy service.
• Brightside online psychiatrist services are not available in all the states.

Best Value: Cerebral 

“Closing the gap in access to high-quality mental health care”

Cerebral is an online platform that delivers comprehensive online care and access to medications to treat depression, anxiety, and insomnia. It provides mental health treatment to individuals aged 18 and older. Currently, the prescription of medications is only available in California, Florida, Georgia, Illinois, Maryland, Michigan, New York, Ohio, Pennsylvania, Texas. 

Beyond that, Cerebral offers several behavioral techniques to help treat mental health conditions, including mindfulness, meditation, breathing exercises, and grounding exercises. 

Highlights:

• The monthly subscription fee is $99. The price includes video conferences, unlimited chatting with an online psychiatrist as well as video visits with a provider to follow up a prescription of medications, their cost, and delivery.
• Free shipping.
• No prescription needed, as Cerebral online psychiatrists are licensed to prescribe medications in select areas.

Best for those looking for anxiety / depression and other conditions: PlushCare 

“Personalized care for whatever life throws at your body”

PlushCare is an online platform that delivers primary care services. The doctors of PlushCare are selected from the top 50 U.S medical institutions, and are U.S board-certified to treat many health conditions. You may get help for a variety of illnesses and ailments including cold and flu, infections, and headaches, as well as treatment for anxiety and depression.

Highlights:

• The doctors have at least 15 years of experience in their fields of practice.
• PlushCare treatment services may be covered with certain insurance plans. For uninsured patients, a membership fee is $99 plus a monthly fee of $14.99.
• Services all 50 states + D.C.

Best for insurance coverage: Doctors on Demand

“Rethinking the way you receive care”

Doctors on Demand is an online platform that offers urgent care, chronic care, behavioral, and preventative health services. It is staffed by U.S board-certified physicians, psychiatrists as well as psychologists. Among the mental health treatments, Doctors on Demand deliver management of depression, postpartum depression, and anxiety.

Highlights:

• They serve all states in the U.S.
• Accept insurance plans. Alternatively,  an individual pays $40 for a 15-minute session with the psychiatrist. No need for a monthly or yearly subscription fee.

Note, all these online psychiatrist platforms do not write prescriptions for controlled substances. Furthermore, these platforms are not suitable for those with self-harm issues or suicidal thinking. These cases require in-person therapy or certain treatment protocols decided by your doctor.

Refer to this research of the best online psychiatrists when you seek additional help for mental health treatment. Do not forget to speak to your doctor about the efficacy or safety of such a treatment. We wish you all the best in finding a good online psychiatrist who may meet your needs and requirements.

Disclaimer: This website does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on our Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

The Bottom Line

• Nardil is an antidepressant used for depression and anxiety treatment.
• FDA approved for depression.
• Available in tablets.
• Requires a certain diet.

What is Nardil?

Nardil (Phenelzine) is a monoamine oxidize inhibitor (MAOI) antidepressant. It is prescribed to treat most forms of depression, except for bipolar depression. A doctor may occasionally turn to its off-label use for anxiety, panic disorder, fear, or mood swings management. Nardil is most often used when a patient has not responded to previous treatments or has experienced side effects.

Nardils mechanism of action is linked to increasing the levels of certain neurotransmitters in the brain such as serotonin, and dopamine which both then contribute to relief of anxiety and depression symptoms.

This medication comes in tablets of 15mg strength. 

Can Nardil be taken for Anxiety? 

Nardil can sometimes be prescribed off-label for anxiety manifested as a stand-alone health condition or an accompanying symptom of depression. Anxiety caused by everyday stress is not an indication for Nardil. Also, it is not recommended as the first-line medication for the treatment. It may be used as an alternative, substitute for other medications, or in combination.

Is Nardil FDA approved for anxiety?

The Food and Drug Administration (FDA) has approved Nardil to treat depression in adults. It is not approved for treatment of anxiety. The FDA has issued a black box warning for Nardil as it has the potentiality to elevate suicidal thinking in adults. Prescription and caution are required.  

What research supports Nardil for anxiety?

