Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health

I wanted to share with you what my dr. recommendation was.

Customer Question
I wanted to share...
I wanted to share with you what my dr. recommendation was.
She said to cut celexa to 20 and add 10 mg of Lexapro at the same time. I am to continue this for a month. Then cut celexa to 10 mg taking still with 10 mg of lexapro. It seems liike such a long transition period. Can you shed any light on why the longer weaning off celexa?
Also , when I take the celexa I take it in the morning. When should I take the lexapro?
Submitted: 6 years ago.Category: Mental Health
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 2 hours by:
8/9/2011
Mental Health Professional: Dr. Ed Wilfong, Psychologist replied 6 years ago
Dr. Ed Wilfong
Dr. Ed Wilfong, Psychologist
Category: Mental Health
Satisfied Customers: 1,528
Experience: Twenty-five years treating all ages; Specialities: psychopharmacology & diagnosis, MMPI-2, testing.
Verified
Dr. Ed Wilfong :

It is a long transition period.

Dr. Ed Wilfong :

It should be OK. GPs aren't as used to doing this so can be a bit conservative. I don't see any harm in this schedule, but do let her know if you do have any problems. The Lexapro and Celexa are similar enough, I don't anticipate any unusual issues. Other than that, no clue why so long transition. She may or may not increase Lexapro to 20 mg when stops celexa (Most docs would). You can take the Lexapro whenever you want. I would like take in am with celexa, but if you get any drowsiness (which is unusual), you can take pm. It is simply whatever is most convenient and comfortable to you.

Customer:

She is a physchyitrist. I thought it was a long schedule too but I wasn't sure how to wean off the celexa. Since I did it too quickly when I was getting off originally it concerns me. Perhaps that is why she is being so conservative. I thought I would follow your plan but see how my body reacts to it. Is 20 mg the standard dose for lexapro? What happens if an increase is needed?

Dr. Ed Wilfong :

I would go with hers since you had so much problem with celexa before. It is conservative but reasonable. Most people do OK on 10 mg of Lexapro, but most need 20mg. One issue is you getting to an age where you may start metabolizing drugs differently and actually need less so 10 of Lexapro could be enough. I am GUESSING you follow-up with her in a month. Since she is the treating physician, I think it is wise to follow her advice, as long as it it reasonable, and it is. Otherwise, you run the risk of her considering you non-compliant. If the 10/10 is still causing issues for you in 2 weeks, I would give her a call. I appreciate you following up with me.

Dr. Ed Wilfong
Dr. Ed Wilfong, Psychologist
Category: Mental Health
Satisfied Customers: 1,528
Experience: Twenty-five years treating all ages; Specialities: psychopharmacology & diagnosis, MMPI-2, testing.
Verified
Dr. Ed Wilfong and 87 other Mental Health Specialists are ready to help you
Ask your own question now
Ask Dr. Ed Wilfong Your Own Question
Dr. Ed Wilfong
Dr. Ed Wilfong
Dr. Ed Wilfong, Psychologist
Category: Mental Health
Satisfied Customers: 1,528
1,528 Satisfied Customers
Experience: Twenty-five years treating all ages; Specialities: psychopharmacology & diagnosis, MMPI-2, testing.

Dr. Ed Wilfong is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Dr. Keane

Dr. Keane

Therapist

1,379 satisfied customers

Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.

TherapistMarryAnn

TherapistMarryAnn

Therapist

4,021 satisfied customers

Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.

Dr. Olsen

Dr. Olsen

Psychologist

2,336 satisfied customers

PsyD Psychologist

Norman M.

Norman M.

Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA

2,246 satisfied customers

ADHP(NC), DEHP(NC), ECP, UKCP Registered.

Dr. Michael

Dr. Michael

Psychologist

2,177 satisfied customers

Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.

Steven Olsen

Steven Olsen

Therapist

1,728 satisfied customers

More than twenty years of expertise in counseling, psychological diagnosis and education

Anna

Anna

Mental Health Professional

1,656 satisfied customers

Licensed Clinical Social Worker with 29 years in addictions and mental health.

