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Citalopram wearing off?

(45 Posts)
Lonelybunny Wed 17-Jul-13 20:50:26

I've been on 10 mg for a couple if months for health anxiety . I was starting to feel great other then a bit zombied out and sometimes frustrated but overall a lot calmer. I can feel my anxiety trying to push through again but the thing is because it's health anxiety I don't know if I'm being silly or if there is something wrong :-/

Sparklingbrook Sat 20-Jul-13 09:25:11

Hi Lonely. I think you should go and see your GP. Is the anxiety coming back at certain times? It may be that you need the dose increasing.

Lonelybunny Sat 20-Jul-13 11:18:41

Yea it's my beacause I found another lumpy patch in my boob , most likely breastfeeding related as they are very lumpy but the anxiety is trying to tell me it's bad news but I am just about managing to push it away , feeling a bit better today was a bit OCD with checking my lump this morning but I've calmed down again. I will speak to my GP on Monday I think

Lonelybunny Sat 20-Jul-13 19:31:29

Anyone know if it's normal for anxiety to come back like this so quick ?

hiddenhome Sat 20-Jul-13 20:39:40

10mg is a low dose, you may need it increasing.

Lonelybunny Sat 20-Jul-13 20:54:01

I think I do sad I'm getting in a right state again , can't believe it's come back this quick and fast , I
Was fine a couple of days ago

Lonelybunny Sun 21-Jul-13 21:17:13

I'm going to look stupid going back to the GP worrying about my boobs , I hate this health anxiety hate hate hate it ! It's ruined my weekend yet again and I'm so tired sad

MagicBaguette Sun 21-Jul-13 21:20:49

I'd definitely consider going up a dose.

I started on 10mg for anxiety, but was advised by the doctor to move up to 20mg after 3 weeks. I was terrified but had no side effects when I increased the dose.

10mg is actually a sub-therapeutic dose, so it's not wearing off, you're just not on a high enough dose to feel a lot better smile

Lonelybunny Sun 21-Jul-13 22:27:21

I feel numb sad and fed up as I'm gonna look so stupid

MagicBaguette Sun 21-Jul-13 23:43:01

Not at all!

There's nothing stupid about having a problem.

We're all here for you on here, and most definitely don't think you're stupid.

How do you feel about increasing your dose?

Ifcatshadthumbs Sun 21-Jul-13 23:46:48

You won't look silly at all. I took citalapram for health anxiety (total sympathy for you by the way it's awful) I started on 20mg and then moved up to 30mg.

Go back say that the 10mg did help initially but you feel like your anxiety is building up again.

SarahJayne321 Mon 22-Jul-13 00:07:03

Aww bunny, I know the feeling. Don't let it get you down, you just need to up your dose is all smile

Citalopram didn't agree with me at all, I switched to imipramine, an old trycilic and it was fab. Started at 10mg, felt brill for a little while and anxiety returned. It's completely normal, and once my dose was upped I felt fine!

You won't look stupid at all, your doctor is there to help you not judge you. Maybe try looking into some cbt alongside the citalopram xx

Lonelybunny Mon 22-Jul-13 01:26:41

Thank you , I will go tommorow , sad

Ifcatshadthumbs Mon 22-Jul-13 01:30:26

If it helps I took citalapram for a year and I no longer have health anxiety. (Well as long as I stay away from Dr Google!) it can get better but you do need to keep going back to your GP until you've found a dose that works for you.

MacaYoniandCheese Mon 22-Jul-13 02:02:31

10 mg is a really low dose to be going with for longer than a few weeks. Go back to your GP and discuss upping your dosage to at least 20mg...the good news is that you'll have got all the introductory side-effects out of the way.

Also, (I know it's hard with a baby), are you getting out to exercise? It really, really helps with my anxiety.

flowers and {{hugs}}.

