Worried about starting something new to treat the worry!! I have recently been diagonosed with depression and anxiety and was given Citalopram 20mg to treat these. I have to admit, I am hesitant to take anything of this sort, but I am @ my wits end looking for some type of resolution.
Citalopram - how long does it take to notice a difference and are there any long term side effects?
Question posted by Anonymous! on 2 Feb 2012
Last updated on 4 April 2020
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15 Answers
What do you mean Tamoxifen-induced depression? It's not one of the listed side effects?
Depression is a common side effect that affects about 1-10% of Tamoxifen users:
"Psychiatric
Common (1% to 10%): Depression"
I have been on Citalopram for 18 months for Tamoxifen-induced depression. I was really worried about how it would make me feel and scared there might be a sudden change of feeling or mood that might freak me out or make me feel dizzy and drowsy, but it wasn't like that. It was a gradual change and one that was in line with healthy changes I made to my lifestyle too, such as cutting out alcohol and eating healthier.
Initially I noticed I was yawning more often, that was the main side-effect really. I would also feel a bit more thirsty and my libido also reduced a little, but nothing major. I'm also a little less sensitive about things too which has helped a lot.
In all honesty I just began to feel a sense of well-being and more levelled out. It was the best thing I could have done and worked well in line with CBT too.
I am/was 3 weeks in. I haven’t slept in 41 hours, I’m shaking like a leaf on a tree and everytime I close my eyes to try and rest, a bolt of electricity runs ear to ear through my brain.
I have taken it for about 15 years and 20 mg. I find when I get off of it..it takes about 3 days before my fuse starts to shorten... and it takes EXACTLY 3 days when I start to feel awesome again... it is like clock work.
I've been taking 40 mg per day of Citalopram for around 20 years straight now. I originally started it due to "passive suicidal thoughts". Those are thoughts where I would perhaps see a TV program about someone who was dying of an illness, and the thought would spontaneously spring into my mind, "Oh, I wish that I was sick like that and about to die."
The med has worked very well since I no longer have those thoughts at all. It does take a few weeks to have its full positive effect. The only "side-effect" that I've noticed is that it makes all my emotions less intense. I'm less likely to cry, in fact very unlikely under any circumstances. Although, please note, I'm a guy and I started out quite removed from my emotions in the first place, like most men naturally are compared to women.
When coming off Citalopram, after about 5-7 days, I will notice myself becoming much more emotional. All my emotions will flare up, come nearer to the surface of my personality. After around 2 weeks off, my passive suicidal thoughts return. Consequently, I stay on it all the time.
I wish anyone trying it the best - it's been a great help to me.
The advice I can offer with my most recent experience is stick with a dose for the recommended 4-8weeks. My doctor messed about with my dose and caused more problems rather than just give it time. It does work, I have had many good years on citalopram.
you seem to have some experience with the pill.. So i was on 10 for 2 weeks and moved to 20mg i stayed on that for a few months, but 3 weeks ago i went on 30mg as my anxiety was still there, and i still feel my anxiety worse in the morning, very sleepy, muscle tension. my tummy has been ok. I figured since i am on 3 weeks on 30mg it should have done something by now besides making me feel like crap, i take it in the morning at 9am and have no touble sleeping at night. would this be the meds unblanced in my system still that i am still feeling down and getting anxiety and panic attacks? how long did it take for you to feel it working?
I am on the 20mg pill and really like it. Typically I start taking it in the fall and slowly get off of it in the spring. I encourage you to do counseling for the anxiety portion (depression too!), it is a great time to learn new tools when you don't have to worry about feeling anxious. When you go off the medication you know how to handle things so much better that you may never need to go back on it.
I have had anxiety and depression for several yrs now and was prescribed 40 mg of citalopram. I had horrible side effects for the first couple weeks of starting it. But once you get passed them the anxiety and depression go away and you will feel better and better as the time goes on. I didn't want to go on any kind of drugs either but it got to the point where my family thought I was dying and I wasn't eating I became very skinny my vision was messed up all I wanted to do was lay around and sleep my life away I would constantly cry but no matter how much my family tried to help it wasn't. So I seen a dr and went to a clinic and after the first few wks of being on the meds I felt a lot better I was getting back to my self again. So it is ok to get help from drs for medication.
Thank you.
I've been on citalopram 20mg for 5 days now. I'm nineteen. This is my second time on it, after about three years without. I'm wondering if that is why I haven't had any major negative side effects.
All I've experienced is fidgeting and trouble staying asleep/feeling very awake. As well as I notice myself clenching my jaw now and then. But these have not bothered me that much.
I haven't felt the "gets worse before it gets better" effect yet - not sure if I will. It may be placebo but I'm feeling a lot more positive as if I've made steps towards that silver lining. Getting to the doctor was definitely a hard first step but I'm so glad I made it.
