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Early days of Citalopram - will it get better?

(119 Posts)
CarolineLHol Tue 01-Jan-13 20:17:18

After a good pregnancy, working up to the end, I don't think I really spent enough time thinking about the life changing choice we had made and I have struggled to get my head around being a mum from the beginning. Baby gave me a scare within the first few hours but is fully recovered and is an absolute angel. Her mum however has been a yoyo of emotions.
After a tearful and being at my lowest over Christmas I'm now on day 4 of Citalopram. But am feeling awful and scared that im not going to be normal again. No appetite and not able to sleep (not slept properly for 2 months) and feel like I am a robot around my baby.

Was hoping to hear some reassurance that it will get better.

Ponyinthepool Wed 02-Jan-13 00:14:09

I've been on 10mg for a month. The first 7-14 days were hell, felt sick and couldn't sleep at all. I started taking it at bedtime so I'd be asleep before I felt anything and either that worked or the side effects wore off. I haven't felt any benefit either yet but I understand it can take a while. I also question whether 10mg is enough to touch sides, I'm wondering if I should ask for a stiffer dose?

perspective Wed 02-Jan-13 08:09:15

Hi. I am on day 5 of Citalopram 20mg. Think I have been slipping down for a while but it was not until I had a fairly minor health problem diagnosed that I realised I was getting things out of proportion. Suffering a lot of anxiety, both generalised and health related. Also usual depression symptoms. Feeling worse because I actually work in the mental health field.

Im struggling a bit with side effects, poor disturbed sleep, anxiety worse, headaches and nausea. In my work with people taking AD's I always reassure people the side effects will pass. Trying very hard to tell myself this too.

CarolineLHol Wed 02-Jan-13 11:25:13

Thanks for your replies. I feel like I have really bad morning sickness again but at least then I could sleep. Are either of you taking the pill at night? I'm taking it first thing.

'ponyinthepool' I'm not sure whether 10mg is the right dosage for me but at the moment I think the side effects are clouding judgement. I think another few days and will get a better sense of how it's working. Have you got an appointment booked with your GP?

'perspective' similar to you I think it took time to recognise even though others had sensed it. We will get through it, just need to try and keep focused.

Today is the first day I've managed to have a cap nap this morning. I just feel like resting in bed, not sure if that's the right thing to do but it's making me calmer.

Sparklingbrook Wed 02-Jan-13 11:32:23

It does get worse before it gets better. I nearly gave up, so glad I didn't. Good luck. x

Watch out for feeling quite warm a lot, and some interesting dreams. All normal.

Oldandcobwebby Wed 02-Jan-13 11:38:06

I spent some time on 20mg a couple of years ago. You quickly get used to it, and it completely alters your mindset seemingly forever. I really can't find it in me to give a flying fuck for all the things that used to worry me. It is wonderful. I reckon it should be put in the water like fluorine!

CarolineLHol Wed 02-Jan-13 13:16:41

Thanks for the reassurance. smile x

Any advice on how to deal with the nausea and when to take the tablet - morning or night?

perspective Wed 02-Jan-13 13:30:03

Thanks from me too. I was very hot and sweaty last night but glad to hear that's a side effect. I feel physically quite frail, mad really as I'm quite fit and a regular runner. Horrible headache and sleeplessness. I'm taking it at night, do you think it's better to try a morning dose?

CarolineLHol Wed 02-Jan-13 13:40:37

I'm taking it in the morning and no headache but very tired and nauseous. It feels like really bad morning sickness.

I'm on maternity leave at the mo and so lucky to be able to lie in bed for a bit. My mum has just arrived to look after the little one.

My mum just spoke to someone at NCT and they have suggested changing to nighttime for me. I need to speak to GP about how to do it. e.g half dose tonight, full dose tomorrow night.

tinkerx5 Wed 02-Jan-13 16:57:41

Caroline, I totally sympathise with you. I had a great pregnancy and totally enjoyed early days, but by the time my DS was 17 months and I was back at work, tiredness, parenthood, work and commuting all caught up with me! I took 10mg of Citalopram for several months, but although I got the really awful side effects, the positive effects didn't really work for me (everyone is different though).
However I can assure you the side effects took a good 7 weeks to pass for me. My depression symptoms were far worse when I started taking Citalopram for a while, and I was warned by GP this would happen.
I began taking it in the morning, but my body clock went haywire with that and I found I could not sleep very well at night (much needed due to DS). I ended up taking about half an hour before bed, and that was better for me. Dreams were rather bizarre for weeks, I would very often go hot and sweaty for no reason and I ended up eventually trying a different medication that I'm still getting used to again. Another reason I felt Citalopram was not right for me was because if I missed a dose, or was half a day late taking it, I had a really wobbly metabolism the next day. If you don't feel better soon, perhaps see your GP again, you might find something else works better for you, but this medication is supposed to take time to work, and you may feel worse in the beginning - LOLsmile

Sparklingbrook Wed 02-Jan-13 16:59:39

My GP said to take in the mornings as there is less of a chance of interrupting sleep patterns, so take mine with breakfast.

tinkerx5 Wed 02-Jan-13 17:12:50

I'm so sorry - forgot to add to all of you - you WILL feel better (though it won't feel like that now I know). These SRRI's will make you feel terrible before you feel better I've been told. Being told to rest up and take it easy by well meaning folk is excellent advice - it is just near impossible with babies and little people! Remember though you ARE doing a really great job given what you have to work with - even now when its tough, and the best you can manage right now will ALWAYS be enough!

