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Buspar vs. Celexa

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Buspirone (Buspar) and citalopram (Celexa) are both used for mental health conditions, but they belong to different medication classes and have distinct uses. Buspirone is an antianxiety medication taken twice daily and is not a first-choice treatment. It works by affecting brain chemicals that control mood and anxiety, though its exact mechanism is unclear. Citalopram, on the other hand, is a selective serotonin reuptake inhibitor (SSRI) primarily used to treat depression and is taken once daily. It works by increasing serotonin levels in the brain to improve mood. Neither medication is a controlled substance, but citalopram can cause withdrawal symptoms if stopped abruptly. Common side effects of buspirone include dizziness and nausea, whereas citalopram can cause dry mouth and increased sweating. Both medications can lead to serotonin syndrome if taken with other drugs that affect serotonin levels.

Buspirone

 

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Citalopram

(Celexa)

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Summary for Buspar

Prescription only

Buspirone tablets help manage and relieve anxiety in adults. It belongs to a drug class called anxiolytics (or anti-anxiety medications). The tablets are taken by mouth, typically twice daily. Common side effects are dizziness, nausea, headache, and nervousness. Buspirone isn't a controlled substance. The brand name Buspar is no longer available, but you can get the generic buspirone tablets.

Indications for Buspar

Pros and Cons for Buspar

Pros

Cons

Common Side Effects for Buspar

  • Dizziness (12%)
  • Drowsiness (10%)
  • Nausea (8%)
  • Headache (6%)
  • Nervousness (5%)

Warnings for Buspar

  • Serotonin syndrome
  • Effect on driving and concentration
  • Not safe with monoamine oxidase inhibitors (MAOIs)
  • Doesn't help relieve withdrawal symptoms from other anxiety medications

Summary for Celexa

Prescription only

Citalopram (Celexa) is a first-choice medication for treating depression in adults. This antidepressant belongs to the drug class called selective serotonin reuptake inhibitors (SSRIs). Citalopram (Celexa) is typically taken by mouth once daily. It typically takes a few weeks or longer of consistent treatment to notice an improvement to your mood. Common side effects include nausea and dry mouth. There's a low risk for weight gain, but suddenly stopping the medication can lead to withdrawal symptoms (e.g., upset stomach, trouble sleeping, anxiety).

Indications for Celexa

Pros and Cons for Celexa

Pros

Cons

  • Can take a couple months before you feel the full effects of this medication
  • Can interact with other medications, especially those affecting serotonin levels or heart rhythm
  • Can cause withdrawal symptoms if you suddenly stop taking it
  • Not FDA-approved for children

Common Side Effects for Celexa

  • Nausea (21%)
  • Dry mouth (20%)
  • Sleepiness (18%)
  • Trouble sleeping (15%)
  • Sweating (11%)
  • Tremor (8%)
  • Diarrhea (8%)
  • Ejaculation problems (6%)

Warnings for Celexa

  • Worsening depression, suicidal thoughts, and unusual behavior
  • Life-threatening abnormal heart rhythm (QT prolongation)
  • Serotonin syndrome
  • Withdrawal
  • Higher risk of bleeding
  • Not for use in bipolar disorder by itself
  • Glaucoma
  • Low sodium levels

Prices with our coupons for Buspar vs. Celexa

Price Card Drug Icon
Buspirone60 tablets / 10mg
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Citalopram30 tablets / 20mg
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