Ok I understand. Please go on
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
This is a copy of my ECG I had. Do you think its appropriate to increase the dose to 60mg based on this tracing?
So, in relation to dosage, what is the maximum Citalopram you prescribe in USA because I've read a lot of articles indicating it is now only 40mg