Been prescribed Citalopram 20mg

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bleh236
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Hi everyone Over the last few weeks my depression has taken a turn for the worst and I've been feeling proper rubbish about things to the point its affecting my relationships with people around me.

Yesterday I went to my GP and basically told him what was going on and how I felt. He told me he will give me some stuff that will start to work immediately but may take 2-3 weeks for me to feel any different. He later went onto discuss the common side affects I may experience, Dry mouth, dilated pupils, sickness, diarrhoea, insomnia, headaches, confusion, sexual dysfunction and a temporary worsening of my current symptoms.

Desperate for a improvement in myself I took my first tablet yesterday afternoon (to which i regret). After a few hours I felt as if my energy was gone, usually I'm awake until 1-2AM but yesterday I was sleeping by 8.30, I was extremely restless through last night and awake by 3AM luckily i managed to drop off. I have awaken this morning though feeling a little drunk and my pupils are heavily dilated. Other than that I am not suffering any other side affects but then again I've only taken them for one day.

Does anyone have experience taking these? Do the side affects go away after your body gets used to them? I'm also a little worried about when my doctor talked about sexual dysfunction....... I stupidly researched on the internet and a lot of articles mention that the sexual dysfunction is reversible after you stop taking the medication but they also say it can be permanent....is it common for it to be permanent after you stop taking the medication? Not to worried about the possibility of a diminished sex drive etc as i have no gf and tbh my sex drive could do with a little taming anyway :P

Anyway thanks for your help, any advise would be appreciated
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DitsySoph
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Citalopram was also the first antidepressant I was prescribed, and was told to take it as soon as I got home. I really was in a bad, bad place.

Side effects are totally normal and only last a couple of days - but it can be a few weeks as its different for everyone. They may not totally disappear, for example the insomnia and didrrhoea, but if you mention it to your GP on your next appointment he'll keep a track of it all. However, I soon changed the drug. I'm on my 7th type of antidepressant (yes, my 7th…) having tried each with 3 doses. I am, admittedly, quite seriously depressed, unable to see other family and haven't seen any of my friends for about 1.5 years, and anxiety of leaving the house is becoming a big problem.

There are alternatives to medication, as well as taking the medication at the same time such as CBT. I'm having my second shot of it and currently have just started Prozac, which I suspect my dose will be increased next week.

I seem to remember had very similar side effects with Citalopram, like you. If you are worried, contact someone. Anyone. Whether it be a medical person, friends or family - someone to watch over you if your that worried. Your doctor is also correct of how long the drugs will take to kick in. You may feel worse before you feel any better

I, like many others, totally understand how your feeling.
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Daniel George
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I was on citalopram 10mg and I did have side effects. I found I got really sweaty hands and for the first couple of weeks I felt worse! I couldn't sleep properly and would wake up at random hours - my GP said it would only last a week or so but it was definitely more than that. I chose not to carry it on as I did not feel comfortable and chose to not to take medication in the future.

citalopram is a strain of antidepressant but it is mostly used for anxiety disorders etc. speak to your GP about alternatives - counselling, CBT? I find that this has more benefits than any medication!
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lizbbnk
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I took these for some time and it does affect everyone differently. For example for 3 days I felt high as a kite, I was REALLY HAPPY, I did not eat, sleep etc. Then it was a period of crashing down.

Once the medication had sorted itself out I realised it was not working for me - Daniel George is right in maybe asking your GP about other things you can do along with taking the Citalopram. But your doctor will more than likely keep you on them for 6 months and then ask how you feel etc, the tablets do not work over night (unfortunately I know!)

Being a woman my sex drive did take a HUGE nosedive but guys who I have spoken to who took Citalopram said they had no issues in that regard (but may be they just did not want to say!)

I am now on Prozac and have been for over 18 months and this has calmed my mood swings down a lot - but I would say please keep notes on any problems/side effects you have with the tablets and give it some time

have you been give beta-blockers as well? I was given these to help with my anxiety

I am training to be a mental health nurse and I have some qualifications in counselling - so if you need any help feel free to message me
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Anonymous #1
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I have been prescribed Citalopram 20 mg recently too. I am not starting counselling until uni starts and so I'm reluctant to get the prescription done until I've had a go with that first since I think my situation is mostly situational with social anxiety and if I can kick that then everything else should fall into place.
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Sabertooth
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OP, other people have already answered, but basically post-SSRI sexual dysfunction is a thing but it's not really researched all that much and numbers of people affected isn't all that clear. I've taken a number of SSRI (what class citalopram belongs to) antidepressants and everything's good in that respect for me so it doesn't affect everyone. The other side effects should wear off after a few days-weeks but if you find they're too troublesome then don't be afraid to go back to your GP. There are a lot of different antidepressants so there's no sense in suffering too much.

