Severe reaction reintroducing citlopram

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Started 12 month tapering of the nasty citlopram from 20mgs to 0.25 and noticed severe withdrawel symptoms after 3 weeks so i reintroduced 2.5 then 5mg for 2 weeks then went to 10mgs after 4 weeks. i noticed severe insomnia so went back down to 5mgs for the last 3 days BUT had a crazy severe reaction last night with similar to that of withdrawal symptoms but 2.0 couldn’t sleep/ super tight chest/ had sudden body shivers racing minds worse then withdrawal symptoms...can anyone think from experience what’s going on?

Am I have reinstating issues with after I pushed up the dose too quickly to 10mg

And messed about with doses on already sensitive central nervous system?

Is it serotonin syndrome?

Is it potentially have a reactive issue with the drug is saying it ain’t for me anymore?

What are your thoughts guys?

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26 Replies

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  • Posted

    what was your tapering schedule from 20mg? Did you go from 20 to 2.5 eithin 3 weeks? If so, that is the problem

    • Posted

      12 months but it was the final dose 2.5 that throw me off. i am bk upto 0.5 but seemed to developed acute akathsia. feel like i am losing my mind. dont know what to do. stay on same dose increase taper off? very hard

    • Posted

      settle back on 2.5 again. try again in a month is what Id do

    • Posted

      when i tapered too fast and updosed it made me worse too, took me 12 months to start to settle but i had hundreds of symptoms! everyone is different!

    • Posted

      sorry will add more detail.. i took 0.5 for 2 weeks after withdrawels and then upped it to 0.8mg for 7 days (felt ok but odd days of high anxiety and then over this weekend noticed tight chest so the last 3 days went back down to 0.5mg...and thats when bam on second day noticed severe withdrawel symtoms?!

      i took 0.5mg again today and nothing feel rubbish. surly makes sense to go back up to the 0.8mg hopefully will knock the symtems on the head?

      yes i know i have been a rookie about all this.

    • Posted

      mic i have every symptom going and withdrawals dont hit me for 8-12 weeks, im never playing with doses ever again! im reducing 2mg at a time, going to take years! thought it would be like getting off mirtazapine as gone CT with that 3 times but no!

    • Posted

      i cut a ten and do quarters once i get below 2.5mg next time i will use liquid for sure that was my mistake this time

    • Posted

      wow did you cold turkey? yeh citlopram is a powerfull beast. i think once you hit anymore then 1 year mark its grabbed your CNS and it takes ages to readjust and got off.

    • Posted

      no unfortunately im only down to 6mg! be careful swapping to liquid as its more potent than the tablet form.

    • Posted

      sorry to hear you had a hard time. just confused did you go back to a your regular dose and feel better or are just tapering off now in regardless how you feeling?

    • Posted

      i was on 10mg tablet cut it in half, didnt wait long enough to settle went to 4mg liquid, felt bad really bad docs said updose slightly so i went to 6mg it made me worse, took a year to settle somewhat then i got a faulty bottle and different brand the dropper was faulty so ended up doubling my dose for 4 days and its going to take me a year to settle on this!

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