Hollie ; ) replied: "Hi--that is a common risk with anti-depressants and all. Citalopram belongs to a group of medicines known as selective serotonin reuptake inhibitors (SSRIs). These medicines are thought to work by increasing the activity of the chemical serotonin in the brain .This product is available in the following dosage forms:Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially: You may have to take citalopram for 4 weeks before you begin to feel better. Your doctor will check your progress at regular visits during this time. Also, you may need to keep taking citalopram for 6 months or longer to help prevent the return of the depression .
***Do not stop taking this medication without checking with your doctor. Your doctor may want you to gradually reduce the amount you are taking before stopping it completely to prevent side effects .***
Make sure your doctor knows about all the other medicines you are using. Citalopram may cause a serious condition called serotonin syndrome when taken with some medicines. Avoid drinking alcoholic beverages while you are taking citalopram .This medicine may cause some people to become drowsy, to have trouble thinking, or to have problems with movement. Make sure you know how you react to citalopram before you drive, use machines, or do anything else that could be dangerous if you are not alert or well-coordinated .Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects."
Maria m replied: "well my husband was taking citalopram he had the same thing .but win you cant separate the dreams from reality or it becomes a problem you may need to change meds this drug was not good for my husband he became coufused an began falling.it also is a long act ting pill one pill stays in your body for 36 hours .their is a short ac king on from the same family.work real well with out the side effects .good luck"
Is it possible to go directly from taking Citalopram to taking Mirtazapine with no break? I have recently decreased my dose of Citalopram from 40mg to 10mg daily, as I was intending on coming off them completely. However, I had a very bad depressive episode recently and my GP told me that Mirtazapine would be more suitable. He told me to take the course of Citalopram I had left and then start straight away on 15mg of Mirtazapine without a break. This was the same GP who over Xmas told me to come off Citalopram over a 2 week period (resulting in an awful Xmas), which prompted me to go back on them at a 20mg dose daily, as the side effects were horrible. Since switching to Mirtazapine, I have had the same side effects from coming off the Citalopram (though I don't feel totally spaced out all day, by the time I need to take my Mirtazapine I feel awful and had a nosebleed one evening as a result), though these are getting better with time. The Mirtazapine itself helps me sleep and I do feel a bit more positive because of it. Though unfortunately the side effects of this weren't made clear - i.e., the drowsiness and I blacked out the first morning I took them. So am now taking them at night. Should I have made this transition so quickly or am I just the victim of another quack GP?
AbeLincolnParty replied: "The nosebleed might be due to high blood pressure as Mirtazapine frequently causes this.
Although the FDA link below does not mention a specific drug interaction with citalopram one might exist and it may be the case that mixing them together increases the risk of hypertension. Your doctor should file a report with the FDA if this is the case, that is just about the only way interactions get into the literature.
alpha 2 receptor blockade by this drug promotes high blood pressure (it also blocks alpha 1 receptors that lower blood pressure, but which one wins?)
Mirtazapine also has antihistamine effects like diphenhydramine that cause drowsiness.
Although not mentioned in this FDA link, I have read of a report that suggests that people who take clonidine for high blood pressure when given Mirtazapine develop rebound hypertension (the drugs act in a opposite way on alpha receptors).
"
is citalopram safe? i have been told to have this upt o 20mg for depression and severe social anxiety. iv e heared bad things about people getting worse and killing themselves. is this true. what does it change in you? will i suddenly not be scared to go outside.
Joe Kool replied: "Seems to be a problem if you mix it with other types of anti-depressants. "
Mr Magoo replied: "has different side affects for different people. maybe you could start of on 10mg and increase the dose as and when you need. good luck."
Steph replied: "All drugs have their potential side effects and risks. The question you have to answer is do the benefits outweigh the risks. If you take the medication and it doesn't help you within 6 weeks, you can always go back to your doctor and try something new. In the case of anti anxiety and antidepressant medications it's ALWAYS a case of trial and error. They also are not an overnight cure. It takes at least 6 weeks for them to have an affect on you. Also, with the people getting worse and committing suicide you have to take into account that they were probably on the brink of that before they started medication, and the medication may not have been the best one for them.
