Posted by Bill LL on March 14, 2005, at 9:59:21
In reply to heart rate, apathy, suicide, etc., posted by jessers11581 on March 13, 2005, at 11:39:12
All of your symptoms are very typical of depression. I'm not sure about the cause of your tachycardia, but it might be because of anxiety.
Right now, I think that you need to immediately increase the Celexa to 60 mg. That is not a high dose. I was on 60 mg Celexa for a long time and my doc said that he would eventually increase it to 80 mg if needed.
If and when the 60 mg becomes less effective, you might want to switch to Cymbalta, or stay with Celexa and add a stimulant such as Ritalin.
I think that you need something that affects norepinephrine as well as serotonin. Both of the above strategies would accomplish that.
> Lately, I've noticed that my resting heart rate is especially high (upwards of 90 beats per minute). It's odd to me because I'm in good shape and am not overweight. Along with this pulse increase, I've noticed the development of a ravenous appetite (often leading to binges), a lack of energy, the lack of will to do anything productive, trouble sleeping, and basically just a feeling of being completely out of control and disconnected from reality. I talk about all of this further in an above post labeled "Celexa". Is serotonin connected to heart rate, metabolism, etc.? Also, I still can't understand why this is happening to me when it totally seems that I am on a high enough dose of my medication to counteract it. 20 mgs. of Celexa used to make me feel great, and now 40 isn't enough? Is there some other outside factor that could be causing my serotonin levels to decrease? What on earth is going on here! I had a nervous breakdown last night and told my boyfriend that I'd been thinking a lot about suicide lately (which is true), and it turned into a terribly emotional, dramatic, and upsetting evening. I know that I have to do something--the question is, what? Do I need to increase the meds? Do I need to switch drugs? Do I need to change my diet? Aaaaggghhhh! It's like, I KNOW things have to change, but I have absolutely NO initiative to change them. It's like I just want to...stop. To give up. This really scares me. I almost feel like there is something non-psychological wrong with me, like candidiasis or cancer. What is causing this to happen? Why can't I get a grip?!
poster:Bill LL
thread:470416
URL: http://www.dr-bob.org/babble/20050312/msgs/470827.html