Get E-Book on COVID-19

Q. Can Celexa cause side effects if discontinued in the middle?

Answered by
Dr. Kumarshri Shriniwas Saraswat
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Mar 03, 2016 and last reviewed on: May 29, 2019

Hello doctor,

I recently went off my medicine Celexa, that I was taking on for over 10 years. I went through a lot of trauma in the past 4 years. I was just starting to do better and was using natural supplements. 5 months after going off medicines, I moved to a different town where I had to look for a new job and stress from all that and being triggered by previous events from past put me in a lot of stress. I suffer from PTSD, anxiety and depression. I went back on Celexa few weeks ago and had severe reaction. I even lowered the dosage and still had bad reaction. So, GP switched me to different medicine. I am now on Effexor 75 mg. My doctor does not feel comfortable dealing with my psychiatric medicines herself. Hence, I have been on 5 week wait list to see a psychiatrist and been on 75 mg of Effexor for just over 2 weeks. Anxiety has subsided slightly and I am no longer vomiting due to anxiety or having any chest pains. But, I am scared all the time and have worried anxious thoughts all the time because of which I cry, and my appetite has decreased. I feel very hopeless and lack energy. I do not know how I can deal with all this. I am feeling isolated from my friends and supports where I used to live. Hence, having hard time finding a place to live where I was before. I am not having any idea if these medicines are working and no one to properly monitor them. I am feeling very desperate and scared. Please help.

Dr. Kumarshri Shriniwas Saraswat

Psychiatry Psychologist/ Counsellor Psychotherapy Sexology Sleep Medicine
#

Hello,

Welcome to icliniq.com.

I have gone through your query in detail. I can understand what you are going through and you have my sympathies for the same.

Though your mental health is quite disturbed right now, you have many reasons to be optimistic as far as your anxiety, depression and post-traumatic stress disorder is concerned.

First thing being, that you were doing good on high dose Celexa (Citalopram), which means that your illness responds, once you have attained sufficient dose of a suitable drug.

Secondly, currently your anxiety symptoms have reduced to some degree, but there are remaining symptoms which are because of depression (anxiety itself could be a symptom of depression to some extent).

  1. Effexor (Venlafaxine) is a suitable medicine for your mental disorders.
  2. The dose of Effexor that you are taking is insufficient for depression in general, Since, you are a case of chronic depression in particular. You need to increase the dose by 75 mg to reach 150 mg. (75 in morning and evening).
  3. After 10 days, increase it upto 225 mg (150 in morning and 75 at night) and wait at it till you see your psychiatrist. Consult me again after 20 days to update on your progress.

You might experience some anxiety initially when increasing the dose. For which you can take tablet Ativan (Lorazepam) when necessary.

Once your depression improves, you will find a lot of your problems disappear on their own as they are directly or indirectly related to depression. Take care.


The Probable causes:

Life stressors and changes.

Probable diagnosis:

Major depressive disorder or PTSD or generalised anxiety disorder (GAD).

Treatment plan:

Optimization of the dose of current medications.


Was this answer helpful?

 | 

Related Questions:
Can anxiety and stress cause frequent urination?
Generalized Anxiety Disorder(GAD)
Is there any way to cure PTSD and bipolar disorder?
 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


Depression - Awareness, Self-Diagnosis, and Treatment Modalities

Article Overview: Depression is among the top five causes of morbidity in today’s world. It remains largely undiagnosed and underreported because of a lack of adequate knowledge, both among the patients as well as the physicians. It is majorly characterized by the presence of a continuous sad mood, anhedonia, and easy fatiguability along with a host of secondary symptoms, which aid in quantifying the severity of the depressive disorder. So, it is the need of the hour that awareness is raised among the masses regarding this illness that is soon poised to be the number one cause of morbidity. Read Article


Dr. Ajay Singh
Psychiatrist

Depression has been recorded in the annals of history since time immemorial, but never has it assumed so much significance as it has in today’s world. With the advent of technology today, the human society is evolving by leaps and bounds with every passing day. As the saying goes that every co...  Read Article

Postpartum Depression

Article Overview: Postpartum depression (PPD) or postnatal depression is a kind of depression that affects a new mother. 80 % of all new moms experience baby blues, but if the symptoms are severe and it starts affecting your ability to care for your baby, then it is a sign of postpartum depression. Read Article


Dr. Sneha Kannan
Psychiatrist

Postpartum Depression Postpartum depression (PPD) or postnatal depression is a kind of depression that affects a new mother. 80 % of all new moms experience baby blues, but if the symptoms are severe and it starts affecting your ability to care for your baby, then it is a sign of postpartum depress...  Read Article

Am I having a heart problem or PTSD?

Query: Hello doctor,I have already talked to my very own Cardiologist but have not really gotten much. They just told me I have been having a lot of tachycardia lately but with a normal rhythm. They told me I should be fine but I feel I am not. Three months back, I had gone into cardiac arrest due to a dru...  Read Full »

Also Read


Miscarriage
This article provides you with all the information that you should be knowing about miscarriage. Although this is an emo...  Read more»
COVID-19 Testing
COVID-19 testing includes analyzing patient samples to determine current or past infections with SARS-CoV-2. Read the ar...  Read more»
I feel a restlessness in my legs, which decreases my sleep quality. How to get a refreshing sleep?
Hello doctor, I cannot get refreshing sleep some days in a week, and some days it is good. I also have difficulty sleep...  Read more»

Ask your health query to a doctor online?

Ask a Psychiatrist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.