Virgil Wed 02-Jan-13 17:15:47

I'm taking 20mg first thing in the morning and am not having any problems with sleep etc. I've now been on it for about six weeks. Keep going with it. I'm far more chilled.

Sparklingbrook Wed 02-Jan-13 17:18:05

My GP said that the effect is cummulative, so every dose is working towards it reaching the optimum working level, which is different for different people. She described the effects as 'taking off the rough edges from your feelings' and I would agree with that. I have felt quite brave.

perspective Wed 02-Jan-13 17:18:19

Thanks. I might try switching to morning. Nights are horrible. Do you think it's ok to just switch tomorrow?

Glad it has helped people and Caroline and Pony, hope you start to feel better soon.

cocolepew Wed 02-Jan-13 17:22:10

I used 20mg for a couple if years. I took it in the evening, really vivid dreams shock but not really any side effects apart from dizziness the first few days.

DH went onto 10mg but changed to Fluroxtine, citalopram did nothing for him.

Sparklingbrook Wed 02-Jan-13 17:23:29

I quite like the vivid dreams. they can be like films. grin

CarolineLHol Wed 02-Jan-13 17:39:15

Thanks Tinkerx5. Xx

thank god for Internet and sites like mumsnet! Its been so refreshing to hear from all you different lovely ladies today. It makes you realise and feel that you are not an alien from a different planet! and that we will get back to feeling normal...what ever normal is. ;)

I just wish my day to day could be as easy to talk to mums. I seem to have found myself in a void in London between two boroughs and there are not many mummy groups that i can just walk to. Anybody in the London area and have advice on how to search out new mums?

CarolineLHol Wed 02-Jan-13 17:42:13

Just seen your message 'perspective'. I think it best to speak to GP or give NHSDirect a call as I think they advise that you don't just drop a tablet. smile x

HellesBelles396 Wed 02-Jan-13 20:21:54

I've had quite bd side-effects when I've missed a dose as well but, otherwise, citalopram is working really well for me. I've been on it for a few years now.

This is my second AD (fluoxetine previously) and I moved onto citalopram because, though my depression was doing well, I was becoming more and more agitated. The GP said he picked citalopram because it is good for reducing anxiety as well as depression.

It does get better - usually about ten days in.

DewDr0p Wed 02-Jan-13 20:31:04

I took it for a while 6 years ago - I found it took 2 weeks before I noticed some improvement and then I gradually felt better still over the next 2 weeks or so. I had quite debilitating PND and it made a huge difference to me. The side effects were fairly grim in the early days but started to subside after 7-10 days.

I vividly remember wondering if I would ever feel normal again and being so scared - but I DID get better and so can you - I've since surprised myself with the things I've coped with.

HellesBelles396 Wed 02-Jan-13 21:08:33

It's rubbish really because you light have spent weeks/months/years building up to getting help. You get prescribed ADs and reasonably expect to feel better but, obeyed, you feel worse sad angry

perspective Thu 03-Jan-13 09:01:26

I'm feeling awful this morning, quite hor and flu like and very very anxious. In fact my anxiety seems to be worse. Don't know wether to phone Dr or just try and keep going with it. I'm back to work on Monday so need to try and get it together a bit.

How is everyone else?

CarolineLHol Thu 03-Jan-13 10:50:23

Bad night as bf was snoring so couldn't relax. Increased my dose this morning after seeing doctor. Think that + little sleep have made me feel very rough.
Getting out of bed was better. Try and have a shower and something to eat? Don't worry about Monday you've got ages yet and by then the worse will hopefully be over. smile
X

HellesBelles396 Thu 03-Jan-13 11:42:04

Perspective I think Caroline's right - you just need to do your best today re getting up etc. and see how you are on Monday. As I said above, my AD's took about ten days to kick in both times. Did you switch to a morning dose today?

Could you be actually physically ill as well?

perspective Thu 03-Jan-13 11:49:46

Thanks both. No I haven't switched yet, feel very indecisive. I actually feel a lot better now, got up and going, then ds got up and wanted to go swimming (very active 11 yo.....) so we have both had some exercise. I don't think I'm physically ill, I'm pretty sure it's just (!) side effects. It seems the beginning and end of each day are rough but the bit in the middle I feel ok.

Thanks again.

TheMonster Thu 03-Jan-13 11:52:13

It does get better. I've been on it for five years. I still remember refusing to drive for the first two months because I felt drunk. I did grind my teeth or a long time but. To any more. Stick with it - it saved my life.

jasmine31 Fri 04-Jan-13 19:29:21

It definitely gets better. I had severe postnatal anxiety and started citalopram 3 months ago. Now on 30mg. The first 10 days or so were awful- really bad anxiety, insomnia, felt like I was going crazy and was never going to get better. Then it started to improve. Things are great now - I feel back to normal and can't imagine things being any other way.

In terms of where to go to meet other mums in London, I'm lucky to have a couple of local friends with babies, plus a really nice NCT group. The local childrens centres have also been friendly places too. Best things I have done are making sure we get out every day, taking some exercise even if just walking with the buggy, also trying to establish some sort of flexible routine to have a bit of time to myself.

