Yes I am aware of the Vitamin D levels and Magnesium levels affecting depression. I haven't had them checked. But for a few months I took Vitamin B12, Vitamin D and Magnesium supplementation plus a multivitamin. It had no effect on my mood, so I stopped it.
I had my thyroid checked and it was underactive. I am now being treated with 25mcg of Levothyroxine. I also have a low testosterone count and they are not currently treating that, as they are hoping the correction of the thyroid will correct the other problems.
I am quite concerned that although I tolerate Citalopram well 60mg will give me prolonged QT intervals. I want to know if 60mg is off label use because on looking at the BNF 40mg is the maximum here in the UK
I am also worried Setraline, although I have noted the good profile of the drug and its effectiveness for me, I am worried with the way I feel currently I may end up taking my own life while reducing the dose, and consequently reducing my serotonin and norepinephrine levels. I think it will make me feel like crap.
Thats why I want to add in a mood stabilser, because Im scared about increasing the Citalopram and even more scared about reducing my SSRI before starting another one.
I control my suicidal thoughts and ideations with 40mg Citalopram but am not sure how I would cope without it.
I have also been suggested to use a sedative antihistimine to correct sleep issues to improve my mood