Sleepiness on Citalopram

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Hi, I am on Mirtazepine 45 and my doc started Me on Citalopram 20mg as It suppose to an activating dryg. It’s my 3rd day on Citalopram and so far I feel tired and sleepy. Will It wear off? I take It every morning and Mirt at night but maybe it would be better to take both at night?Any experiences and advice please. 

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12 Replies

  • Posted

    I dont think you are supposed to take the full dose of mirt 45mg, as well as 20mg of cit, which is half maximum dose for cit. To me that seems a too high a total anti depressant dose. Cit isnt necessarily an activating anti depressant, its just not a sedative one. Its the 45mg of mirt thats making you sleepy. I would have thought the idea was to reduce mirt, add cit, and youd be less sleepy. If the new dose youve been recommended is correct, its going to take 3 or 4 weeks to notice any improvememts.
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    • Posted

      Thanks for your reply Nigel. My doc increased Mirt to 45 because 30 wasn’t doing anything and it will also take a few weeks for Cit to work. Once I am better Mirt will be reduced. I would rather be on Cit to be honest if it is going to help. 
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  • Posted

    i would suggest that you go back to your doctor and have the mirtazapine either lowed or stop taken it ,but not straight away ,but little by little,otherwise you will get withdrawal symptoms,,thus the tiredness will gradually wear off.Citalopram also has a relaxing part which is why you are feeling tired,plus the side effects will gradually decrease the longer you stay on Citolopram
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    • Posted

      Yes, that’s the plan. I would like eventually stay only on Cit. I am glad the tiredness will wear off. Mirtazapine was so bad to start. Tiredness and grogginess was unbelievable!
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  • Posted

    Ala, i was on amitryptyline and citalopram and my doctor advised me to take separately and not together. Check with your doctor he might advise you to swap around.
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