Hope things start getting better for you soon :-)

Varya Fri 04-Jan-13 19:40:37

Citalopram is very effective. Dont suffer in silence. XXX

CarolineLHol Fri 04-Jan-13 22:05:59

Thanks all for the reassurance, I think the main message for all us who are still in early days, 'grin and bare it' for a little longer, it will get better. smile
Day 6 today and although after taking my dose I felt wiped for half the day, I was a lot less nauseous and managed to eat, although I have felt more down today. My poor little bambina must wonder what's going on!

Jasmine, you mentioned you were on 30mg. Did you start on that amount? I'm on 20mg but trying to work out how you know when you are on the right dose.

Sparklingbrook Fri 04-Jan-13 22:10:09

Yes, stick with it although it is hard. I started on 20mg then went up to 40mg via 30mg , because the anxiety was still there. I am now on 20mg again and feel normal.

jasmine31 Sat 05-Jan-13 07:31:22

I also started on 20mg. I felt lots better after a couple of weeks but a tiny bit anxious at times so the psychiatrist suggested trying an increase to 30mg - I think that was after about 4 weeks on meds. Seems to be working well now.

How old is your baby Caroline?

CarolineLHol Sat 05-Jan-13 13:11:49

Hi Jasmine, baby is 5 months and seems to have sprung 2 new teeth without us realising! smile
Felt a bit better first thing but went for a walk just with bf and felt very down. Just come back and had a cry with my mum, who is going back home today. sad Are these highs and lows part of the side-effects? and every time you up the dose do you get side effects again? ... Sorry for all the questions. X

HellesBelles396 Sat 05-Jan-13 14:03:42

Are these highs and lows part of the side-effects? and every time you up the dose do you get side effects again?

Good Afternoon Caroline, these ups and downs are part of anxiety and depression, The fact you're having ups at all is a sign that you're slowly (and it times it seems sooo slow) coming out of depression. Celebrate the ups and focus on those rather than the downs. Do not (because I'm prone to this and it wrecks me every time) make loads of plans for when you're feeling good because you'll tire yourself out and bring on some seriously depressive thinking. Use "up" time for spending with your baby and/or boyfriend and pulling silly faces, having bathtime, etc. When you're in a "down"try to start a cascade off by doing one thing that needs doing - any one thing. EG, plump up your pillows. It might make you want to do more - again, just choose one thing. If it doesn't, that's fine. You set yourself one task and completed it!

The ups and downs - in my experience - become less severe and less frequent as time passes smile

When my dose has changed, I have had more side effects but never so bad as when I started on.

jasmine31 Sat 05-Jan-13 17:40:36

Sorry you are having a bad day Caroline. Yes I definitely remember lots of ups and downs. Was quite frustrating as I kept thinking I was completely better then having another bad day. I often seemed to be worse in the evening for some reason. Agree that Citalopram seemed to make the bad times much less intense and less frequent. I don't think I experienced any side effects increasing the dose from 20 to 30mg. Certainly nothing like at the start of treatment (I was vomiting lots and couldn't eat at first).

For me it feels a bit odd being on a medication that affects my mood. (have never been on any ADs etc before). I feel completely better but I don't know how much of that is the medication and how much is me. I keep being tempted to stop the meds and find out... But will stick with the medical advice and keep taking the tablets for now :-)

Sparklingbrook Sat 05-Jan-13 17:44:00

I did try and stop them this summer, I was ok for a few weeks then started to feel 'not right' again so i am back on them and happier.

I forgot to mention the appetite thing. My GP told me they can interfere with your sensation of feeling full (ie you don't) so it can be easy to overeat as soon as your appetite comes back which mine did with a vengeance. So just keep it in mind.

HellesBelles396 Sat 05-Jan-13 17:45:58

I gather, from people who've had depression in response to an event or series of events, that they phased off the ad's and that they had very mild side-effects while doing so. Coming straight off, apparently, gives hideous withdrawal effects.

I have chronic depression, so I'm on for life and don't need to worry about that!

HellesBelles396 Sat 05-Jan-13 17:49:03

sparkling that's interesting. I comfort eat when anxious or bored so assumed that's why I have been putting on weight over past few years. In my last depression I dropped to size 12 but my weight has slowly crept up to an 18.

Sparklingbrook Sat 05-Jan-13 17:52:46

I have put weight on Helles and the reason i wanted to come off is to lose the weight, but i now know i can be on ADs but need to pace myself food wise. I have lost weight just by realising I'm not truly hungry and I have eaten enough.

CarolineLHol Sun 06-Jan-13 11:38:08

Hi all, hope you had good nights.
Its day 7 for me and i didnt start feeling normal until 4pm again yesterday. Does anyone else take their tablets in the morning and then start to feel up and down for most of the day, only to really perk up the most in the evening?
I cant work out whether its the medication wearing off in the evening or it's kicking in? Really want to start the day wanting to get out of bed and the house!

HellesBelles396 Sun 06-Jan-13 11:49:39

I take mine on a morning. at first I took it on a night but, once the side effects wore off switches to mornings because they were recommended by the gp.

CarolineLHol Sun 06-Jan-13 12:05:29

Thanks Helles. Just can't get my head around why I feel so radically different in the evenings to the daytime. I was putting it down to the sleeping tablets but I'm ok before taking the ADs.

What I wouldn't do for some sunshine and a holiday!

