Citalopram: What you need to know!
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- Опубликовано: 27 сен 2024
- Dive into the world of citalopram with Dr. Syl in this detailed video. Join us as Dr. Syl breaks down what citalopram is, how it works, and what it's used for. Whether you're taking this medication or just curious, Dr. Syl provides clear explanations about its benefits and possible side effects. From understanding its effects on mental health to knowing what to expect, this video is a helpful guide for anyone wanting to learn more about citalopram. Tune in to get the basics straight from Dr. Syl!
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there is no such things as an 'antidepressant' its purely a marketing term. You don't sound varied you sound firmly reductionist, discredited biomedical and stuck in the out of date and dangerous DSM mindset.
I know that Citalopram was my first antidepressant and got me in the ER and that Escitalopram gave me the turbo-zoomies with paresthesias + turbo-anxiety 😂
When going off citalopram you need to tapper much more slowly and for longer periods of time than recommended in this video. Especially if you have been on it for years.
I’ve been on Citalopram for years and have had little to no problems. It has kept me very flatlined in terms of my overall mood and emotional state and response but I’m very pleased with the results and it’s made me a functional person. I can’t see myself ever coming off of Citalopram.
I've been taking Citalopram for 2 years now. I've had anxiety since I was a kid (I thought it was the normal way everyone felt until I saw someone I know share their experience with anxiety). Not having this constant stress (24/7, I felt like I was about to do a school presentation ... the best way I can describe it LOL) has made such a difference in my life. I did gain a lot of weight after starting to take the medication, but I think it's related to going out with friends and being less careful with what I eat.
no they can impact diet along with a wide range of other impacts like ruining your sex life forever even after cessation.
What a coincidence - I always enjoy your content, and how you’ve made a video about medication that I was prescribed last week. 🎉
My doctor changed my anxiety med for this SSRI since I started to gain weight on the previous one.
Love these breakdowns Doc, unsure if you take requests but I am currently prescribed Vensir XL and Quetiapine and would love to see a look at these too!
I took Escitalopram for four years and I'm getting off of it. Could you talk about it in one of your next videos?
Hello Dr. Syl! I love your videos. Please make one for Escitalopram or brand name Lexapro. I've been taking it for almost 10 years now, 30 mg in combination with 25 or 50 mg Quetiapine.
My Major Depressive Disorder has been so well managed by escitalopram for years on the same dose, such a relief when the psych that reviewed my meds started me on it.
This!
This was my first antidepressant, but I didn’t stay on it too long as it made me so tired and I just wanted to sleep all the time!
I take citalopram for pmdd. It works but it also makes me very sleepy.
Great video, well explained.
I took citalopram for about a year and have come off of it now. It was very effective and no side effects once the first 2 weeks had passed. I experienced the increased energy you talked about. Didn't realise it was a known thing.
I'd love to have a video on issues with long use TCAs... that's if you haven't done one already. Love your channel. 😊
i have a nursing college friend who moved to australia from uk to nurse there a long time ago and she still works there. she says mh in australia is in the dark ages
Oh it's certainly dark, And still very frowned upon by society, I just quit my job because of my MH struggles and in no way feel safe explaining this reason to my boss. I just made another excuse rather explaining my mh issues and suffer being looked down upon as weak and useless
@@4D2M0T Stay strong mate, people are just heartless these days but there's good community out side of the services that are supposed to help us, even if it's hard to find.
Yupp
does all this apply for escitalopram? i take that and had a slightly different experience compared to citalopram. ive taken a few different meds over the years and find escitalopram to keep me the most stable with minimal side effects. its also dished out in 10mg tabs so not sure if thats just a NZ thing to have slightly lower doses.
Very thorough. I've been on 20mg for a month exactly now. I have taken them for depression...but also have anxiety agoraphobia personality disorder and physical problems underweight. At first I had nausea but not now. I've played with daytime and nighttime dosing and morning seems better. I don't like the psychological side of knowing I've not taken a pill in the morning and waiting til nighttime means I don't feel it coming on.. which I kinda think helps even if I'm a bit dizzyish. I don't know if I need higher does yet. Intend to yawn on them at some point .. same as taking magic mushrooms 😅 sometimes I wonder am I better off on low doses of shrooms. Because I know they are testing it. Even in Maudsley where my friend was I see the stuff they are doing there on the ward and pscilcybin was in it for treatment resistant depression...
