Increasing Citalopram from 10mg to 20mg feeling worse

Posted , 4 users are following.

I have been been taking Citalopram for 5 weeks for depression and anxiety. I felt bad to start with, but the first 3 to 4 weeks of taking it made me feel even worse. The main problems were increased anxiety and insomnia. I also found the mornings very difficult, as I started crying as soon as I got put of bed and phases of this would continue through the day. I was slightly better in the afternoons,but experienced another dip in mood in the evening. My depressive symptoms were a reaction to a barrage of upsetting events, including a death, estrangement from 2 of my 3 adult children and conflict with my brother.

I was reluctant to increase the dose, but couldn't think of anything else that might help. (I am seeing a counsellor, which helps a bit.) So, on the doctor's advice, I doubled the dose from 10mg to 20mg and yes, I am going through the same side effects again - feeling worse, not sleeping, crying more, full of negative thoughts.

Has anyone else had a similar experience when increasing their dose of Citalopram. If, so, how long did they take to feel better after increasing the dosage?

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  • Posted

    every one experiences those side effects from increasing or decreasing.that is the nature of this med.hope you feel better soon.doctor should of started did it slower like 15milligrams first.

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    • Posted

      I didn't realise you could do increase in 5mg steps. I'd better not mess around now that I've started on 20 mg but it would definitely be worth bearing in mind if I want to Ĺ•educe gradually in the future. Thank you for the info.

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  • Posted

    Little steps at a time Jill, 2.5 mg either way. I recon thats way to big an increase if you felt awful on 10mg, i would of personally stuck on the original dose for longer & rode it out to you got used ti it, before thinking about upping the dose.

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    • Posted

      The doctor didn't even mention that there were 5mg tablets. I'm not sure that GPs know as much about it as those who have used it. He told me I wouldn't feel worse when upping the dose but I haver found that to be untrue. Mornings are especially bad, crying all the time.

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    • Posted

      My gp told me that I would be back to myself within a week of upping my dosage from 20 to 30. I'm like you, I'm not sure they completely understand the meds. Plus I have read they can affect people differently. I'm 3 weeks into 30 mg and still having pretty bad anxiety, crying episodes and yes mornings are the worst.

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  • Posted

    Yeh doctors havnt taken the meds, its a guessing game for them Jill, but you just cut your 10 mg tablet in half, that works out cheaper also .

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    • Posted

      Thanks Mike. You are right about the doctors guessing! Do you think psychiatrists might know a bit more about the meds and different options, as they are specialists? It seems that doctors mostly prescribe SSRIs without exploring anything else.

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    • Posted

      Yes, walking in the countryside does help, along with cycling and talking to people. I think this depression is deeper because it is complicated by grief for the loss of 2 adult children, who have become estranged. It feels like a bereavement. My dad just died too. I wonder if any tablets can help with grief.

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  • Posted

    Anbody you feel comfortable talking with will help, so a pyschiatrist would be helpfull, along with some mindfull meditation & some nice countryside walks helps , especially mountain walks, which help me a lot.

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