Citalopram 6 weeks
Posted , 12 users are following.
I am a first time poster looking for some advice about Citalopram. I have been taking it for 6 weeks: 2 weeks at 10 - 15mg and four weeks at 20mg. I was hoping to see a significant change by now, but I haven't really seen much change. I am taking it due to some stress I encountered, which led to insomnia and then anxiety about insomnia. Unfortunately, the insomnia is still quite bad and I usually need to take a sleeping pill or benzo to get a few hours a night, so I feel tired all the time. I still feel quite anxious during the day too, with butterflies in my stomach. I do exercise, eat a healthy diet, follow a sleep programme and meditate. Is it too early to expect a change at this stage? Any advice would be much appreciated.
1 like, 99 replies
katecogs lucleils
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Yes its too early to expect a change - took me 6 months to recover on 20mg. Count recovery in months, not weeks, and people usually start seeing changes around 3-4 months? Everyone is different though and some recover quicker, others even longer. What you must do though is just stick it out.
Even though you aren't seeing anything happen yet, the meds are working in the background. It takes an age for your body to settle and in the meantime it often heightens your symptoms to start with - and insomnia can be a problem at the beginning too, but these side effects often do ease over time.
Don't put a timescale on anything - just go with the flow. It'll happen in its own time.
Also don't be in a hurry to up your dose - 20mg might be the one for you - you won't know unless you've stayed on it for a long time. Again everyone is different. You cannot speed recovery up and a bigger dose doesn't mean you'll get better any quicker. Again you just have to bide time and go with the flow.
When you begin to start feeling better you will get setbacks / blips. This is where you feel like you've gone back into it again - this is perfectly normal and it will pass. There'll be many blips as you recover, each one getting easier.
Hope that helps.
K x
lucleils katecogs
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katecogs lucleils
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michael62588 katecogs
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katecogs michael62588
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Yes feeling dizzy can be a side effect for first few weeks - it usually eases off. Each dose increase can also cause side effects again.
The dizziness should wear off. Let your doctor know if it becomes a problem though.
michael62588 katecogs
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katecogs michael62588
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It can be frightening for sure - and being stressed about it is what keeps you in the anxiety cycle. Everyone does the same - I did until I learnt about anxiety and what to do and not to do. Its always a shock when it hits you.
I've sent you a long message too.
michael62588 katecogs
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sammytka03 michael62588
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michael62588 sammytka03
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sammytka03 michael62588
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michael62588 sammytka03
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lois95799 michael62588
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michael62588 lois95799
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lois95799 michael62588
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michael62588 lois95799
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daniel39582 lois95799
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lois95799 daniel39582
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It will happen ..but very slowly..it's a very slow working med..don't get discouraged ..stay on one dose ..a higher dose doesn't mean a quick fix.. patience is the key here..
michael62588 lois95799
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lois95799 michael62588
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daniel39582 lois95799
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michael62588 lois95799
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lois95799 daniel39582
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lois95799 michael62588
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I'm also sensitive to meds..yes there is such a thing. .
katecogs lois95799
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Hi - I'm here
Daniel - Imipramine is a tricyclic drug and Citalopram is an SSRI. Before I was on SSRI's I was on Anafranil which was also a tricyclic drug and was switched straight over to SSRI's without any withdrawal. 3 weeks on the Citralopram is really early days and I suspect you're still going through the initial side effects of it. You need to give this meds months before seeing any sign of improvement - and its really worth sticking it out. I took tricyclics for years and years and within 6 months of being on SSRI's I'd recovered.
I know coming off SSRI's you must withdraw real slow, but don't think its the same for tricyclics (I might be wrong).
michael62588 katecogs
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daniel39582 katecogs
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michael62588 daniel39582
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lois95799 michael62588
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daniel39582 michael62588
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daniel39582 katecogs
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lucleils katecogs
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Hi Kate,
I'm coming up to 8 weeks now and still don't feel a difference. The thing I am most concerned about is sleeping. It has got to a stage where I can't sleep without taking a sleeping pill. The anxiety at night time is awful. I will need to continue doing this, if I am to continue working. Do you think this is ok to do this until the meds kick in over the next few months? Thanks for your advice, I have read so many positive, supportive posts to other people on here. I am so grateful for them.
katecogs lucleils
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Hi Lucleils
8 weeks is still quite early when taking these meds - it can take 3-4 months for some people to start seeing any sign of improvement, though some feel better before this. The meds can play havoc with your sleep pattern which is a common side effect - but one which usually rectifies after some time. I'm assuming your doctor has prescribed the sleeping tablets and it would be best to check with him about how long they should be taken for - I've not taken sleeping tablets before so not sure about them.
I have however taken herbal over-the-counter meds before (called Kalms in the UK) which helped me relax and sleep. If you did think about something like this then you'd really to check again with your doctor if its ok especially as you're already taking prescribed ones.
Other things to help sleep is to not use a mobile phone, tablet, laptop, computer or even a Kindle a few hours before bed because the light emitted from them can interfere with the sleep hormone Melatonin and keep you awake. You need to wind down before bed - not waken the brain Even now if I use my laptop before bed then I can't get to sleep for hours as my brain is wired.
Try not to sleep during the day, even if you're tired due to missing out on the nights sleep. Try and save the sleep for the night.
Also some people do well having a hot milky drink before bed (not coffee), sprinkling lavender on the pillow, and doing some slow deep breathing too.
I also find that going to bed and reading with a torch starts making me sleepy.