Oh and citalopram delay ejaculation but not erections for me.. I don't like that. maybe a partner would and it may help me but I don't have one 😅
I have been taking this for a few years and am doing pretty well. Also rizatriptan for migraine. Very curious about the connection between seratonin and migraine.
While anecdote - Citalopram put my trigeminal neuralgia into remission quite quickly. i moved on to Escitalopram after about 6 months due to digestive side effects.
Yo lo he tomado 23 años y en que mala hora lo deje ,se que sera de por vida ,pero no me ha afectado en nada y sin sintomas secundarios solo la boca mas.seca ,pero supongo que me acostumbré despues de tanto tiempo
Wout wout! I take those! 😉
They worked wonders for me (slight depression, mostly anxiety). No side effects. I feel great!
However, I also suffer from chronic hives and unfortunately, the antihistamine effects don't do nothing for that. But it's ok, I take rupatadine for the hives. All is well.
Thanks for these vids Doc! 👊🧡
please do one of these videos for prozac!
The camera zooming in and out the whole time is quite off-putting
Ok will tone it down a little
I had to look away and listen like a podcast by three minutes in. Glad doc saw you comment.
@@DrSyl just cut it off i think
Imagine you're talking to someone taking Citalopram.😂
I noticed this is a fairly new technique lately. It’s “on brand” but does seem to be more frequent lately.
Can you do a video on Pristiq? And can you also mention how to withdraw from it as in Australia the lowest dose is 50 mg extended release.
Perhaps you could do one on Invega Trinza?
I really felt great on Escitalopram but my mania came back so my doctor had to stop it
😢😢😢😢
Can you talk about Pregablin for anxiety and methylphenidate for adhd please.
I have been on citalopram for 4 weeks now (8 weeks postpartum) after a Hurrendous experience with UK healthcare, our daughter being admitted with viral meningitis (think I had it first but was ignored) I had low level health anxiety but it’s now huge. I am getting counselling and work in mental health myself (low level CbT etc) I have been on this for 4 weeks now just 10mg, it has prevented further panic attacks however I am having lots of dizzy spells and fatigue. Will this go or should I change ? I’m exercising daily but have a toddler, naps aren’t an option for me should I change to night time as I usually take it at 6.30am. This video was really helpful you don’t get this information when you are given it.
Congratulations on your baby :) It doesn't matter whether you take your dose in the morning or before bedtime. The latter sounds worth a try if it makes you fatigued anyway. Consider taking it an hour or even a couple of hours before going to bed in case it otherwise makes you feel insanely tired in the morning. It's a bit of trial and error. Also, give your brain some time to adjust. I know it's not that easy if your life is this stressful. But there are no shortcuts. If in two more weeks you feel like it really doesn't work at all, talk about switching to a psychiatrist who knows their stuff. If it helps at all, waiting it out at least a little bit often helps a lot. Best of luck to you and your family! You got this! Strong women deserve our utmost respect.
Theory only a Theory
What does it mean when your doctor says that your problems are organic and that you are not depressed?
Buspirone next!
I've been on it for 18 years. Now my anxiety is worse now than before I took this poison. Withdrawal side effects are atrocious. Withdrawal syndrome is an euphemism for severe drug addiction made up by the drug companies. Why are there no 1mg doses for weaning off this drug in Australia? The medical profession and the drug companies have a captive population.
It is what everyone was given in the psych ward it did nothing for me
Hello doctor I have been taking Lexapro 20 mg for 5 months and the last 25 days ago I took alcohol for 3 consecutive days and after that I felt that I lost the benefits of the medicine to a large extent. Also, my anxiety returned severely. I am still suffering from it now, but it has decreased. It is not the same as before. When I took alcohol, I do not really know. I have stopped. Regarding drinking alcohol now, will I regain the benefits of the medicine, meaning I will recover after a period of taking the medicine again? Please answer
Celexa was the first antidepressant I was ever put on. I hated it. It made me completely numb emotionally (also physically in a sense, did also experience the sexual side effects, which in itself was depressing lol), I had intense brain fog, and I just didn't care about anything, even the things I still cared about while deep in depression. I guess on the plus side, I also didn't care about dying anymore, wasn't going to try to make that happen because I already felt dead, everything was pointless and meaningless. Luckily I wasn't on it for long, maybe a few months. Had a much better experience later on in life with fluoxetine.
