I’ve just finished my 4th week on citalopram 10mg for severe anxiety/panic disorder. The first few weeks weren’t fun and then things started getting a tiny bit better. I struggle mostly in the evening when it gets dark and for nearly every night for the past year I’ve felt a degree of bad anxiety or panic. Last week, I had a number of evenings where my anxiety was next to nothing. Then I noticed I didn’t spend time out the house desperately wanting to get through what I was doing without a panic attack - I was just enjoying being out and what I was doing. So I thought OK great, this could actually work.
Tonight I dropped off but woke half an hour later feeling a bit anxious/shaky but no clue why, then I suddenly felt a rise of panic and I got a hot flush. I haven’t felt this in a week or 2, so it’s felt horrible that I have again and now I feel scared again.
I’ve read for anxiety, it generally starts having an effect from 6 weeks and reaches maximum by 12 weeks, so I know I’m only early stages at 4 weeks but tonight has thrown me off and upset me.
I just want to know it’s normal and these tablets could still work and save my life?!
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Answers
WI
WildcatVet
25 Oct 2021
Hi, acd! What you're going through is what we call the "roller coaster effect" where you get to feeling better and thinking well, this is going good. Then BAM it hits you again like a ton of bricks. It's your metabolism still adjusting to the medication and not really a step backwards. Just the fact that you're having some good days shows that the medication is working but it takes time as you know and anxiety disorders are usually slower to respond than depression. Hang on to the good times and stay positive. Try not to dwell on the bad... they are temporary. Distract yourself with things you enjoy like a long walk, reading a book, watching a good movie. Best regards and you'll be feeling better soon now.
Votes: +0
AC
acd13
26 Oct 2021
Thanks widlcat! That makes me feel a lot better
GI
Gill08
25 Oct 2021
I had the same problem and went and saw my doctor who put me up to 20 mg. After a few weeks I felt much better. Citalopram does take awhile before you feel the affects but if you are still anxious check with your doctor. I hope this helps.
Votes: +0
AC
acd13
26 Oct 2021
Ok, thank you. It’s really tough because before the tablets I’d only actually have like 3 or 4 panic attacks a year but my fear of having one is so severe, I developed agoraphobia and had to quit my job. So really want it to work. I’m also very afraid of medication (how useful haha) so would love to be on a low dose. I I’m hoping the fact I’ve seen some improvements, means it’ll will work. Tonight’s just massively made me worry :(. Keep dropping off but waking back up, just can’t settle. Thank you again, I’ll have a chat with my doctor