Nardil (Phenelzine) has been studied for anti-anxiety effects:

• Phenelzine was studied in combination with Cognitive-Behavioral Group Therapy (GBGT) on safety and efficacy in social anxiety treatment. 128 subjects with symptoms of a social anxiety disorder (SAD) were subjected to trials for 24 weeks. The results demonstrated that Phenelzine and GBGT were more effective when prescribed together rather than stand-alone treatments.
• Phenelzine was studied against Atenolol and placebo in the treatment of SAD patients. Subjects were administered with Phenelzine 76 mg and Atenolol 98 mg daily for 7 months. Subjects treated with Phenelzine experienced fewer side effects but required following certain dietary restrictions. Phenelzine improved anxiety scores.
• Phenelzine was studied against Imipramine in managing anxiety scores. The results showed that their combination was successful in treatment-resistant and severely ill patients with anxiety and panic disorder. 

What are the possible side effects?

Nardil is believed to cause mild to moderate side effects which can be avoided or prevented by adjusting the right dosage in adults, or by making dietary changes (discussed in the next section).

Commonly reported side effects include:

• dizziness;
• drowsiness;
• headache;
• nausea;
• vomiting;
• dry mouth;
• weight gain;
• sexual dysfunction.

Stopping Nardil use abruptly may cause withdrawal side effects:

• dizziness;
• insomnia;
• nausea.

The Food and Drug Administration (FDA) warns about its potentiality to increase suicidal thinking in adults. Periodical assessment of Nardil’s usefulness is required.

Nardil can impair alertness or cause drowsiness while driving or operating heavy machinery. Do not drive or operate until you know how this medication affects your reaction. Its administration in the long-term treatment may rarely lead to abuse or addiction. Doctor’s supervision of treatment is required.

Does Nardil have interactions with other medications? 

Nardil may interact with certain medications and cause issues. Do not combine Nardil with serotoninergic agents such as Fluoxetine, Paroxetine, as serious and fatal events have been reported.

The following medication may interact negatively with Nardil:

• Antidepressants;
• Appetite suppressants;
• Medication for blood pressure;
• Migraine medications;
• Other MAOIs;
• Parkinson’s medications;
• Cold medications with dextromethorphan.

Nardil is an MAOI medication which requires a dietary regimen excluding certain food and beverages.

Avoid eating and drinking:

• liver;
• herring;
• wine and beer;
• dry sausages such as salami;
• beans;
• cheese (except for cottage and cream cheese);
• yogurt.

After discontinuing the treatment with Nardil, you have to abstain from the mentioned foods for at least two weeks.

Always speak to your doctor about possible interactions.

Can you take Nardil while pregnant or breastfeeding?

There is no evidence about Nardil’s harmful effect in pregnant women, however, in animal studies, the maximal doses prescribed to humans have been found to retard the growth of rats and dogs. Speak to your doctor about taking Nardil when pregnant or if you plan to become pregnant.

It is not known if Nardil can excrete into breast milk.

Can children take Nardil for anxiety? 

The Food and Drug Administration (FDA) does not approve Nardil for children. Doctors may rarely prescribe it if benefits outweigh the risk or if other medications have shown no response.

How to take Nardil?

The dosages may differ for each health condition Nardil is prescribed for. Speak to your doctor about the treatment plan suitable for your particular case. 

The treatment dosages are classified per the early and maintenance phases.

The initial dosage is 15 mg 3 times per day.

• Early phase. 15 up to 90 mg per day until a patient shows tolerance. It may take up to 4 weeks to feel the effect of treatment. 
• Maintenance phase. 15 mg per day. A doctor will gradually decrease the number of intakes until there is no risk of withdrawal syndrome.

If you skip a dose, take it as soon as you remember. Do not exceed the dose. Overdose events with Nardil have been reported. If you believe you have overdosed, seek emergency help immediately.

Are there alternatives to Nardil? 

Prescription medications as Alternatives to Nardil for Anxiety

Nardil is an antidepressant that responds to long-term treatment. It requires a certain meal plan and may be contraindicated for use if you already take certain medications it can interact with. Speak to your doctor to get to know about other prescription medications for anxiety. Some of them are:

• Klonopin
• Valium
• Lexapro
• Prozac
• Buspirone
• Xanax
• Inderal
• Cymbalta
• Tofranil
• Hydroxyzine
• Zoloft

There are various alternatives. If you’d like to learn more about whether Nardil, another medication or treatment modality is right for you, we recommend that you speak with a licensed psychiatrist. Here are the best online psychiatry platforms so you can speak with someone right away!