What do you have to say about sertraline and risperidone (on both, plus Concerta and Allegra)
Citalopram is the crack of anti-depressants.
Most cases of, post ssri sexual dysfunction from citalopram. Highest rate in giving pssd to its users.
Do all SSRIs have histaminergic effects?
Is sedation vs energy from SSRIs dependent on the literal location (e.g. brain part) of the receptors? Online I've always just heard a vague answer relating to genetics so if it is dependent on the distribution of receptors that's really interesting. I wonder how much distribution of receptors varies. New rabbithole for me to go down haha
Also I wonder why MDMA isn't as associated with serotonin syndrome as SSRIs, given that MDMA has a sharp increase in serotonin. Maybe it's related to SSRI's build-up over time but when I look up serotonin syndrome it seems to talk about acute effects from taking a high SSRI dose.
Also I'm curious if you intentionally use the word "illness" with bipolar and if so, what your philosophy behind that may be (e.g. how you see bipolar itself, or how you understand it as being rooted in biology, or ...). I'm not sure if I said that well. I notice you're careful with using certain language e.g. personality vulnerabilities and I'm curious if there's an intentional reason behind using the phrase "bipolar illness" as well. I'm thinking maybe 1) bipolar is less related to identity, and 2) mania and depression are toxic states (kinda analogous to having a fever) so maybe it's those?
Is citalopram the best first course (in general) to take for dysthymia or does that require a lexapro type med?
Ooft hard to say without an assessment. With dysthymia I would recommend psychodynamic psychotherapy a lot of the time as first line.
idk why they dont reccommend starting ssris with the tiniest of doses and increase gradually. maybe they want if effective asap...
as far as i know , for most people the first few days feels really bad.
last time i took it i started with smallest doses so you dont feel weird. also when you wanna taper off, taper off in tiny bits 🤷🏻♀️😎
Maybe it depends on who is prescribing?
I always had my psychiatric meds prescribed by psychiatrists who are specialists in depression & anxiety. They always started me on the lowest dose and titred me up to the efficacious dose (unless I experienced severe side effects, which happened several times). The risk of Serotonin Shock is too great if you don't gradually increase the dose.
Lots of weight gain!!!
I found that citalopram made me dizzy and made me want to vomit
3:33 Bubropion and Ibuprofen = not the same thing
Sorry, the video editor misheard and made a typo. I have blurred it to avoid further confusion. Thanks for the comment!
This was another med I took for a while. No positive effects, lots of nasty side effects.
None of these long-term drugs should be first line for depression. Other solutions like ketamine don't really have any nasty long-term effects, yet you guys always go for the most damaging solution first. Why?
Fun fact: side effects can show up on day one.
How can we talk I am alone with my special needs daughter in tempe Arizona I definitely don’t trust dr r u on messenger??
@@irishgirl1753 What help do you need? I am willing to talk, but I am not on messenger and I am pretty avoidant and awkward to be honest.
It sounds like you need support and people to lean on. RUclips often eats external links so I can't put the link but it is an org, not com. You should find a lot of good support on a place called My Support Forums.
Ketamine. No nasty side effects...for ketamine? You're joking right?
@@foolishlyfoolhardy6004 Long-term is the keyword that you missed. The treatment can be rough but it is effective and won't give you side effects for years like taking a pill every day.
I have had tinnitus since 2013 which appeared when taking venlafaxine, and I stopped taking it in 2014 so side effects can stick to you. The only time since that I don't notice is when I am asleep and don't sleep much.
Ditto for constant headaches for 30 years but were triggered by an anticonvulsant that I stopped 29 years ago.
Long-term med usage is risky as hell.
3:32 - Spelling error. Ibuprofen (nurofen) is a NSAID / anti-inflammatory.
I said Bupropion but I think my editor misheard me. I missed it on my watch through. Thanks for picking this up!
Seventh!
backward out of date - and this person is in training - frightening stuff.
Been on 15mgs daily for almost 14 years now from when I was 28. Definitely believe it affected sex drive, etc. But I think I'm happier on it generally speaking. But then again I can't remember in detail really who I was before, and the difference to who I am now. It's an odd cycle. But I've started to come down to 10mgs now and we'll see what happens.
