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Re: More research: Celexa versus Lexapro

Posted by Mtom on May 6, 2018, at 14:07:07

In reply to Re: More research: Celexa versus Lexapro Mtom, posted by ed_uk2010 on May 6, 2018, at 13:38:43

Thank you ed_uk2010. Increased anxiety is the side effect I fear most, it's happened in past attempts with AD's, and at this time I'm already dealing with GAD as well as depression.

I started Citalopram 2 days ago and I have all kinds of commitments scheduled over the next 2 weeks and am extremely concerned whether adverse effects will suddenly hit during this period.

I have started with 5 mg based on Dr recommendation although she wants me to titrate up to 10 after 5 days. I think that's too soon.

I don't know whether I should be cancelling commitments including travel plans for the next couple of weeks.

It appears there is no way to be sure how quickly, or if, adverse effects will set in? They have been variable with past AD attempts (some long ago) - anywhere from the next day to about 7 to 10 days.

> Hi there,
>
> Citalopram undoubtedly has the potential to be useful in multiple forms of anxiety disorder. Approval in individual countries mainly depends on what was submitted to the relevant regulatory authorities in that country. As an example, in the UK, it was submitted and approved for panic disorder.
>
> Given your previous sensitivity to SSRI adverse effects, you're doing exactly the right thing to start with a really low dose. This should reduce the risk of side effects a great deal. You can then increase gradually if tolerated.
>
> Aggravated initial anxiety due to SSRIs certainly isn't inevitable, but it is common.... and usually occurs very early during treatment, or after large dose increases. Most commonly, it will occur during the first two weeks of treatment, or within the first two weeks after changing the dose.
>
> People who experience this initial worsening can still benefit from SSRIs. Just monitor it over time. If citalopram is likely to help, anxiety should start to reduce below baseline after the first month or so. If your anxiety is worse than it was before starting citalopram even after a few weeks of treatment, I would suggest that you ask for a different medication instead.
>
> The starting dose of citalopram recommended by the manufacturer for people prone to panic is 10mg per day. Given your response to sertraline, 5mg per day might be a good starting dose. You could then increase gradually up to 20mg over a period of a few weeks.
>
> Personally, citalopram doesn't make me anxious, even at first. But that's just me. After a few weeks, it starts to help.
>
>
>
>


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poster:Mtom thread:1098520
URL: http://www.dr-bob.org/babble/20180331/msgs/1098570.html