Citalopram para sertralina, preciso reduzir gradualmente 10mg?

Estive tomando citalopram há cerca de 7 semanas, tive sucesso com ele, mas recentemente tive muitos efeitos colaterais. Ele me causou insônia, acho difícil dormir. Meu médico sugeriu que eu tentasse a sertralina para ver se isso pode funcionar sem me causar problemas de sono. Ela disse que está tudo bem parar de tomá-lo por alguns dias antes de tentar a sertralina. Eu estava tomando 10mg. É seguro parar sem reduzir a dose gradualmente?

Have u tried to change it to taking it at night? I know a lot of ppl that had trouble sleeping would switch time they take their pill. Or if u are taking it at night try morning. Kind of a shame if u were feeling better to start a new med and start all over. I am at little over 5 weeks now I see some improvement but still seems like I got a lot to go. But I don't have sleeping problems. And I think I pretty much have every single side effect lol. But if you are gonna get off I would still reduce slowly ppl seem to get side effects pretty bad when stoping all of a sudden

oi, também estou tomando 10mg de citalopram, parei de tomar por 3 dias porque queria parar de tomá-los, mas no primeiro dia foi tranquilo, mas no segundo e terceiro dias piorou, me senti terrível no terceiro dia, então voltei a tomar, mas se o seu médico disser que está tudo bem para parar, esteja preparado para se sentir mal.

por quanto tempo você fica neles?

não, eu não estava tomando em horários diferentes, eu não tinha problemas para dormir no início... não sei o que fazer

I've been on citalopram 20mg for 4 mths and haven't had a decent nights sleep since starting it. I was given the option of switching to sertraline but to be honest I just can't face the hassle with all the side effects, like you say they are awful.

My gp has started me on a very small dose of amitriptyline to take 1-2 hrs before bedtime and this has improved things a bit . I just made the decision to carry on. Let us know what you decide

Realmente, é uma pena porque isso me ajuda a ficar mais calma, eu não posso nem quero me prejudicar, ainda tenho problemas de apetite com isso... algumas pessoas dizem para tentar à noite, você já fez isso?

hello yes you should be ok. The medication of Citalopram is a small dose

BOB

Hi Megan,

I have always taken it at night but did have a go at taking it in the morning and it messed me up and gave me increased anxiety so I reverted back to taking at night.

The whole thing is terrible. I'm having a few days of increased anxiety at the moment so trying to ride it out without rushing back to gp . It's really difficult to know what to do for the best. I suppose I just reckoned that there is no guarantee that I would be better on any other AD and wasn't prepared to go through side effects again. It's the anxiety I can't cope with

Você acha que devo tentar à noite antes de desistir? Só tentei de manhã e, nos últimos tempos, à tarde. Eu sei o que você quer dizer, é muito difícil saber o que fazer... sim, antes de começar isso, a ansiedade era insuportável, não quero voltar àquele estado

oi megan eu costumava tomar os meus de manhã e me sentia um lixo o dia todo então comecei a tomar à noite e isso funcionou para mim ainda sinto um pouco de ansiedade por algumas horas de manhã mas prefiro tomar de manhã.

I would try anything before I gave up. For the most part I'm so much better so I know it's helping me plus I don't want any more time off work with side effects - been off since August

gerrymoo, há quanto tempo você está tomando citalopram e quanto tempo levou para começar a fazer efeito?

Hi Marky B !

Started mid August on 10mg citalopram and upped it to 20mg after 3 more weeks so went through awful side effects twice ! To be honest the side effects were so terrible I didn't feel it was helping but after a few weeks I started noticing a gradual improvement. Nausea went away first and anxiety was last thing to go and now it's back a little bit so hopefully just a blip. I feel normal from lunchtime onwards but seem more susceptible to changes in routine etc ...

oi gerrymoo comecei em setembro com 10mg por 1 mês depois subi para 20mg mas me senti terrível por 5 semanas então voltei para 10mg não me sinto tão mal no 10 mas não me sinto nem perto do normal esqueci como é o normal não sei se devo subir novamente para 20mg.

Oh Marky b it's so difficult to say! They say you can get these dreadful side effects on starting up and with each increase or decrease. I just stuck it out again when I went up to 20mg but would be very reluctant to go higher. To be honest once nausea and anxiety had subsided after about 4 weeks , my main issue has been terrible insomnia and restless leg syndrome.

What does your doctor recommend?

oi gerrymoo acho que vou ficar nos 10mg por mais algumas semanas e ver como me sinto não sei muito bem se devo voltar aos 20mg.

Let us know how you get on won't you?

If your pills are scored (line down the middle) you can break in half an take half in morn an half in am. Some people do that. Or get a sleep aid or anti anxiety med like Klonapine (now it can ve addicting if taken a ton an hard to come off of). Amitriptyline is also a antidepressant used for sleep or pain an it will also increase Seratonin as does Citolopram so Seratonin Syndrome is a high possiblity an dangerous. I would not take both. I take Klonapine (longer acting anti-anxiety med than xanax) as needed if cant sleep. I just started #7 med Citolopram 10mg this morning an did have increase in anxiety 2 hrs later. I knew it would happen. It does with all of them except (for me) Cymbalta. Everyones diff. But dont expect benefits until at leadt 2-3-4 wks sometimes 6wks.

Goodluck