Citalopram :: Mood Dipped Again On Increasing Dose?


May 21, 2016

I have been on 10mg for 9 weeks and my gp and counselling provision service have advised I up to 20 mg. I am feeling better than I was my intrusive thoughts are less intense and haven't been getting panic attacks but I feel my mood improved and then has dipped again, I am also still having suicidal thoughts. I am scared of the side effects being as bad as at the beginning or worse, can anyone give me some reassurance ?

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Hi I thought I had read on here that increasing your dose could be like starting again side effect wise ? I'm looking for explanations to why after a week of increasing to 20 mg my anxiety / and depression appear to be worse ? Anyone else had similar ? I have.a  Family wedding this weekend and am panic stricken / family staying at the house ( I have taken to wandering during the night time insomnia and couch sleeping  to help with the anxiety ) I can't imagine how I'm going to get through it !

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I have suffered from depression and anxiety for years (about 8 in total since my early 20's) but only recently sought help from my GP when I started having 2 or 3 panic attacks a day.

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I had bad side effects when starting on the 25 mg (increased depression, increased anxiety, headaches, nausea and diarrhea) but these past after the first 4 or 5 days. When I was increased to 50 mg they came back, albeit more mildly and past after the 3rd or 4th day.

I am apprehensive about increasing the dosage again now as I have to travel a lot this weekend for a large family engagement. I am worried that I may start having panic attacks again as I settle into the higher dose and I am wondering whether to stay on 50 mg with the Propranolol over the weekend and up the dosage on Monday when I am home and have a few days to relax and can ride out any side effects.

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I used to be on citalopram and was on the highest dose of that.

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