Therapy as an Alternative to Nardil

Learn more about different therapy options for anxiety here

Energy & Holistic Modalities as an Alternative to Nardil

Learn more about different energy & holistics modalities for anxiety here

Tech & Devices as Alternative Treatments to Nardil

Learn more about tech & devices for anxiety here

Disclaimer: This website does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on our Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

The Bottom Line

• Gabapentin is FDA-approved to treat partial seizures and nerve pain caused by shingles infections.
• It may be prescribed off-label for anxiety treatment.
• Available in tablets and as a generic, Neurontin.
• It is contraindicated to mix Gabapentin and alcohol.

What is Gabapentin?

Gabapentin is a medication from the anticonvulsant class. It is used to treat partial seizures, and pain caused by shingles. A doctor may occasionally prescribe it off-label for certain mental health conditions such as anxiety or bipolar disorder. It is also occasionally used for insomnia, hot flashes, and restless leg syndrome.

This medication is believed to affect certain neurotransmitters in the brain and decrease sensitivity to pain.

It is available in tablets. It fits short-term applications, however, a doctor may use it long-term if benefits prevail the risks.

What conditions is Gabapentin taken for?

The medication is used for are seizures, postherpetic neuralgia, anxiety, bipolar disorder, hot flashes, restless leg syndrome as well as insomnia.

Can you drink alcohol while taking Gabapentin?

It is not advised to mix Gabapentin and alcohol. Take the medication only as directed by your doctor.

Is there an interaction between Gabapentin and alcohol?

Gabapentin is an anticonvulsant medication for partial seizures and nerve pain caused by shingles infections in adults and children. It works by decreasing sensitivity to pain when prescribed for postherpetic neuralgia, and by affecting low levels of calcium when prescribed to treat seizures. While relatively safe to take as directed by the doctor, some interactions with this medication may cause severe side effects. Taking Gabapentin and alcohol in combination should be avoided.

Alcohol is a sedative with a variety of effects. It has the potential for altering mental processes. The effects of alcohol resemble medications used to produce sleepiness for surgery, and it works very quickly. In small doses, Gabapentin and alcohol produce sedation, while their excessive consumption may lead to abuse and dependence. In some individuals, excessive consumption of alcohol may lead to several persisting side effects including:

• Nausea
• Headache
• Agitation
• Depression
• Insomnia
• Seizures

Taking Gabapentin and alcohol together may increase the risk of experiencing nervous system side effects, as well as impaired thinking and judgment. Among other potential dangers of combined Gabapentin and alcohol consumption are:

Intoxication. 

Mixing Gabapentin and alcohol may lead to extreme intoxication. An individual may lose concentration, experience dizziness, drowsiness, and nausea, among others. Incidents of choking on vomit may occur.

Blackouts. 

Taking Gabapentin and alcohol in high doses may lead to memory loss and poor alertness. An individual may faint or be unable to remember long-term memories.

Overdose. 

Overdose incidents have been reported when mixing Gabapentin and alcohol. Both substances may slow breathing and lower heart rate. A combination of Gabapentin and alcohol in high doses may be deadly.

Mood changes. 

Gabapentin and alcohol in combination may lead to uncontrolled behaviors, where an individual exposes himself to dangerous activities.

Suicidal thinking.

Gabapentin and alcohol may increase the risk of suicidal thinking. The use of this medication alone is already linked to such risk, so taking Gabapentin and alcohol together can be extremely dangerous.

Injuries. 

Gabapentin and alcohol in combination produce extreme sedation, decrease motor control, and increase risk of falling.

Doctors advise to abstain from combining Gabapentin and alcohol. When using both substances, they may alter or enhance the effects of each other. 

You should only take this medication as directed by the doctor. Gabapentin and alcohol should not be mixed.

Can Gabapentin be taken for Anxiety?

