To suggest he should increase the dose?

[giftponderings]

My husband has recently started taking Citalopram after years of depression and anxiety. He started on 20mg dose.

Within a week the difference in him was unbelievable, so much happier and relaxed. It was amazing.

After about 3 weeks the old depression/anxiety/ fatigue started to creep back in again. I suggested to him to visit the doctor with requesting to perhaps increase to 30mg. He was extremely reluctant as he doesn't want to be on a higher dose as he feels there would be a risk of side effects/withdrawal if he ever decided to stop in the future. He feels if he is on the highest dose and if it still doesn't work, there's nowhere to go from there. I suggested trying 30mg (with docs permission) and he can still go to 40mg if needed. He's not keen.

Am I wrong in suggesting to increase?

Has anyone had an experience of Citalopram helping to begin with and then stopping it's beneficial effects?

What is the average dosage that people are on?

Any other advice welcome, thank you.

So he started on the tablets around the middle of October, then after taking them for a week he then felt better for a month. At the end of Nov he then began to feel worse and worse into December. Think it would have been about 2 months before he went back to the doctor the week before Christmas and then they recommended an increase from 20-30.

I think the way he is feeling now is that they are making him even worse and he is likely to stop taking them. I don't know if he will continue to take them for a few more months to let them settle down. Really don't know what to do to help him. Thanks for replying everyone