LIG1979 Sun 06-Jan-13 12:16:18

I took it about 10 years ago for early morning waking and anxiety about sleeping. It was a wonder drug and for the 18 months I took it, nothing worried me or stressed me out. I slept the best I have ever slept. Coming off it was quite difficult but I still sleep much better and stress less than the days before I took it. If I remember correctly it took about 3 weeks to kick in. I used to take it in the evening to help with sleeping and would feel tired/drowsy in the morning if I didn't get about 9/10 hours sleep. (That is the only period in my life I have slept that much.) I hope things get better soon.

perspective Sun 06-Jan-13 14:14:31

Day 8 for me and like you Caroline I'm still feeling weird. Taking mine in the evening still, but earlier, about 6-7. I'm sleeping a bit better but waking early, hot, anxious, headache. Once I'm up and going I feel better but then awful in the evenings. Back to work tomorrow, things difficult there but good colleagues so I'm hoping I will manage.

It's really helpful to hear everyone's experiences, thanks for sharing.

CarolineLHol Sun 06-Jan-13 17:31:05

Perspective, I hope being back at work will help distract you from these side effects. You will be absolutely fine!

It's interesting to hear how the ADs effect you differently when taken at different times. I feel pants half an hour after i take them in the morning and then during the day. but at 4pm its like a switch has been turned on and I feel a lot better. Going to ask my doc why that is so.

Best of luck tomorrow and you know where we are if you need a boost. smile

madas Tue 08-Jan-13 16:14:51

Hi, well just got back from the docs and im now on citalopram. She wants me to take them and also have counselling. Any advice, dos or donts would be gratefully received.

Thanks

jasmine31 Tue 08-Jan-13 16:43:54

Welcome to the club madas! citalopram made me really sick, but only for a day or two. It's best to take it with/after food apparently. I found it worked well for my anxiety after about 3 weeks.

nannyof3 Tue 08-Jan-13 16:52:14

It will get better...

10mg is a starting dose and doesnt suppose to 'work' as such, it is just for ur body to get use to it

nannyof3 Tue 08-Jan-13 16:53:23

Theres loads of side effects and not being able to sleep is one of them...

As ur body gets use to it, u will be ok..

Normally about 3 weeks...

Good luck

madas Tue 08-Jan-13 17:14:33

The lack of sleep is nothing new im used to that lol. I just cant understand why i am like this thats the hard part.

HellesBelles396 Tue 08-Jan-13 17:28:15

One don't madas:
don't second guess it - everyone's timescale and side effects are different.

one do:
do get as much help and support as possible over the next few weeks so that, hopefully, you won't be worrying about everything that needs doing.

madas Tue 08-Jan-13 17:59:14

Thanks for your replies, i have never felt so helpless and on my own even tho i have friends and family to support me sad

perspective Tue 08-Jan-13 18:05:47

Oh bigger, typed a long reply and lost it.

Welcome madas, there are a few of us in the early days so you are not alone. Very reassuring also to here other experiences.

I am day 11, side effects subsiding a bit although I am still not sleeping. Went back to work yesterday and coped ok. Having a routine again felt quite reassuring too. Shattered now though and glad I am not working tomorrow though it will be the first time I have been on my own since before Christmas.

Caroline, how are you?

CarolineLHol Tue 08-Jan-13 21:22:01

Hi ladies. Madas welcome! Perspective, very happy to hear you coped well with work, was thinking of you yesterday.

Today has been my first 'goodish' day (day 10) helped by a bit of sunshine -I think we had it for an hour! I still feel pretty crappy after I take the tablets, but agree that eating something before or with has definitely helped with the nausea so force down some toast or rich tea biscuits.

Today I felt happy enough to be left alone this afternoon, I was getting very use to always having someone around helping me with my low moods and baby etc).
Perspective, it sounds dull, but kept myself busy with washing and sorting out the kitchen. Avoided tv and stuck the radio on which was nice company in the background. Tomorrow its cooking and purees, as am weaning at the mo. it was actually nice to get some control back and the house!
I even went and joined a gym. Oh god and I bought a tapestry - Christ knows when I am going to do that!

Madas, I agree with Helles talk to people, its very important and will make you feel a lot better and take it day by day, as it will and still is a bit of a roller coaster ride, but you/we all will feel better.

I am looking into cognitive behaviour therapy - anybody tried it?

HellesBelles396 Wed 09-Jan-13 08:27:12

caroline I had cbt after my breakdown. it really helped. Actually, it made me worse for the first couple of sessions because you realise how screwed up your thinking is. After that, it's better because you can tell you're making progress.
mind over mood is the book I was recommended by my CPN. very useful and explains everything brilliantly. good exercises to do with photocopiable resources.

madas Wed 09-Jan-13 09:16:50

Sorry if am hijacking thread, just a quick question. Took my first tab last night, today i feel light headed. Its like im on the outside looking in, sureal iyswim.

perspective Wed 09-Jan-13 14:05:31

You're not hijacking at all. We are here to offer and receive support.

I found the first few days quite surreal, then had a few other side effects. As Helles says, don't second guess. Remember, side effects will subside, and in the meantime try and be kind to yourself.

Caroline, good to hear you had a hood day. I have kept busy today, dragged myself to the pool for a swim this morning and gave some of the house a good clean. I also slept better last night so feeling more human.

