Experienced citalopramers some reassurance please

Posted , 7 users are following.

I've been lurking about for 10 days on these discussions trying to post when I am on an upswing to support and silently reading to be supported when I am on a downswing. But now having a serious downswing so calling out for some reassurance for what I know mentally but struggling with emotionally.

End of week 7 on citalopram, real panic storm hit due to external circumstances at week 4. two dose increases since then, major side effects. Level on a dose for 21 days now. First week and half off work without pay and non functional. First week back at work rough but only took the Wednedsay off. Next week managed till Wed then worked from home Thu, Fri due to a cold which worsened the anxiety.one good days on the weekend,  Last week, started well a few good days.

It had been really up and down but general trend was up, each week a little better than the last. A good day then a few bad days I get that, I had that.

Since wed been in a steady decline, nausea came back, appetite went, then the vomiting started again, then got all weepy which hasn't happened before, anxiety through the roof. Each day another major step back. Today I am stuggling with not being able to eat an evening meal for the first time,  severe nausea waves all day, even at its worst before, I have always had a calm patch from mid afternoon till bedtime, and been able to eat at least that one meal.

I expected up and down, I know it takes time ( I have been on citalopram twice before and had side efects but never this relapse), I know I need to focus on the ups, their very presence suggests the med is working. 

But I never expected to experience what feels like my lowest low, this far along. The inital storm was externally triggered, that is past and resolved. 

Can this really still be side effects 3 weeks past a dose increase and why such a regression so many day in a row?

Anyone experienced something similar? 

Feeling frustrated and scared. 

1 like, 14 replies

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14 Replies

  • Posted

    How long ago were you on them prior to this time also the previous times?

    How long for?

    Why did you take them in the first place?

    Are you on any other Meds including over the counter?

    Do you drink alcohol?

    Where are you based?

    I just need to get a picture to try and help!

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    • Posted

      Hiya

      Originaly on 20mg in 2010 when young son diagnosed with cancer to prevent prevous issues with panic disorder resurfacing. Worked well, stayed on 6 months after he passed away, about 18 months all up, back on a year later for a year when things got a bit stressfull, and back on 2013 till late last year. Jan this year bad pnuemonia, then a lung cancer scare which turned out to be nothing but triggered a severe anxiety panic disorder attack (after what happened with our son). Known to have severe side effects and previously weaned on very slowly 5mg at a time over months. This time rushed it in 10mg jumps over weeks up to 30mg and paid a high price intially with side effects (and might still be).

      No other meds (except antibiotics for the last 7 days to keep a cold out of my chest, I did wonder if they might have triggered the setback)

      No alcohol.

      Based downunder in NZ. Have really good family and professional support. I am convinced my underlying panic/anxiety problem is no where near as severe as what I am going through now and my psychologist agrees. This has to be med induced to go on for this long and be this bad. 

      The obvious answer would be a benzo type drug to cover the short term dips, but unfortunately I have an adverse reaction to them and they set me off worse rather than calming me down. Tried them in all sorts of dose regimes from minsicule to heavy and no joy.

      I know this post is mostly the panic talking. I was just hoping a few people might have had a similar pattern to cling to for hope.

       

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    • Posted

      HI Adam, I'm sorry you're going through such a rough time.  It sounds like you have been on and off this med, and this time you have become sensitized to it.   When we come off and go on and off our nervous system becomes highly sensitized and ordinary things can go paradoxical, including reinstating this drug.  That is likely why the benzo had the opposite effect.  Antibiotics can trigger emotional symptoms, too.

      I'm going to send you a link for further help in how to proceed.  Going off this one quickly and onto another one could also go paradoxical so that won't necessarily be the solution.  Probably your best bet is to taper back off of this one.  You said that this time you went up rather quickly on the dose compared to the past.  How long were you off the med before this latest return?

