Do I need to increase dose?

Posted , 6 users are following.

Hi everyone

I am going for a check up tonight to the doctors to see how I am getting on.

I have been on 20mg since March and was doing fine up until about 2 weeks ago. My brain won't shut off at night and I can't sleep. Would this be a reason to increase the dosage or try and get something to help me sleep?

Any help is appreciated!

Thanks x

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  • Posted


    Personally I would only advise an increase in dosage if your mental health/depression has deteriorated, I would not increase it due to being awake at night until you know why you are not sleeping. I certainly would think hard before beginning to take sleeping tablets or diazepam- at least until you explore what it is that could be keeping you awake, that is my personal view of course- and I would discuss possible reasons for lack of sleep with your GP, and other alternatives before getting hooked on sleeping pills. I take the citalopram early in the morning and this does not afffect sleep- if you are taking it later in the day- that could impact.

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    • Posted

      Thanks for your reply. I will speak to the doctor tonight and see what he thinks. I had disturbed sleep before I started taking Citalopram but found that it really helped with shutting off my brain before bed. I take it in the morning when I get up at 7. I don't really want to take sleeping pills as it would probably cause addiction. I am having therapy as well which has helped.
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  • Posted

    Hi Mermaid,

    I would wait until you speak to your doctor about changing your dose.  When I can’t sleep now, I do use the Tylenol p.m.  I don’t use often, only when I have a real problem, and it seems to work for me.  And the pharmisist told me it is safe.  I am frightened of those sleeping meds, I just take so many meds already, I just don’t want to take any more than I have to.  But, I do know what you mean about the brain not wanting to shut off!  It truly is awful!!  Good Luck at the Doctor tonight!


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    • Posted

      Hi deidra 

      thank you for your reply. 

      The doctor has increased my dose to 30mg so hopefully this will help or I will pop to the pharmacy and see if u can get some Tylenol. Thanks xx

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