Hi Shirley-ann. How long have you been experiencing these symptoms? Are you currently taking any medications?
Has your citalopram dose changed at all in the past 6 months? Did they check your thyroid levels? Did they rule out other rheumatologic conditions? RA, lupus, sjogrens, etc can often co-exist with Raynauds. I would insist that they check for these conditions (e.g. RF, ESR, CRP, sjogren's antibodies) or refer you to a rheumatologist. This constellation of symptoms suggests something autoimmune or autoinflammatory. In situations like this, some doctors will do the tests but also try a short course of prednisone to see if symptoms improve. In some cases, the improvement is dramatic, and this helps to make the diagnosis.
Ask for the blood tests listed above. This is a good place to start.
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In many cases like this the problem turns out to be stress and lack of sleep or poor sleep. This makes the nerves of the body hyperreactive and the muscles prone to fasciculations (twitching). Sensory nerves can be affected as well, leading to tingling, burning or sharp sensations. Consider getting a sleep study to make sure you do not have a sleeping disorder, and touch base with your mental health provider, as your celexa may no longer be helping. You may need to switch to another agent or go up on the dose. If this is not helpful, see a rheumatologist as you might be having the early signs of fibromyalgia, chronic fatigue syndrome, or another autoimmune condition that is not showing up on the standard blood tests.