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Hello, I believe I can help you with your question. Cipralex and Escitalopram are the same medications, as Cipralex's main active ingredient is Escitalopram. In fact Cipralex is the brand-name medication, so it is probably more effective than the generic version of Escitalopram. So from a brand-name vs generic view, Cipralex is better, but like I said both have the same active ingredient. You can try to increase the Cipralex dose to 20mg/day which is the maximum dose and/or try to add an augment to the Cipralex like a low dose of Aripiprazole or a low dose of Mirtazapine, which can increase the effectiveness of the Cipralex.
I hope this answers your question and gives you some guidance on this issue. Please let me know if you have any questions or concerns as I am happy to assist and support you regarding this issue.
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