Been on citalopram again for nearly 3 weeks, no better probably worse

im wondering if i should come off them. at least i wouldnt have the side effects - i was mostly sleeping ok before and didnt have all the panic attacks. problem is that the meds have ramped up the anxiety and depression so much now that i fear it would be very difficult to manage them without medication! such a shame as they worked so well for me the first time for 4 years

you have had too fast an increase in dose to get you up to 20mg. perhaps you should have taken it the increases much more slowly. personally, I would knock back to 10mg till things level out a bit. hope you feel better soon.

thanks but the psychiatrist was adamant that 20 was the minimum therapeutic dose and that was what i got better on last time so needed to get up to that. they usually say a dose increase each week

now im really unsure what to do? should i reduce the dose or stick it out now im there? what do others think?

As gerry has said too fast an increase too soon, however it is what it is now and you will have to be patient, the last 2 times I have been on citlopram it took 8 weeks for me to be some what near normal on a constant 20mgs, if you felt ok after 2 weeks last time you were one of the very lucky ones however you haven't been on 20 for 2 weeks yet so you may get lucky again, patience is required, which I know is in short supply when all we want to do is get on with our lives and feel better. Would not come off of them just yet though

thanks everyone. so you think i should stick it out on 20 now and hope that things start to level out and not be discouraged that i havent had any improvement after nearly 3 weeks? i lnow its different for everyone but im guessinng i should be seeing some improvement after say 4 weeks on 20?