10mg to 20mg - What can I expect and should I keep going?
Posted , 3 users are following.
Yesterday morning I stepped up from 10mg Citalopram to 20mg after 10 days on the lower dose.
In the first week I suffered from mild nausea, insomnia and increased anxiety which gradually subsided. I was hoping that my body would have got used to it by now and that I would not be hit by further side effects when I went up to 20mg.
But I seem to be wrong. Even after just one day on the 20mg I have horrible sweating at night, insomnia and feeling down again. I am wide awake at 2AM typing this when I should be asleep.
How have others out there found the dose increase? Do the symptoms subside again and should I stick with it?
David
0 likes, 6 replies
sadsack
Posted
morphix
Posted
I had the same experience when I tried to move to 20mg from 10mg.
I think some people are very sensitive to it (and SSRI's in general) and the best approach is to go slowly and increment the dose up in 2.5mg doses..
i.e. 12.5mg, 15mg, 17.5mg... 20mg
That's actually how I started this med, because I had severe side effects and 2 weeks of hell when I tried Paxil, some 11 years previously (it put me off SSRI's for good). Anyway my Dr suggested I try Citalopram, so I suggested I try 2.5mg dose for a few weeks, and gradually increase like that in 2.5mg doses until I reached my optimal dose for anxiety and depression.
She agreed it was a good approach for sensitive types or those who need to function without 2-4 weeks of intense side effects. The trade-off is of course, it takes a lot longer to reach your optimal dose, in my case, it took me 2 months+ to reach 15mg. I felt fine at that dose, but when I tried another 5mg it proved waaay too much and the side effects hit me like you describe, major anxiety, lip trembling, restless legs, feeling of malease, insomnia etc.
I dropped back down to 10mg and felt fine after 2 days.
If you think 10mg isn't working for you, and you need that higher dose I would suggest asking your Dr for something to help you through the difficult weeks if you don't want to try incrementing it.. at the very least, something to help with anxiety and sleep.. like diazepam. My Dr was fine giving me a weeks supply when I asked.
Mrs_Barlow
Posted
I was ok when i moved up from 10mg-20mg. I actually started to feel better after about a week on the higher dose. Unfortunately i had to come off citalopram altogether as it caused me to have restless leg syndrome and it was ruining my life. It started as soon as i upped the dose. Just be wary as it could happen to you. I found it harder to lower the dose again than to up it but now 2 weeks later i'm feeling ok. Take care x
chris03641
Posted
Yes, I stepped up from 10 to 20 mg, but after two weeks. I also had repeat side effects, but they were not quite as bad as the first time around.
Stick with it - they will pass.
regards
Chris
ladylemora22
Posted
197David
Posted
Thanks again to all and Happy New Year!