Are you aware of the recent work by Mark Horowitz Syl? Stuff like that annoys me so much I find it hard to take psychiatry seriously, the downplaying, dismissal and ignorance around the dangers of drugs like these since their inception, maybe you should do an interview with him? Risk benefit seems so much more tricky I could not imagine having to make choices for patients as a psychiatrist, I guess a good psychiatrist can do this well though and necessary for people with chronic issues. I have just been burned personally by people who never really knew what they were doing, meds never felt like the thing for me but you end up gaslighted into thinking you need them long term.
I wish every single psychiatrist was forced by law to take the tablets they prescribe. Then attempt to withdraw. I would pay good money to watch their downfall. It's a disgusting so-called 'profession', based on pseudoscience and snake oil.
Citalopram absolutely saved me from my panic attacks and general anxiety. However please do ease off of it slowly, as mentioned, if you feel ready to quit. I went cold turkey and had a really really bad time. I started to take it again at a lower dose and now I'm approaching the end of my journey with the medication. I definitely think it is worth trying if you suffer from any of the illnesses or disorders mentioned in this video. Don't be disheartened if it doesn't work for you. Finding the right medication can be a lot of trial and error.
I took Celexa when I was in grad school, when I was about 36 years old. It was not my first SSRI/SNRI, but it was the first in a string of them that gave me the strange sensation of not being present in my life. As I explained to my psychiatrist at the time, it felt like I was a walking movie camera, watching my life being lived instead of living it. I'll never forget her reaction. That was my last day on Celexa. Unfortunately, every SSRI/SNRI I took after that gave me the same problem (which was diagnosed as Disassociation), the worst being the last one I took, Cymbalta. I'd rather deal with the chronic depression than lose touch with myself again, to be honest. That was freaky.
It sounds like derealization - almost book perfect description of it, which often accompanies dissociation. The feeling of "watching your life as a movie" is classic derealization - I've experienced it too and.. I'm not a fan.
I've been on escitalopram for over 10 years. Have tried to come off them twice but became very sick and suicidal, which I never was before starting them. I feel like my diagnoses weren't correct at the time which makes it all the worse 😢
Definitely tough to get off, just like venlafaxine...
Hi. Would love a video on Arripiprazole ( Abilify) and esp side effects of akethesia and how to treat it. I have read its mild discomfort but with fibromyalgia i am in so much pain. Thanks
Yeah I'd be interested in watching that. It has a few uses doesn't it?
There are some supplements like "5-HTP 200mg capsules - Griffonia Simplicifolia" that allegedly work on the serotonin side too, as a precursor for serotonin. Is it something you work with or advise at all? Thank you in advance.
I've just started taking those. Was recommended them as I was on amitriptyline and didn't like the side effects. I was told these were a more natural route. Waiting to see if I see any results.
This drug destroyed my life
Undiagnosed ADHD when prescribed this drug. Awful side effects. Increased hyperactivity, caused insomnia, stopped any dopamine high from achieving new bike tricks, or intense exercise, chewed inside of mouth in bed with teeth grinding & couldn’t orgasm. Changed to mirtazapine , which I don’t think stops depression, but helped with sleep that made a massive change to the undiagnosed adhd at that time.
Could you please discuss the difference between citalopram and escitalopram as the R-stereo entanomer has been shown to be ineffective and even cause side effects. I would wonder why a Doctor would prescribe citalopram over escitalopram (Lexapro) as a first choice treatment.
The same thing goes with Effexor (venlafaxine )and Pristiq (desvenlafaxine) as your body metabolizes Effexor into Pristiq which is the active chemical and seems to cause less side effects.
I was on Lexapro for 20 years and it stopped working after I was ripped off it suddenly due to a diagnosis of bipolar - I just have CPTSD and can have horrific insomnia where I am up for days - I am not manic though. I’m exhausted. Cold turkey off that medication was one of the worst things to ever happened to me and I went absolutely crazy .
The best thing to happen to me was getting the genetic testing to see what psychiatric medication might be more likely to be effective for me and which ones should probably be avoided. Turns out that Lexapro was in that “yellow” which is a “maybe will work” where is Pristiq showed up in the green. This tune in medication absolutely saved my life. I was unable to get out of bed for almost 2 years. I was so depressed and within a few weeks of switching to Presti I was able to at least care for myself enough to then do the therapy and work I needed to keep getting better.
I'd like to get your take on psilocybin and ketamine for depression! I follow a couple of other psychiatrists that speak very highly of it now.
