I've been on citalopram for many years but lately it seems to have lost its effectiveness. My dr pretty much is happy to switch me to whatever I'd prefer and mentioned Effexor. I've been doing research and not sure whether I'd be happy to go for this option. I was wondering if citalopram did so well for me if escitalopram would be a good option since its closely related, plus can you directly switch without having to do a slow taper?

Thanks in advance x