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Ask Dr. D. Love Your Own Question
Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 18762
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
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I have a term problem or I should say problems, yes a very

Customer Question

I have a long term problem or I should say problems
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: yes a very good one for 13 years but even she is stumped. I take clonazapam,Gaba pentin , lisinoprol and citalipram
JA: Anything else in your medical history you think the doctor should know?
Customer: I have sleep problems, anxiety. depression, The clonazapam helps with the 1st 2 but I end up taking too many then run out which I'm about to do then I go through withdrawl till I can get it filled. my life is a living hell and I want help
JA: How long have you been feeling this way? Have you reached out to anyone about this yet?
Customer: for probably 10 or more years. I've seen my Dr., councelors and have even tried to talk to a shrink. I use this term be cause I can't spell the professional name
Submitted: 12 months ago.
Category: Medical
Expert:  Dr. D. Love replied 12 months ago.

Hello from JustAnswer.

There are several options for management of someone with stubborn sleeping problems, anxiety and depression. The citalopram is an excellent antidepressant, but there are several other antidepressants that can be considered. Some can be used to augment the citalopram, such as trazodone, which can particularly help with sleep. There are also a number of antidepressants in different chemical classes. SNRIs are similar but also affect another chemical, and common examples include venlafaxine or duloxetine. There also are several antidepressants that act by unique mechanisms, such as bupropion, mirtazapine, or vortioxetine. There are also a number of medicines that can augment the antidepressants, such as quetiapine or aripiprazole.

If the citalopram helped significantly when it was started, I would usually first try to augment the effect, such as by adding trazodone.

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