This might not be true but i heard this med is a weak antidepressant. Thats just what i heard. I would be curious to hear about wellbutrin which im on. I just got increased to 300mgs and i noticed my eyes are so sensitive to the light. Im wondering if thats a side effect
I have seen a few videos of a chanel named Jwool, in wich a teenager talks about his depression. I think it might be intresting to look at it
Great video! The explanation really helped me understand how the drug works. For me, it caused anhedonia or something similar, but I know many people for whom it worked. 💙
Can you make a video about Truxal?
Can you do one of these on levomilnacipran (Fetzima)?
Ya no lo quiero tomar! llevo un año con escitalopram
I scrolled to almost the end ( too long) and I fell on the serotonin part. Ty
you should totally do a video on Cymbalta :) :)
Sorry what would taking it with ibuprofen do??
Sorry, the video editor misheard and made a typo. I have blurred it to avoid further confusion. Thanks for the comment!
Ahh, one of the few I haven't tried, I did take escitalopram - is it super similar or is it just the names that are similar?
I'm surprised to hear it's the most commonly prescribed in Aus.
Yes, Citalopram is the pre-cursor to Escitalopram (Celexa, Lexapro). I THINK that Escitalopram has less side effects as it targets more specific receptors in the brain...or something.
I'd love to hear if anyone here has used citalopram and amitriptyline at the same time. My doctor didn't say anything about it but I stopped taking ami (for bladder pain and migraine) just in case.
i take escitalopram and amitriptyline and havent noticed any specific issues but i know that can be different from regular citalopram. can i ask what type of bladder issues you take it for? i was given it for the same reason but not really sure if it helps
I know someone who takes this(Cit...pram) for vertigo... Keeps them from falling down so much. Does that sound legit?...
Absolutely, ssris affect the vestibular nuclei where motion sensitive response pathways flow. I’m not a med student but I have vertigo. I study all my ailments bc doctors disappoint. Citalopram paired with meclizine was a life changer for me. What I don’t like is that we haven’t invented an at home chemical level check machine. I mean there’s a lot of money there if anyone wants to invent it. Prick, blood, check levels. Would be life changing.
@@JB-xm2wh thank you for the reply...
citalopram made me terrified of everything
I constantly thought people on the road were trying to kill me from the other side, and my emotions were completely dead
0/10 would not do again
That’s how Prozac affected me!
Thank you so very much Dr Syl. I have been on Citalopram since 2011. I am also on Lorazepam 2mg bid. I started taking lorazepam (Ativan) when I was very young. I do worry that I have become so dependent on both of these medications. I do not have any side effects but if I run out of either meds I have a pretty fast brain zap withdrawal within a day. I am young, active and otherwise healthy. I am a medical professional and had no issues with my studies or my duties currently. But, I do think about lowering my citalopram dosage. I’ve been on 40mg the entire time. My personal doctor has just left her practice due to the current climate in healthcare, in Alberta. And I would value your professional opinion on how to lower my dosage safely. Thank you again for your knowledge and compassion.
Yes I remember those brain zaps, they were horrible
It's mostly the benzo withdrawal I would be primarily concerned with. The dose is really small but I would still advise consulting with a doctor who is proficient in overseeing controlled tapers. Addiction doctors do it pretty frequently - if your withdrawal symptoms are unpleasant and severe and/or you have other health issues and comorbidities it might be well advised to withdraw under medical supervision, at least for the last two weeks and do it as slowly as it's possible, while switching to longer acting,weaker benzo (we use diazepam for tapers as it's longer acting, has smaller potency and is available in small dose tablets you can still divide). I would strongly advise withdrawing from both medication at same time - we advise patients to stay on antidepressants for several months after tapering off benzo's to alleviate any potential post-acute withdrawal symptoms such as mood and sleep disturbance. Granted, you are on a dose that would make an anxiolytic addict chuckle but it's better to be safe than sorry. There's taper protocols included in many papers but I wouldn't recommend even healthcare providers to get off this kind of medication on their own, without at least consulting a specialist.
If you try stopping Citalopram and it is too fast for you, you can get citalopram in liquid form and do it slower. I started off on the liquid form and 20mg's is 8 drops. I ended up on 40mg's before I had to stop because I wasn't allowed to increase on them and they were no longer working as I grew tolerant to them. The liquid form allowed me to stop slower and prevented brain zaps xxx
@@margodphdoh my goodness thank you so very much.
I gained about 10kg during the first month of taking Citalopram.