Citilopram wasn't enough for me so was prescribed Duloxetine, cheered up, became happy. being busy as work and not going to my gp soon enough resulted in being sectioned for 28 days. Not a pleasant envrionment, and it was Stress Induced Psychosis. See my question which has been posted as it turns out I can't take tramadol either as I am extremely sensitive to that also. So I can't take anything with a noradrenaline reuptake inhibitor. If you have a patient information leaflet read it and its side effects.