A doctor may prescribe it off-label to treat anxiety disorder if no other first-line medications have been effective or have caused severe side effects. It may be used for anxiety symptoms caused by bipolar disorder. Normal anxiety does not require the prescription of this medication, as other modalities are available to affect it. 

Is Gabapentin FDA approved for anxiety?

Gabapentin is not approved for anxiety by the Food and Drug Administration (FDA). It is FDA approved only to treat postherpetic neuralgia and control partial seizures in both adults and children.

Can Gabapentin be taken for Depression?

It is not usually prescribed to treat depression. Other modalities are available to treat this mental health condition.

Is Gabapentin FDA approved for depression?

It is not FDA-approved for depression. Other modalities are available to treat this mental health condition.

What research supports Gabapentin for anxiety?

• Gabapentin was studied for efficacy in generalized anxiety disorder (GAD) treatment. A 59-year-old female with GAD and major depressive disorder (MDD) was psychiatrically hospitalized where she was administered with Gabapentin 600-900 mg doses daily for 10 months. After a 10 month follow-up, she showed significant remission of anxiety symptoms with 900 mg doses.
• Gabapentin was studied against a placebo for social anxiety disorder treatment. 69 subjects were divided into two groups, the first group took Gabapentin 3600 mg/daily, the second group took the placebo for 14 weeks. The results demonstrated that the medication reduced anxiety scores by 27 points with the Liebowitz Social Anxiety Scale (LSAS), compared to 12 points in the placebo group.
• Gabapentin was studied for anxiety reduction before surgery. 40 subjects were randomly assigned to Gabapentin 1200 mg or placebo 1-2 hours before the surgery. The results demonstrated that the Gabapentin-group had lower anxiety scores than the placebo. 

What do experts say about Gabapentin for anxiety?

Andrew Saxon, M.D., chair of the American Psychiatric Association’s Council on Addiction Psychiatry says “Non-pain related conditions like anxiety and alcohol withdrawal can benefit from gabapentin.”

What are the possible side effects of Gabapentin?

Like any medication, it may cause side effects including:

• dizziness;
• drowsiness;
• ataxia;
• Fatigue;
• headache.

Mixing Gabapentin and alcohol may lead to:

• intoxication;
• impaired alertness, consciousness;
• blackouts;
• mood changes;
• increased suicidal thinking.

The full list of side effects and their severity depends on the individual patient’s medical history as well as a treatment regimen. Gabapentin and alcohol overdose incidents have been reported.

Always speak to your doctor if you experience side effects when taking this medication.

Can you take Gabapentin while pregnant or breastfeeding?

This medication is not recommended for use in pregnant and nursing mothers. It may harm the fetus and excrete into milk.

Speak to your doctor if you are pregnant or nursing, as safer modalities are available for you.

Can children take Gabapentin?

It may be prescribed for use in children to treat seizures who are at least 3 years old.

How to take Gabapentin? 

The dosage is tailored individually. Speak to the doctor if you decide that treatment with this medication may be for you. 

The initial dosage is 300 mg. It may be doubled on the second day and tripled on the third day until the therapeutic effect is achieved. Take it as directed by the doctor. Do not increase the dosage. 

If you believe you have overdosed, seek emergency help immediately (call 911).

Are there alternatives to Gabapentin? 

Prescription medications as Alternatives to Gabapentin for Anxiety 

Gabapentin is a medication prescribed to treat seizures and pain in adults and children. A doctor may occasionally prescribe it off-label for anxiety. Speak to the doctor about other prescription medications that may be a good fit for you. Other modalities are available including:

• Klonopin
• Valium
• Lexapro
• Prozac
• Buspirone
• Xanax
• Inderal
• Cymbalta
• Tofranil
• Hydroxyzine
• Zoloft

There are various alternatives. If you’d like to learn more about whether Gabapentin, another medication or treatment modality is right for you, we recommend that you speak with a licensed psychiatrist. Here are the best online psychiatry platforms so you can speak with someone right away!