Lonelybunny Mon 22-Jul-13 07:53:41

Thanks everyone , I go cycling quite and do try to get out as much as possible as this keeps my mind off it , just depends if I can get the motivation. I think I have a bit of OCD which is fed by my anxiety , on breast is now black and blue from constant checking . I've now shifted my attention to a mole that appeared on my leg a couple of years ago , I'm getting an appointment today and hoping to get back to myself in time for my holiday in two weeks

Lonelybunny Mon 22-Jul-13 08:32:20

Great got a man dr only sad got to show him my boob :-/

SarahJayne321 Mon 22-Jul-13 09:00:19

You'll be fine, he'll of seen more boobs than Hugh Hefner smile

Lonelybunny Mon 22-Jul-13 11:02:17

Well that went tits up (excuse the pun) dr was half hour late then I was to he waiting for an patient to arrive in an ambulance so expect a long delay so had to leave or I would miss my daughters assembly which would make me feel 10 times worse , so am
Back to square 1

Ifcatshadthumbs Mon 22-Jul-13 16:20:57

What a shame you didn't get to see the dr, please do make another appointment though. I had a mole fixation (even phoned NHS direct about it at midnight once blush )

As tempting as it is please try not to prod and poke as it will make you sore and then you will feel even more worried.

Lonelybunny Mon 22-Jul-13 16:46:15

I know I was gutted sad I've managed to get a telephone consultation for tommorow and will tell her everything on the phone. I nearly went to the hospital bit thought I'm just going to look silly as I had an ultrasound scan on this breast a couple of months ago so surely it couldn't be anything that's turned up overnight . I don't know but fed up poking at it tbh

Lonelybunny Wed 24-Jul-13 07:48:58

In the end I had to put myself up to 20mg cause I was going mad with anxiety , managed to her hold of the dr who agreed its best to up me to 20mg. She will also refer me for counselling in a couple of weeks.

Stripedmum Wed 24-Jul-13 09:21:18

Hi lonely!

Have you had counselling? I have really bad health anxiety too. It's awful. A sore throat is currently throat cancer. It sounds funny but it's not.

I'm lined up for CBT. I hope it helps. I've heard it's fantastic.

Lonelybunny Wed 24-Jul-13 09:28:43

I've not had any counselling at all . My dad is currently going through this too , he thinks bruises that keep appearing are lukemia and he is constantly going on te scales cause he is loosing weight , I've obviously got it from him. It really is miserable and you are right it sounds silly and funny to some people and may think it's hypochondria but it really is debilitating . When I'm bad I can spend all day checking symptoms checking again checking again etc my breast is black from bruising from checking every 10 minutes . I really hope some sort of therapy will help. I deff need to change my thinking. I have always been a negative person and always worried over things. If I am happy or in a good mood I think no there just be something to worry about in my life so I find something and then I'm all down again . So miserable

Sparklingbrook Wed 24-Jul-13 09:37:23

Hi lonely. I had counselling. One thing my counsellor said was that 'anxious people try look for things to hang their anxieties on'. i thought it was a good description. Looking all the time to feed the anxiety. That was me.

I can't explain why the counselling helped but it really did.

MagicBaguette Wed 24-Jul-13 10:03:45

I hope the increases dose works for you.

Counselling/CBT will help you change your way of thinking to a more positive outlook smile

Well done for getting yourself on the road to recovery - that in itself is a massive step which you need to give yourself a lot of credit for.


Lonelybunny Wed 24-Jul-13 10:10:37

Hey sparkling that's exactly what I'm doing , feeding my anxiety , I really hope counselling will stop that. Thank you magic , I had to get help for the sake off kids. Not much fun for them me doing nothing but fixating on my health anxiety . I'm feeling better already on the 20 mg just hope I don't pile on weight :-/

Sparklingbrook Wed 24-Jul-13 10:22:03

Yes, I think the counselling made me think of the anxiety as something I was 'feeding'. Having to be permanently anxious because your brain is looking for it is bloody exhausting. sad

Really be careful re the weight. My GP said that Citalopram interferes with your 'feeling full' response. ie you don't. Watch the nibbling and picking and portion sizes.

Eventually the Citalopram made me very brave too. Driving round cities-no problem, taking stuff back to shops-fine. Normal but braver. smile

Stripedmum Wed 24-Jul-13 11:15:56

That's really positive Sparkling. Also I do worry when I'm not worrying! So very good description.

Lonelybunny Wed 24-Jul-13 11:18:25

Thanks a lot , I think I've put weight on already , although citalopram is sometimes used for binge eating , I just hope I feel better soon smile

Sparklingbrook Wed 24-Jul-13 11:22:16

yes striped. Worrying about not having anything to worry about. it's a vicious circle. But her words really struck a chord that I maybe I do have a bit of control of what I need to be anxious about and what I don't.

