Back on Citalopram 20mg Day 23 and struggling

Posted , 4 users are following.

Hi all. It's been a while since I posted on here. I've now got a diagnosis of bipolar disorder and I'm currently struggling with depression and anxiety. Mood stabilising medication does not seem to have helped at all so I asked my psychiatrist if I could try going back on Citalopram as an add on. I'm now on 20mg and it's day 23 on this dose.

This is my second time on Citalopram and as I was on it for about 20 years, I can't remember how long it took to kick in before. I'm at the stage now where the side effects seem to have eased but I don't feel any better at all. I'm so frightened that the tablets aren't going to work for me this time and that I'm going to stay depressed until the Spring time when my mood naturally improves based on my bipolar cycle.

I know no one can tell me how long its going to take or that they are even going to work because we're all different but I guess I'm just after some reassurance or something.

0 likes, 28 replies

28 Replies

  • Edited

    Ho Jonesy, 23 days is still early on them mate, they seem to take a little longer second time around aswell. Be patient mate and you will get their, i also struggle with this time of year!

    • Posted

      Thanks for replying. I'm so desperate to feel better that it's difficult to be patient and optimistic. My husband says I just need to hang on in there and keep doing things to distract myself from my anxious thoughts.

    • Posted

      I know that feeling of wanting to be back to your old self, it will come. Its a very bumpy road to recovery thats a mix of good days and bad days that slowly tips towards more good days and so on. Another possibility maybe that you need a higher dose, i would give it more time on 20 yet but maybe consider the up to 30mg

    • Posted

      Thanks Harry, I'm just waiting for some signs of the medication working at all. My appetite is sometimes a bit better but my mood is still very low and I'm often tearful. I think the doctor will be reluctant to increase the dose as it can cause hypomania in Bipolar Disorder.

    • Posted

      Hiya, how are you getting on? Sorry for not getting back sooner

    • Posted

      Hi, I'm still struggling a lot. I've had my dose upped to 40mg which is what I took previously. Wish I could see some small signs of them working. My psychiatrist has suggested Venlafaxine if these don't work but I think I need to stay on them for a bit longer before contemplating a change.

    • Edited

      hey jonesy, sorry to here this. Its frustrating upping your dose as you know in the long run it will help but its a tough few weeks until that happens. Keep going and you will

      get their

  • Posted

    Hi Jonesy,

    I feel your pain... as this is my second time going on Celexa as well and the first was very long ago and I don't recall any hard adjustment period. I'm about 3.5 weeks in now and it's been really hard. The worst bit is the increased anxiety. It makes it hard for me to discern whether what I'm experiencing is from anxiety/irrational fear or an actual side effect/concern. I've read a lot on this forum and the consensus seems to be that it does work, even a second time around, but that there's no telling how long it could take. For some people it's weeks, and for others months. I've wondered if for those who it takes months whether they feel some gradual improvement over that course of time. I am also reading that the second time going on Celexa generally takes longer for people as well. Anyway. You're not alone. I hope now that it's been four weeks that you are feeling much better.

    • Posted

      I feel the same way you do! I have been on Celexa now for 9 month at 20 mg and of coarse anxiety kicked in and I guess I needed to move up to 30 per dr orders, but Im on day 17 and The ups and downs, nausea and headaches and now I have a cold on top of it all drives me crazy. ready to feel like myself again

    • Posted

      I'm right there with you. I want to feel better so badly. It's only been a week and a half since I increased from 10mg to 15mg and I know my doc is going to tell me to increase to 20mg next week and it feels too fast. I'm miserable with the side effects from the 15 as it is. I feel the nausea as well. It's not like I'm going to vomit, but more like food doesn't sound or smell good and my stomach feels gross. I also wake up early in the morning feeling like my stomach is a pit and I need to put something in it to help my anxiety. So weird. I'm also noticing that even when I get some exercise, I feel shaky and off-kilter. It's hard to describe. Just funky.

    • Posted

      I have always been on 20 mg every time I jave taken celexa so this is the first time im up to 30mg but knowing other feel the same is comforting in a way. i hate we even have to go through them . I wake up some mornings from dreams so anxious with my heart racing, I have to take ativan .5 during these four weeks of upping ate you taking anything else?

