Dosage - Citalopram?

[nopenotplaying]

I've suffered with depression for 20 years plus. Tried cbt tried different meds but everything is only a temporary fix. I had twins 4 months ago and I'm breastfeeding them. I went back on my meds when they were about 2 weeks old and have worked my way up to 40mg which I believe is the maximum dose. I keep getting days where I can feel that black clouds creeping back, my anxiety is back too. I'm dreaming of awful things and just feel totally overwhelmed with everything.

Does anyone have any advice. Been on 40mg for about 6 weeks now. I've had sertraline previously but that seemed to not work after a while.

I just want to feel happy. I have everything but I'm still so sad.

Yeah that's the maximum as they lowered it from 60mg.

You could try escitalopram instead of citalopram. Price is much cheaper than it used to be, so it should be easier to get it on the NHS than it was a few years back. It's closely related to citalopram, but some people that have tried both claim that escitalopram is a superior version of it.

Thanks. I'll need to make a gp appointment and discuss it then