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Ask Selah R, M.S. LPC Your Own Question

Selah R, M.S. LPC
Selah R, M.S. LPC, Therapist
Category: Mental Health
Satisfied Customers: 582
Experience:  Licensed Professional Counselor; over 13+ yrs exp working with adults, teens, & families/couples.
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I am a 51 year old woman who has started menopause and is suffering

Resolved Question:

I am a 51 year old woman who has started menopause and is suffering from severe depression and anxiety. My gynecologist believes it is hormone related, althought ive encountered several very stressful situations this year . My family dr put mu on celexa 10 mg.and told me to start with 5 mg thefirst week so my body could adjust. i have diffculty taking any medication, usually take a childs amount and it is sufficient. Thefirst 3 days on the celexa gave me horrible heart palpitations and sleeplessness , k increased anxiety and confusiog. But the fourht day, things seem to clear up and I was feeling a little lift and functioning more normallyand thinking more clearly. DAY 7 I started taking 7.5 for 2 days and seemed okay,day 10 I took 10 mg. and had horrendous heart palpitations, and side effects once again. So the dr. said to skip one day and go back to 5 mg. which I did. I could not come down and was so wound up and nervous...went to immedicare center since my dr was away for 2 weeks. He told me to take zanax with celexa and try to increase it but I was so anxious and still struggling with heart palptiations so I stayed on the 5 mg of celexa and 1/4 of the zanax pill 3 times a day. it makes me so tired and i am very depressed again and having anxiety attacks which I did not have before. what is your suggestion, shoudl i try to increase the celexa ?unfortuntaley i am in canada and cant see my dr. until i return on aug 24..am desperate for help thank you so much
Submitted: 6 years ago.
Category: Mental Health
Expert:  Selah R, M.S. LPC replied 6 years ago.
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Selah R, M.S. LPC :

Thank you for trusting JustAnswer with your important question.

Selah R, M.S. LPC :

Celexa has a newer form called Lexapro, which tends to cause fewer side effects. It may be worth trying half of a 10mg tablet of Lexapro instead of the Celexa.

Selah R, M.S. LPC :

It may be worth trying the 7.5mg of Celexa again for a few days to see if it helps again, since it did a few weeks ago. But it sounds like your body isn't ready for 10mg.

Selah R, M.S. LPC :

Xanax can make you sleepy, and is usually recommended that you only take that when you feel like the anxiety is getting hard to handle.

Selah R, M.S. LPC :

If your body can not adjust to the Celexa, then it may be that it is not the medication for you. Your doctor might want to consider something like Wellbutrin which is an antidepressant with the least risk of causing sleepiness.

Selah R, M.S. LPC :

You should also talk to your doctor about your hormones to see if they can be tested, and what options (natural and prescription) are available to help you menopause-related mood issues. Many women have emotional benefit from the topical estrogen creams, even if they aren't at a point where they need or feel comfortable taking daily estrogen replacement pills. The cream may be worth trying to see if it helps.

Selah R, M.S. LPC :

Another medication that I have seen help women in menopause, who have not responded to typical antidepressants, is a low dose of Abilify if they are having a lot of restlessness, agitation, anger/irritability along with depression symptoms. So that might also be worth trying if the others do not help your symptoms.

Customer:

since i really can"t get to a Doctor at home for two weeks, should I try the 7.5 mg of Celexa for a few days and use the Xanex when necessary?

Selah R, M.S. LPC :

Yes, I think that would be wise. But if the depression and anxiety worsen and don't level back off after a few days, you may have to decide to stop the Celexa until you can meet with the doctor to discuss your other options.

Customer:

if i would have to get off the celexa, how would i do that

Selah R, M.S. LPC :

It's not uncommon for people to need to try more than one antidepressant to find the one that gives them the best benefits with the least amount of side-effects.

Selah R, M.S. LPC :

With the low dose you're on, you could just simply stop taking it.

Selah R, M.S. LPC :

If that seems too scary, cut the dose back to 5mg for 3 days, then half that for 3 days, then off.

Customer:

OK, Thank you for your help.

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