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DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64954
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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was on sertraline and cymbalta in january but had to stop both

Customer Question

was on sertraline and cymbalta in january but had to stop both due to vomitting was ok for a short time and then anxiety kicked in again went on xanaxfor a while and then gp added 10 mgs citalopram 12 weeks ago just about tolerating it no appetite and night sweats causing poir sleep
Submitted: 3 years ago.
Category: Medical
Expert:  DrRussMD replied 3 years ago.
Hello

OK

It is going to take a while, and an increased dose for the citalopram to work

What is your question?

You have not asked one.

If you are having side effects, then give it more time if you can.

If you can not, the medication needs to be changed.

Often, it takes 4 weeks to stabilize on these medications.


Let me know exactly what you are asking and I can help you further.


OK, so that is an initial answer….
Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.

Expert:  Dr. Phil, MD replied 3 years ago.
Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

You need a higher dose of citalopram


20 mg at least
Expert:  DrRussMD replied 3 years ago.
Hello
I thank the expert for agreeing with me

As I said
"It is going to take a while, and an increased dose for the citalopram to work"

Please see above.

In fact, 20 is the starting dose, and most patients require 40, to be exact.

See dosing guidelines here

http://www.drugs.com/dosage/citalopram.html


Let me know if you have further questions.

Please don't forget a positive rating.