Yes, Cipralex and Lexapro are the same medication
Cipralex and Lexapro are simply different brand names for the identical active pharmaceutical ingredient: escitalopram oxalate. They contain the same drug, in the same formulations, with the same therapeutic effects, safety profiles, and clinical indications 1.
Why Different Names?
The naming difference is purely regional and commercial:
- Lexapro is the brand name used primarily in the United States
- Cipralex is the brand name used in Canada, Europe, and other international markets 2, 3, 4, 5
Both are manufactured under license from H. Lundbeck A/S, with Lexapro distributed by AbbVie Inc. in the US 1.
Clinical Equivalence
These medications are pharmacologically identical because they both contain escitalopram, which is:
- The therapeutically active S-enantiomer of racemic citalopram (Celexa) 2, 5
- A highly selective serotonin reuptake inhibitor (SSRI) 3, 4
- Available in the same dosage forms: tablets and oral solution 1
- Dosed identically: 10-20 mg daily for depression and anxiety disorders 6
Approved Indications
Both Cipralex and Lexapro share identical FDA-approved uses:
- Major Depressive Disorder (MDD) in adults and children ≥12 years 1
- Generalized Anxiety Disorder (GAD) in adults and children ≥7 years 1
Important Prescribing Consideration
Since escitalopram (Cipralex/Lexapro) is the active isomer of racemic citalopram (Celexa), these two agents should never be co-administered 1. This would result in unnecessary duplication and increased risk of adverse effects including serotonin syndrome.
Practical Implications
When switching between healthcare systems or countries, patients can continue their treatment seamlessly—a prescription for Cipralex 10 mg is therapeutically equivalent to Lexapro 10 mg. The only differences you may encounter are in packaging, appearance of tablets, and cost, which varies by region and insurance coverage 6.