Estou tomando Citalopram há 9 semanas agora e ainda não estou vendo nenhuma melhora. Se tanto, sinto que estou piorando. Simplesmente não sinto que estou chegando a lugar nenhum com ele. Aumentei minha dose há cerca de 4 dias para 30mg. Começando a pensar que este não é o remédio certo. Se for cedo demais para ver, quanto tempo você acha que devo dar até começar a pensar em tentar um medicamento diferente?
Estou tão cansado de estar tão miserável e ansioso o tempo todo. Apreciaria muito qualquer conselho. X
Oi... 9 semanas ainda é bem cedo para algumas pessoas. Você já viu alguma melhora, mesmo que seja pouca? Algumas horas melhores, por exemplo? Como você aumentou sua dose, a nova dose vai levar tempo para se ajustar novamente no seu sistema.
Agree with Claire .... 9 weeks is quite early still. You need to stick with one dose, head down and just keep going. When you think you can't go any more ..... then kick in and keep on. Increasing won't make it happen any quicker and if anything you'll get side effects and will need to give this new dose more time still to now settle.
It can be 3-4 months before you start seeing anything - could be sooner. It usually starts very, very slightly so you hardly notice it.
A lot of people don't give these meds enough time. Count recovery in months, not weeks. If a doctor says 4 weeks, take that as 4 months. Its worth the wait though.
K x
Eu acho que houve momentos melhores do que outros. Mas estou apenas descendo ladeira abaixo e realmente lutando com isso. Então você acha que aumentar a dose foi a coisa errada a fazer? Falei com o médico e eles disseram para tentar aumentar a dose?? X
Então você acha que devo dar mais algumas semanas? Os médicos disseram que eu deveria estar sentindo algum tipo de benefício agora, mas sinto que só pioro cada vez mais X
Everyone is different so how can the doctor say you should be feeling something by now. Not really ..... some people may do, but the majority of people take much longer. You might be feeling at your worst right now, but next week might be completely different.
Are you aware you'll get blips along the way ... no matter what dose you're on. You may start to feel slightly at ease and next day you could feel at rock bottom. Thats normal during recovery. That will be a blip, and these will occur repeatedly as you get better. Some hours or days will feel like you're getting somewhere and will be followed by some bad days or weeks. Reacting towards this with more anxiety just prolongs it. Understand it will happen, relax towards the anxiety as best you can and just keep going. It will pass.
It gets easier as time goes by and the blips get less intense.
K x
Oi Kate,
Fui ao médico novamente hoje e eles disseram para aumentar minha dose para 40mg. Tenho me sentido muito mal ultimamente, para ser sincero, desde que comecei a tomar citalopram. Diria que tive alguns dias bons, mas fora isso, tenho me sentido muito mal.
Sim, eu entendo que oscilações são esperadas. Mas não acho que eu tenha saído dessa fase para ter uma oscilação, se é que me entende?
Esta manhã eu me senti bem, ainda acordei com a mesma sensação de pavor, mas depois melhorou um pouco! Isso não acontecia há um tempo. Mas agora está voltando.
Só estava me perguntando se você acha que aumentar para 40mg é a coisa certa a fazer? Eu aumentei para 30mg na semana passada e o médico disse que é cedo demais para ver se essa dose vai ajudar. Mas como estou me sentindo mal, quero ir direto para 40mg.
A bigger dose doesn't mean you'll get better any quicker than if you were on a lower dose. If you've been struggling on 20mg, then going up to 40mg is double the dose. It might be the dose for you, but you haven't been on 30 long enough either so you won't know if that is suitable yet.
Each dose increase will give you side effects, so you need to let one dose settle in for many, many weeks before you can tell or increase. If the doctor said its too soon to tell if 30mg will help, why is he increasing again?
So I don't know if 40mg will be ok for you.
So many people don't understand that these meds take a looooooong, long time to work and whilst waiting you'll see no results. That's what foxes people - they think they're not working and start increasing instead of playing the waiting game.
You said the morning felt ok, felt a bit of the dread and then it eased. This is how recovery starts. Little, teensy things like that begin happening - things so small you don't think they're significant. But that is how it starts. Yes the symptoms will come back too - that's normal. As you recover, these little things slowly start happening which will be mixed with days or weeks with low spells again.
It took me until around 3-4 months before I started noticing little things happening and recovered by 6 months.