CarolineLHol Wed 09-Jan-13 17:22:31

My good day was short lived as had one of the worst today. Little sleep, bf snoring again, sent him to the sofa! Came home after my swim and gp visit and have been feeling so low and rotten all day. Chasing my Perinatal clinic to try and see a counsellor for the PND, taking weeks for anyone to get back to me. Plus have had to agree to getting a nanny in for 5 mornings a week until I feel better which is money we don't have.
Sorry to be so miserable, I know this is a bad day but still feel 2 steps forward 1 step back! BUT I know it will get better. smile

HellesBelles396 Wed 09-Jan-13 22:56:47

caroline - it's fine we're here to support. you werre having a bad day but you went for a swim - that's fantastic because you motivates yourself to not only leave the house but to exercise. Your bf was snoring so you sent him to the sofa: there was a problem that was impacting on your health and you dealt with it - another toughy handled by you on a bad day. you chased up counselling - you could have just left it but you didn't. you did well today, it was the illness that had a bad day.

perspective Thu 10-Jan-13 20:11:30

Caroline and madas, how are you today? My side effects seem to have subsided ok but today I have just felt so flat and anxious. Just going through the motions until I can get to bed. It's an effort to get through the day. I had hoped my anxiety would be starting to get better. In work again tomorrow.

HellesBelles396 Thu 10-Jan-13 20:38:09

Hi Perspective what day are you on now? The side effects wear off before the drug starts working, if I remember rightly.

madas Thu 10-Jan-13 21:16:46

Hi all, still feels a bit sureal and i have what i can only describe as a back ground headache. I think what bothers me the most is being on the edge of bursting into tears, i even had my dw blubbing tonight. Did anybody lose there appetite ?

HellesBelles396 Thu 10-Jan-13 22:21:43

I was already not eating as a symptom of depression: when I'm anxious, I eat; when I'm depressed, I don't.

Anxious at moment. Size 18.

Depressed: usually 12-14

Boomerwang Thu 10-Jan-13 22:22:51

Hello. I have been taking 20mg a day of Citalopram for approx the last three years. In the beginning I was given 10mg a day and I felt awful. I truly felt it was time to let go of life, that my last hope was a big fat fail. It didn't help that every NHS therapy organisation was fully booked and had long waiting lists. I had been given an appointment with a counsellor about a week after starting the drug and it was one of the most miserable moments of my life. I was convinced that the pills were rubbish.

My dose was increased to 20mg and one further week later I felt... ok. I suddenly had the desire to spring clean my bedroom. And then I actually took some stuff to the charity shop. I flicked through a cookbook. I spent over an hour cleaning the green shit off the patio outside. I was living with my parents at the time and they absolutely zipped their lips about it. I think they were afraid of breaking a spell.

Citalopram can and does change your life. Please persevere. If it doesn't, your doctor will try you with something else. It takes finding the right one and then you can live again.

Incidentally, my side effects were dry mouth, anorgasmia and loss of sensation (hard to pee) and very messed up sleep.

Approx 3 months into the use of citalopram my sensation came back (with a vengeance, I might add), my mouth is no longer dry (I think) and I sleep absolutely fine. In fact I have no problems at all unless I miss a dose.

For me, missing a dose doesn't affect me the same day or even the day after. It's the one after that, even if you remember your next dose the day before. I get anxious and can't sleep due to 9238723947 things running through my head, I get bad restless leg syndrome and there's approx a 20% chance that I'll feel depressed as well.

I must say that in the three years I've taken citalopram properly, I've only had a handful of days where I could say I truly felt depressed.

I hope some of this helps. I think it's important that you don't give up. I'm on the other side, just like other AD users and I want everybody else to come to this side too.

Boomerwang Thu 10-Jan-13 22:26:04

Oh sorry, because I'm on medication for it I'd completely forgotten about one side effect that remains to this day. I suffer from acid reflux and I am prescribed omeprazole to counter it. It's extremely effective, though.

madas Fri 11-Jan-13 12:17:03

Hi everyone. Hope you are all having a positive day. Trying to motivate myself and go for a walk as the sun is out for a while.

humptydumptywaspushedtwice Fri 11-Jan-13 15:56:07

Hi. I've just joined MN as looking for other people suffering from depression, etc. hope you don't mind me joining in. I've been on Citalopram for 3 months now for depression and suicide thoughts. i found taking them at first a bit odd- and got worried about the side effects are listed on the interweb- I get very hot at night and if I wake up then I find it v hard to go back to sleep. As usual though

Its worth persisting with it though- the side effects do wear off as your body gets used to the dose- as I feel much better now than last October- and sweet lady wife thinks has told me I'm a much easier, more relaxed and approachable person to be around. I did CBT too- Beating the Blues via the Internet (finished last week) which you can fit around mood, time and energy levels.

CarolineLHol Fri 11-Jan-13 19:06:34

Hi Perspective, I think I am a day behind you on number of days and am feeling exactly the same as you. Side effects are subsiding, except the insomnia. Appetite is slowly coming back during the day.
Last couple of days have been low mentally though, but still can't get over the change in the evenings from during the day - does anyone else have that?
i even sent the maternity nurse home early yesterday afternoon because I felt so good. but then today it has taken longer to feel better, maybe due to little sleep last night and taking half a Valium at 2am doh!
I know it is very basic compared to the rest of the medication we are on, but Perspective have you tried taking vitamin b supplement and the rescue remedy products for your anxiety during the day? Plus make sure to mention I when you see GP. Have you got an appointment for follow-up?