(Original post by DitsySoph)
I soon changed the drug. I'm on my 7th type of antidepressant (yes, my 7th…).
It took me 9 drugs to find one that worked for me. Now it's been 16months without an episode of depression, I'm pretty happy about that. So don't be too disheartened, sometimes it takes a lot of trial and error to find one that works.
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DitsySoph
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(Original post by Sabertooth)
OP, other people have already answered, but basically post-SSRI sexual dysfunction is a thing but it's not really researched all that much and numbers of people affected isn't all that clear. I've taken a number of SSRI (what class citalopram belongs to) antidepressants and everything's good in that respect for me so it doesn't affect everyone. The other side effects should wear off after a few days-weeks but if you find they're too troublesome then don't be afraid to go back to your GP. There are a lot of different antidepressants so there's no sense in suffering too much.



It took me 9 drugs to find one that worked for me. Now it's been 16months without an episode of depression, I'm pretty happy about that. So don't be too disheartened, sometimes it takes a lot of trial and error to find one that works.
Thanks for the understanding. Even at the beginning its difficult to see a positive outcome and how everything will change for the better, but I'm over a year and a half/2 years in to all of this and I really am loosing faith. Although, I do have a very understanding and approachable GP; my third actually
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Sabertooth
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(Original post by DitsySoph)
Thanks for the understanding. Even at the beginning its difficult to see a positive outcome and how everything will change for the better, but I'm over a year and a half/2 years in to all of this and I really am loosing faith. Although, I do have a very understanding and approachable GP; my third actually
I can relate to what you mean, things went on for 4 years for me before I found the right drug so I know how horrible it is and how you can start to lose faith. However, it's good to hear you have an understanding GP, have you thought about asking to get referred to a psychiatrist though? Psychiatrists are specialized and know a lot more about the drugs than GPs so one might be better able to help you.
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DitsySoph
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(Original post by Sabertooth)
I can relate to what you mean, things went on for 4 years for me before I found the right drug so I know how horrible it is and how you can start to lose faith. However, it's good to hear you have an understanding GP, have you thought about asking to get referred to a psychiatrist though? Psychiatrists are specialized and know a lot more about the drugs than GPs so one might be better able to help you.
I had CBT in December/January this year, but my therapist wasn't the most reliable with keeping her appointments. For once I was determined to go, and she was the one who was cancelling on me. I only ended up having 2 appointments out of 6. Having saying that, I don't think its widely available in our area and I'd been on the waiting list for around a year. A few weeks ago I begun my second batch of CBT with a different therapist but at a higher and longer intensity - after 6 weeks she felt it wasn't doing anything for my depression, so instead of going on the waiting list for a different therapy, or more appointments, we're having a shot at the anxiety so she's not leaving me in a ditch.
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Vixen47
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Go back to your GP and tell him what happened. It could either be that you should have been given 10mg and then increased it later, or it could be your body's natural reaction. It could even be that you need different meds. There's a million factors to consider when it comes to antidepressants.

I was given Citalopram 6 months ago and started at 10mg and then told to go back to my GP after two weeks to report how it went and if it went well then I'd increase it to 20mg. It went perfectly, I got the prescription for the 20mg but after a few weeks I ended up just giving it all up because I was too afraid of becoming dependent on the meds and being unable to function without them.
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bleh236
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Thanks everyone for your constructive inputs, I value them greatly, I think I'll continue with the months supply I have and go from there. I'm writing down side affects already e.g. total abundance of energy from around mid afternoon despite taking them before bed and the diluted pupils. Other than that I feel fine though I'm hoping they work a treat but I've researched a little more and there's lots of different anti depressants etc encase these aren't the ones for me.

CBT has cropped up a few times, however my GP has insisted 'find a girlfriend tell her your problems' however I already come across as quite 'clingy' to my friends, perhaps i should be a little more direct and request it. However I do get superb support from a close friend so hopefully these tablets will make my mind a little more manageable.
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bleh236
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Ok so 2AM last night I woke up feeling very sick, difficulty catching my breathe and I was very disoriented. Soon as I stood up I collapsed as I was feeling very weak, I had blurred vision and a burning sensation on my skin but made it to my bathroom. Despite feeling very sick I wasn't sick but my symptoms of feeling very weak and disoriented persisted. I then developed diarrhoea but after a hour and half everything subsided and was able to go back to bed.

I've woken up this morning now a bit worried about the severity of the reaction i had last night in fact it scared me, I still have abdominal cramping but no diarrhoea however I have no appetite and I still feel 'zoned out' as its the weekend my GP is unavailable so I cannot contact him for an opinion but do you think I should continue taking them this weekend or wait until monday?
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Đāņîêł
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Hi guys please can have some reasurance please, is it normal for my pupils to be big after taken citalopram please? My pupils are a ridiculous size and I constantly feel tired... anybody else have this problem.
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Napp
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(Original post by Đāņîêł)
Hi guys please can have some reasurance please, is it normal for my pupils to be big after taken citalopram please? My pupils are a ridiculous size and I constantly feel tired... anybody else have this problem.
It's a known side effect. If you're having problems with it though ask your GP.
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