Hi, hopefully you won't get these induction side effects, however don't rule it out as it could still kick in... not wanting to sound negative. It's great that you are feeling better already! Well done for getting in to see your doctor. I also have trouble sleeping and i grind my teeth at night so have to wear a mouthguard. I'm so glad i was prescribed it though as it has worked wonders for me
This medication does work I was diagnosed with the same but now I am trying to come off of it and its absolutely horrible. The withdrawals are aweful I would talk to you healthcare professional about taking something else
If u don't mind what side effects did you get
I am on week three and still experiencing crying spells, nausea etc., on 10 mg.
I'm wondering if taking the drug at night would help this.
Hi Gracey
It usually takes at least four weeks for the anti-depressant to kick in. See how you feel in the next week and then contact your doctor and discuss. You may need to be increased to 20mg but again talk to your doctor I have been on citalopram for the past 10 years, at 20, 40 and latterly 60mg.
I was interested to read your comment that it works for your sons anxiety however all medications work differently for everyone and right now my meds need reviewing as even on 60mg I get high levels of anxiety! Take care and do keep us posted.
Blessings, Aud
It works for his anxiety unless he's under alot of pressure, then he has to take a sedative.
I'm just an impatient person with regards to meds. I had nothing but adverse side effects from cipralax after 2 1/2 months. That was an awful drug for me. He now has me on celexa experiencing nausea, crying spells 24 days in. I do know it can work, as but for the depression making me think about it continually, it has calmed the ruminating.
Same thing happened with me, and my Dr just upped me to 20mg and said to take it at night.
I'm on my 3rd week as well and I'm still experiencing crying spells, nausea, fatigue, and dizziness. I take mine at night. Oops, I just realized you posted this in 2012. I wonder how you're doing now?
Hi, just to endorse what both Pledge and Delilah said, give it time to work and if you experience anything adverse contact your doctor. Every medication works in different ways for different folks hence why we sometimes have to try many to find the right one. Like Delilah I am now back on 60mg (starting at 20mg/40mg etc) after an unsuccessful trial with Setraline/Zoloft. In response to Crum 60mg is the highest dosage providing patients on this dosage get regular ECG which is the proviso I am returning to it. It will not help any anxiety issues though. Good luck let us know how it works for you. I had no side effects whatsoever.
I have a friend who is on this med for panic attacks and it has worked well for her. My son is also on i40 mg for anxiety, seems to be doing fine.
60mg... I thought I read somewhere that 40mg should be the maximum dosage. For what it's worth: I was on 60mg of Paxil and began having auditory hallucinations, i.e. a machine-like noise. Fortunately the noise went away when I gave it my mindful attention. But more fortunately, of course, I went back down to 40mg.
Just read your post. Hope you are doing better I see its 5 years. What did your doctor advise
I'm Assuming you were seeing a doctor I advise everyone to see a doctor
I'm Assuming you were seeing a doctor I advise everyone to see a doctor
Hi, Pledge has already told you all you need to know, but i just wanted to add my history with citalopram/celexa... I have been taking it for about 3 years(?) and find it really good. I was first started on 20mg, like you. I was told to expect to wait about 4 weeks until i noticed a difference. It is very common with this anti-depressant that you can feel worse before you feel better, so be prepared for this. If you are feeling very depressed please talk to your doctor, even if it is before the 4 week mark. I was still feeling very upset and tearful by 3 weeks so my doctor took the decision to increase my dose to 40mg, and within a week i felt so much better! I am now on 60mg (along side other mood stabilisers) and i haven't ever had any side effects, except maybe some weight gain? Although this could also be due to other med's? I hope you get some relief from it, don't be scared of it. If it isn't for you then no harm done, and you might need to try an alternative.
I've had my citalopram increased to 30 when should I notice it's effect only been 5 days my anxiety flared up after a terrible tummy buy so was increased
Hi, you should notice the difference pretty quickly, within a week or 2 hopefully
Hi my mom is suffering from this. Thank you for the comment it gets worst before it gets better.
Hello Anonymous. Citalopram the non generic is Celexa came on the market in the United States back in 1989. To ease your fears, its generally a drug that has its share of side effects but as prescribed (my own point of view), it has a fairly high rate for helping depression. Anxiety, my opinion it doesn't really work that well, but again depending on the level of your feeling anxious, it can and it does fairly well. In clinical studies, some of the more common and normal side effects were Diarrhea, close to 8%. Insomnia close to 15%, Drowsiness almost 18%. I can add to the list but please remember that the numbers as I just gave are low. And it doesn't mean that you will for example have Insomnia. Most all the side effects of psychiatric drugs are very similiar from one to another. Weight gain, or loss, feeling fatiqued, stomach aches, etc are usually always found in a sat SNRI or SSRI.
You'll feel the drug, Citalopram working theraputically between week 4 or 5. It varies from one person to another. Good health and wishes, I hope you find it helps and don't worry, please, its a medication that does good work,pledge
Related topics
depression, anxiety, generalized anxiety disorder, citalopram
Further information
- Citalopram uses and safety info
- Citalopram prescribing info & package insert (for Health Professionals)
- Side effects of Citalopram (detailed)
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