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Thread: Increasing from 20-30 - positive stories?

  1. #21
    Join Date
    Sep 2019
    Posts
    225

    Re: Feeling hopeless - 5 weeks on cit second time, day 18 on 20mg

    Hi all would be good to hear from others? 6 weeks tomorrow, 25 days on 20mg. Still not feeling great - in fact very depressed today. Just wondering when it’s ever going to kick in ��

  2. #22
    Join Date
    Aug 2012
    Posts
    2,130

    Re: Feeling hopeless - 5 weeks on cit second time, day 18 on 20mg

    Quote Originally Posted by Windywel View Post
    Thanks Sparkle - will have a read. Did you have a whole lot of what if thoughts about the medication not working? It’s really slow this time and I’m really scared it’s not going to work. How did you manage those thoughts? The problem for me is that I was like you and went back on the cit cos I thought I was nipping the depression and anxiety in the bud but instead going back on them has made everything worse cos it ramped the anxiety up, I then get anxious about being anxious and totally focussed on whether the meds would work then all the health anxiety came back, all the negative thoughts and here where are!! I saw my psychiatrist yesterday and he said to stick to the plan as it would be unusual for the cit to not work again but it’s still hard to feel positive when it’s taking so long. Your story is reassuring though as I am only 3 weeks on 20. Hard to imagine another 5 or so weeks of this but I will just have to try and stay strong. I was really hoping to be better by Christmas. Would be awesome if you could keep supporting me - thanks heaps
    Yes, I had loads of those "what if the meds don't work this time around?" thoughts. I dealt with those thoughts by reminding myself that there are several medications available other than citalopram, so even if it doesn't work this time, there is bound to be one which does.

    It was very tough. However, I think there is a very high probability you'll see an improvement before Christmas. You may not be totally 100% by then, but you will probably feel better than you do now.

  3. #23
    Join Date
    Sep 2019
    Posts
    225

    Increasing dose

    Anyone else on 30mg of citalopram? How do you find it? Did you have side effects going up from 20 to 30? I have been on citalopram before but only ever on 20 but it hasnít worked that well this time and it looks like Iím going to have to go up which I am very nervous about.
    many thanks

  4. #24
    Join Date
    Feb 2015
    Posts
    1,117

    Re: Increasing dose

    I am no doctor -and you should always speak to them for advice rather than me. But when I went up from 20mg to 40mg on fluoxetine - I had one bad night but otherwise was absolutely fine x

  5. #25
    Join Date
    Sep 2019
    Posts
    225

    Re: Increasing dose

    Thanks Sally - are you on 40 now?

  6. #26
    Join Date
    May 2010
    Posts
    305

    Re: Increasing dose

    I went once to 30mg in the past and have to say it made me so tired that I couldn’t function properly, so lasted only few days, saying that , that was the only side effect from that dose increase I had.

  7. #27
    Join Date
    Jan 2017
    Posts
    2,016

    Re: Increasing dose

    Quote Originally Posted by keta View Post
    I went once to 30mg in the past and have to say it made me so tired that I couldn’t function properly, so lasted only few days, saying that , that was the only side effect from that dose increase I had.
    Interesting as insomnia is one of the most common SSRI side-effects. Was it also sedating when you first began taking citalopram?
    __________________
    The opinions expressed above are based on my observations and, where applicable, interpretation of cited data and are general in nature. Consult your physician before acting on anything stated.

  8. #28
    Join Date
    Sep 2019
    Posts
    225

    Re: Increasing dose

    I am also still having trouble sleeping after 8 and half weeks, 6 on 20. Wake during the night for short periods then wake at 5.

  9. #29
    Join Date
    Jan 2017
    Posts
    2,016

    Re: Increasing dose

    Quote Originally Posted by Windywel View Post
    I am also still having trouble sleeping after 8 and half weeks, 6 on 20. Wake during the night for short periods then wake at 5.
    As per my previous post, sleep issues, especially insomnia, are among the more common SSRI/SNRI side-effects, especially at the beginning. They do usually diminish after a while, but can linger in some. The usual treatment is low doses of a sedating antihistamine such as mirtazapine, doxepin, or trazodone taken about an hour before lights out. Melatonin may also work.

    If this persists another possibility is switching to escitalopram (Lexapro) instead. Citalopram and escitalopram share the same active chemical, the 'S' isomer of citalopram, aka escitalopram, with citalopram also containing the mostly inactive 'R' mirror image form which is a poorer fit biologically and so is mostly inactive. While they perform nearly identically in treating anxiety/depression their side-effects can be different. No guarantees, but there is a good chance the sleep issues may diminish with escitalopram. Because they are essentially the same med there should be no traumas when switching overnight, nor should kick-in be affected.
    __________________
    The opinions expressed above are based on my observations and, where applicable, interpretation of cited data and are general in nature. Consult your physician before acting on anything stated.

  10. #30
    Join Date
    Sep 2019
    Posts
    225

    Re: Increasing dose

    Thanks PDU. I’m still get the occasional burning sensation anxiety spell thing too. I know it’s a side effect as I didn’t get it before the meds and it was much worse at the beginning. Do you think that is likely to go?

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