If your symptoms are really bad, speaking from experience, I would give the medication a shot. Maybe you could also go to a psychologist and get therapy as well as the medication from your family doctor or psychiatrist. This is usually the most effective method of treatment. I wish you the best."
Roxy replied: "My doctor prescribed 20mg citalopram for post natal depression - it started to work very quickly and very effectively. I found it to be very good for me - I didn't want to hide in the house or harm myself. It took about 18 months for me to get completely well but without the drug I wouldn't have done it. 20mg is a relatively low dose, and can be increased if you feel it's not helping or even reduced. Keep in regular touch with your doctor to monitor your condition and perhaps ask to referred for counselling - it helps some people. Best of luck. I hope you feel better soon."
RadicalReason replied: "There are cerainly reports of citalopram increasing anxiety in some people. Try and feel safe, happy and secure in that you are going to try the drug to see if it works for you.If it does not, there are there other drugs and treatment plans.
Citalopram and its newest variant escitalopram are french designed and thought to be one of the safest serotonin re-uptake inhibitors along with Fluoxetine (Prozac).
May I add that maybe it would be worth seeing a CBT therapist. Often social anxiety arises from thoughts of shame, insecurity and inferiority and is quite treatable in the long run. The simple fact is that you are not an inferior, dumb or stupid speaker or conversationalist. In therapy your concerns would be shared in a protected, non-judgemental and helpful way, and the results could be life-changing.
Goodluck and Best Wishes.
Oh, "A Guide To Rational Living" by Albert Ellis and/or "Feeling Good" by David Burns may help you somewhat with your problems."
Dog rover166 replied: "According to Wikipedia it's been around since 1989 and is usually very well tolerated. Perhaps you should look it up and get some info for your piece of mind."
joelyboy replied: "Citalopram is an anti depressant that is successfully used by millions of people to treat depression with an anxiety component to their illness. The drug should be used under the supervision of a medical doctor either by a specialist (psychiatrist) or at a primary level by your general practitioner. You should be reviewed every three months or before if you feel changes to mood or your mental health. Ideally, it should not be used for long periods of time, that is over 12 months without being reviewed. The so called bad things you have heard are somewhat exaggerated but it can in rare cases have invoke suicidal edition. Initially, when you start using Citalopram you may feel a little shaky and somewhat out of touch but this will pass in usually four weeks. My advice is to give it a try. I have treated many patients successfully with Citalopram."
vickyvixen84 replied: "This is a warning put on most antidepressants, well the SSRIs for sure (which is what Citalopram is). It can be a very rare case where people taking SSRIs experience thoughts/feelings of suicide/self harm, but as i said these instances are rare. This can also happen if you mix them with other antidepressants or alcohol/illegal drugs. I feel however in your case the benfits far outweigh the risks.
The body releases Serotonin which is a chemical that makes you feel good. It is found in people with depression that this serotonin is sometimes absorbed back into the brain therefore the tablets prevent this from happening. I would advise you to stick with them, they do work, maybe citalopram will not be suitable, but your dr will find another that will help you. You should disscuss any concerns with your dr, who will keep a close eye on your regularly.
I hope it works out for you, try and stay positive and not worry about the side effects, i know this can be hard! Email me if you want to talk further:
"
Dr Frank replied: "Citalopram is a very well established and commonly used anxiolytic/anti-depressant. The most common side effects are nausea, somnolence, dry mouth, increased sweating and tremor. There is an increase in risk of suicide and suicidal thoughts in children and adolescents. But the increase is very small."
kaleidoscope_girl replied: "I take 40mg, my boyfriend takes 30mg and my Mum takes 20mg. None of us have had any problems with this med - citalopram (cipramil) is very very effective and has been a godsend. It changes the levels of a brain chemical called serotonin, people with depression have lower levels of it than they should, it will take a little while to start working (2 weeks) and you should start feeling better by then (6 weeks to fully kick in). Have you had any counselling, as that will help along side the antidepressants. All the best, Rach x"
amy p replied: "i was on citalopram a few weeks ago and was on a high dose and i went back to the doctor as they was not having any effect. but i suppose it depends on how bad the depression is I'm on something else now. i must admit they did make me have bad thoughts but this could of bin down to the depression I'm still bad at the moment and do not feel I'm getting better. go back to your doctor if your worried. xx good luck xx"

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