Re: Coming off Cital after 2 years on 20mg
Originally Posted by
Meewah
I am wondering if i should start cit again
I think this is a question best directed to your GP, or psychiatrist. Based on what you've posted it does sound like health anxiety is flaring after a couple of health concerns, but it is always a good idea, imo, to have other potential causes ruled out before jumping back onto antidepressants (or beginning to take them in the first place). It might also be that your anxiety levels would ease significantly if just the insomnia was addressed as lack of sleep can be a potent anxiety trigger.
and if so how much to avoid the symptoms of starting cit again?
Side-effects can sometimes be different and more severe the second time so maybe start on 5mg and ramp up the dose by 5mg every 7-10 days until you're back to the previous dose. As with the first time it will probably take 4-12 weeks for the med to kick-in. You may also need to take a higher dose than before to get the same response.
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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.