Madas, did you get out for a walk?

Boomerwang Fri 11-Jan-13 19:15:37

Does rescue remedy actually work? I wonder if it'd be any use to me when I can't sleep at night due to anxiety. How long does it take to work?

CarolineLHol Fri 11-Jan-13 19:41:42

It does work for some, its always worth a try but manage your own expectations. Don't go to bed until you are really tired - 3 hours of deep sleep beat 6 hours of on and off sleep.
Ovaltine was my favourite for getting me off to sleep. Mind you I'm on zoplicone to sleep at the moment due to the citaloprm. But actually only gives me a couple of hours sleep so Might as well not take them. but if I do wake up I take some rescue remedy drops, and although I don't get anymore deep sleep it helps me relax and snooze.

perspective Fri 11-Jan-13 19:43:41

Hi everyone. Helles, I am now on day 14. I am finding that anxiety subsides a bit when I am occupied so trying to get back to a more normal routine and get a bit of regular exercise.

Caroline, I'm not sleeping brilliantly either, I drop off ok but wake between 2 and 4 and then can't get back to sleep.

Boomerang, thanks for sharing, you wrote very movingly and all the posts keep me hopeful.

Hope everyone has an ok weekend. I'm off to freeze watching ds do a cross country race......

madas Fri 11-Jan-13 20:16:59

Evening all. Caroline, yes i did manage a couple of hours thanks but to be honest didnt find it as cathartic as i normally do. While i was out i thought about how i have been wrapped up in my little world and really hadnt considered my dw and how she must be feeling. When i picked her up from work i did something i had never done before, i got out of the car as she was walking towards it and gave her a big hug and we both started crying lol

perspective Fri 11-Jan-13 20:35:02

That's lovely madas.

CarolineLHol Fri 11-Jan-13 20:59:03

Madas that's soo sweet.
I was the same after a walk today. Just remember that at the moment things don't quite feel the same because the medication is trying to work it's magic. Once the balance comes you will love walking in the sunshine again!

Perspective, don't envy you! ;) hope the snow holds off!

HellesBelles396 Sun 13-Jan-13 19:11:48

Everything is sounding quite positive on here. Reductions in side-effects, empathy with others - something that depression and anxiety can take from you.

I was interested to read [Humpty] of your side effect of getting very warm at night as I get very warm once I'm asleep and often wake up with a raging thirst (not diabetes - they check me all the time because dm has it). It never occurred to me that it might be linked to the citalopram. I'm 3 years in though so I can't recollect whether that started at the same time as the hotness.

Sparklingbrook Sun 13-Jan-13 19:28:59

Hi all. I truly believe the hotness is the Citalopram. I was never this warm before. I get quite warm in the mornings too.

Sparklingbrook Sun 13-Jan-13 19:29:55

Actually I remember seeing the GP in the first few months of taking it. As I walked in she said 'Oooh are you nice and warm'? grin

CarolineLHol Sun 13-Jan-13 19:40:23

I have been having terrible hot sweats in the night which kept me awake all night. I was told it was side effects of Citalopram and will go eventually.

I'm seeing my GP in the morning I'll ask.

HellesBelles396 Sun 13-Jan-13 19:45:38

It's amazing how that I didn't really question something that doesn't really impact on my life and just put up with it!

perspective Sun 13-Jan-13 20:06:22

I get very hot at night too! Ok in the day but often wake up uncomfortably sweaty. Good practice for the menopause I guess! ( not far off it I think).

I have very definitely felt more positive today, like I have more energy to get on top of this thing. I cooked a roast and thought to myself ' I will not let this mess up my life'. I have much to be thankful for, a wonderful dh and treasured ds, job, home, friends. It feels hopeful today.

We will all feel better soon. X

CarolineLHol Sun 13-Jan-13 20:13:36

Perspective I am so glad you had a great day, its cheered me up to hear that.

I Could have done with a roast today, Bf tried his best with a lamb chop, but managed to incinerate it! just ordered pizza.

perspective Sun 13-Jan-13 20:44:59

<Have some virtual leftovers>

HellesBelles396 Sun 13-Jan-13 21:12:18

Brill post perspective - no applause smiley so have some thanks

madas Tue 15-Jan-13 10:04:30

Well thats week over, im always tired, cant eat in the evening and my dreams omg lol

perspective Tue 15-Jan-13 19:28:56

Early days madas. My side effects have really settled down apart from poor sleep. I think the first couple of weeks are the hardest.

perspective Fri 18-Jan-13 07:53:18

Just bumping to see how everyone is?

I had first good nights sleep last night - hurray! Feels like a milestone. My anxiety is definately better, particularly if occupied, so my main goal in the coming weeks is to try and plan things for the days I am not working so I've got a structure.

Hope everyone else is doing ok. Keep at it. x

CarolineLHol Fri 18-Jan-13 13:41:42

Hi Perspective, great to hear things are getting better and better.

I'm Still struggling during the day, feel fine before I take the tablet and then bang half an hour afterwards I'm hit with tiredness and feeling fed-up and un enthusiastic until drugs wear off around 5 ish.
Planning to changing taking my tablet to the evening to see if that makes any different. Still very confused to whether these are still side effects I am feeling or this medication doesn't suit me- its very hard to judge.

madas Fri 18-Jan-13 15:46:45

Hi all, Perspective glad to see ur having a positive day smile Caroline i take mine just before i go to bed but still feel tired in the morning. But this could be to do with the fact i wake up at 2ish every night and cat nap till i get up at 6. My biggest problem is my appetite and being unable to eat in the evening.

