Feeling rubbish again!

[pollynewsome]

Hello. Started cit March last year. Increased to 30mg last year about October I think. Anyways I am better than I was but still not right. Can't decide whether to wean off it or increase. I am taking it for anxiety (need to get a deep breath regularly). Doc says if increase need ecg. Also she kinda saying up to me really.. any suggestions.. it's so blumming uncomfortable when you can't get that satisfying deep breath. Thanks x

[panic_down_under]

Doc says if increase need ecg. Also she kinda saying up to me really.. any suggestions.

Increasing the dose to the maximum 40mg is the easiest and potentially quickest of the available options.

If you were outside the UK I would have suggested supplementing citalopram with buspirone (Buspar) which can boost the effectiveness off SSRIs/SNRIs and may also reduce some of their side-effects, but apparently British GPs aren't authorized to use it for this. Pity.

The CG isn't really necessary in the absence of heart disease, but it pays to humour doctors.

[pollynewsome]

Thanks for your advice. Much appreciated.