Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Trintellix (vortioxetine) and Celexa (citalopram) are both used to treat depression in adults, but they belong to different classes of medications. Trintellix is an atypical antidepressant, while Celexa is a selective serotonin reuptake inhibitor (SSRI). Trintellix works by boosting serotonin action in the brain, though its exact mechanism isn't fully understood. Celexa, on the other hand, increases serotonin levels by preventing its reuptake. Trintellix is only available as a brand-name medication, whereas Celexa has a lower-cost generic form called citalopram. Both medications are taken once daily and can cause side effects like nausea, but Trintellix is less likely to cause weight gain compared to other antidepressants. Celexa can cause serious heart rhythm problems, which is not a noted risk for Trintellix.
Trintellix (vortioxetine)
Citalopram (Celexa)
Trintellix (vortioxetine)
Citalopram (Celexa)
Summary of Trintellix vs. Celexa
Summary for Atypical antidepressant
Prescription only
Trintellix, the brand name for vortioxetine, belongs to a drug class called atypical antidepressants. It's used to treat depression in adults. This medication comes as a tablet that you take by mouth once a day. Common side effects include nausea, diarrhea, and dry mouth. Sexual side effects can also happen, but it's usually less likely than with some other antidepressants. As of 2025, there's no generic version of Trintellix (vortioxetine) available yet.
Summary for SSRI
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).