HellesBelles396 Fri 18-Jan-13 16:00:09

I gather your sleep is more likely to be disturbed if you take them in the evening.

I've just had my dose increased but only going up 10mg a month so shouldn't have any side effects.

perspective Fri 18-Jan-13 17:15:43

Agree Helles. Madas, I have the same problem regarding night waking. I have now switched to morning and slept much better last night.

Caroline, are you seeing your GP again soon? Hope you start to feel better soon.

madas Sun 20-Jan-13 10:19:15

Hi all, hope your having a stress free day smile

HellesBelles396 Sun 20-Jan-13 11:17:56

woke up feeling good - can't be increase of dose already though

biff23 Sun 20-Jan-13 11:30:43

I was on it for a year and the early days were hard, but stick with it as it was brilliant. Really turned my health around, I was paranoid, low and had terrible anxiety. I initially took it in the morning but swapped to 6-7pm as it made me very tired.

Stick with it, I really thought it was a brilliant med and wouldn't hesitate to go on if I needed to again.

perspective Sun 20-Jan-13 20:05:29

What a good way to start the day Helles. Hope it continued through the day.

I am really starting to feel more normal. Not much energy and quite flat, but it feels like a big improvement. Really hope others are starting to feel some benefit.

HellesBelles396 Sun 20-Jan-13 20:44:37

I'm glad for you perspective my good mood continued for most of the day and I got most of my to-do list done. I had a slump early evening when ibs flared up giving lots of tummy aches and bloating. boo hiss.

Steffanoid Mon 21-Jan-13 13:53:12

hi all,
i take 20mg currently,
i've been on various doses of citalopram for the past 2 years, from 10mg which did nothing for me, right up to 40mg when i was having a very bad time, i can only speak good things about it, it calms my anxiety and depression so much, i've been seeing an amazing counsellor throughout the whole 2 years as wekk, sometimes every other week sometimes once a month and at the moment every 6 weeks or so, it has helped me no end over the past 2 years and i feel like i am a "high functioning crazy lady" for want of a better description, things have been pretty rubbish over the past 6 months (my dad died unexpectedly a week before my birthday and fathers day in 2012) but with my tablets and counselling i was back at work inabout 3 weeks, everyone i work with to start with when i told them were a bit shocked about the depression and medication thing but they're used to mebeing honest with them, if i'm having a cr@p day i'll tell someone, or if i don't feel i can say it out loud i'll email one of them and they'll email me back, going on citalopram gave me the strength and confidence to get out of a rubbish job with no prospects into a full time job with people who are actually bothered, 2 years ago i couldn't have done that at all, i'm getting there with the huge feelings of guilt and the saying no topeople every now and again,
stick with it and you will get there,
wow sorry just noticed this is a huge post
<3

Campari Mon 21-Jan-13 19:03:46

I've been on Citalopram for just over two weeks. I've certainly felt more chilled out in general, & the anxiety has lifted, for example I have always felt scared about debts & pushed them away.....but now Im tackling them head on with optimism. I am also finding it easier to study & concentrate for longer, because I actually now find it relaxing!

The only downside I have experienced is I occasionally have ''spaced out'' episodes when I want to be alone & quiet, and find people's voices irritating. It only lasts for a few hours and I usually go for a lie down. Obviously I can't do that at work though, and thats when its worse...

HellesBelles396 Mon 21-Jan-13 19:07:23

campari I get that all the time. I always thought I was just a bit further up the autistic spectrum than most people!

Sparklingbrook Mon 21-Jan-13 19:14:24

I have been driving in the snow. Hate driving in the snow. Citalopram makes you brave, smile

perspective Mon 21-Jan-13 21:10:01

Brave! That's great Sparkling.

Sparklingbrook Mon 21-Jan-13 22:50:01

I just feel calmer and braver perspective, I have been quite assertive since I have been on Citalopram too, an added advantage. sad

Sparklingbrook Mon 21-Jan-13 22:50:36

Or smile even!

CarolineLHol Wed 23-Jan-13 11:49:50

Hi All, hope everyone is having good weeks. Glad to hear people are feeling stronger and stronger.
After a rough couple of days, plus the bf having the flu I do seem to be feeling a bit better during the day, bursts of energy off and on.
The hot sweats are still a pain in the a*se so sleeping is still bad and trying to get out of bed after taking tablet is still difficult. I long for that 'get up and go' feeling to come back! GP tells me it all will.

Sparkling and Perspective, I agree that anxiety seems to be subsiding but still am surprised when it comes back! Went to starbucks for a coffee, felt totally natural in there, following day couldn't get out of the house for a walk.

I was reading through all our posts, it's interesting to read how far we have come just in a matter of weeks! Xx

Sparklingbrook Wed 23-Jan-13 13:30:12

I found that I felt totally different morning and evening. So I would be all raring to go and make arrangements for the next day in the evening, then wake up in the morning not wanting to do it. That's when the GP upped my dose to get rid of morning anxiety.