Therapy as an Alternative to Gabapentin

Learn more about different therapy options for anxiety here

Energy & Holistic Modalities as an Alternative to Gabapentin

Learn more about different energy & holistics modalities for anxiety here

Tech & Devices as Alternative Treatments to Gabapentin

Learn more about tech & devices for anxiety here

Disclaimer: This website does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on our Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

The Bottom Line

• Celexa is an FDA-approved medication used to treat depression;
• It is used off-label for anxiety;
• Available in tablets and oral solution.

What is Celexa?

Celexa is a brand name for Citalopram, a medication in the selective serotonin reuptake inhibitor (SSRI) class. It is used as an antidepressant to treat depression in adults. Its use in children with depressive disorders is not recommended, however, the efficacy in clinical trials has been found. Occasionally, a doctor may prescribe it off-label for anxiety, social phobia, and panic disorder. It is available in tablets or as an oral solution. 

Celexas antidepressant effects can be felt in 1 to 4 weeks. It is normally used short-term; long-term use is not recommended as it may increase risk of diabetes or abnormal heart rate or rhythm.

Can Celexa be taken for anxiety?

Celexa  can be prescribed off-label for anxiety, and is believed to be effective as a treatment for social anxiety disorder (SAD). It works by balancing the neurotransmitters in the brain such as serotonin, and dopamine which can affect mood. SSRI medications block the reuptake of serotonin, meaning more serotonin is present in the brain. Doctors may occasionally use it in conjunction with cognitive-behavioral therapy (CBT). However, this medication is not the first-line relief for anxiety disorders and is used when no other medication has relieved anxiety or when treatment has caused side effects.

Is Celexa FDA approved for anxiety?

Celexa is not approved by the Food and Drug Administration (FDA) to treat anxiety. However, according to the American Psychiatric Association (APA), its use is recommended for treatment of panic disorder. The FDA approved Citalopram only for depression in adults over 18 and issued a black box warning as this medication has the potential to increase suicidal thinking. 

What research supports Celexa for anxiety? 

• Celexa was studied in a retrospective case observation. 13 subjects with a generalized anxiety disorder (GAD) were treated with a 33 mg dose of Citalopram daily for 12 weeks. After the clinical trial, all subjects reported significant improvements in GAD and depressive symptoms.
• Celexa was studied for efficacy in children and adolescents with depressive and anxiety symptoms. For 8 weeks, 78 subjects were administered with a 20-40mg dose of Citalopram daily. 56% of subjects responded to Citalopram. Most observed side effects were mild, and no increase in suicidal thinking was reported.
• Celexa was studied in elderly people with anxiety disorders. 34 subjects were administered with 10-20mg of Citalopram daily for 8 weeks. 65% responded to the treatment, although extreme sedation was commonly reported. 

What are the possible side effects?

Like all medications, Celexa may cause side effects. The most commonly reported side effects of Celexa include:

• drowsiness;
• nausea;
• insomnia;
• dry mouth;
• asthenia;
• vomiting.

When used for anxiety, withdrawal symptoms have been reported, including:

• irritability;
• vomiting;
• nightmares;
• dizziness;

Do not abruptly stop taking Celexa, as the body gets used to increased serotonin levels and sudden discontinuation may lead to disturbing thoughts. A doctor will gradually taper the dose of Citalopram to terminate the treatment with no side effects.

This medication has the potential for abuse and dependence and may be misused. Prescription and caution are required.

This medication may affect your alertness or cause drowsiness if you drive a car or operate heavy machinery. However, compared to other antidepressants, it is less likely to cause drowsiness. Consult your doctor before use.

Does Celexa have interactions with other medications?

Celexa may interact with certain medications, herbs, and health supplements. Speak to your doctor about all possible interactions to avoid negative effects.

The possible interactions which may interfere with the efficacy of Celexa or be dangerous include:

• Monoamine oxidase inhibitors (MAOI);
• Blood thinners;
• Ibuprofen;
• Aspirin;
• Antidepressants such as Fluoxetine;
• Antihistamines;
• Allergy and cold medications;

The most dangerous interaction is with MAIO medications. Fatal events have been reported when taking MAOIs alongside Celexa. They have also been reported when discontinuing Citalopram and starting MAIO straightaway. Inform your doctor if you take MAIO medications or plan to take them alongside Citalopram.

