Advice on increasing dose

Posted , 8 users are following.

Hi all, I've been on Citalopram for just over 5 months now. I take 10mg every morning and after a hellish first few weeks I probably started to feel a bit better after a couple of months. I've definitely been able to cope better on the whole although anxiety has never been far away. Anyway I have started to get the same headaches ( stress headaches) I had before I was prescribed Citalopram and the nausea and tiredness is also returning. So my question is should I try to sit this out or go back to GP and up the dose? I desperately wanted to recover with the lowest dose but I don't want to get to where I was before. I'm also concerned about having to go through the horrible symptoms I had before if I up the dose. Any advice would be appreciated. Stephen

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15 Replies

  • Posted

    Stephen....you MUST consult your doc....10mg of Cit is only a starting dose. If you increase your dose you will get some side effects but not for long. I started on 20 nearly 6 weeks ago. Increased to 30 at start of 2nd week and 40 in 3rd week. I'm feeling really good these last week or so. Good luck

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    • Posted

      I was on 10mg for over 8 years...some peoples "therapy" level can be 10mg. 

      Everyone is different.  And you could be correct that 10mg may not be this persons effective dose.

      However, this person has only been on the drug for a couple months...and as I said....aside from pills if everything else is in balance...stress, exercise, rest, food and fluid intake...than possibly the consideration of raising the dose would be valuable.

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  • Posted

    i have read many times on here...that people that up their dose...go back to feeling the general side effects from Citalopram and are miserable.

    I would stick with the 10mg...as it builds in your body anyway.

    I feel like us people with anxiety...jump to fast..to up doses....without just dealing with some symptoms...and letting the medication work.  Medication is not a magic pill but a little booster to help us manage our lives.

    We are still going to have headaches...good days...bad days....

    Maybe find better ways to manage the "headaches' like exercise or eating good....drinking lots of fluids....these are general suggestions that we don't follow or roll our eyes at...but they are the simple things that can really work.

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    • Posted

      Hi Missy, thank you for your reply. My symptoms of headache and nausea I am pretty sure are related to stress as my body carries a lot of stress just now. What I was wondering was if an increase in dosage would help with the stress? I do exercise regularly, I sleep well enough and drink plenty of water, my diet could be better but this stress seems to accumulate all over my body until I start to get pretty unwell with it. I don't want to leave it until urine infections and extreme fatigue set in which has happened before. Any other helpful suggestions out with medication would also be welcomed. Stephen

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  • Posted

    Hi

    I've been on Citalopram for 3 months and feel very similar to you. The headaches have returned and some nausea. I feel day to day situations I can deal with a little better. But sleep is a nightmare. My heart races and I start to overthink. I also take 10mg.

    I'm persevering at the moment. But if sleep continues to be a problem I'm not sure what to do.

    Good luck

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  • Posted

    Hi. I had no problem going on it or upping my dose from 20 to 40mg. I had no nausea but tiredness was bad however i have other conditions that could have been cause too. I felt going up helped but after few weeks went back to feeling like i did on 20mg with slight anxiety but manageable.
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    • Posted

      Patient info leaflets for all ssri meds advise no alcohol....this is their way of covering themselves. My advice from a GP and a pharmacist is that alcohol does NOT interfere with the efficacy of an ssri. What alcohol can do in combination with meds is increase the risk of tiredness/falls, so do know your limit
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    • Posted

      Alcohol does not seem to like me. However if i was at birthdays etc i would drink some and just got usual hangover. Make sure eaten well before consume. Dont drink too fast. Drink water before bed. It does make you drowsy and if you feel woozy then either stop or have soft drinks in between.
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  • Posted

    Id def recommend u c the gp even if u up the dose to 15 i was like u coped well on ten for yrs then bang needed upped they told me double it to 20 so i did well i was like a cat on a hot tin roof far to activating for me so i cut my self to 15 much better to cope with. Im in ur position this wk could feel things slipping back an i waited it out by yesterday i was hysterical and now need an emergancy appt tomorrow if u feel like ur slipping address it is my advice not that im saying ur me but it never hurts to ask for advice
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  • Posted

    Hi Stephen,

    The problem is many people say see your doc about it, but I have found that doctors are the least knowledgable when it come to citalopram. Hence, why people come to this website for help. After 5 months of being on 10mg and you are still are feeling the anxiety not far away, then an increase should deal with this. A normal theraputic dose is 20mg. Some people are on more or less, but from what I understand 20mg is what doctors put you on to start with, which can be started at say 10mg then 20 after a few weeks.

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