Hope that helps - and I'm sure the insomnia will get sorted in the end though xxx
daniel39582 katecogs
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katecogs daniel39582
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No thats right - I think many professionals need retraining in this type of drug - its side effects, the duration it can take, withdrawal safety and withdrawal side effects. I don't think anyone know how this condition feels to start with plus they don't know how it feels to take these meds either. Its not like taking antibiotics where they start to work within a few days and you don't notice you're taking them either. SSRI's hit you in the face and make your symptoms worse to start with and this confuses most people who take them. Doctors don't know how it feels unless they try them themselves.
Also SSRI's affect people differently. Some people have every side effect under the sun whilst another person might have just a few. Also different people feel the side effects in different severities. One SSRI will suit one person yet another SSRI suits another person. There is no one meds for all and no one set of side effects for all either (or duration) so I expect Doctors get different feedbacks from their patients.
I do still think they should be made more aware though.
Yes thats it - a lot of people think these meds aren't for them because they don't see any improvement after a few weeks so give up.
It took me 6 months to recover - some people get better quicker than that and some longer. Everyone is so individual. My son took Fluoxetine a few years ago after a particularly difficult time and it took him 9 months to get well again.
Throughout recovery you don't just become well again. You usually go through many blips (dips) and it feels like you're back at the beginning again. This is just how the meds work and again it foxes people into thinking the meds aren't working and so the doctor increases the meds thinking that is what's needed. It doesn't matter what dose you're on because you will still go through those blips. A bigger dose doesn't mean it'll work quicker and it doesn't mean its what you need. You can recover on a smaller dose - everyone suits a different dose.
But yes - keep persevering, through it all. It really is slow.
lois95799 katecogs
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michael62588 daniel39582
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michael62588 lois95799
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lois95799 michael62588
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nicola282406 lois95799
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Hi Lois was just reading through this post & just wondering what you meant by 20mg was too much for you ?! How did you know it was too much ?! Only reason I’m asking is I was on 10mg citalopram since 31st Oct then Dr’s increased it to 20mg by 18th Nov ! & today I’ve literally felt like giving up & stopping the tablets if I’m honest !
Sorry to but into conversation & wishing you all well !xx 😊
lois95799 nicola282406
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The side effects where to powerful .and since my phychiatrist knows iam sensitive to meds she said let's try downing the dosage .and bingo my body was able to tolarate the ten ..so we went for it ..I was running out of options trying other ssris.with no luck..as soon as one week I noticed the side effects lesson.all thought they where still there .they just weren't as intense..and slowly and gradually they disappeared..took me 8 months..
lucleils katecogs
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Hi Kate,
Thanks for all your advice so far. This week will mark 10 weeks on the therapeutic dose of citalopram (12 weeks altogether). It's hard to tell if things are improving, as my sleep is so bad. I have taken benzos and sleeping tablets, but all of them seem to have lost their effectiveness. The other night I did not sleep at all and last night maybe an hour or two, very interrupted (with a Xanax). It is so depressing and I don't know what to do. I have an appointment in a few weeks with a psychiatrist, but don't think I can have such bad sleep until then. I have been sleep deprived for months. Can you please advise?
katecogs lucleils
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Hi lucleils
It is hard to see if the meds are working - I didn't notice until around 3-4 months, and even then it was really subtle. Insomnia really is tough isn't it - I had it for a bit. Trouble is it can stress you and then we you about it as you desperately try and sleep, often making it worse.
Only things I can recommend are not using any form of computer, laptop, phone, tablet etc etc for a long time on end during the day, and definitely turn them off a couple of hours before bedtime because the light emitted from them interferes with your melatonin (sleep hormone). Also I can't use my Kindle to read at night as it gives me a headache - so I go to bed on time, read with a torch (always makes me feel sleepy), use a bit of lavender essential oil mixed with a base oil and rub a dot under my nose / top lip and chest as its soothing as meant to aid sleep. I have my window open all year round, blackout blind keeps the room really dark, I cover my digital clock as the light is annoying and have used soothing natural sounds to play really low in the background i.e. waves, trickling water, thunderstorm, rain, Tibetan singing bowl ....... all sounds which are comforting.
I also used over counter meds called Kalms (in the UK). They help sleep too. You do need to check with the Pharmacist or Doctor though as you're taking sleeping tablets etc so need to check if its safe.
But definitely don't use any laptop / phones etc.
The insomnia does usually rectify itself over time.
lucleils katecogs
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Hi Kate,
I'm nearly twelve weeks on the therapeutic dose and I still feel the main symptom has not been addressed. I have read some of your other posts to different users and find your advice really helpful. Could I ask if you had obsessive thoughts before starting the SSRI? I find that I ruminate over certain things and wonder if the meds will ease these ruminations in time?
Many thanks for your advice.
katecogs lucleils
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Hi Lucleils
Yes before I started SSRI's I had obsessive thoughts and that's the reason I was eventually put on these meds (and for anxiety too). These thoughts are a side effect of anxiety ... without anxiety you wouldn't have these thoughts. When we suffer with anxiety everything becomes over exaggerated, including thoughts ... and because we're super-sensitive when anxious we 'over-feel' these thoughts more than normal causing more anxiety, which then keeps us in a loop of anxiety / thoughts / anxiety etc etc. Yes the medication will help to ease and finally stop these ruminations over time.
The meds help by hanging onto your serotonin which makes you feel calmer, helps to lift your spirits and because you're feeling calmer the anxiety calms and in turn the thoughts too. An anxious body = anxious thoughts and a calm body = calm thoughts.
I thought I'd never be free of anxiety as I only had to think of certain things for my anxiety to flood over me, yet I found as I recovered those thoughts began not to bother me and even if I did think of them they didn't produce the pang of anxiety they once did. Eventually the anxiety stopped and everything returned to normal. I'd had anxiety / thoughts for 16 years .........
It took 6 months for me.
lucleils katecogs
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katecogs lucleils
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