10th week on citalopram, had my first anxiety attack tonight :(

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I was in the car on the way home from picking an order from a friend, less than 10mins from home I had an attack in the car. I'm on my 10th week of citalopram, I've been ok on the medication but I still don't think it's the type for me. Anyone else have some hints/tips?

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  • Posted

    Hi Lauren,

    I had my one and only panic attack whilst driving several years ago. I didn't realize what it was at the time. It was very scary so I know what you experienced.

    When I started Citalopram I took 10mgs but at one point must have felt that it wasn't working so increased my dose to 20mgs. I remember feeling terrible on 20mgs, it seemed they were too strong for me so I went back to 10mgs and eventually stabilized. I remained on 10mgs for several years, I am currently reducing on 5mgs.

    If you read some of the posts here, some people feel ok with 5mgs, 10 mgs seems to be a popular dose.

    My personal feeling, for what it is worth, is try and get by on a low a dose as possible. Once you are on the highest dose there is nowhere else to go and should you decide to come off at any time it will take a very long time to wean off.

    You may need to just give them more time to work on your current dosage (my choice).

    If you decide to increase, you will have more start up side effects to begin with, I would go with 15 rather than 20.

    If you decide to come off them, my advice would be to wean off them slowly to avoid withdrawal symptoms. I made the mistake of coming off cold turkey and the withdrawal effects are not pleasant.

    Furthermore, there are alternative medicines and therapies out there.

    Only you know how you are feeling on them, the choice is yours.

    Good luck with whatever you decide.

  • Posted

    Hi Lauren, Lois and Ruth have given you great advice, if you can stick on the 10mg and give it more time, it may suit you, if you increase up to 20mg there is a bigger chance of suffering side effects.  Is this the first time you have had an anxiety attack? or were you put on citalopram for anxiety?  Do you get any other side effects?  
    • Posted

      Hey there Paulafreeatlast,

      I've been on 20mg since around the 2nd week of going onto citalopram. Before i went on the medication i was in a really bad state, when i started citalopram things got rough but after the 2nd week i was beginning to see a difference. It was yesterday (on my 10th) week of citalopram things took a very scary turn. I started on 10 for the first week then it was upped to 20mg

    • Posted

      Honestly Lauren, try not to worry, I know it's easier said than done.

      The higher the dose, the greater the risk of side effects.........and yes, they can occur out of the blue, even when you've been relatively stable. So you've been on 20 mg for around 9 weeks... that's still early days. Not two months yet at that dose. Things will settle. How have you been since the attack?

    • Posted

      Hi Lauren,

      You have seen improvements which is great, think of cita as support to assist with your anxiety, if you do have an attack it does not mean it is not working. If you start feeling worse then it would be worth speaking to your doctor.

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