K x
Bem, tomei os 40mg ontem à noite. Para ser sincero, não sinto muitos efeitos colaterais quando aumento a dose? A única vez que sofri com efeitos colaterais foi quando comecei a tomá-los. Mas mesmo assim, acho que muita coisa era eu só ficando ansioso por tomá-los.
Sim, é exatamente isso que eu pensava. Acabei de subir para 30, então como vou saber se essa é a dose certa ou não. Mas ela disse que é recomendado aumentar em 20mg? Então, como estou tendo dificuldades, ela acha que devo tentar ir direto para 40mg.
O que acontece se a dose que estou tomando acabar sendo demais? Como eu saberei?
Acho que ter momentos bons é um bom sinal! Só preciso continuar com isso. X
Yes you'll know if the meds are st the right dose because you'll start having good moments. If you're on 40mg and you struggle with side effects for a long time then lowering can often be the answer.
I've never heard of increasing by 20mg is recommended. Many people up by 10mg.
Hi just wondering if you can help me I was on 10 mg for 3 weeks and have been on 10mg for a week now still a bit shaky does it take a while once you up the dose thanks.just a bit shaky but nothing much else.thanks
Hi Louise
When you start meds you'll get side effects which can last a few weeks, and one of them can be the shakes (everyone's different). Increasing your meds will give you side effects again, sometimes not as bad - depends how much you increase by. Its just your body adjusting.
I imagine the increase will last a few weeks maybe, but it does wear off. I remember having an inner shake when I first started, almost if I was shivering.
K x
Parece que falei cedo demais. Não me sinto bem de forma alguma. Me sinto tão fora de mim. Sinto que tenho ainda menos controle do que o habitual, se é que isso faz sentido? Estou achando difícil pensar/funcionar. Só me sinto pior em geral. São efeitos colaterais?
Yes they are side effects, and some people find 40mg isn't for them. I suspect though its the start up effects which again need riding out. Don't forget that whatever dose you're on you'll still get the up / down moods (blips). This will pass though. Remember its always 3 steps forward / 2 steps back.
K x
Oi Kate,
Estou me sentindo tão fora de mim. Como se eu estivesse tendo dificuldade para pensar? Como se eu estivesse constantemente desligada. A ansiedade e a depressão não estiveram tão ruins hoje, mas eu só estou tão, tão fora de mim! Isso é um efeito colateral?
You increased your dose recently didn't you? Did you feel zoned out before you increased? I'd say it's the increase and each time you do go up you will get side effects again. Having slightly less anxiety and depression today could be a sign that things are beginning to work as that's often how things begin - things start easing real slow.
I'd give it more weeks on the 30mg and if you still feel zoned out then maybe the dose is a little high for you?
K x
Sim, eu aumentuei para 40mg. Só sinto que não estou pensando claramente de jeito nenhum. Não sei se é por causa das comprimidos ou da depressão/ansiedade.
Então você acha que deve continuar com os 40mg por mais tempo? X
Probably a combination of both ...... though It might be more the meds - 40mg is the maximum dose and a lot of people do struggle on that dose. Everyone is unique and suit different doses, but you do need to give each dose lots of time (and that's months, not weeks) before you can decide if it'll suit you. A bigger dose doesn't mean you'll get better any quicker and it won't stop the side effects or make the ride any easier - you'll get exactly the same effects whatever dose you take.
A lot of people make the mistake of thinking an increase will take away the feelings they have right now ..... but it doesn't. If anything it makes it worse to start with, before eventually settling ..... and then you still have to wait.
These meds take a long, long time to work for most people and during that time of waiting it can be very uncomfortable. Understanding what's happening to your body, accepting and relaxing towards the feelings will help whilst you wait.
Many people end up chasing recovery - they start meds, get side effects, increase to relieve this, get more side effects, increase some more etc etc. reach the maximum dose and struggle, decrease and get withdrawal, change meds and start the whole process over again with their body not knowing if its coming or going ....... then often come off completely, thinking the meds didn't work for them.
The meds take months not weeks to work - took me 6 months.
K xx
Okay, obrigado pela sua resposta xx
Começando a me sentir muito melhor, acho que as coisas estão começando a melhorar! Ainda tenho um longo caminho a percorrer, mas esta é a melhor sensação que tenho em muito tempo! Primeira vez que realmente senti alguma melhora!
Ainda espero por alguns contratempos como você diz, mas só aliviado por finalmente parecer que estou começando a chegar a algum lugar. X
That's good its starting to happen for you. Yes, it'll come and go (blips) but keep going and it'll all smooth out eventually.
K x