    • Posted

      I think the hardest part is not knowing how long it's going to take... having no idea. It could be weeks, or many many months... and that's astounding. I'd prefer to know that there are gradual improvements for the recoveries that take months. The only other thing I'm taking is Trazodone 25mg before bed to help me sleep. It usually gets me at least 7 hours without panic. It's my one true reprieve in the day. I've been trying to cut that down as well... I never know if it's causing more fatigue in the long-run. This is so so hard. Anxiety, fatigue, stomach funk. I understand the heart racing. It's weird I get that when the front door opens (my boyfriend coming in) just that sound makes me get a rush of cortisol/panic. He even comes in quietly.

    • Posted

      yes the unknown of when is so scary and for me I have been well and then had to up so side effects all over the place. I have a fear with my heart, like tonight we were out eating and I got so anxious, started feeing sick and like a lump in my throat. do you do that? I take .5 of ativan 3 x a day so that is suppose to help during my sode effects. so how long have ypu been on celexa all together

    • Posted

      YES. I can completely relate. I am paranoid that my heart is beating too fast or that I'm going to have heart problems at any time. The ongoing anxiety feels so stressful I worry that my heart can't handle the sustained stress. I get the lump in my throat too, and wanting to burp or find some way to relieve it. I've noticed that Citalopram causes your stomach to be weird and can make you burp or have some heartburn, as the serotonin levels in your stomach are changing (I know, weird.) Ativan would definitely help, but as a Benzo, it's highly addictive. I had to wean off Ativan several years ago. I've been on Celexa for nearly four weeks now.

    • Posted

      i told my dr I was worried about ativan but she said to take and a low dose she would wean me off so we shall see. tonight with my cold I dont know if it is drainage or my anxiety I feel like it is thick and almost like harder to breath, but I know the fullness feeling and it goes into your chest and once you can burp it os like a relief! Are you in the States? I am

    • Posted

      I'm so sorry you have to deal with the cold too right now... that is rough. Yes, I'm in Utah. I weaned off Ativan in like three months... it helped me through a really tough time so it served its purpose!

    • Posted

      I woke up this am anxious I have dreams and I feel tingly and weird that always worries me

    • Posted

      Im so frustrated. I tried to sleep without taking the Traz and my weird gnawing stomach kept me up. Finally got to sleep from 12-5. Not much at all. Do you have nervous hollow stomach feelings?

    • Posted

      they told me

      to stay on my medicine to help sleep etc until side effects are gone so dont try to change anything up for the first 6 weeks..Do you wake up some mornings just down and dont wanna do anything and i end up getting up but i just feel blah today almost like i wanna cry

    • Posted

      my cell number is 8647063328 message me on there if hou want

    • Posted

      Yeah, if you dont have a history of depression, I really think the yucky mental zone is a symptom if adjusting to Citalopram. Our serotonin levels are rebalancing. My blah feeling in the morning is more anxiety and panic, and hopelessness that its not getting better fast enough. Its not really a lack of motivation so much as really not feeling well (too much nervousness).I have been tearful most mornings, even crying. Its just a side effect of adjusting and being tired of waking up yet again to the anxiety.

    • Posted

      i get up do stuff I am a teacher but being off this time makes me down cause im use to going and going i dont like down time. today i just feel like i could cry for no reason. i guess my anxiety today started from waking up feom a dream and has carried over and between the stuffy nose and anxiety it makes you feel like its hard to get deep breathes

    • Posted

      I completely understand. Im a Museum Curator and Im used to being really active and busy so this is hard for me too. Hang in there! We will heal soon. Do you have any peppermint oil? I find it helps to distract me and open my airways. Im particularly down because I only got 4 hours of sleep... so Im exhausted but too anxious to nap. And its Christmas Eve! Gotta be grateful for the little things I suppose, like a warm home to be healing in. Dont forget to eat and drink lots of warm fluids.

    • Posted

      i hate you are feeling anxious also. tell me again what week you are on? i hope you get aome rest!

    • Posted

      Im wrapping up my fourth week. Two weeks at 10mg and two weeks at 15mg. I miraculously have felt slightly less anxious today than yesterday, but my body feels like rubbish and my stomach is gnawing at me. Feels like the flu but isnt. Im looking forward to maybe more progress tomorrow, adequate sleep tonight. How are you holding up?

    • Posted

      i have been feeling alot better in the past few days than today. i have had anxiety and like a heaviness on my chest but just took my ativan so feeling a little better. merry christmas eve and i hope you get good sleep tonight! tomorrow is a new day we got this!

    • Posted

      Merry Christmas Eve to you as well! It helps to not feel alone and the chest heaviness is normal. Good ol anxiety.. We will get through one day at a time!

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