Posted by Mtom on August 28, 2018, at 15:49:00
Hypersensitive to side effects (as mentioned in past), so start with ultra low doses and titrate dose up very slowly. Tried Citalopram for 2 1/2 months & then switched last month to Escitalopram - again very small doses. With both became extremely anxious/agitated within a few days which lasts for weeks, and increases again after each tiny dose increase (which I do when I "think" the anxiety is starting to abate a bit, but not totally gone). Other side effects include fatigue (need day nap), loss of appetite, Tinnitus (and a few vivid bad nightmares). Wondering if effecting quality of my night sleep, adding to the fatigue.
Taking too long to get to a therapeutic dose with months of anxiety (which was pre-existing but became significantly worse, slightly more so with Citalopram which is why the switch is es-C), even with anti-anxiety med to help somewhat. Have in past tried other AD's which were even worse and my Genetic Testing (which had much more limited info than expected) indicated these were 2 good choices for me. My Pharmacist says Escitalopram in his experience fewer side effects and better efficacy than Citalopram. Not seeing this yet. (although escitalopram has been just 4 1/2 weeks of very low dose - still trying to titrate slowly).
Running out of options. Has anyone had to push through weeks of side effects? Difficult to get up to a therapeutic dose with these going on.
Tinnitus seems to be improving but also unfocussed all the time (might be in part due to the depression, but seems worse since starting AD's)
poster:Mtom
thread:1100658
URL: http://www.dr-bob.org/babble/20180728/msgs/1100658.html