Coming off citalopram
Posted , 6 users are following.
After being on citalopram since September 2015 and them no longer doing anything for me except exhaust me myself and my GP have began tapering me off them.
I started in 2015 on 20mg and worked up to 40mg, as of yesterday my GP has put me down to 20mg again (for 2 weeks) then I have a pack of 10mg to take every day for 2 weeks then after that 2 weeks I need to take 10mg every other day until I finish the pack and that’s it!
To me in the back of my head I’m worried that’s to quick after such a long time and high dosage. I don’t know whether it’s me or whether the withdrawals are happening straight away because I’ve felt so lightheaded and dizzy today and just not with it.
Has anyone any experience of tapering off a 40mg dose? I don’t know whether to follow the GPS tapering advice or adjust it slower?
0 likes, 10 replies
lois95799 beckai
Posted
beckai lois95799
Posted
Think I may see how I go on the 2 weeks of 20mg but Im not confident I’m thinking the 2 weeks of 10mg I’m going to struggle most on. If no good I might get a pill cutter and decrease 5mg at a time more slower and go see another GP ☺️
lois95799 beckai
Posted
ruth24048 beckai
Posted
nigel45109 beckai
Posted
nigel45109
Posted
Basically, with same reduction your gp has recommended, i ended up thinking i needed to be committed to a hospital, i was in a complete and utter mess. This was under the supervision of a good pysc, and was planned, as a switch to venlafaxine. Lois's suggestion seems sound.
katecogs beckai
Posted
Firstly can I mention that 40mg is the maximum dose you can take and many people struggle on this and just get continuous symptoms, never recovering. Exhaustion is one symptom ......... just a thought.
Ummmmm ..... yes that is way, way too quick for you to come off these meds - especially that dose. You can't expect to drop by halving each dose over that short period and think you'll come off relatively lightly - and think you'll be in for a really tough time. I spent a whole year coming off 20mg reducing it by 5mg over 4-6 weeks each reduction. I had no withdrawal at all that way. Many years previous to that I'd withdrawn by halving it and had nausea, brain zaps, dizziness, weirdness, crying spells which lasted many months. Second time around I decided to do it better.
Before coming off the meds though do consider if the dose was too high for you in the first place. You don't need the max dose to recover - its what suits your body. You can recover on 10mg, 20mg or 30mg ...... continuous side effects means it was too big.
However - withdrawal. I personally wouldn't follow your GP's tapering system. Its your body and you'll be the one to suffer - not him. To stop the lightheadedness and dizziness I'd reinstate 10mg and go up to 30mg and stay there until withdrawal has levelled. Then go buy a pill cutter / crusher and cut the pills into 5mg pieces and reduce by 5mg each time, staying on the reduced dose about a month or more before reducing further.
Remember, it takes at least 3 months before you start even feeling well when you've started meds, plus many more before you feel recovered, so I don't know how your doctor thinks you'll withdraw in 6 weeks. Dangerous game.
Go back and see him and tell your plan.
K x
ruth08109 beckai
Posted
That taper is massively fast and I would ignore your GPs advice about the speed.
I would adjust it to be much slower. You've been on them coming up for three years, personally I would plan to spend at least a year tapering off.
Even going from 40 to 20 sounds mad. Honestly, some GPs have no idea.... to give you an idea of how fast that sounds, there is tapering advice online which suggests reducing dosage by only ten per cent of your current dose, and staying on that for a month.
Ten percent of your current dose is 4mg, so you'd currently be on 36mg for a month.
Admittedly, that kind of taper is very slow, but if it were me I would not want to reduce that fast. I would be looking at 40, 35, 30, 25, 20.......and down in 5s, until 5mg, then do 2.5, then do 1.25.
beckai
Posted
I’ve decided I’m going to do it myself by tapering 5mg a time as some of you have suggested, starting with 35mg from today for at least 3 weeks, then go down to 30mg and so on.
I really don’t want to end up back to square one, so I think the slow taper is the best.
Fingers crossed it works and I’ll avoid some of the discontinuation symptoms.
X
ruth08109 beckai
Posted
I think that's a real good idea. It's tempting to rush it, but really, as slowly as you need to go is best. Good luck ??