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Hi! I believe I can be of help with this issue.
I can imagine how worrisome this situation must be for you. You have been taking a very low dosage of Celexa to begin with. 20 mg is really a very low dose as well. However, you are very sensitive to medications so even though 20 mg is a low dosage level, you are concerned.
Because 20 mg is a low dosage level your doctor may want you just to increase your dosage at once. 10 mg is the smallest pill size, but you could discuss with your doctor increasing to the 20 mg by alternating taking 10 mg one day and then 20 mg the next day for 10 days to slowly accustom yourself to the new dosage.
Again, 20 mg is not a high dosage level so it may not be necessary. You've been tolerating Celexa well and that is a good indication you should be able to tolerate the 20 mg level well.
You might also consider adding a behavioral component to your treatment for your depression and anxiety. You've had some life stressors that have increased your anxiety and medications may not be the way to deal with this given your sensitivity to meds. While behavioral treatment requires more effort from the patient than medications and is not as quick acting, it doesn't have the side effects nor withdrawal symptoms of the medications. If you would like to introduce a behavioral treatment, feel free to ask me another question about it. Just write “For Dr. Mark” at the beginning and everyone will know it’s for me.
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