Abstain from alcohol while taking Celexa, as the Food and Drug Administration (FDA) warns about potential overdose events. 

Can you take Celexa while pregnant or breastfeeding? 

It is not recommended for use in pregnant women. A doctor may occasionally prescribe it only if benefits outweigh the risks. 

It is not recommended in nursing mothers as Citalopram is excreted into human milk. Infants whose mothers took Celexa when breastfeeding have the potential to experience extreme drowsiness, and weight loss. 

Can children take Celexa for anxiety?

Children under 18 are not usually prescribed Celexa, however, a doctor may use it if benefits outweigh the risks.

How to take Celexa?

Celexa should be taken one time per day either in the morning or evening, with or without food. Try to make a habit of taking it at the same time daily. 

The initial dosage for adults is 20mg/daily. A doctor may increase it but not over 40 mg per day.

The initial dosage for the elderly is 20mg/daily. It should not be increased.

Overdose events have been reported, especially when taken with alcohol. Do not increase dosage yourself. Always speak to your doctor about a safe intake of Celexa. If you believe that you overdosed, seek emergency help immediately (call 911).

Are there alternatives to Celexa?

Prescription medications as Alternatives to Celexa for Anxiety 

Celexa is an antidepressant that is approved for depression treatment. A doctor may use it off-label for anxiety, however, it may not be fit for your particular case. Speak to your doctor about other prescription medications suitable for anxiety treatment. Some of them are:

• Klonopin
• Valium
• Lexapro
• Prozac
• Buspirone
• Xanax
• Inderal
• Cymbalta
• Tofranil
• Hydroxyzine
• Zoloft

There are various alternatives. If you’d like to learn more about whether Celexa, another medication or treatment modality is right for you, we recommend that you speak with a licensed psychiatrist. Here are the best online psychiatry platforms so you can speak with someone right away!

Therapy as an Alternative to Celexa

Learn more about different therapy options for anxiety here

Energy & Holistic Modalities as an Alternative to Celexa

Learn more about different energy & holistics modalities for anxiety here

Tech & Devices as Alternative Treatments to Celexa

Learn more about tech & devices for anxiety here

Disclaimer: This website does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on our Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.

The Bottom Line

• Cipralex is an SSRI medication prescribed to treat depression and anxiety.
• Cipralex is FDA-approved to treat anxiety.
• Also available under the brand name of Lexapro, and generic name of Escitalopram.
• Fits long-term treatment.

Cipralex (Escitalopram)  is a selective serotonin reuptake inhibitor (SSRIs), usually prescribed to treat anxiety and depression. Cipralex is believed to work by balancing the levels of serotonin in the brain, which leads to relief.  It appears to be safe for long-term application if taken as directed. 

Cipralex is also widely sold under the brand name of Lexapro, or under its generic name Escitalopram. Available in tablets and oral solution.

Can Cipralex be taken for Anxiety?

Cipralex is usually prescribed to treat generalized anxiety disorder (GAD) in adults. In European countries, it is also approved for social anxiety, obsessive-compulsive disorder (OCD) as well as panic disorder. 

Is Cipralex  FDA approved for anxiety?

Escitalopram is approved to treat generalized anxiety disorder (GAD) in adults by the Food and Drug Administration (FDA).

What research supports Cipralex for anxiety? 

There is extensive evidence on the efficacy of Escitalopram for anxiety.

• Escitalopram was studied against the placebo for efficacy and tolerability in the treatment of generalized anxiety disorder (GAD). Outpatients were randomly assigned to take Escitalopram 10mg/one time per day for 4 weeks or placebo for 8 weeks. The Escitalopram group reported significant improvements in the anxiety scores over the placebo. Escitalopram was well-tolerated in all subjects with a minimum of side effects.
• Escitalopram was studied against a placebo for efficacy in the treatment of social anxiety disorder (SAD). 177 subjects received placebo, and 181 received the Escitalopram dose of 10-20mg daily for 12 weeks. The results demonstrated that Escitalopram was more effective based on anxiety total scores compared to the placebo group.
• Escitalopram was studied against Paroxetine as the first-line medication to treat GAD. Subjects were randomized to take Escitalopram 10-20mg/daily or Paroxetine 20-50mg/daily for 24 weeks. Both medications were effective with low rates of treatment-related adverse effects. The study suggested using Escitalopram as the first-line medication to treat GAD.

