Hello Drew,
First, Thank you for your service! I am so sorry you have to go through this awful PTSD! I come from a Military family, of which there are many members. My cousin is now a retired Army Ranger, he was injured in an explosion, troops were taking him to an undisclosed point when their Humvee hit a device. He was the only survivor. So I can at least understand a tiny bit of what you are going through. Enough said about that...
You are very early on Cital, being only 3 days, and actually this is very normal, albeit maybe more exaggerated for you given your PTSD. Over the next 6-8 weeks, your anxiety can go up, and down. Your depression can increase as well. After about 4 weeks, you will start to feel these things start to melt away. It is not unusual to start to feel good, then feel like you have taken a step or 3 backward, this is all normal, this is the Cital working on you. I know this is all sounding scary, and it is freaky, and a lot of us have been through it, it is rough!, but you WILL get through it all.
Now, all that being said, I need you to make sure you stay in contact with your doctor, you need to keep them informed of how you are doing. They need to know everything, they may need to up the dose, lower the dose, or add something to help ease the side effects for you, as there are things they can give you, as they might, especially given you already suffer with PTSD. They may need to change meds to a completely different one. There is another med similar to Cital, called “escitalopram”, now I don’t know what the difference is, as I am not a doctor, but I have heard the side effects are not as bad. But that would have to be up to the doctors, it may or may not be right for you, or your situation. Remember, what is good for one person, is not necessarily good for another.
The toothache could be as simple as...you might be clenching your jaw and may not be aware of it...that is just a thought. I know when my anxiety is high, I tend to do that. I had to run an errand, and anxiety was high, went into our bathroom and ran a brush through my hair, and saw it in the mirror...that’s when it hit me as to why one of my teeth was so sore. I had no idea I had been doing it, so I asked my husband if he had ever seen me doing it, he said yes, all the time.
I know this is a lot of info to hit you with, but I hope this will help you see what you are in for in the weeks to come. But, keep in mind, not everyone is the same, some of this might clear up for you sooner than later.
I don’t know if you drink alcohol or not, but this would be a big no-no while you are on Cital. Given alcohol is a depressant, and Cital just would not be able to do it’s job, and can really mess up your head and body. If you thing you are having crazy side effects now, well let’s just say it would be about the same as what you are experiencing now. It would just make things worse for you. Same goes for recreational drugs. I am not saying you do any of this, but some people do, and need to know that if they are going to do that, they should not bother taking the Cital. As it won’t help them. If a person wants the help, and to get better, then they need to commit to it. I love a drink, or a glass of wine just as much as anyone, but if I do, I pay for it for a day or two after...and that is a max of 2 drinks. So, we have to ask ourselves if it is worth it, after going through all of this. I did it on Mother’s day, 1 drink, and 1 glass of wine, 2 days later, I had a bad day.
I have been on Cital 20 mg for 3 years, and I have been lucky. I did not have a lot of the issues that most have had. My doctor started me on 20 mg to be taken at night 30 minutes before bed with a small amount of food. So, I didn’t have the daytime issues. It helped me sleep, so I didn’t have the daytime foggy head, I didn’t have the upset tummy. My eating habit did not really change at all. But, that was me. I was not sleeping well at all, so this did help me with that. I will still have what I call an “off” day, others call it a “blip,” but now I know what it is, I know how to deal with it, and it is usually gone within 24 hours and I am fine. Cital has really helped me, I just wish I had found this forum a long time ago! There are a lot of wonderful people here that can help with good advice. There is no judgment here, as we have been, or are going through similar things, so there is a lot of understanding. So you keep posting, you are not alone, we are here for you! I wish you good luck Drew!!
I am sending you a BIG {{{{HUG}}}} as everyone can use those!!