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Also went the cipramil and then cipralex route way back when. My medical aid however forced the latter on me as the generic alternative. No side effects from either though.Hi @herb1
I was on Cipramil, of which Cilift is one of the generic equivalents, many years ago and then I switched over to Cilift for a short while. PLEASE NOTE that I am NOT a medical / healthcare professional, so what I say below is purely anecdotal and your cousin will have to discuss this with his / her GP / Psychiatrist in any case in order to get a new prescription, taper off the old / taper on the new meds etc.
Cipramil worked quite well for me with very few side effects, but when I was 'forced' by the medical aid to switch over to Cilift when it became available, I started experiencing significantly more side-effects (in general I have absolutely no problem with taking generic medication and I actually choose that option whenever available, so I'm quite sure that in this case it was not just a placebo effect). When I discussed this with my GP, he noted that he had had similar reports from many patients and from some of his colleagues. I then also queried this with a GP friend of mine, who noted the same pattern. I was then prescribed Cipralex, which is Escitalopram. This is claimed to be a refined and slightly more effective (also taken in lower dosages with possibly fewer side effects) than Citalopram (Cipramil / Cilift), but there are also arguments that this is essentially the same drug and simply an example of "evergreening" - a strategy by players in the pharmaceutical industry "to extend their monopoly privileges on the drug" (see http://thirdworld.nl/impact-of-ever...is-of-citalopram-escitalopram-antidepressants)
For me at least, I found that the Cipralex worked much better, with fewer side effects, than the Cilift and at least as well (if not better) than the Cipramil. Since a generic was not available (and to the best of my knowledge will still not be for some time), the medical aid also had to pay for it - but I'm sure that this will differ between medical aids / plans.
Alternatives would also largely depend on which side-effects your cousin is experiencing and what specifically he / she is taking the medication for (depression 'in isolation', a combination of depression and anxiety etc.)
I am glad to hear that @brotiform is working again.I hear from him every now and then but he has retreated in to his shell a bit. He is at least working again...
Just thought I'd report back.....
Still not 100%, hell, not even 60%, but 110% better than last time I posted here. Thanks so much for all the PM's etc. Special mention to @Lingogrey , @Slick and @Neuk for the inspirational PM's.
I'll just leave this song herefor whomever may need it tonight. Keep the faith....
Hi @NormzHey guys, posted on here once before, and thought I was getting better, till 2 weeks ago. Been hell on earth again lately with the anxiety, starting my zytomil tomorrow morning, so apparently its progressed to needing a stronger, daily dose of meds, lets just hope these work hey
@Viper_SA , glad your feeling better bud, even a little progress is still progress, and we're all here to back you up bro keep at it and just know you have an army of guys behind you supporting you
After every difficulty comes ease! Stay strong guys,we are all here to help each otherHey guys, posted on here once before, and thought I was getting better, till 2 weeks ago. Been hell on earth again lately with the anxiety, starting my zytomil tomorrow morning, so apparently its progressed to needing a stronger, daily dose of meds, lets just hope these work hey
@Viper_SA , glad your feeling better bud, even a little progress is still progress, and we're all here to back you up bro keep at it and just know you have an army of guys behind you supporting you
Just thought I'd report back.....
Still not 100%, hell, not even 60%, but 110% better than last time I posted here. Thanks so much for all the PM's etc. Special mention to @Lingogrey , @Slick and @Neuk for the inspirational PM's.
I'll just leave this song herefor whomever may need it tonight. Keep the faith....
Hey guys, posted on here once before, and thought I was getting better, till 2 weeks ago. Been hell on earth again lately with the anxiety, starting my zytomil tomorrow morning, so apparently its progressed to needing a stronger, daily dose of meds, lets just hope these work hey
Will probably only get my new prescription on Wednesday after a phonecall session with my psychiatrist today. Adding in some stuff for anxiety and ocd. More of an issue than bipolar or depression lately. I even want to move trees that I planted myself, and was happy with their position etc, 7 years ago! lol, my mind is playing evil tricks. I think of so many things to do at once, that I get nothing done at all. To top it all off, my mom is really ill and refuses to see a doctor. If she doesn't look better in an hours' time, I'm forcing her to ER. She's been off balance and really forgetful for the last couple of days. Had a stroke some years back, so fearing the worst.
Really hoping all goes well with your Mom @Viper_SA !Thanks bud, finally convinced her. Waiting in line at ER now.
With the "wasted time" doing a number on your conscience...All the time @Raindance
Or I have so much to do that I get all anxious and twisted up inside and try to do 7 million things at once, and afterwards, feel like I need to redo what I did because I was so stressed out and did not do it good enough.