< Previous | Next >

Related Mental Health Questions
My ex did gay porn but swears he's not gay.. he's so back
My ex did gay porn but swears he's not gay.. he's so back and forth with me.. he was addicted to oxy I love him but he's so closed off… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
I keep thinking about what I did when I was younger, when I
I keep thinking about what I did when I was younger, when I was about 6 I remeber like kissing almost making out with my two sisters, they were 5 and 4 then later when I was about 14-15 I developed la… read more
Linda D.
Linda D.
Master\u0027s Degree
794 satisfied customers
I am having terrible guilt and shame about things I did in
I am having terrible guilt and shame about things I did in my past which have suddenly come to my consciousness - when I was about 16 I was extremely sexual and ended up sniffing knickers on a number … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
767 satisfied customers
Leah,I had a question I did get to mention yesterday..the
Hi Leah,I had a question I did get to mention yesterday..the thread was getting a bit to long anyway lol… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
767 satisfied customers
I did ask a male professional earlier about my problem, but
I did ask a male professional earlier about my problem, but it would be great to get a female psychologists view also. My husband and I have not had sex in 6 years. He had a mild stroke 5 years ago, b… read more
Linda D.
Linda D.
Master\u0027s Degree
794 satisfied customers
My husband call me a, he did it today. I told him under no
My husband call me a bitch, he did it today. I told him under no circumstances do you have the right to call a woman a bitch. He also tells me that I am miserable. Everytime he starts a fight. … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
767 satisfied customers
Its kind of imbarrising.. I did realize I could chat to some
its kind of imbarrising.. I did realize I could chat to some one on here … read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
My doctor switched me from sertraline to viibryd. I did one
My doctor switched me from sertraline to viibryd. I did one week of 10 mg, then 2 weeks of 20 mg, now back to 10mg so I can switch back to sertraline. I don't like viibryd. How can I safely switch bac… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
Dear Dr. Keane, just a quick message to say that I did not
Dear Dr. Keane, just a quick message to say that I did not get that job, enough time has passed by to now know this. I've plenty to say, but not plenty of time this week as my gran is now visiting, so… read more
Dr. Keane
Dr. Keane
Therapist
Doctoral Degree
1,379 satisfied customers
I was dx with add, ocd tendencies and anxiety 10 years ago.
I was dx with add, ocd tendencies and anxiety 10 years ago. I stopped the adderal.meds bc if the crash they caused. I hear there is a time release that works good but in a new state and need doc tnst … read more
llw26
llw26
Private Practice
Doctoral Degree
11 satisfied customers
I have a friend who says she has DID but she doesn't meet
I have a friend who says she has DID but she doesn't meet the criteria. Her alters are dead people. Mostly characters from Movies or Musicals like Phantom of the Opera. Would this behavior be a sympto… read more
llw26
llw26
Private Practice
Doctoral Degree
11 satisfied customers
I am looking to add supplements to my diet. Specifically
Hi. I am looking to add supplements to my diet. Specifically L-Lipoic Acid, L-Theanine, L-Carnitine, and Cleated Magnesium … read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
Why some people get angry if other people point out they did
Why some people get angry if other people point out they did wrong things? I would think when people know they did wrong things they should feel sorry and try to correct. Thanks.… read more
llw26
llw26
Private Practice
Doctoral Degree
11 satisfied customers
My best friend "J" was diagnosed with ADD (or ADHD, I'm not
Hello, my best friend "J" was diagnosed with ADD (or ADHD, I'm not sure the difference), we are in our 40s. But I don't see her having this problem. When she was first diagnosed I just thought, oh it'… read more
Linda D.
Linda D.
Master\u0027s Degree
794 satisfied customers
Thank you. I did download a book about a little boy with
Thank you. I did download a book about a little boy with autism, from the perspective of an autistic child, but it turned out to be 64 pages long and just a little too grown up -- even though it menti… read more
Dr. Mark
Dr. Mark
Doctoral Degree
129 satisfied customers
I used to take Dexedrine for adult ADD the dr thinks I
Hello, I used to take Dexedrine for adult ADD the dr thinks I should go back on it. I have been having trouble running my business and growing my business and getting organized. My son also used to ta… read more
Dr. Mark
Dr. Mark
Doctoral Degree
129 satisfied customers
Im concerned that i may have ADD. It runs in the family with
Hi im concerned that i may have ADD. It runs in the family with my mother, brother and daughter. Can you tell me what assessments are necessary to do please. Im 42 and life is getting out of control w… read more
Therapist Leslie
Therapist Leslie
Masters, Professional Psychology
5 satisfied customers
Just looking for information to see if i suffer from ADD, I
just looking for information to see if i suffer from ADD … read more
Linda D.
Linda D.
Master\u0027s Degree
794 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x