What do experts say about Cipralex for anxiety? 

Dr. Keith Roach, a primary care internist says “I often prefer to change a person from a medicine like Xanax (alprazolam) to a medication like escitalopram (Lexapro), which is similar to citalopram (Celexa), sertraline (Zoloft) and fluoxetine (Prozac), among many others. In many people, the side effects are lower and effectiveness is higher.”

What are the possible side effects? 

The side effects of Cipralex are usually of a short-term nature, and are likely to disappear after the patient becomes accustomed to the medication. During the treatment with Cipralex, you may face the following side effects:

• nausea;
• extreme tiredness;
• dry mouth;
• dizziness;
• constipation;
• extreme sweating.

When stopping SSRIs like Cipralex, a gradual decrease of dosage is required, as they may cause withdrawal effects including:

• insomnia;
• nausea;
• headache;
• irritability.

Some men may also experience sexual problems when abruptly stopping the intake of SSRIs like Cipralex, including erectile dysfunction or premature ejaculation. In women, it may lead to vaginal dryness.

Overdose incidents have been reported with Cipralex. If you believe you have overdosed, seek emergency help immediately (call 911).

Does Cipralex have interactions with other medications?

Cipralex may interact with other medications and health supplements. Disclose your full list of medications to your doctor before starting treatment with Cipralex.

Cipralex may interact with:

• Antiplatelet medications;
• Aspirin;
• MAO inhibitors;
• St. John’s wort;
• Antihistamines;
• Medications for insomnia;
• Muscle relaxants;
• Opioid medications.

It should not be prescribed to patients with diabetes or prescribed with caution, as it may become harder to control safe levels of blood sugar.

Abstain from drinking alcohol when taking Cipralex, as it may lead to extreme sedation and symptoms of dizziness, drowsiness, impairment in thinking as well as overdose if taking both substances in large doses.

Can you take Cipralex  while pregnant or breastfeeding?

Cipralex is not linked to malformations, respiratory issues, or abnormalities in the fetus, and may be occasionally prescribed by the doctor for pregnant women.

Cipralex is believed to be safe for nursing mothers. Speak to your doctor about the correct intake of this antidepressant when breastfeeding.

Can children take Cipralex for anxiety?

Children under 12 are not typically prescribed Cipralex for anxiety. It has a black box warning issued by the Food and Drug Administration, as it may increase suicidal thoughts or intentions in children and young adults. Other modalities are available to treat anxiety for this age group.

How to take Cipralex?

Cipralex dosage is tailored individually.

The initial dose is 10 mg one time per day. It may be increased to 20 mg if there is no therapeutic effect. 

Take it with or without the food, as directed by your doctor. Make a habit of taking the dose at the same time every day. If you have difficulty sleeping, it is believed to work best if taking in the morning.

This antidepressant should begin to work within 1 to 4 weeks, however, it may differ between individuals.  

Are there alternatives to Cipralex? 

Prescription medications as Alternatives to Cipralex  for Anxiety 

Cipralex is typically prescribed to treat anxiety disorders in adults, however, as an SSRIs medication, it may lead to potential side effects and have dangerous interactions. If you believe this medication may be for you, speak to the doctor about its applicability and efficacy for your particular case. Other modalities are available to treat anxiety including:

• Klonopin
• Valium
• Lexapro
• Prozac
• Buspirone
• Xanax
• Inderal
• Cymbalta
• Tofranil
• Hydroxyzine
• Zoloft

There are various alternatives. If you’d like to learn more about whether Cipralex, another medication or treatment modality is right for you, we recommend that you speak with a licensed psychiatrist. Here are the best online psychiatry platforms so you can speak with someone right away!

Therapy as an Alternative to Cipralex

Learn more about different therapy options for anxiety here

Energy & Holistic Modalities as an Alternative to Cipralex

Learn more about different energy & holistics modalities for anxiety here

Tech & Devices as Alternative Treatments to Cipralex

Learn more about tech & devices for anxiety here

Disclaimer: This website does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on our Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.