I’m on week 7 of 20mgs of citalopram. I had one good day 2 days ago. Today every time I go to go out I get a wave of anxiety of which I haven’t had until today & it’s scaring me because supposed to be going away for the weekend next weekend. I’m still not sleeping well, wake up & can’t go back to sleep, I’ve still got tingling/ burning. Why is it sometimes worse . I know I’m still waiting for the medication to level out & people say 2 -3 months to experience a full effect. I’m going to ring the drs mon. I’m worried that she suggests going upto 30mgs & I have to go through all the side effects again
Do I keep going on 20mgs of citalopram or change my dosage?
Question posted by Wendy whitlock on 5 Feb 2022
Last updated on 17 February 2022
I noticed in another comment that you withdrew from 20mg to 10mg last September and although you felt good at first the anxiety returned. Now you are struggling to stabilised again on 20mg.
I have personal experience with withdrawal and from my perspective most people do not withdraw successfully because it is done too fast. Many doctors suggest halving doses then skipping days etc. I’ve seen much suffering due to this kind of advice. Experts on withdrawal say the cuts must be no more than 10% before holding and stabilising. Once stable you do another 10% and so on and so forth.
Anyway, from what I can see it appears that you had a bad reaction dropping from 20mg to 10mg and now that you are back at 20mg you are struggling to stabilise. This is completely normal and your body just needs time to adjust. A poor analogy is someone who drinks two glasses of wine a night then stops drinking completely for a few years. When a few years later they attempt to drink two glasses of wine it knocks them for six because they are not used to it.
I feel confident that you will see improvement but it may take a bit longer due to this setback. The doctor may suggest a higher dose but because 20mg worked well for you before it might be too soon to try. Talk to them and discuss your concerns and hopefully you will come to a mutual agreement.
Please let us know how you are going. Also you could try magnesium for sleep, it’s definitely helped me! I take an effervescent tablet in iced water just before bed and slowly sip on it. I find it quite calming.
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