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  • Posted

    Hi Adam

    This is my second time on Citalopram, and restarting them 18 months ago I had a different experience on them from the first time.  This time around it took much longer to recover, and I had a scary intense panic which woke me up in the early hours, making me have to get up and pace around the room.  I had a lethargic flat feeling for months and months.  In all I reckon it took about 7 months to start feeling well again - and I've now been well for nearly a year.

    You can get side effects weeks after starting meds or increasing a dose.  These meds are weird, so expect anything that comes your way.

    You will get well again.  You've done it before, and you'll get there again.

    K x

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  • Posted

    Hi Adam

    considering what you have just been through I think you are doing remarkably well. When I was recovering I found that even a head cold could trigger the anxiety again . My anxiety was essentially a health anxiety and fear of becoming ill and not being there for my husband and two adoptive children.

    Any increase or decrease takes time for the body and brain to readjust so what you are experiencing is normal. it takes a long long time.

    Three weeks of increased dose is not a long time ,give it more time and eventually you will start to feel better at the moment you are so sensitised and this takes ages to settle. Each day is a day forward to recovery so hang in there.x

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  • Posted

    hi, I reckon the antibiotics are playing a big part, I had some for a tooth infection and was ready to jump out of the window!! You have also increased doses in a very short space of time so that mixed with the other meds and feeling ill and scared is a recipe for feeling yuk!!! good luck with feeling better 😘😘
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    • Posted

      Thanks, yes I agree the antibiotics in a system that was already on edge and worn out from 8 weeks of anxiety battle, was one too many things. Flipped the system, hold on tight the roller coaster is decending again.  Slowly climbing back up again now smile
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    • Posted

      Hi just reading this thread. Firstly so sorry to hear about your son. I too am in nz and was wondering what kind of professional help you get. Ive Been on 20 for mild depression for several years with no side effects. Only the occasional anxiety but very rare. However we sold our house, hubby quit job, moving next week and I got RSI which meant I could barely move my hands for a while it was so bad. Brought on lots of anxiety. Gp said I could increase to 30 two wks ago. First wk awful side effects then went felt great for two days got busy packing etc and bang got tiredness anxiety nausea back again. Hard to know what is going on. Im hoping once we move next week things will improve. In the meantime I am waking every morning at 4.30-5 and can't get back to sleep properly so get so tired. I swapped taking cit from night to morning. Never had ths prob before so wondering if night better for me ?
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    • Posted

      What you describe is pretty typical side effects for a dose jump from 20 to 30. Especially the hit early morning. This time round has been severe enough I am seeing a psychiatrist to advise on the meds especially after I made some silly decisions around upping the dose and a therapist/ psychologist to sort out the longer term game, meds are only a medium term fix in my head. They will get me out of the hole so I can address the causes.
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    • Posted

      Also meant to say the money for the professionals is worth it. After seeing them I really understand the causes, how the meds work and how the body chemistry is running things. That has really helped me. As has having someone knowledgable telling me they can see progress even when I can't from the inside.
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  • Posted

    Has anyone had the nausea hit back hard as late as 7 weeks post dose increase? I had a major wobble at 3 weeks just as side effects seemed to be fading. Ended up at hospital, as I don't tolerate the benzo's like Xanax or lorazepam they tried quitiapine/seroquel short term. With that I slowly got back on track  and had a good week last week. Now I have just been smacked for six with nausea again. Feels like nausea driving anxiety rather than anxiety driving nausea. Quitiapine could be a suspect it certainly has side effects like a dry mouth but wondered if anyone has had it come back like this on citalopram. It is lasting all day and bad at night which doesn't fit my usual side effect or anxiety pattern.

    three steps forward two backwards, this journey is a real test of patience 

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    • Posted

      Hi I had nausea two wks after increase then a week of nothing. Then got real tired and anxiety and nausea came back. Anxiety getting better I'm in week four now but have real grumbly icky tummy. I think that and tiredness is causing my anxiety. Just gotta ride the waves so they say.
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