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Ask Dr. D. Love Your Own Question
Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17541
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
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I need advice about celexa, yes I was on celexa but got off

Customer Question

I need advice about celexa
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: yes I was on celexa but got off it but now i need to go back on it and i'm not sure how much to take
JA: Anything else in your medical history you think the doctor should know?
Customer: i have an anxiety disorder
JA: How long have you been dealing with this? Is there anything in particular that seems to make the symptoms better or worse?
Customer: 8 years
Submitted: 22 days ago.
Category: Medical
Expert:  Dr. D. Love replied 22 days ago.

Hello from JustAnswer. This is Dr. Love and I will be assisting you today.

What dose did you take before that was effective?

Customer: replied 22 days ago.
I was on 80 mg
Customer: replied 22 days ago.
cant afford a call right now
Customer: replied 22 days ago.
are you there?
Expert:  Dr. D. Love replied 22 days ago.

Yes, I am here and typing, and it is fine to continue communicating by text, but it takes some time to type an answer. I will post it once it is complete.

Customer: replied 22 days ago.
ok thank you
Expert:  Dr. D. Love replied 22 days ago.

The 80 mg daily dose is a very high dose of Celexa, which was probably told to you before.

When someone has taken higher doses of Celexa in the past, it is not recommended to resume the drug at the higher dose. It is recommended to start the Celexa at 20 mg daily, and then can be increased each week in increments of 20 mg daily until the desired dose is reached. Starting at a high dose or increasing too quickly has a greater risk fo side effects, and particularly an adverse effect on heart rhythm conduction.

So, the usual approach would be to resume the Celexa at 20 mg daily, and then increase each week by an additional 20 mg per day until the desired dose is reached.

If I can provide any additional information, please let me know.

Customer: replied 22 days ago.
thank you
Expert:  Dr. D. Love replied 22 days ago.

You are most welcome.

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