It is a bit frustrating to start with.

perspective Wed 23-Jan-13 14:53:27

Caroline, glad to hear you feel less anxious and have more energy. That sounds like an improvement.

I know what you mean about feeling different at different times of the day. A few weeks ago I found mornings really difficult mainly due to anxiety but I now manage much better in the morning but am wiped out by 6pm! I think it's probably quite normal in terms of recovering.

Saw GP today, she thinks I have improved so staying on 20mg for the time being.

Take care all.

Campari Thu 24-Jan-13 03:50:08

Do you all take your tablet in the morning or evening? I usually take mine before bed, but have found it very difficult to get up, because I have really long, deep sleeps, usually for at least 12 hours.

Should I take it in the morning instead?

perspective Thu 24-Jan-13 06:58:54

I switched from night to morning as my sleep seemed to be very disturbed. Seems fine, I get up have breakfast then take it. Have you been taking it long?

HellesBelles396 Thu 24-Jan-13 07:19:49

that's good perspective

I take mine on a morning

CarolineLHol Thu 24-Jan-13 11:35:25

I swapped from morning to night last night and only managed 2 hours sleep. sad feel so spaced out but feel like the anxiety side effects are reduced!
Why do we wake up so early?

Sparklingbrook Thu 24-Jan-13 11:40:27

GP is adamant that I should take them in the morning.

CarolineLHol Thu 24-Jan-13 12:05:50

Ive had one GP say morning is best once side effects have lifted.

I'm going to try it for a couple of days and see what happens. It's all trial and error. Grrrrr

xRavenx Fri 25-Jan-13 17:43:04

I've been on citalopram since mid November and it's been fantastic smile

I didn't really have side effects, except maybe a bit of disruption to my sleeping pattern, but nothing now, and my depression is gone

xRavenx Fri 25-Jan-13 17:44:34

My GP said it doesn't matter when you take them, but people with side effects can find it better to take them at night, and the pharmacist agreed

I'm taking at about 10.30 every night

perspective Mon 04-Feb-13 16:39:15

Just wondering how everyone is? I am feeling much better, more 'normal' and able to enjoy things again. Anxiety almost completely gone.

Hoping the lack of posts means everyone is feeling better!

Allysunflower Mon 08-Apr-13 20:05:17

Hi I'm I'm desperate need here, I'm 2 weeks Tommorrow into taking 20mg citalopram and I feel so bad, the nausea is horrendous and doesn't seem to be getting any better, I'm so agitated too, and the anxiety is a lot worse, I was on citalopram 4 years ago and had to come off it to try mirtazapine, along story but I'm under the mental health team and after 3 months now back on the citalopram! I'm having terrible thoughts and I'm so scared, see gp tomorrow but he's at a loss, I have 3 children one only 2 years old, I'm struggling so badly and I'm wondering if this is normal by now 2 weeks in should I be seeing some improvements not worse? Also I've heard there's a newer version of citalopram called escitalopram? I have no interest in life and I'm more and more depressed, but the nausea is really getting me down so not sure if that's making the anxiety worse? Please please helpsad

Brambule Thu 11-Apr-13 15:11:28

Allysunflower - the GP told me it can take up to 3 or 4 weeks to feel the benefit of citalopram. You are a couple of days ahead of me, I'm on day 11 at 20mg and like you, feel incredibly nauseous, anxious and down. I have lost so much weight in the last fortnight as I just can't eat. I'm going to persevere for the next week then possibly enquire about upping the doseage/trying something different. Lots of luck to you, hope you turn a corner with the citalopram soon.

Allysunflower Thu 11-Apr-13 18:53:39

Thank you and you too, I'm still really bad, dr has put me on escitalopram started Tuesday, although he's not convinced its any better than citalopram but it's alot more expensive to make? I'm trying it but as it Is I'm really nauseaous and like you can barely eat, and my anxiety has gone through the roof, saw mental health nurse today and II was in a terrible state, she can't get me to see psychiatrist until next Tuesday, he has thoughts of adding another med to it to see if it will reduce the anxiety, it's called quetiapine? I'm not sure but I think the way things are going I will have to, i was so hoping things would improve, the nurse things a lot of the nausea is being caused by the anxiety not the tablets? and that I need to take control of that! easier said eh when I feel so sick all the time and can't focus but she said its got a grip of me and is spiralled and now worse? do you take diazeprams too? I'm having tosad although again that makes me more anxious which is a thing I seem to get taking any tablets especially if they don't seem to be working? god this is crap isn't it? xx

Jklm1968 Fri 12-Apr-13 14:49:54

Hi everyone. On day 10 and cannot shake the lethargy. Need to return to work on Monday and I'm dreading it. Please someone tell me this goes ? I just want to lie in bed and not even sleep, just lie there ! Very distressed. First time on Ad's and so far I hate it. Please let me know if I will get over this. Everyone seems so lovely on here. Thank you.

Allysunflower Fri 12-Apr-13 17:48:00

What meds are you on? Me personally I'm really struggling as you will see and read from my postssad awful in fact, I'm now on escitalopram 3 nights but previously on citalopram for almost 2 weeks and the nausea is horrendous, I'm feeling so anxious too and agitated, I really hope you pick up sooner, they seem to think my anxiety is so bad that it's that that is making all the nausea and anxiousness worse? all I know is I'm feeling bloody awful and I'm praying something improves soon, I'm barley eating and heaving all the time? I wish you well soon xx

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