Lonelybunny Wed 24-Jul-13 11:54:54

That's me too ! I worry about not worrying about anything sad I always think there should be something sad

MagicBaguette Wed 24-Jul-13 12:54:55

I've been on citalopram a month and haven't put on any weight.

So you may not smile

Even if you do, it doesn't matter in the grand scheme of things as long as your anxiety and general outlook is improved!

Trust me, it will be worth it.

Sparklingbrook Wed 24-Jul-13 13:01:10

The weight gain crept up on me TBH. It took quite a while....

Lonelybunny Wed 24-Jul-13 13:23:57

Well I'm a size 18 as it is :-/ but I need my head sorted , I will just cut back what I eat , hoping the kids being off jeans we are all more active so I will forget to eat ? Wishful thinking maybe ? I've been on it about 2. Months now and I've gained about 4lbs :0 but we have been having a few BBQ, and beers etc and my LO is reducing her breastfeeds now

Lonelybunny Wed 24-Jul-13 13:24:32

Off jeans ???? Off school lol

Sparklingbrook Wed 24-Jul-13 13:30:03

I would rather be a bit overweight but my brain feel right IYKWIM. smile

Lonelybunny Wed 24-Jul-13 15:15:38

Exactly ! I don't mind a few pounds but some of the stories I've read are like 2-3 stone shock

MagicBaguette Wed 24-Jul-13 18:44:47

Hey! Lonelybunny!

What did we talk about earlier?! grin

This is a great example of us finding things to be anxious about, and using Google to try to prove and rationalise our fears.

Yes, there are stories on the Internet of people putting on lots of weight and having lots of other bad side effects on SSRIs.

But think about it. There are thousands and thousands of people taking citalopram and other ssris.

Only the people with major problems with it are posting on the Internet about it. Those with no problems (the absolute vast majority) are much too busy getting on with their new and improved lives to be posting about their great experiences with the drugs!

So, check yourself. Be aware of what it is that's your main problem with your anxiety. You managed to pick it out earlier - you always feel as though you NEED to be anxious, and look for things. Learn to accept this, rise above it and see it from the outside. The point in taking the citalopram is to slow the thoughts in your head by removing some of your anxiety, giving you the ability to rationalise your thoughts much more easily.

Does it matter if you put on a bit of weight? In the bigger scheme of things, no, not at all, as the advantage of being able to overcome your anxiety. And it is DEFINITELY worth it.

You are aware of how you can prevent this happening. There's no point in worrying about it, you just have to act on it.

Say you do put on weight (worst case scenario). You are perfectly well equipped to deal with that. You know what you need to do. Decrease portion size, be aware of snacking, exercise.

Stay strong. The light at the end of the tunnel is approaching!

Lonelybunny Wed 24-Jul-13 20:16:59

You have totally hit the nail on the head ! I'm going to watch what i eat and stay away from google ! Here's to the future and may it be a happy one smile

MagicBaguette Wed 24-Jul-13 20:20:26

Much better attitude smile

(It's quite therapeutic for me to write advice to others, in talking i get things clearer in my own head, so I'm sorry if I ramble!)

Lonelybunny Wed 24-Jul-13 20:59:18

No please , it's really put it all into perspective for me , I'm looking forward to getting counselling too , so I can be more positive about things smile thanks for the chat , it's really opened my eyes

MagicBaguette Wed 24-Jul-13 21:27:27

Me too! I have another 2 months to wait before I start CBT, but have done some reading around and there are lots of great resources on the Internet (a good way to use google...!)

It seems as though really, from what I've read, the positive thinking is the best way to get out of the 'anxiety black hole'. It's hard, but I know we'll get there eventually.

I know that a combination of medication and talking therapy has the best results, so I'm optimistic we'll both be feeling much better in the near future!

Lonelybunny Wed 24-Jul-13 21:30:51

I think they run alongside well together , I'm not being refered till 2 weeks time but looking forward to it , I hope it goes well for you , despite my health anxiety I love to chat so I should enjoy the counselling smile

Lonelybunny Thu 25-Jul-13 20:07:48

Wow don't know if it because I've upped my dose but I was super mad today sad just felt like screaming at everyone I was so ratty sad anyone else had this ?

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